While KwaZulu-Natal is doing comparatively well on key HIV indicators, the public healthcare system in the province is plagued by staff shortages, long waiting times, poor tuberculosis infection control, and in some cases, dysfunctional filing systems. This is according to a new report from community-led monitoring group Ritshidze. Elri Voigt reports.
Findings of a clinic monitoring report released last week, again highlighted how delivery of health services in the Eastern Cape are hamstrung by staff and medicine shortages. Luvuyo Mehlwana unpacks the data and the provincial health department’s plans to address the challenges identified in the report.
Shortages of healthcare workers are contributing to long waiting times at healthcare facilities, poor treatment adherence, and are undermining the response to HIV and tuberculosis (TB) in the Free State, findings in a new report show. Refilwe Mochoari attended the launch of the report and asked the Free State Department of Health for its response.
Many clinics in Limpopo are operating without the required number of staff needed to deliver quality healthcare services, according to a report from Ritshidze, a community healthcare monitoring project. Activists say these staff shortages contribute to long waiting times for patients and overworked staff – which can ultimately undermine the province’s HIV programme.
Stockouts of essential medicines have been a problem in North West province for years. Now, a new community monitoring report suggests many people are still being turned away from public sector clinics without treatment or asked to come back a week later. Thabo Molelekwa spoke to the people behind the report and asked the North West Department of Health for their response to it.
Data collected by the Ritshidze community-led healthcare monitoring project is now being shared through a new, publicly accessible online dashboard. Authors involved with the project explain the kinds of insights this rich new data source can give on healthcare services in South Africa.
The growing crisis in many of South Africa’s clinics has reached a point where patient care is being compromised and there is a deepening worry that people living with HIV are being pushed out of treatment, argues Anele Yawa and Lotti Rutter. In this op-ed, they ask whether repeat prescription collection strategies are simpler and quicker than waiting in long clinic queues.
Six simple interventions are at the heart of how clinics can be part of turning the tide on TB infection. By following a checklist of good practice, clinics can be safer for patients and staff. However, most clinics are failing to implement enough of these measures, putting people at risk of getting TB while waiting at the clinic, argues representatives from the community clinic monitoring group Ritshidze.
People who miss appointments or stop taking their treatment often report being treated badly by healthcare workers when they return to health facilities. This fear of being reprimanded discourages people from going back to the clinic to seek support and receive their treatment, argues Bellinda Setshogelo and Sibongile Tshabalala.
One of the biggest challenges now facing South Africa’s HIV response is how to support many more people living with HIV to engage or re-engage and then stay on treatment. One way to make it easier for people living with HIV to adhere to treatment is to provide a longer supply of medicines, argues Ndivhuwo Rambau & Simphiwe Xaba.
Too many clinics are in crisis and it is driving the continuing HIV epidemic. People are dying because of it, argue members of the Ritshidze Project as they launch a report into the state of public sector facilities in Gauteng.