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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INTERVIEW:  Being a good doctor requires empathy, says outgoing health ombud Prof Malegapuru Makgoba

South Africa’s health ombud Professor Malegapuru Makgoba’s tenure as ombud will end at the end of May. Bienne Huisman spoke to him about headline-making investigations into the Life Esidemeni tragedy and conditions at Rahima Moosa Mother and Child Hospital, his childhood in Limpopo, and how he side-stepped former President Nelson Mandela’s invitation to join the African National Congress.

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OPINION: NHI Bill must still clear many hurdles to ensure adequate medicine access

The Health Department’s recent response to submissions and its own recommendations on amendments to the National Health Insurance Bill sadly does not realise the gravity of the threat to the future of medicine selection and access. As the Bill currently stands, it will leave us at the mercy of advisory committees that bear no duty to be transparent in deciding which medicines people will be able to access under NHI, the authors argue.

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ANALYSIS: Mixed feelings about NHI at public health conference

National Health Insurance (NHI) was one of the hot topics at the 2022 Public Health Association of South Africa Conference recently held in Durban. While several speakers and attendees expressed support for the principles underpinning NHI, many also expressed reservations. Elri Voigt assesses what the conference told us about the views of some of South Africa’s public health experts on NHI.

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