There are 83 clinics – down from 153 in 2018/19 – in the Free State with Ideal Clinic status, meaning they have adequate staff, infrastructure, and medicines, among others. For many primary health facilities, this accreditation status is crucial for the National Health Insurance, however, some of these ideal clinics still have various shortcomings. Refilwe Mochoari reports.
It is estimated that around half of medical negligence claims against the South African government are cerebral palsy-type claims. Apart from the direct impact on infants and families, cerebral palsy thus also has a major impact on health budgets. In this second article in a two-part series, Elri Voigt asks what can be done to reduce the incidence of cerebral palsy in the country. In part 1 we looked at what we know about cerebral palsy in South Africa.
The community-led clinic monitoring project, Ritshidze last week, released its follow-up report on the state of (primary) healthcare in Mpumalanga. There were some improvements, but patients are still waiting over four hours to be seen at some clinics. Nthusang Lefafa unpacks some of the report’s findings and asked the health department about its plans to address these shortcomings.
The headline-making persecution of paediatrician Dr Tim de Maayer is part of a wider trend whereby principled public sector healthcare workers are often abandoned to the whims of managers who are vindictive, incompetent, or both. Add the slow movement on South Africa’s healthcare worker policy, the poor management of the Health Professions Council, and the short shrift given to healthcare workers’ concerns about National Health Insurance, and the picture that emerges makes a mockery of government’s talk of valuing healthcare workers.
The North West Health Department was placed under administration in 2018 following several governance failures and allegations of fraud and corruption that resulted in widespread service delivery protests. Now, almost four years later as the period under administration is set to come to an end, Nthusang Lefafa asks what has improved under administration and what has not.
After visiting several hospitals in Gauteng in 2020, the Public Protector found that the Gauteng health department has failed to ensure appropriate conditions for the enjoyment and delivery of healthcare services for Gauteng residents. Ahead of the Gauteng health budget vote speech this week, Thabo Molelekwa looked at what has changed after the Public Protector’s recommendations and asked health experts what it will take to improve public healthcare services in the province.
Hours waiting for emergency medical services, medicine shortages, high travel costs, and long walking distances to clinics. These are some of the issues rural communities in the North West face when trying to access healthcare services. Meanwhile, expensive mobile clinics purchased from the Gupta-linked Mediosa are gathering dust. Nthusang Lefafa spoke to community members in some of these rural communities and the provincial health authorities.
Framing the fundamental human right to healthcare as insurance cover opens it up for exploitation. It blocks any possibility of achieving equity in health care. Here Dr Louis Reynolds from the People’s Health Movement of South Africa explains why and how.
This month, the Khayelitsha District Hospital will celebrate ten years since it opened its doors. Tiyese Jeranji visited the hospital and spoke to the CEO, some staff members, patients, and health stakeholders about the services the hospital provides, its successes and continuing challenges.
Since the COVID-19 pandemic has stymied the progress of the tuberculosis response across the world, the call for increased investment is important. Although health programmes can always do with more financial assistance, in South Africa, for its TB Recovery Plan to work, the focus should be on the strategic use of existing resources, argues Russell Rensburg.
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.
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.
