NHI Act offers no answer to high medicines prices
The National Health Insurance Act does not deal with the systemic issues that cause high prices and inequity in medicine access, and government is not listening, argues Fatima Hassan.
Why people stop taking their HIV treatment and what we can do about it
Stopping antiretroviral treatment when you are living with HIV can result in increased HIV transmission, illness, hospitalisation, and eventually death. To combat such disengagement with HIV treatment, Professor Graeme Meintjes and colleagues argue we need smarter differentiated care and better education of healthcare workers, people living with HIV, and communities.
SA has the third highest suicide rate in Africa – there are steps we can take to tackle it
South Africa has the third highest suicide rate in Africa and Africa has higher rates of suicide than any other continent. In the wake of World Suicide Prevention Day on September 10th, clinical psychologist Vincenzo Sinisi asks what can be done to bring down suicide rates.
Living with a cleft: “I smile, but without showing teeth”
The ongoing psychological, functional, and aesthetic challenges experienced by people with cleft lip and palate underscore the need for an individualised, lifelong, and multidisciplinary approach to managing the condition, argues Kholofelo Mphahlele.
Access to contraception and mental healthcare services are critical to empowering women in rural areas
The lack of access to essential healthcare services in rural areas worsens the challenges women face, particularly when it comes to early pregnancy and gender-based violence. Celene Coleman and Hanifa Mahlangu argue for strategies that prioritise the empowerment of rural women through improved access to contraception and mental health services.
Competition law has again worked to fight a bad drug patent, but we need other solutions
A Competition Commission probe recently resulted in a patent on an important tuberculosis medicine being dropped in South Africa. Twenty years ago, a similar Competition Commission case resulted in a settlement that helped drive down the prices of several antiretrovirals, thereby helping to set the stage for the country’s HIV treatment programme. Fatima Hassan and Leena Menghaney connect the dots between the two landmark cases and map out what has and has not changed over the last two decades.
Eye health services in the public sector are critically impaired – it is high time the health department responds
Despite South Africa producing a substantial number of trained optometrists, the majority of them work in the private sector and in urban areas. This imbalance leaves rural communities underserved and exacerbates health inequities. Does it make sense for us to use public funds and institutions to train people predominantly for the private sector, ask Dr Haseena Majid and Rene Sparks.
EDITORIAL | Behind the Life Esidimeni headlines is the suffering of human beings who deserved better
While we focus here on the nine deaths that Judge Mmonoa Teffo found to be unnatural, there were 144 deaths associated with the Life Esidimeni tragedy. Ultimately, these were human beings and for the world to know what happened to them is better than the world not knowing.
EDITORIAL | Motsoaledi’s return could work, but he needs a DG who can say “no minister”
In some respects, Dr Aaron Motsoaledi was the right person for the job when he was appointed as South Africa’s Minister of Health in 2009. But in 2024, the healthcare context in the country looks very different. Spotlight editor Marcus Low asks what we might expect from this new chapter with Motsoaledi in the top health job.
#Vote4Health | Opposition parties promise to resolve healthcare understaffing. Do they have the right solutions?
Several political parties have pledged to plug shortages of healthcare staff at government hospitals and clinics by training more health workers. They’re right to be concerned with understaffing, but are they putting the right solutions on the table? Jesse Copelyn investigates.
Susan Cleary | Let’s be pragmatic – the NHI has constructive and contentious aspects
President Cyril Ramaphosa recently signed the NHI Bill into law. The question is whether this will bring South Africa closer towards Universal Health Coverage. Professor Susan Cleary argues that the NHI is a wide ranging reform with both positive and controversial aspects. The key will be to find a middle ground in order to continue on the journey to UHC.
Bob Mash | Three health reforms the new government must prioritise for SA
To drum up support as South Africans head to the polls, President Cyril Ramaphosa reportedly vowed to “end the apartheid that remains in healthcare” when he hit the campaign trail. Professor Bob Mash has three health reforms on his wishlist for the incoming administration to prioritise.
