It is estimated that over 100 000 of the over 300 000 people who fall ill with TB in South Africa every year are not diagnosed. As a result, improving TB screening and testing has become a high priority in South Africa’s TB response. Coinciding with World TB Day 2022, Spotlight editor Marcus Low examines new information shared by the National Department of Health and assesses the state of the country’s TB case-finding efforts.
Long-acting injections have been successfully used as contraception and more recently HIV prevention. Now researchers are exploring whether similar long-acting injections could be used for the prevention and treatment of tuberculosis. Tiyese Jeranji reports.
Investing in tuberculosis means that everyone has a stake in eliminating TB as a public health threat in our country: every person, every family, every community, every organisation (public and private) as well as government, writes Dr Yogan Pillay and Gaurang Tanna.
Dr Jennifer Furin has fought drug-resistant tuberculosis (TB) since 1995, when she worked as a student in a poverty-stricken suburb in Lima, Peru. Since then she has roamed the world, treating TB and HIV patients in under-resourced countries, including Haiti, Russia, Tajikistan, Bangladesh, eSwatini, Lesotho, and South Africa. Biénne Huisman chatted to Furin about her life working in TB and what it means to see things from the perspective of people living with TB.
For healthcare, a post-pandemic human rights-focused budget would have allocated funding specifically for backlogs in access to health services from the past two years, as well as tackling the present inequities in access to healthcare that characterise the public health system. Tshidi Lencoasa, Khanyisa Mapipa, and Julia Chaskalson argue that this year’s budget does not do enough to enable government to realise people’s fundamental human right to access healthcare.
There is nothing humans can do about the fact that everyone dies eventually, but there may be room to do better when it comes to how some doctors, nurses, and care workers break the news of dying and death; and also how they give practical support to a grieving family. Ufrieda Ho looks at what measures are in place to guide healthcare workers, patients, and their families through this process in health facilities.
In February, Stix Morewa Hospital in Selby, Johannesburg sent out a letter to the families of the over 400 mental healthcare users in their care. In this letter, families were reportedly informed that the Gauteng Department of Health will terminate its contract with the hospital by the end of March, which would have meant that the mental health users would have had to be transferred elsewhere. Thabo Molelekwa looks at the developments since then.
Broadly neutralising antibodies (bnAbs) are one of the most active and exciting areas in HIV research. Last year Spotlight reported on a “proof of concept” study showing that a specific bnAb can successfully prevent infection with certain strains of HIV. Now, we also have intriguing findings suggesting that bnAbs may have a role to play in the treatment of HIV in children. Elri Voigt reports.
One of the great paradoxes in healthcare in South Africa is that, while we have impressive healthcare expertise in the country, most of our provincial health departments are poorly managed. Spotlight editor Marcus Low considers what this means for efforts to build state capacity in general, and for healthcare in particular.
Women and girls seeking abortions are often forced to seek informal, illegal, and unsafe abortions as a result of various systemic barriers. Khanyisa Mapipa, Sibusisiwe Ndlela, and Thokozile Mtsolongo look at the state of abortion services in the public sector in the Eastern Cape.
Despite Eastern Cape Health authorities acknowledging that the continued use of mud clinics is a concern, rural residents still have to make do with these dilapidated clinics. Luvuyo Mehlwana visited some of these mud clinics to speak to some residents and asked the provincial health department about their plans to address this.
The Northern Cape Health Department has been without a permanent department head (HOD) since July 2020 and an acting head has been suspended following his arrest in August last year on charges of fraud and corruption. Organised labour and opposition parties in the province are concerned over the impact that the leadership instability has on healthcare services. Refilwe Mochoari reports.
