On which legal arguments are the NHI court cases set to turn? Part 1: Affordability

Since President Cyril Ramaphposa signed the NHI Act into law last year in May, eight different groups have challenged it in court. One common argument is that it is irrational and unreasonable to restructure the health system when there’s no money to do so. In this feature, Spotlight dissects how the argument is being applied, and whether it has any chance of success.

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Twists and turns in the race to be SA’s first widely used HIV prevention injection

The health department has plans to roll out lenacapavir, a twice-yearly HIV prevention injection, in a select group of public sector clinics by April 2026. Meanwhile, little progress has been made towards rolling out a two-monthly prevention injection, despite the four-year head start this product had on lenacapavir. Catherine Tomlinson reports.

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What next for cancer patients as court again rules against Gauteng health department?

In the latest chapter of a long-running legal battle over the Gauteng Department of Health’s obligation to provide people in the province with radiation oncology services, the department has suffered another loss in the courts. Ufrieda Ho assesses the legal situation and asks what it means for people still waiting for the life-saving treatment.

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For Professor Rachel Jewkes, blending research with activism is at the heart of her life’s work

From anti-apartheid activist to top rated researcher, Professor Rachel Jewkes has spent her career trying to make the world a better place for women. Elri Voigt spoke to her about her journey to South Africa from the United Kingdom and how she became one of the country’s leading researchers on gender-based violence.

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Inside The Box with Dr Andy Gray | How could more efficient use of reliance improve access to quality, affordable medicines?

Rather than trying to do everything from scratch, medicines regulators from different countries are increasingly sharing the load between them by ‘relying’ on each other’s work. In his latest Inside The Box column, Dr Andy Gray explains how such ‘reliance mechanisms’ can help regulators make decisions more quickly and efficiently, and digs into the details of how South Africa can make the most of these mechanisms.

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