COVID-19 will continue to dominate headlines in 2022, but from National Health Insurance to the availability of a new HIV prevention injection, it will also be an important year for other areas of health service delivery and for health system governance and reforms. Here is Spotlight’s pick of the top ten issues to keep an eye on.
Whether it is in the queue outside a community healthcare clinic, in a GP’s waiting room, or in the ICU at a private sector hospital, infections acquired at healthcare facilities pose a threat to people’s health. Nthusang Lefafa looks at government’s recently relaunched infection prevention and control plans and some obstacles to its implementation.
It wasn’t rocket science when we predicted at the start of 2021 that South Africa’s biggest challenge this year would be to get COVID-19 shots into as many arms as possible. But the way it has played out with multiple setbacks and scrambling problem-solving is not something anyone could have predicted. In fewer than a thousand words, Spotlight editor Marcus Low takes a look back at a tumultuous year in health in South Africa.
There are a variety of tools available today to prevent pregnancy including pills, intrauterine devices, subdermal implants, injections, condoms, male and female sterilisation, and emergency contraception. Statistics suggest that people in South Africa do, in principle at least, have access to and are aware of these contraceptive methods, albeit not at the desired levels. Elna Schütz looks at what contraceptive methods are available and makes some surprising discoveries along the way about which ones are most popular.
The top priority in our HIV programme should be to make it as easy as possible for people to start and stay on treatment. Yet, as a number of provincial reports released this year by community monitoring group Ritshidze have shown, there are many healthcare system factors that work directly against this objective. Spotlight editor Marcus Low considers some of the potential solutions.
While KwaZulu-Natal is doing comparatively well on key HIV indicators, the public healthcare system in the province is plagued by staff shortages, long waiting times, poor tuberculosis infection control, and in some cases, dysfunctional filing systems. This is according to a new report from community-led monitoring group Ritshidze. Elri Voigt reports.
Budgets alone do not solve structural issues, but what it does is provide some insight into the government’s plans for addressing its broader developmental priorities. Russel Rensburg unpacks what the medium-term budget policy statement means for the health sector.
Tuberculosis (TB) preventive therapy is highly effective in preventing TB disease and death, yet only a few people have access to it. Tiyese Jeranji reports on how Médecins Sans Frontières (MSF) in Khayelitsha is helping TB patients, as well as their contacts, access preventive therapy in the comfort of their homes as part of a new family-centred TB care initiative.
Some staff members at Livingstone Hospital in the Eastern Cape say old laundry machines and staff shortages are creating backlogs in getting clean linen, towels, and hospital gowns to patients. Patients, in turn, say they have to sleep on bare and soiled mattresses often with no bedding or dirty linen. Luvuyo Mehlwana reports on the situation, its implications for infection control, and the province’s plans to deal with it.
The Gauteng Department of Health annually spends millions on security at its health facilities based on contracts that expired in 2016 and that since have been extended from month to month. Yet, theft, vandalism, and reports of healthcare workers who work in fear at some health facilities continue. Despite this, the department insists that spending on security is not wasteful and “the business case for security remains robust”. Thabo Molelekwa and Alicestine October reports.
Qwaqwa, situated in the Maluti-A-Phofung Municipality is close to the Sterkfontein Dam, which is one of the four biggest dams in the country. Yet, hospitals and clinics in and around Qwaqwa have for years struggled with dirty water, dry taps, and constant water interruptions. Refilwe Mochoari reports.
It’s been over a year since COVID-19 first hit South Africa. Since then, many people have been living in constant fear and many have lost loved ones. Frontline healthcare workers had no choice but to face their fears if they were to keep doing the life-saving work they were trained for. Amy Green and colleagues explore the emotional toll that South Africa’s third wave of COVID-19 is taking on healthcare workers.
