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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Pilot programme improving access to mental health services for kids in Khayelitsha

Earlier this year, the annual Child Gauge indicated that child and adolescent mental health services in South Africa are in crisis – mostly due to inadequate resources. How to best provide such services within the constraints of our public healthcare system is an open question. Tiyese Jeranji visited the Michael Mapongwane Community Health Centre in Khayelitsha where a pilot project aimed at improving kids’ access to mental health services is showing encouraging results.

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Women in health: “Everything ends up in the health system,” says psychiatrist Lesley Robertson

Passionate about community psychiatry, Professor Lesley Robertson spent the bulk of her career as a psychiatrist pushing for mental health reform in South Africa. Now, as head of the community psychiatry clinical unit at Sedibeng District Health Service, she is still pushing – among others to improve the essential medicines lists for psychiatric medicines and shore up community-based networks of churches, community groups, and assisted living homes as soft landings for people in need. Ufrieda Ho spoke to her as part of Spotlight’s Women in Health series.

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