A series of robberies at healthcare facilities in the Eastern Cape has disrupted services, with patients sometimes left waiting outside while clinics limit the number of people allowed in. This follows the provincial health department spending over R700 million on security contracts in the past financial year, reports Luvuyo Mehlwana.
An innovative health programme is thriving and making a difference in the lives of people in a rural Eastern Cape community. Sue Segar spent time with the project, walking with “nomakhayas” from house-to-house and taking a ferry trip across the Xhora river.
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.
Some residents in the Eastern Cape have been left frustrated by delays or outright lack of response by Emergency Medical Services in the province. This is in part caused by a chronic shortage of ambulances and paramedics. Recent labour disputes have further complicated the situation. Luvuyo Mehlwana reports.
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.
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.
The National Treasury’s Cost Containment Letter sent to government departments instructing, among others, the freezing of posts was one of the big themes underlying talks about building South Africa’s healthcare worker capacity at the Public Health Association of South Africa’s conference held recently in Gqeberha. Luvuyo Mehlwana reports.
In August, telecommunications company MTN joined the list of service providers who have temporarily withdrawn services because the Eastern Cape Department of Health failed to pay their bills. Luvuyo Mehlwana reports.
While most male circumcisions performed in the Eastern Cape are done in the traditional manner, there are also significant numbers of medical male circumcisions being conducted. Siyabonga Kamnqa reports on this year’s winter initiation season in the province and the complex interplay between culture, safety, and protection against HIV involved in deciding between the two types of circumcision.
The state of the Macacuma Clinic and the Ugie Clinic in the Eastern Cape came under the spotlight during the provincial legislature’s health committee visit from 10 to 14 October last year, when they visited several public health facilities in the Joe Gqabi District. Luvuyo Mehlwana recently went back to assess whether there has been any progress at the two facilities since the committee made its findings public.
There are serious concerns over the safety of health workers at public health facilities in the Eastern Cape, with some healthcare workers saying they are scared to go to work. Although the provincial health department says it shares this concern, the department remains tight-lipped over its plans and the relevant security contracts. Luvuyo Mehlwana spoke to union representatives, healthcare workers, and some security personnel about the situation.
In October last year, Eastern Cape Health MEC Nomakhosazana Meth announced a three-phase plan to address key challenges with the province’s emergency medical services. Siyabonga Kamnqa visited All Saints Hospital in Ngcobo – one of the 28 priority hospitals targeted in the plan to see what progress has been made.
