Opinion: Transparency and action urgently needed on Eastern Cape staffing challenges

Shortages of doctors and nurses at hospitals in the Eastern Cape is a well-known systemic issue that creates serious challenges for access to quality healthcare. Attempts to access information on how the Provincial Department of Health is addressing or will address this have been unsuccessful, making it hard to hold the department accountable, writes Sibusisiwe Ndlela.

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How well is SA’s chronic medicines distribution system working?

Having to collect one’s medicines at overcrowded public sector clinics with long queues can be time-consuming, disruptive, and, these days, may expose one to a risk of contracting SARS-CoV-2. Thabo Molelekwa takes stock of South Africa’s centralised chronic medicines dispensing and distribution programme, the Department of Health’s system for allowing more people to collect their chronic medicines closer to their homes or workplaces.

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Assessing Dr Zweli Mkhize’s two years as Health Minister

Last night President Cyril Ramaphosa announced that Dr Zweli Mkhize had resigned as South Africa’s Minister of Health after eight weeks on special leave. Although Mkhize will primarily be remembered for the Digital Vibes scandal that caused his downfall, a lot more happened over the last two years. Spotlight editor Marcus Low asks what we can learn from Mkhize’s time as health minister and tries to make sense of some of the contradictions.

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Corruption and ministerial powers centre stage at NHI hearings

Health Minister Dr Zweli Mkhize this week provided an update on investigations into a multimillion-rand NHI communications contract mired in controversy. That same morning, MPs in Parliament were again reminded of how critical an independent National Health Insurance Board will be. One organisation proposed an additional NHI corruption-fighting unit. Alicestine October has the latest from in and outside of Parliament.

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What SA’s COVID-19 experience tells us about NHI

For all the suffering and death the COVID-19 pandemic has caused over the last 12 months, it has arguably also provided a unique opportunity to test some of the mechanisms behind South Africa’s proposed National Health Insurance (NHI) system. The centralised procurement of vaccines and the contracting of doctors, for example, are probably not dissimilar from the arrangements we might see under NHI. Kathryn Cleary asks three leading health experts what lessons, for NHI, we should learn from the COVID-19 response.

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Health in 2021: Spotlight’s top 12 questions

While COVID-19 will continue to make headlines for some time, 2021 will also be a critical year for healthcare reforms in South Africa and for various aspects of the country’s HIV and TB response. These are Spotlight’s top 12 healthcare questions for the year.

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Reimagining health in the Eastern Cape: A dysfunctional public health system is not inevitable

The persistent challenges in public health in the Eastern Cape, highlight the critical role of leadership. Prof Helen Schneider argues if we are to reimagine a future of access, equity and justice in health and health care in the Eastern Cape, we need bottom-up institution-building involving civil society and not just top-down legislative, budgetary and other reforms.

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