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: As budgets shrink, it is more important than ever to strengthen primary healthcare

As the final negotiations in the 2021 budget process unfold, the government of the Eastern Cape and the department of health in particular are being asked to do more with less. It is now more urgent than ever to strengthen public primary health care, argue Ektaa Deochand and Russell Rensburg.

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Fed-up community in rural Eastern Cape starts their own health facility

Despite glaring poverty and the high unemployment rate plaguing the village of Ngquthu near Dutywa in the Amathole district in the Eastern Cape, villagers pulled together their resources to refurbish what was once a preschool into a community health facility. The community took their access to healthcare into their own hands after complaints over the long distance and residents who, on the way to the nearest clinic, fell victim to a spate of rapes and muggings. Luvuyo Mehlwana reports.

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HIV and circumcision: Where are we at the end of 2020?

Voluntary Medical Male Circumcision (VMMC) has been shown to reduce the risk of female-to-male HIV transmission by 60%. But with the COVID-19 pandemic and the associated lockdown, health authorities and organisations conducting VMMC in South Africa, say the numbers of men and boys being medically circumcised have dropped dramatically. Siyabonga Kamnqa reports.

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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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