What public sector mental health services look like in the Free State

A 36-year-old mother living with HIV from Thabong in Welkom in the Free State is among the many millions of people in South Africa who rely on public healthcare services. Also, like many others, the COVID-19 pandemic and its associated disruptions have left her in a constant struggle with anxiety. Refilwe Mochoari asks what mental health services are available to people in the Free State who depend on the public healthcare system.

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In-depth: Does SA have a diabetes testing problem?

Though the numbers are relatively uncertain, it is estimated that between four and five million people in South Africa are living with diabetes. One reason for the uncertainty is a lack of testing. A lack of testing also means that many people get diagnosed too late in the course of the disease. Elri Voigt asks what we do and do not know about diabetes in the country and what should be done about it.

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Mental Health: Grief, loss – we are all traumatised, says psychiatrist on the COVID-19 frontlines

Working with Groote Schuur Hospital’s frontline COVID team, Psychiatry Professor Jackie Hoare help manage the mental health of patients admitted with severe COVID pneumonia and also the mental health needs of fellow healthcare workers. Bienne Huisman caught up with her to talk about providing counselling at the bedside of COVID patients and how we deal with the complexities of grief in a time of COVID-19.

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Staff shortages undermining quality of healthcare in Limpopo, report finds

Many clinics in Limpopo are operating without the required number of staff needed to deliver quality healthcare services, according to a report from Ritshidze, a community healthcare monitoring project. Activists say these staff shortages contribute to long waiting times for patients and overworked staff – which can ultimately undermine the province’s HIV programme.

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Opinion: Transparency and action urgently needed on Eastern Cape staffing challenges

Shortages of doctors and nurses at hospitals in the Eastern Cape is a well-known systemic issue that creates serious challenges for access to quality healthcare. Attempts to access information on how the Provincial Department of Health is addressing or will address this have been unsuccessful, making it hard to hold the department accountable, writes Sibusisiwe Ndlela.

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Healthcare workers in the third wave: “We are living in the shadows of death”

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.

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What they say: Community perspectives on health services in the Eastern Cape

After making damning findings on the conditions of some Eastern Cape Hospitals, the Deputy Public Protector recommended several changes the provincial health department had to implement within 60 days. The report was published on 30 June this year. Halfway through the 60 days, people still have mixed feelings about their hospital visits and the provincial health department has little to say about what they’ve done to implement the recommended changes.

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