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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In the Spotlight | Beyond the hype, what might AI actually mean for healthcare in SA?

With varying degrees of success, artificial intelligence has begun to play the role of research assistant, radiologist, health educator, and even therapist. In this Spotlight special briefing, Jesse Copelyn tries to see past the hype and pin-points the most immediate implications of these new technologies for healthcare in South Africa.

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Competition law has again worked to fight a bad drug patent, but we need other solutions

A Competition Commission probe recently resulted in a patent on an important tuberculosis medicine being dropped in South Africa. Twenty years ago, a similar Competition Commission case resulted in a settlement that helped drive down the prices of several antiretrovirals, thereby helping to set the stage for the country’s HIV treatment programme. Fatima Hassan and Leena Menghaney connect the dots between the two landmark cases and map out what has and has not changed over the last two decades.

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Snake antivenom mired by shortages and side-effects – could a new treatment boost our options?

In recent years, shortages of snake antivenom have plagued South Africa and much of the globe. Even when antivenom is available, potentially serious side effects often limit its use. Jesse Copelyn unpacks the fascinating details behind the antivenom products that might save your life and takes a look at a promising experimental treatment.

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Dr Nikki Allorto is one of the only surgeons in KZN doing skin grafting – and she does powerlifting to keep her heart strong

Burn injury has been described as the forgotten global public health crisis. Dr Nikki Allorto says that while it may be a neglected issue in South Africa, she is making sure her patients feel seen, heard and cared for. Sue Segar spent time with her on ward and clinic rounds at Greys Hospital in KwaZulu-Natal.

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Vivacious sister Sandra Bryant has a disco ball in her lilac clinic in Cape Town

Sister Sandra Bryant runs her clinic in a lilac painted room, where glitter cream and a disco ball does not seem out of place next to scissors, syringes, and needles. She tells Spotlight’s Biénne Huisman about working with Professor Christiaan Barnard, the adrenaline of being in the operating theater, and why she has a tattoo of an anatomical heart.

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In the Spotlight | Poorly controlled diabetes is a top killer, time to take it more seriously

The South African government has adopted a national target to bring the blood sugar levels of people with diabetes under control. But beyond the target, the country’s response to diabetes is falling far short. In this Spotlight special briefing, Catherine Tomlinson looks at what the country needs to do to better manage this often fatal disease and how we can draw lessons from the response to HIV.

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