Nomantu Nkomo-Ralehoko’s comeback as Gauteng health MEC sparks mixed reactions

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.

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EDITORIAL | Motsoaledi’s return could work, but he needs a DG who can say “no minister”

In some respects, Dr Aaron Motsoaledi was the right person for the job when he was appointed as South Africa’s Minister of Health in 2009. But in 2024, the healthcare context in the country looks very different. Spotlight editor Marcus Low asks what we might expect from this new chapter with Motsoaledi in the top health job.

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In the Spotlight | HIV prevention injections exist, but hardly anyone can get them

HIV prevention injections have been registered for use in South Africa, but their high price and limited supply means that for the next few years, while awaiting more affordable generics, very few people will be able to get the jabs. In this Spotlight special briefing, Catherine Tomlinson looks at the difficult choices facing the country if we want to offer the injection to more people more quickly. The calls we make could have global implications.

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OPEN LETTER | Minister of Health Joe Phaahla, make TB a political priority

In this open letter to Minister of Health Dr Joe Phaahla, TB activists call for the disease to be made a political priority and demand multisectoral departmental accountability. They outline six demands for implementation by the end of this year. The letter was submitted on the final day of the South African TB Conference being held this week in Durban.

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Slow progress after decision to make TB prevention pills more widely available

Besides preventing illness and death, tuberculosis prevention therapy is estimated to be highly cost effective. Yet, uptake of the medication is not what it could be in South Africa. Tiyese Jeranji asks how much has changed since the Department of Health last year decided to make TB prevention therapy much more widely available.

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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?

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