Non-communicable diseases are killing more and more people in South Africa yet the government missed out on raising a total of more than R15 billion for prevention efforts, argues Dr Evelyn Thsehla.
The 2024 national budget offer some glimmers but allocations for direct health benefits fall short of making a difference to people’s health and wellbeing. These include a ring-fenced allocation to crack down on corruption in health to inspire trust for the National Health Insurance, taxing accessories for e-cigarettes, a jacked up child-support grant, clarity on plans dealing with climate change and its impacts on human health, and finally greater investment to enhance women’s capabilities alongside the Covid-19 grant, researchers from the South African Medical Research Council write exclusively for Spotlight.
Doing ‘the right thing’ for one’s health, be it eating well, exercising, or going for an annual HIV test or blood pressure check, is easier said than done. One way to nudge people to make these ‘right’ decisions is to offer rewards or incentives. Amy Green asks whether aspects of some popular private-sector incentive schemes might be worth copying in South Africa’s public sector.
Experts describe rising obesity rates in South Africa as an “urgent crisis”, “a tsunami” – even an “epidemic” – that is costing lives, not to mention billions of rands. Tackling the situation warrants an action plan that is as comprehensive and cogent as the problem is dire. But does the new national strategy fit the bill? Amy Green asked several local experts.
South Africa’s National Strategic Plan for NCDs sets three key targets related to hypertension that the country has to achieve to reduce the burden of hypertension in the country. Elri Voigt asks experts how South Africa is performing against these targets and where improvement is most needed.
Obesity is a complicated public health issue that can be devastating on both the societal and the individual level. New weight loss medicines have shown remarkable efficacy in clinical trials, but their high cost is limiting uptake. Amy Green asks where these new medicines should fit into South Africa’s response to rising levels of obesity.
An HIV prevention injection approved in South Africa, several promising developments on the tuberculosis front, the National Health Insurance Bill grinding its way through Parliament, no end in sight to healthcare worker shortages, another dire year for health in Gauteng – Spotlight wraps up 2022 in under 1 000 words.
Unsafe sex, interpersonal violence, high body mass index, high systolic blood pressure, and alcohol consumption are the top risk factors for disease and death in South Africa, according to the Second Comparative Risk Assessment study conducted by the South African Medical Research Council’s Burden of Disease Research Unit. Nthusang Lefafa spoke to some of the researchers to unpack the findings.
On a scorching summer day, Siyabonga Kamnqa sat down to listen to the stories of some frustrated gogos and mkhulus waiting to collect their chronic medicines at the busy All Saints Hospital in the rural town of Ngcobo in the Eastern Cape. He then asked the province’s health department about its plans for getting medicines to people in rural areas.
It is estimated that around 45% of men and 48% of women older than 15 years have high blood pressure (hypertension) in South Africa and only about 19% of men and 29% of women who have this condition are aware that they have it. Elri Voigt unpacks the state of hypertension in the country and how it is diagnosed and treated.
Reproductive health experts say South Africa recorded a 30% increase in maternal deaths during lockdown compared to the same period in 2019. Suicide, a previously unrecognised cause of maternal mortality in the country, also increased and some experts believe the stressors of the COVID-19 pandemic played a role. Tiyese Jeranji reports.
