Russell Rensburg | Consolidate the funding of South Africa’s district health system: why reform can’t wait

District managers in South Africa’s public healthcare system currently have to juggle funding from multiple government budget lines, each with different strings attached. To improve district health services, we urgently need to simplify and integrate these funding flows, argues Russell Rensburg.

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Inside The Box with Dr Andy Gray | How medicines pricing works in SA and how it might change in future

In South Africa, as in many places, pharmaceutical companies are not free to change medicine prices as they wish. In his latest Inside The Box column, Dr Andy Gray unpacks how medicines prices are regulated in the country and considers how this regulatory framework might change.

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Spotlight’s top 9 health stories to watch in 2026

From the limited rollout of a new HIV prevention jab to developments with new weight loss medicines, to high-stakes court cases relating to National Health Insurance (NHI), 2026 is set to be another tumultuous year in healthcare. Here are nine stories that Spotlight will keep a close eye on.

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Inside The Box with Dr Andy Gray | Where are we on the road to more coherent cannabis regulation?

There has been much confusion and misunderstandings about how cannabis and associated products are regulated in South Africa, with government’s own missteps adding to the uncertainty. In his last Inside The Box column for the year, Dr Andy Gray clearly sets out the current legal and regulatory situation and where we’re heading.

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Salim Abdool Karim | Transforming adversity into opportunity for the AIDS response

As World AIDS Day 2025 swings by, CAPRISA Director Professor Salim Abdool Karim reflects on the frantic days following this year’s unprecedented cuts to health aid and research funding from the US, arguing that the deliberate disruptiveness was designed to be cruel. Nonetheless, he argues, our HIV response must now forge ahead on a path that is more affordable, sustainable and independent.

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Vincent Tlala | Medicines safety – the crucial role of pharmacists in protecting you

Medicines are among the most powerful tools in healthcare, but they also come with risks. As we mark #MedSafetyWeek, Mr Vincent Tlala, registrar and CEO of the South African Pharmacy Council, argues that the safe use of medicines is a shared responsibility, and is not only up to pharmacists.

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Inside The Box with Dr Andy Gray | Public participation in medicines selection and regulation – lacking?

In several countries, the public is given an opportunity to share their views with regulators before new medicines are registered or to engage with those choosing essential medicines. In South Africa, however, opportunities for such public participation remains limited. In his latest Inside The Box column, Dr Andy Gray takes a look at how public participation is handled elsewhere and how it could be improved here.

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