From the ongoing political and legal battles over NHI, to the far-reaching health impacts of political change in the United States, it is set to be another tumultuous year for healthcare in South Africa and around the globe. Here’s Spotlight’s top four healthcare questions for 2025.
From the NHI Act to major advances in HIV prevention, it has been another busy year in the world of healthcare. Spotlight editors Marcus Low and Adiel Ismail recap the year’s health developments and identify some key trends in fewer than 1 000 words.
An extended impasse over a vital agreement for training and improved hospital management between the Gauteng Department of Health and Wits University remains derailed, despite behind the scenes efforts to get it back on track, reports Ufrieda Ho.
With South Africa’s healthcare system facing a myriad challenges, experts at a health conference have put forward a range of practical solutions to address some of the country’s pressing issues. Ufrieda Ho rounds up some of the proposed solutions to improve patient care, including the use of public-private partnerships.
ANC support in Gauteng dipped below 40% in the recent provincial elections and an ANC-lead minority government is now at the helm. Among those in Premier Panyaza Lesufi’s new Cabinet is Nomantu Nkomo-Ralehoko who’s been reappointed as MEC for health and wellness. Spotlight’s Ufrieda Ho rounds up some responses to her return.
The Gauteng Department of Health has struggled this year to ensure that patients in the province’s hospitals always have the food they need. Now a decision to source food for Gauteng hospitals via a government contract in Limpopo is raising eyebrows. Thabo Molelekwa reports.
In June, the Gauteng government launched a major employment drive called Nasi iSpani. Thabo Molelekwa spoke to stakeholders in the public health sector about what this may mean for the province’s chronic healthcare worker shortages.
Staff say patients at Charlotte Maxeke Johannesburg Academic Hospital in need of vascular surgery face a three-month wait for life-saving surgery because of what some staff are calling “fishy” operational management and bad planning. According to hospital management, however, patients will be diverted to other hospitals during this period. Ufrieda Ho reports.
Following reports of healthcare workers who have been robbed, assaulted, or killed in public healthcare facilities in Gauteng, the province’s health department announced that healthcare workers will now be trained to handle patients who become violent. Thabo Molelekwa looked at what these safety plans entail and asked health worker organisations for their views.
Following an article in Spotlight bemoaning “the lack of urgency” by the Gauteng Department of Health in addressing cancer and surgical backlogs despite having been allocated funds toward this, Dr Stephen Mankupane, Acting Head of Hospital Services in the provincial health department, writes that there is no disputing the fact that there is a need to act with urgency in attending to these backlogs and outlines what the department is doing. Here is his response in full.
It is almost three months since – partly through the efforts of SECTION27 and Cancer Alliance – money was made available to the Gauteng Health Department to outsource radiation oncology services and address surgical backlogs in the province. It is deeply worrying that despite being provided with resources for this outsourcing project, very little has been done to date to ensure that patients get the long overdue care that they need, writes Khanyisa Mapipa.
In a landmark court decision, the Gauteng High Court recently confirmed the rights of all pregnant and lactating women and children under age six to access services for free at all levels of care. The court order sets a good precedent for migrant health rights going forward, writes Mbali Baduza and Kholofelo Mphahlele as they explain the build-up to the court proceedings and why this is significant for re-affirming the right to access to healthcare for all in terms of section27 of the Constitution.
