The wins are there but the underlying reality remains, writes Professor Kogie Naidoo as she likens TB to a bridesmaid awaiting its turn to garner attention. The analogy is relevant given the overwhelming number of new TB infections and deaths each year globally for a disease persistently sitting in the shadow of other communicable and non-communicable diseases.
The persistence of TB is a reminder that medical solutions alone are not enough. Renier Coetzee and Ingrid Schoeman write that the disease thrives in conditions shaped by social injustice, including poverty, overcrowded housing, under-resourced health systems, and unequal access to care.
The only tuberculosis vaccine we have is a century old and offers only limited efficacy in children. With leading South African researchers involved in the pivotal clinical trials of three new tuberculosis vaccine candidates, we are on the verge of a major breakthrough, writes Associate Professor Angelique Kany Kany Luabeya.
The new government TB dashboard is a step forward for transparency and accountability in South Africa’s response to the ancient, but still deadly, disease. It is critical that we use it wisely to boost our testing efforts, argues a group of South Africa’s leading TB activists ahead of World TB Day on March 24th.
Journalist Ufrieda Ho passed away of cancer on 9 March 2026. In a career spanning three decades, she wrote for The Star, Daily Maverick, Spotlight, and many other publications.
Universal health coverage cannot succeed with fragmented systems, weak data, and largely symbolic participation. A recent court-ordered pause to NHI implementation offers a chance to build the foundations properly, argue Dr Haseena Majid and Professor Mogie Subban.
Maryke Bezuidenhout is constantly on the road in rural, northern KwaZulu-Natal visiting and helping people with disabilities where they live. As part of Spotlight’s new Rural Health Heroes series, writer Sue Segar and photographer Thom Pierce tagged along with her.
Get to know South Africa’s malaria experts as they outrun hitchhiking mosquitoes and pollution-hardy bugs while navigating a regional funding collapse and a spiralling climate crisis. Joan van Dyk reports.
Individual rare diseases impact only a very small fraction of people, but collectively they are estimated to affect over three million in South Africa. As we mark International Rare Disease Day on 28 February, Elna Schütz assesses the state of play with rare diseases in the country.
In South Africa, access to weight loss medicines like Ozempic and Mounjaro remains limited to those who can shell out a few thousand Rand a month. In the second article of a Spotlight special series, Catherine Tomlinson looks at the medical need for these medicines in the country and what it would take for government to provide them in the public sector.
District managers in South Africa’s public healthcare system currently have to juggle funding from multiple government budget lines, each with different strings attached. To improve district health services, we urgently need to simplify and integrate these funding flows, argues Russell Rensburg.
Spotlight has unveiled a new tuberculosis dashboard and graph generator. We hope this dashboard will help people get a clearer picture of the state of South Africa’s TB epidemic – an epidemic that still claims over 50 000 lives a year. It follows on the launch of a similar HIV dashboard last November.
