In South Africa, tuberculosis is mainly diagnosed and treated in the public healthcare system. On paper, the private sector should also be able to deal with it, but in reality, TB care in this sector is often fragmented and confusing. Elri Voigt asks local experts why things work like this and what can be done about it.
Being a researcher who studies tuberculosis in the lab is one thing, having the TB bug in your lungs is quite another. Elri Voigt sat down with two of a relatively small number of people who have experienced both.
Shut down by the apartheid government for providing care to child patients of all races, Durban’s Addington Children’s Hospital is well on its way from a ghostly ruin into a lifeline for a new generation thanks to visionaries like Professor Hoosen Coovadia. Biénne Huisman spent time inside the historic KwaZulu-Natal Children’s Hospital with its striking artworks and wards named after birds.
It has been a bruising year or so for medical researchers in South Africa with the US pausing, cancelling, and then resuming some grants. But as bad as things were, what played out wasn’t the worst case scenario, and momentum is now building toward recovery.
Biénne Huisman meets South Africa’s recently appointed Deputy Director-General for HIV, AIDS, TB and sexually transmitted infections, discussing the latest HIV prevention medicines, her career turning points, and bedtime reading.
Soft toys, giggly kisses, and bright wards buzzing with excited children meet a driven team of staff and researchers producing world class work at Brooklyn Chest Hospital’s paediatric TB research hub. Biénne Huisman visits the wards and the Desmond Tutu TB Centre’s clinical site as it celebrates ten years and gets early insight of a cutting-edge new treatment trial.
Although TB can be cured, it is still spreading in South Africa at alarming rates. One reason could be that some people with TB disease but without TB symptoms may unknowingly be passing on the bug. In this Spotlight special briefing, Elri Voigt unpacks what we do and do not know about asymptomatic TB.
New TB tests have massive potential for South Africa’s struggle to get to grips with the age-old disease. Making the most of these new tests will require both ambition and smart implementation, argue Gaurang Tanna and Dr Yogan Pillay.
Funding cuts over the last year or so have created a crisis for multilateral health institutions. Which institutions emerge from this crisis, and in what form, will have real consequences for the health of people in South Africa, argues Spotlight editor Marcus Low.
District managers in South Africa’s public healthcare system currently have to juggle funding from multiple government budget lines, each with different strings attached. To improve district health services, we urgently need to simplify and integrate these funding flows, argues Russell Rensburg.
Spotlight has unveiled a new tuberculosis dashboard and graph generator. We hope this dashboard will help people get a clearer picture of the state of South Africa’s TB epidemic – an epidemic that still claims over 50 000 lives a year. It follows on the launch of a similar HIV dashboard last November.
From the limited rollout of a new HIV prevention jab to developments with new weight loss medicines, to high-stakes court cases relating to National Health Insurance (NHI), 2026 is set to be another tumultuous year in healthcare. Here are nine stories that Spotlight will keep a close eye on.
