Access to pain management for infants and children in South Africa is inequitable, inconsistent and poorly resourced, resulting in unnecessary and avoidable suffering. Elsabé Brits investigates the state of paediatric pain management in South Africa and asks what can be done to bring pain relief to more infants and children.
The rollout of new TB prevention medicines in South Africa has progressed slower than expected and new TB prevention guidelines have been delayed. But, reports Catherine Tomlinson, new guidelines should soon be approved and things appear to be falling into place for a faster rollout of the new medicines.
If there is a policy graveyard located somewhere in the country it would be littered with well-written but otherwise poorly implemented policies. Moreover, it would not be unusual to find that most of these policies were buried without proper autopsies being conducted. Claire Botha unpacks the reasons for this and offers some suggestions as to what can be done about it.
The National Department of Health says that lubricant should be freely available alongside condoms at clinics around the country. But according to community-led monitoring group Ritshidze, clinics often do not offer lubricant. Biénne Huisman reports on why access to lubricant is important for HIV prevention and why oil-based lubricants should not be used with condoms.
The South African Constitution says the most basic forms of healthcare should be made accessible to all who reside in the country but this is often not the lived experience of many foreign nationals. Kholofelo Mphahlele unpacks some of the realities foreign nationals face at public health facilities and what the law provides for protecting their rights.
COVID began to hit South Africa badly in May 2020. Now, we are very likely beyond the worst with fewer people dying but COVID remains very infectious and rather deadly, writes Nathan Geffen and Marcus Low.
A rise in teenage pregnancies and gender-based violence coupled with the loss and uncertainty related to COVID-19 are all stressors fuelling the mental health burden the pandemic will leave on children, especially girls. If not adequately addressed, argues Kholofelo Mphahlele, the mental health consequences for a generation of children and young people could far surpass the immediate health and economic impact of the COVID-19 pandemic, leaving harmful long-term social and economic consequences in its wake.
South Africa’s new National Strategic Plan for HIV, TB, and STIs is being developed this year. Spotlight editor Marcus Low asks what we should aim for in the new strategy and how we should go about developing it.
Newly graduated Dr Leago Sebesho says she is learning on her feet during gruelling shifts at Chris Hani Baragwanath Academic Hospital in Soweto. Biénne Huisman caught up with the twenty-five-year-old Sebesho, who was recently awarded the Bongani Mayosi Leadership Prize at the University of Cape Town.
Wieda Human, Ingrid Schoeman, Ruvandhi Nathavitharana, Helene-Mari van der Westhuizen, and Ananja van der Westhuizen from TB Proof argue that we need to look upstream for solutions to improve indoor air quality.
Since the COVID-19 pandemic has stymied the progress of the tuberculosis response across the world, the call for increased investment is important. Although health programmes can always do with more financial assistance, in South Africa, for its TB Recovery Plan to work, the focus should be on the strategic use of existing resources, argues Russell Rensburg.
The South African Health Products Regulatory Authority recently approved the use of the monthly dapivirine vaginal ring for women 18 years and older to reduce the risk of HIV infection. Thabo Molelekwa looks at the evidence for the ring’s efficacy and asks what plans there are for making it available to women in South Africa.
