Health in 2023: A deceptively busy year in fewer than 1 000 words

2023 was a busy year for healthcare in South Africa. We saw several promising policy developments, landmark court cases, important pieces of legislation, and some changes in leadership. Yet, take a step back and at facility level little seems to have changed. Shortages of healthcare workers persist, corruption is still rife, budgets tight, and our health governance crisis remains as acute as ever. Marcus Low looks back at the year in health in fewer than 1 000 words.

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In-depth: Will Eastern Cape Health reforms survive the change in leadership?

The Eastern Cape Department of Health have for years made headlines for the wrong reasons. A few weeks prior to her recent removal as head of the department, Dr Rolene Wagner made the case that the situation is being turned around. Tiyese Jeranji looks back at Wagner’s presentation at the Rural Health Conference in Chintsa and asks whether the reforms will continue in her absence.

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Mabuyane under fire for moving Eastern Cape head of health

Some health activists and health professionals this week slammed as disruptive and nonsensical Eastern Cape Premier Oscar Mabuyane’s decision to ‘second’ the head of health in the province, Dr Rolene Wagner, to a special unit in his office. Many have expressed concern over the impact this may have on providing health services, but Mabuyane insists his decision will not impact service delivery. Luvuyo Mehlwana reports.

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Analysis: 21 months later, what progress has Wagner made in the Eastern Cape?

For years, the Eastern Cape Department of Health has made the headlines, often for the wrong reasons. From rat-infested hospitals to newborn babies dying in overcrowded and understaffed wards – such challenges have persisted for decades. Luvuyo Mehlwana looked at what has changed since Dr Rolene Wagner took office and asks if heading this department is a poisoned chalice regardless of who is at the helm.

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OPINION: One second-trimester public abortion facility in the entire Eastern Cape is not good enough

Second-trimester abortions, which occur between the beginning of the 13th and the end of the 20th week of pregnancy, are difficult to access in the public sector. This is mainly due to the lack of designated abortion facilities and the unavailability of abortion providers to provide the service and the Eastern Cape is no exception, writes Sibusisiwe Ndlela, Khanyisa Mapipa, and Thokozile Mtsolongo.

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