Analysis: Are NGOs doing the work of the state, and should they?

People in South Africa are used to reports of organisations like Gift of the Givers stepping in during humanitarian emergencies, or service delivery NGOs assisting with HIV or tuberculosis programmes. But is there not a risk of the state becoming overly dependent on NGOs, and might this not mask state failure and thereby undermine democratic accountability? Sue Segar explores this question with the help of some high-profile NGO leaders.

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Reimagining health in the Eastern Cape: A dysfunctional public health system is not inevitable

The persistent challenges in public health in the Eastern Cape, highlight the critical role of leadership. Prof Helen Schneider argues if we are to reimagine a future of access, equity and justice in health and health care in the Eastern Cape, we need bottom-up institution-building involving civil society and not just top-down legislative, budgetary and other reforms.

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Finding the money: The case for raising the Health Promotion Levy

The recent budget policy statement shows South Africa finds itself in a very tight fiscal space where it has to navigate a global pandemic along with other health challenges such as rising rates of non-communicable diseases. Russell Rensburg argues that the Health Promotion Levy should be increased to 20% – which will raise much-needed revenue that will contribute to preventing disease and reducing healthcare costs.

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TB catch-up plan underway in WC but old challenges linger

In 2019 around 360 000 people in South Africa fell ill with tuberculosis (TB) and about 58 000 people died due to the disease, according to a World Health Organization Report released last week. The COVID-19 pandemic has exacerbated these already alarming numbers, with some TB patients stopping treatment during lockdown. Siyabonga Kamnqa looks at the plans the Western Cape Health Department has in place to get its TB programme back on track and finds old challenges still remain.

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