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.