Analysis: Making access to surgical care a reality in district hospitals

Earlier this year, Spotlight published a two-part series on the human cost of surgery waiting times and asked what could be done about it. One such solution proposed by some is to devolve less complicated surgical care procedures to district hospitals. The AfroSurg3 Conference held in September, which brought together surgical stakeholders from 11 African countries to improve access to care, shed some light on how this might work. Alicestine October reports.

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Rural Doctor of the Year: Craig Parker – the doctor-engineer who created a COVID lifeline for rural areas

A trained engineer and medical doctor, Dr Craig Parker created an oxygen device that was an important lifeline to patients in rural Eastern Cape at the height of the COVID-19 pandemic. Earlier this month at the Rural Health Conference in Oudtshoorn, Parker received the Rural Doctor of the Year Award for 2022. Bienne Huisman chatted to Parker about the device and his life as a rural doctor.

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Opinion: Better data is first step in improving services for persons with disabilities

South Africa ratified the UN Convention on the Rights of People with Disabilities in 2007 – but the data needed to track the implementation of the convention in South Africa is often incomparable across sectors, of low quality, or completely lacking. This limits civil society’s ability to hold the government accountable and makes it impossible to ensure equity for marginalised groups in how government plans, budgets, and implements services, argues Rural Rehab South Africa’s outgoing chair, Maryke Bezuidenhout.

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Women in Health: Being a midwife is a calling, says founder of Black Women Arise

Being a midwife is not a career for her, says Sebabatso Tsosane – it’s a calling. Refilwe Mochoari spoke to Tsosane – a midwife, lecturer, and founder of the Free State-based organisation Black Women Arise – about her passion to empower women with knowledge about their sexual and reproductive health as part of Spotlight’s Women in Health series.

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Women in Health: Dr Angela Hartwig – a torchbearer for rural health

At one stage during the COVID-19 pandemic, Dr Angela Hartwig was the only doctor at Adelaide Hospital in the Eastern Cape. She also fell ill while pregnant and working, and ended up in a COVID-ward. Despite the challenges the pandemic dished out to health facilities and health workers, especially in rural areas like Adelaide, she remains passionate about rural health. Bienne Huisman spoke to her as part of Spotlight’s Women in Health series.

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Report finds some improvement at Mpumalanga clinics, but serious challenges remain

The community-led clinic monitoring project, Ritshidze last week, released its follow-up report on the state of (primary) healthcare in Mpumalanga. There were some improvements, but patients are still waiting over four hours to be seen at some clinics. Nthusang Lefafa unpacks some of the report’s findings and asked the health department about its plans to address these shortcomings.

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North West: Long distances, medicines stockouts, and Mediosa busses gathering dust

Hours waiting for emergency medical services, medicine shortages, high travel costs, and long walking distances to clinics. These are some of the issues rural communities in the North West face when trying to access healthcare services. Meanwhile, expensive mobile clinics purchased from the Gupta-linked Mediosa are gathering dust. Nthusang Lefafa spoke to community members in some of these rural communities and the provincial health authorities.

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Poor security and water shortages undermining healthcare in Mpumalanga

The Mpumalanga Department of Health is plagued by many challenges ranging from water shortages affecting some of its health facilities, poor medicine distribution, and a spate of assaults and robberies putting healthcare workers at risk. Nthusang Lefafa spoke to unions, opposition parties, and the department about these ongoing challenges and plans to address them.

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