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

Posted in: Editorial, Latest

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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New policies aim to integrate mental health support into HIV services

Posted in: Healthcare system, Healthcare Workers, HIV/AIDS, Latest

Research suggests that people living with HIV are more likely to have mental health conditions than the general population. There seems to be consensus that HIV programmes would benefit from including better mental health screening and support services. Two new policy documents – the Mental Health Policy Framework and the National Strategic Plan for HIV, TB, and STIs – have a lot to say about providing such integrated services, but will they result in actual changes on the ground? Thabo Molelekwa reports.

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Analysis: Eastern Cape needs mental health services, gets mostly empty promises

Posted in: Eastern Cape, Healthcare system, Latest, Mental Health, Provinces

In recent years there have been various reports with damning findings on the state of mental healthcare services in the Eastern Cape. Luvuyo Mehlwana and Alicestine October assess what has and what hasn’t changed after recommendations from the Public Protector, the Health Ombud, the PSC, and the HSRC, and almost as many undertakings in response by the Eastern Cape Department of Health.

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In-depth: SA’s mental health policy has lapsed, what happens next?

Posted in: Spotlight

Once widely hailed, South Africa’s Mental Health Policy Framework and Strategic Plan 2013 – 2020 lapsed last year, with mixed reviews on its implementation from mental healthcare stakeholders. The National Department of Health now says the revised and updated Policy Framework and Plan will be in place in the next financial year. Tiyese Jeranji spoke to experts and activists about what the lapsed policy framework achieved and what to improve.

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In-depth: Mental health needs of children falling through the cracks, experts say

Posted in: Child health, Healthcare system, Latest, Mental Health

Globally it is estimated that around one in five to one in ten children and adolescents are affected by mental health disorders. In South Africa, the numbers are highly uncertain, particularly at provincial level, where hardly any data is being gathered. Research suggests that a lack of intersectoral collaboration has resulted in children falling through the cracks – so much so that one expert now says South Africa is completely unable to meet the mental health needs of its children. Tiyese Jeranji investigates.

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