Opinion: HIV investments remain no-brainers, but some things need to change

HIV in South Africa is not the crisis it was 20 years ago, and the country faces a growing burden of non-communicable diseases, but specific investments in HIV nevertheless continue to offer excellent value for money for governments and donors alike. As people gather for the 2023 International AIDS Society Conference in Brisbane, Australia, Marcus Low argues that while funding for HIV interventions remains absolutely essential, it is also critical for the future of the HIV response and people living with HIV that HIV should now be better integrated with other healthcare services, especially those for diabetes and hypertension.

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Analysis: Taking a spoon to a knife fight – Is SA ready for rising obesity rates?

Experts describe rising obesity rates in South Africa as an “urgent crisis”, “a tsunami” – even an “epidemic” – that is costing lives, not to mention billions of rands. Tackling the situation warrants an action plan that is as comprehensive and cogent as the problem is dire. But does the new national strategy fit the bill? Amy Green asked several local experts.

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90-60-50: Can SA meet its diabetes targets, and would we know if we do?

Diabetes rates in South Africa are anticipated to keep rising in the coming years as the country’s health burden slowly shifts away from infectious diseases such as HIV and tuberculosis toward non-communicable diseases. The relevant government strategy sets three key diabetes targets. Elri Voigt spoke to several local experts about these targets and South Africa’s prospects of meeting them.

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Face to Face: Professor Soraya Seedat on the ‘workings of the brain’ and the realities of psychiatry in SA

Professor Soraya Seedat is a distinguished professor and head of Stellenbosch University’s psychiatry department. She has penned several hundreds of peer-reviewed journal articles and book chapters on psychiatric disorders, with a focus on PTSD and anxiety, particularly among children and in resource-constrained settings. Biénne Huisman sat down with her to talk about her work, what drives her, and maintaining a work-life equilibrium.

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New policies aim to integrate mental health support into HIV services

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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OPINION: 2022’s health budget decisions in review

Health budgets have the power to advance access to healthcare for millions of people in South Africa. This year, however, as the health sector and the economy recovered from the worst of the COVID-19 pandemic and a volatile global environment, the South African government missed opportunities to provide the financial resources to protect access to healthcare for the most vulnerable. Matshidiso Lencoasa unpacks how the past year’s budget choices will affect key public health services.

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In-depth: The state of asthma in SA

Asthma is a disease that can be easily controlled through the correct use of medications, yet in many low-and-middle-income countries like South Africa, many still die due to lack of effective management of this disease. According to estimates from the Global Asthma Report 2022, South Africa ranks third out of 28 low-and-middle-income countries for asthma-related mortality. Elri Voigt unpacks the state of asthma in the country.

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In-depth: Major SAMRC study sheds light on causes of disease and death in SA

Unsafe sex, interpersonal violence, high body mass index, high systolic blood pressure, and alcohol consumption are the top risk factors for disease and death in South Africa, according to the Second Comparative Risk Assessment study conducted by the South African Medical Research Council’s Burden of Disease Research Unit. Nthusang Lefafa spoke to some of the researchers to unpack the findings.

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