Health in 2023: A deceptively busy year in fewer than 1 000 words

2023 was a busy year for healthcare in South Africa. We saw several promising policy developments, landmark court cases, important pieces of legislation, and some changes in leadership. Yet, take a step back and at facility level little seems to have changed. Shortages of healthcare workers persist, corruption is still rife, budgets tight, and our health governance crisis remains as acute as ever. Marcus Low looks back at the year in health in fewer than 1 000 words.

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Orthopaedic surgery: What is behind SA’s long waiting lists?

As of last year, there were 3 449 people waiting on orthopaedic surgery in five of South Africa’s nine provinces. Waiting times in these five provinces ranged from two weeks to over five years. In the Eastern Cape, it can take up to ten years for people to get specific types of orthopaedic surgery. Tiyese Jeranji looks at the numbers and unpacks what it means for healthcare workers and people waiting for orthopaedic surgery.

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OPINION: Oral health services for persons with special needs still lacking

While there is relatively good access to preventative and promotive oral healthcare services in the country, it does not go far enough to address the vast oral health-related issues that persons with disabilities present with, writes Dr Bulela Vava. If the government is to truly care for the oral health needs of persons with special needs, it will have to take bold steps to invest in building the requisite secondary and tertiary oral health service capacity.

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In-depth: What is behind the Eastern Cape’s nurse training crisis?

Lecturers doing administrative work, nursing student accommodation found to be uninhabitable, frequent break-ins at some campuses, an exodus of staff since 2017, and some campuses with no students – are among the challenges at Lilitha nursing college in the Eastern Cape that the provincial legislature’s health committee flagged after an oversight visit. Luvuyo Mehlwana reports.

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PART 2 – How can we reduce incidence of cerebral palsy in SA?

It is estimated that around half of medical negligence claims against the South African government are cerebral palsy-type claims. Apart from the direct impact on infants and families, cerebral palsy thus also has a major impact on health budgets. In this second article in a two-part series, Elri Voigt asks what can be done to reduce the incidence of cerebral palsy in the country. In part 1 we looked at what we know about cerebral palsy in South Africa.

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In-depth: Cerebral palsy in SA – Part 1

It is estimated that around half of medical negligence claims against the South African government are cerebral palsy-type claims. Apart from the direct impact on infants and families, cerebral palsy thus also has a major impact on health budgets. In this first article in a two-part series, Elri Voigt asks what we know about cerebral palsy in South Africa. In part 2 we will look at what can be done to reduce the incidence of cerebral palsy in the country.

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Analysis: What does a security guard strike reveal about the Eastern Cape Department of Health?

Security guards at healthcare facilities in Nelson Mandela Bay went on strike in January when their salaries had not been paid. During the strike, healthcare workers had to close some clinics as they feared for their safety, and patients were left stranded. Luvuyo Mehlwana reports on what happened and asked the health authorities what plans are in place to prevent similar incidents amid persistent budget constraints.

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