Obesity medicines are needed in SA’s public sector. Can our government provide them?

In South Africa, access to weight loss medicines like Ozempic and Mounjaro remains limited to those who can shell out a few thousand Rand a month. In the second article of a Spotlight special series, Catherine Tomlinson looks at the medical need for these medicines in the country and what it would take for government to provide them in the public sector.

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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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Blockbuster weight-loss and diabetes medicines sales surge despite cost barriers

Sales of weight loss medicines like Ozempic and Mounjaro have sky-rocketed in South Africa in recent years, although they remain too expensive for most people who might benefit from the jabs. In the first article of this Spotlight special series, Catherine Tomlinson tracks their remarkable rise and assesses when they will become more widely available here.

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Which of the breakthrough weight loss medicines can you get in SA?

The remarkable efficacy of new diabetes and weight loss medicines like Ozempic and Mounjaro have been one of the biggest health stories of recent years. Despite rising rates of diabetes and obesity, access to these medicines remain limited in South Africa. Catherine Tomlinson asks which of the GLP-1 agonists are available here and at what price.

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No silver bullet for bridging SA’s healthcare divide, say delegates at hospital conference

With South Africa’s healthcare system facing a myriad challenges, experts at a health conference have put forward a range of practical solutions to address some of the country’s pressing issues. Ufrieda Ho rounds up some of the proposed solutions to improve patient care, including the use of public-private partnerships.

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In the Spotlight | Poorly controlled diabetes is a top killer, time to take it more seriously

The South African government has adopted a national target to bring the blood sugar levels of people with diabetes under control. But beyond the target, the country’s response to diabetes is falling far short. In this Spotlight special briefing, Catherine Tomlinson looks at what the country needs to do to better manage this often fatal disease and how we can draw lessons from the response to HIV.

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In the Spotlight | Diabetes is a leading killer in SA – yet we don’t know who has it or where they are

Diabetes is the second leading cause of death in South Africa after tuberculosis, according to Statistics South Africa. It is the leading cause of death in women. Yet, despite being a major driver of deaths and illness, we do not have a clear picture of how many people in the country have diabetes or how many people are receiving diabetes care. This leaves our health system ill-equipped to handle the growing diabetes crisis.

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Analysis: Incentives seem to work in private healthcare, why not in public?

Doing ‘the right thing’ for one’s health, be it eating well, exercising, or going for an annual HIV test or blood pressure check, is easier said than done. One way to nudge people to make these ‘right’ decisions is to offer rewards or incentives. Amy Green asks whether aspects of some popular private-sector incentive schemes might be worth copying in South Africa’s public sector.

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Analysis: Taking a spoon to a knife fight – Is SA ready for rising obesity rates?

Experts describe rising obesity rates in South Africa as an “urgent crisis”, “a tsunami” – even an “epidemic” – that is costing lives, not to mention billions of rands. Tackling the situation warrants an action plan that is as comprehensive and cogent as the problem is dire. But does the new national strategy fit the bill? Amy Green asked several local experts.

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90-60-50: Can SA meet its diabetes targets, and would we know if we do?

Diabetes rates in South Africa are anticipated to keep rising in the coming years as the country’s health burden slowly shifts away from infectious diseases such as HIV and tuberculosis toward non-communicable diseases. The relevant government strategy sets three key diabetes targets. Elri Voigt spoke to several local experts about these targets and South Africa’s prospects of meeting them.

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