EDITORIAL: With elections and NHI, this is a big year for healthcare in SA

South Africa is barrelling towards its most consequential and most competitive national and provincial elections since 1994. Spotlight editor Marcus Low asks what is on the line in these elections from a healthcare perspective and argues that the stakes are particularly high when it comes to NHI and the Gauteng and KwaZulu-Natal provincial health departments.

Read More

Opinion: This is how SA can meet its HIV targets

To respond to the call to end AIDS by 2030, Dr Yogan Pillay argues it is firstly critical to agree on what we mean by ending AIDS. Secondly, he suggests it is important to have accurate and granular data that can inform a more targeted approach to reaching those people that the health system typically does not reach.

Read More

Opinion: We can’t simply close dental facilities during the festive period

The closure of some public sector oral health clinics in the Eastern Cape over the festive period is deeply concerning, having left some patients with nowhere to go. A comprehensive plan must be put in place for efficient management and referral of emergency oral healthcare cases during this time and we must ensure that people who need the services are aware of how to access them, argues Dr Bulela Vava.

Read More

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.

Read More

Analysis: Where we are with NIMART 13 years later

Once South Africa had closed the door on state-sponsored AIDS denialism in 2008, a critical question was how to offer HIV treatment to as many eligible people as possible as quickly as possible. Given that the health system did not have enough doctors for the job, it was decided in 2010 to rope in nurses to help out. Tiyese Jeranji asks where things stand with Nurse Initiated and Managed Antiretroviral treatment (NIMART) 13 years later.

Read More

In-depth: What is the situation with self-managed abortions in SA?

While abortion in South Africa is legal and free in public healthcare facilities, it is thought that a large percentage of abortions are performed by illegal providers. This is attributed to a variety of factors, ranging from lack of capacity at clinics to fear of being found out and stigma. Self-managed abortions have the potential to change this. Amy Green reports on the state of abortion in South Africa and how self-managed abortions could help increase access to legal abortions.

Read More

Analysis: SA close to meeting TB research funding targets, but most countries falling short

South Africa is one of only six countries to ever meet their “fair share target” for funding tuberculosis (TB) research, according to a new report. In absolute terms however, South Africa’s contribution is small change compared to investments into TB research made by the top two contributors, the United States government and the Bill and Melinda Gates Foundation. Catherine Tomlinson unpacks what the report tells us about investment in TB research in South Africa.

Read More

Interview: “I used that anger to feed my activist’s soul,” says former TAC General Secretary

In 2001, at age 22, Vuyiseka Dubula-Majola joined the Treatment Action Campaign in its fight to bring antiretrovirals to South Africa. Today, she walks the streets of Geneva in Switzerland to get to her job as head of the Global Fund’s community, rights and gender department. Biénne Huisman spoke with Dubula-Majola about her remarkable journey, balancing activism with diplomacy, and the struggle “to build and regain the dignity of poor people around the globe”.

Read More

Integrating HIV and NCD care is critical but not straight-forward, clinicians say

With the remarkable success of antiretroviral treatment people living with HIV in South Africa are generally living much longer than they did two decades ago. As a result, more people with HIV are also now living with non-communicable diseases (NCDs) such as diabetes and hypertension. Accordingly, the need to better integrate HIV and NCD services was a hot topic at the recent Southern African HIV Clinicians Society conference in Cape Town. Elri Voigt reports.

Read More

Opinion: SA can’t afford proposed cuts to HIV funding

National Treasury has proposed a R1 billion cut to HIV funding. This has come about because – rather than seeing the reduced price of antiretroviral treatment as an opportunity to scale up treatment coverage and strengthen other interventions to address the HIV epidemic – the Department of Health has seen it as an opportunity for cost-containment. However, the HIV epidemic is not over and savings owing to cost reductions should not simply be returned to Treasury, argue Matshidiso Lencoasa and Mila Harding.

Read More

1 2 3 62