In-depth: ‘Access not excess’ key to reducing antibiotic resistance in SA

Antibiotics play a vital role in the management of bacterial infections, reducing illness, and preventing many deaths. A 2011 report from the UK estimated that they have increased life expectancy by 20 years. However, the extensive use of antibiotics has resulted in drug resistance that threatens to reverse their life-saving power and if the situation is not reversed, it has been estimated that by 2050 as many as 10 million people will die annually of drug-resistant infections. Tiyese Jeranji looks at how antimicrobial resistance plays out in South Africa and the role of pharmacists in the fight against it.

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An open letter to us girls who still shoulder much of the HIV burden in South Africa

In an open letter to young women in South Africa, Faith Fikizolo reminds us that meaningful comprehensive sex education is an important lever in ensuring girls and young women are fully empowered to exercise their sexual and reproductive health rights. She argues that, due to the lack of meaningful sexuality education, many South African young women and girls lack bodily autonomy.

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In-depth: The state of asthma in SA

Asthma is a disease that can be easily controlled through the correct use of medications, yet in many low-and-middle-income countries like South Africa, many still die due to lack of effective management of this disease. According to estimates from the Global Asthma Report 2022, South Africa ranks third out of 28 low-and-middle-income countries for asthma-related mortality. Elri Voigt unpacks the state of asthma in the country.

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Editorial: World AIDS Day 2022 – Choice, convenience, and respect should be the cornerstone of SA’s HIV response

In Spotlight’s analysis of South Africa’s HIV response in recent years, two issues have stood out consistently – still too many people living with HIV are not taking antiretroviral therapy and the rate of new HIV infections in South Africa is not coming down fast enough. Accordingly, argues Spotlight editor Marcus Low, we must accelerate the shift toward an HIV response where we make testing for HIV and taking antiretroviral treatment as convenient as possible.

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In-depth: What should behaviour change efforts look like in the PrEP era?

HIV prevention pills are becoming more widely available in South Africa and the country is set to soon start piloting the use of an HIV prevention injection. But merely having these tools available in clinics and other places does not mean people will use them. Thabo Molelekwa asked several experts what behaviour change communications should look like in this new era of HIV prevention.

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Almost 40 years with HIV – from ‘dead man walking’ to HIV awareness champion

On December 12, Ntimbwe Munongo Mpamba will celebrate his fortieth birthday with chocolate cake in Northgate, Johannesburg. He was born with HIV but only became aware of his HIV status many years later. Biénne Huisman spoke to him about living with HIV, his early years when his mother fed him medicine disguised as sweets, and now, living openly as an HIV awareness champion.

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