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.

Read More

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.

Read More

Cancer surgeon resigns and volunteers withdraw from Helen Joseph Hospital

The resignation of renowned breast cancer specialist surgeon Professor Carol-Ann Benn from the Helen Joseph Hospital has fuelled concerns about the loss of expertise for the public health sector amid existing pressures on cancer services in Gauteng. Ufrieda Ho spoke to health authorities, patients, and breast clinic volunteers about the potential impact on cancer care at the hospital.

Read More

Editorial: Can health be fixed without fixing politics?

Several provincial health departments have stumbled from crisis to crisis over the last decade with no sign of sustained or meaningful improvement. One reason for this, argues Spotlight editor Marcus Low, is political interference and the cadre deployment and cronyism that usually goes with it. If this is correct, is it realistic to think we can address the dysfunction in our health departments without addressing the politics behind it?

Read More

Patients bear brunt of worsening conditions at some Free State clinics, report shows

A recently published report by the community-led clinic monitoring project, Ritshidze shows that while there have been pockets of improvements at some clinics in the Free State, there are key issues on which facilities’ performance has worsened, especially for people living with HIV. Refilwe Mochoari unpacks the report’s findings zooming in on the situation at Bloemspruit Clinic in Mangaung.

Read More

INTERVIEW: Prof Wendy Stevens on following the science, even if it means swimming against the stream

Professor Wendy Stevens believes ‘completely in the honesty of science’ and this, she says, has landed her in the naughty corner many times throughout her career. Biénne Huisman spoke to Stevens – a global leader in HIV and TB laboratory medicine about her career, what you choose when science and politics collide, and the value of swimming upstream.

Read More