Should SA’s public hospitals go solar?

For businesses and households that can afford it, solar panels and batteries offer a way to keep the lights on during South Africa’s ongoing bouts of loadshedding. Such technologies may also offer a solution for healthcare facilities, where a reliable energy supply can be a matter of life and death. Nthusang Lefafa spoke to stakeholders and experts in the public and private health sectors about the promise of solar energy to mitigate the impact of loadshedding on health services.

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OPINION: The billions allocated for infrastructure require more progressive procurement systems and oversight

Spending on public sector infrastructure over the 2023 medium-term expenditure framework (MTEF) is estimated at R903 billion and the health sector accounts for 5% of this. The well-documented poor maintenance and oversight of projects, also in the health sector, will require close monitoring of trends across the public sector, particularly where procurement and contracting is concerned, writes Zukiswa Kota.

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OPINION: Budget 2023 – opportunity missed to refocus public health spending?

Budgets, while important, are not the right mechanism to drive the structural change needed to improve the responsiveness of our public health system in meeting the needs of the population. But, argues Russel Rensburg, we can reorient the health system towards meeting the health needs of the population and then let the budget bolster the reforms. Here he provides some suggestions on how to go about it and contrasts that with the budget announced by Minister of Finance Enoch Godongwana this week.

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OPINION: How can we make surgical care accessible by drawing on lessons from the AIDS movement?

The quest for access to equitable and quality surgical care for all will not be won only in board rooms, theatres, or hospital corridors. We have to take this quest into communities and build alliances. In that respect, we can learn from one of the best examples of how community participation and mobilisation can help change health policy – the movement to ensure access to affordable and universal anti-retroviral treatment for persons living with HIV, argues Professor Kathryn Chu and Sangeun Lee.

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How death is handled in health facilities – Can we do better?

There is nothing humans can do about the fact that everyone dies eventually, but there may be room to do better when it comes to how some doctors, nurses, and care workers break the news of dying and death; and also how they give practical support to a grieving family. Ufrieda Ho looks at what measures are in place to guide healthcare workers, patients, and their families through this process in health facilities.

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