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.

Read More

In-depth: New screening programme planned for cystic fibrosis in SA

In recent weeks, cystic fibrosis (CF) has been in the headlines because of a court case about access to new treatments for the genetic condition. After having reported on the court case, Catherine Tomlinson now unpacks how CF is diagnosed in South Africa and why so many cases here fall through the cracks. The good news, she reports, is that efforts are underway to establish a national infant screening programme.

Read More

In-depth: Some improvement but much more needed to address health needs of key populations

Despite some improvement, the community-led monitoring group Ritshidze’s second report on key populations highlights that sex workers, people who use drugs and LGBTQIA+ community members are often still discriminated against when trying to access public health facilities. This can lead to treatment interruptions and some stopping their clinic visits. Nthusang Lefafa reports.

Read More

Analysis: Why has the price of this cancer medicine risen and fallen by over a thousand percent since 2016?

Lenalidomide is an important medicine used for the treatment of multiple myeloma – a type of bone marrow cancer that is not curable and typically requires long-term, ongoing treatment. Over the last decade, the price of this drug has fluctuated dramatically in South Africa and patients and their doctors have gone to extreme lengths to access it. Catherine Tomlinson unpacks the remarkable recent history of lenalidomide.

Read More

In-depth: Should SA invest in the latest HIV tests?

South Africa’s HIV testing programme has been a huge success over the last decade, largely due to the use of rapid tests. Now, the introduction of a new generation of rapid tests may offer some benefits over the current tests, but the picture is somewhat complicated and the Department of Health is not currently planning to use the new tests. Amy Green investigates.

Read More

OPINION: 2022’s health budget decisions in review

Health budgets have the power to advance access to healthcare for millions of people in South Africa. This year, however, as the health sector and the economy recovered from the worst of the COVID-19 pandemic and a volatile global environment, the South African government missed opportunities to provide the financial resources to protect access to healthcare for the most vulnerable. Matshidiso Lencoasa unpacks how the past year’s budget choices will affect key public health services.

Read More

In-depth: The state of asthma in SA

Asthma is a disease that can be easily controlled through the correct use of medications, yet in many low-and-middle-income countries like South Africa, many still die due to lack of effective management of this disease. According to estimates from the Global Asthma Report 2022, South Africa ranks third out of 28 low-and-middle-income countries for asthma-related mortality. Elri Voigt unpacks the state of asthma in the country.

Read More

In-depth: What should behaviour change efforts look like in the PrEP era?

HIV prevention pills are becoming more widely available in South Africa and the country is set to soon start piloting the use of an HIV prevention injection. But merely having these tools available in clinics and other places does not mean people will use them. Thabo Molelekwa asked several experts what behaviour change communications should look like in this new era of HIV prevention.

Read More