Breathing easier: How Madwaleni Hospital started producing its own oxygen

During the first two years of the COVID-19 pandemic, oxygen was a lifesaving consumable, but in many remote rural areas of the Eastern Cape, logistical challenges such as poor roads and long distances made distribution difficult. A group of doctors and engineers, however, developed a sustainable lifeline in the form of an oxygen generator at Madwaleni Hospital. Luvuyo Mehlwana reports.

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SA expected to begin piloting HIV prevention shot in early 2023

South Africa is expected to begin piloting the every-other-month HIV prevention shot early next year, according to the international medicine financing initiative Unitaid. New modelling shows that the injection could prevent as many as 52 000 new HIV infections in the next two decades. But to be cost-effective in South Africa, the research argues, the price of the injection must fall to levels drugmaker ViiV Healthcare says are unrealistic. Laura Lopez Gonzalez reports.

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In-depth: Major SAMRC study sheds light on causes of disease and death in SA

Unsafe sex, interpersonal violence, high body mass index, high systolic blood pressure, and alcohol consumption are the top risk factors for disease and death in South Africa, according to the Second Comparative Risk Assessment study conducted by the South African Medical Research Council’s Burden of Disease Research Unit. Nthusang Lefafa spoke to some of the researchers to unpack the findings.

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In-depth: Good sexual and reproductive health services on paper, but implementation gaps remain

Though South Africa has in some respects done well in the provision of sexual and reproductive health services for adolescent girls and young women, significant gaps remain. Tiyese Jeranji takes an in-depth look at the current policy landscape and asks how well the implementation of the policies measures up to their lofty ambitions.

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OPINION: Mid-term budget fails to show the way to a more resilient recovery

The Medium-term Budget Policy Statement (MTBPS) was tabled amid a grim global economic outlook and a climate of increasing political uncertainty, electricity supply challenges, and very high unemployment. Russell Rensburg argues the MTBPS fails to provide a credible path toward a resilient recovery and sets out what can be done to strengthen governance and build social solidarity around the recovery we need.

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Analysis: Making access to surgical care a reality in district hospitals

Earlier this year, Spotlight published a two-part series on the human cost of surgery waiting times and asked what could be done about it. One such solution proposed by some is to devolve less complicated surgical care procedures to district hospitals. The AfroSurg3 Conference held in September, which brought together surgical stakeholders from 11 African countries to improve access to care, shed some light on how this might work. Alicestine October reports.

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Digital X-rays boosting TB diagnosis, assessment finds

Many people with tuberculosis (TB) in South Africa are never diagnosed or are diagnosed only once their symptoms have become quite severe. One solution to diagnosing more people more quickly is the expanded use of new digital X-ray technology. Now, an independent assessment of digital X-ray pilot projects in six districts in South Africa sheds light on how well this intervention works in the real world. Tiyese Jeranji reports.

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