HIV in Umkhanyakude: Impressive numbers, but living with HIV difficult amid socio-economic hardship

Premier of KwaZulu-Natal, Sihle Zikhalala praised the Umkhanyakude District recently on its ‘exceptional’ figures in meeting the UNAIDS 90-90-90 targets. Yet, when Spotlight recently visited the Jozini area, we were confronted with a less rosy picture. Some people stopped their HIV treatment because they do not have food to eat, and activists now warn that the progress with the targets can be derailed if poverty, hunger and other social determinants of health are not urgently and comprehensively addressed. Nomfundo Xolo reports.

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Reimagining health in the Eastern Cape: As budgets shrink, it is more important than ever to strengthen primary healthcare

As the final negotiations in the 2021 budget process unfold, the government of the Eastern Cape and the department of health in particular are being asked to do more with less. It is now more urgent than ever to strengthen public primary health care, argue Ektaa Deochand and Russell Rensburg.

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In-depth: Getting Gauteng’s HIV and TB response back on track

From March to July this year, the Gauteng Department of Health recorded 57 848 TB tests – a decrease of about 30 000 tests compared to the same period last year. The province performed better with HIV testing, although the HIV response has faltered in other areas. Melissa Javan makes sense of the province’s numbers and speaks to activists and community health workers about the impact of lockdown on their services and plans to get things back on track.  

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Fed-up community in rural Eastern Cape starts their own health facility

Despite glaring poverty and the high unemployment rate plaguing the village of Ngquthu near Dutywa in the Amathole district in the Eastern Cape, villagers pulled together their resources to refurbish what was once a preschool into a community health facility. The community took their access to healthcare into their own hands after complaints over the long distance and residents who, on the way to the nearest clinic, fell victim to a spate of rapes and muggings. Luvuyo Mehlwana reports.

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TB in children: Exciting treatment advances, but better tests badly needed

Children shoulder approximately 12% of the global TB burden, and this proportion is likely higher in high TB burden countries. In South Africa, up to 30 000 children develop TB each year. Tiyese Jeranji spoke to TB expert, Dr Megan Palmer from Brooklyn Chest Hospital about treatment challenges and how to improve TB detection and treatment outcomes in children.

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