OPINION: The billions allocated for infrastructure require more progressive procurement systems and oversight

Spending on public sector infrastructure over the 2023 medium-term expenditure framework (MTEF) is estimated at R903 billion and the health sector accounts for 5% of this. The well-documented poor maintenance and oversight of projects, also in the health sector, will require close monitoring of trends across the public sector, particularly where procurement and contracting is concerned, writes Zukiswa Kota.

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OPINION: Mid-term budget fails to show the way to a more resilient recovery

The Medium-term Budget Policy Statement (MTBPS) was tabled amid a grim global economic outlook and a climate of increasing political uncertainty, electricity supply challenges, and very high unemployment. Russell Rensburg argues the MTBPS fails to provide a credible path toward a resilient recovery and sets out what can be done to strengthen governance and build social solidarity around the recovery we need.

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Patients bear brunt of worsening conditions at some Free State clinics, report shows

A recently published report by the community-led clinic monitoring project, Ritshidze shows that while there have been pockets of improvements at some clinics in the Free State, there are key issues on which facilities’ performance has worsened, especially for people living with HIV. Refilwe Mochoari unpacks the report’s findings zooming in on the situation at Bloemspruit Clinic in Mangaung.

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In-depth: Have 4 years of administration reduced medicine stockouts in North West?

Public healthcare facilities in the North West have been plagued by chronic medicines stockouts for years. Now, as the province’s health department is again taking the reins after four years under administration by the National Department of Health, Nthusang Lefafa asks what progress has or has not been made in that most basic of healthcare functions, providing people with the medicines they need.

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Healthcare problems persist at ‘ideal clinics’, studies show

The ideal clinic programme has been one of government’s key healthcare interventions in recent years. An extensive review conducted of the initiative in Gauteng suggests that outcomes are mixed. Elri Voigt reports on findings from four studies on the programme presented at last week’s Public Health Association of South Africa conference in Durban.

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Questions raised over functionality of Eastern Cape clinic committees

In recent years damning findings from the Public Protector, the Human Rights Commission, the Public Service Commission, and the community-led monitoring group Ritshidze have been piling up against the Eastern Cape Department of Health. Luvuyo Mehlwana asks what value clinic committees and hospital boards can add to help improve public healthcare services in the province.

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COVID-19 blamed for shortcomings of ‘ideal clinics’ in Free State  

There are 83 clinics – down from 153 in 2018/19 – in the Free State with Ideal Clinic status, meaning they have adequate staff, infrastructure, and medicines, among others. For many primary health facilities, this accreditation status is crucial for the National Health Insurance, however, some of these ideal clinics still have various shortcomings. Refilwe Mochoari reports.  

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Are youth-only clinics the answer to better healthcare for young people?

Special youth clinics appear to be an effective means of providing healthcare services to young people who otherwise might not engage with healthcare services. But is building more youth clinics realistic given our resource constraints, or is it better to focus on making ‘normal’ clinics more youth-friendly – or should we be looking beyond clinic-based healthcare services altogether? Tiyese Jeranji investigates.

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Report finds some improvement at Mpumalanga clinics, but serious challenges remain

The community-led clinic monitoring project, Ritshidze last week, released its follow-up report on the state of (primary) healthcare in Mpumalanga. There were some improvements, but patients are still waiting over four hours to be seen at some clinics. Nthusang Lefafa unpacks some of the report’s findings and asked the health department about its plans to address these shortcomings.

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