Nelson Mandela Bay clinics under siege as crime threatens healthcare

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.

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#InTheSpotlight | How will NHI unfold? Here are three possible scenarios

As health department officials move to set up National Health Insurance’s basic structures, including its board, several experts say the scheme remains a pipe-dream, doomed to the same fate as Gauteng’s aborted e-tolls project. In this Spotlight special briefing, Jesse Copelyn outlines three possible scenarios for how NHI might pan out over the coming years.

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Why people stop taking their HIV treatment and what we can do about it

Stopping antiretroviral treatment when you are living with HIV can result in increased HIV transmission, illness, hospitalisation, and eventually death. To combat such disengagement with HIV treatment, Professor Graeme Meintjes and colleagues argue we need smarter differentiated care and better education of healthcare workers, people living with HIV, and communities.

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Mandatory health insurance for SA is an ‘upgrade’ on NHI, proponents say

The idea of mandatory medical scheme coverage for employed people has made a comeback after the case for it was made at a recent conference. The policy move was previously on the cards in South Africa but faded after the ANC opted for National Health Insurance (NHI) at its 2007 national congress where Jacob Zuma was elected as the party’s new leader. Chris Bateman unpacks how a system with mandatory medical scheme membership for the employed might work and asked local experts whether it represents a viable alternative to government’s NHI plans.

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Nursing in SA is changing, but is it enough to avert an anticipated crisis?

The increased professionalisation of nursing in South Africa in recent years marks a significant shift in the perception and practice of this essential healthcare field. As the country grapples with a critical shortage of nurses and the ongoing challenges of aligning nursing education with new higher education standards, Thabo Molelekwa asks local experts about the future of nursing in the country.

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How to save more mothers from dying during childbirth

COVID-19 temporarily reversed South Africa’s hard-won reduction in maternal mortality, but the death rate has now stabilised, and hopes are high that the downward trend will resume. However, if experts are right, we’re missing some crucial interventions that would further prevent what are avoidable deaths. Chris Bateman talks to some of the leading lights in the field.

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Glenda Gray’s fierce fight for science, the COVID-19 ruckus, and the bathroom row about HIV drugs

After a decade at the helm of the country’s primary health research funder, Professor Glenda Gray will focus again on doing the science. She tells Spotlight’s Biénne Huisman about her childhood, her passion for research, administering multi-million dollar grants, and a heated argument in the bathroom with an ANC bigwig.

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What can SA do to prepare for snake antivenom shortages?

Some researchers argue that South Africa should look into using “expired” doses of antivenom if the country once again struggles to make enough of the treatment – something which happened in 2023. In part 2 of a Spotlight special series on snake antivenom, Jesse Copelyn outlines the case for extending the shelf-life and goes over some exciting, but very early, research on a new form of antivenom.

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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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