Health in 2023: A deceptively busy year in fewer than 1 000 words

2023 was a busy year for healthcare in South Africa. We saw several promising policy developments, landmark court cases, important pieces of legislation, and some changes in leadership. Yet, take a step back and at facility level little seems to have changed. Shortages of healthcare workers persist, corruption is still rife, budgets tight, and our health governance crisis remains as acute as ever. Marcus Low looks back at the year in health in fewer than 1 000 words.

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In-depth: What new WHO TB numbers mean for SA

An estimated 54 000 people died of tuberculosis in South Africa in 2022 and around 280 000 fell ill with the disease, according to just-released figures from the World Health Organization. Catherine Tomlinson unpacks the figures and what they mean for the country’s TB response.

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Editorial: World AIDS Day 2022 – Choice, convenience, and respect should be the cornerstone of SA’s HIV response

In Spotlight’s analysis of South Africa’s HIV response in recent years, two issues have stood out consistently – still too many people living with HIV are not taking antiretroviral therapy and the rate of new HIV infections in South Africa is not coming down fast enough. Accordingly, argues Spotlight editor Marcus Low, we must accelerate the shift toward an HIV response where we make testing for HIV and taking antiretroviral treatment as convenient as possible.

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Spotlight on HIV: Six graphs that tell the story

In 2021, HIV was successfully suppressed in the bodies of around 63% of the close to eight million people living with HIV in South Africa. This is according to recent outputs from Thembisa, the leading mathematical model of HIV in South Africa. With the help of some graphs, Spotlight editor Marcus Low unpacks this and other key model outputs.

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Opinion: Funding must be allocated to treat drivers of HIV

If South Africa wants to strengthen the prevention arm of its HIV programme, which it definitely should, providing comprehensive sex education in schools and training teachers to deliver this curriculum will be vital. It is important that the HIV/AIDS Life Skills Grant, as one of the key pieces of a broader HIV prevention strategy, be supported and strengthened, argue Mbali Baduza and Julia Chaskalson.

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Circumcision reducing HIV infections but COVID-19 caused setbacks

A UNAIDS report published earlier this year estimates that just under 4.5 million men and boys accessed voluntary male medical circumcision (VMMC) services in South Africa by the end of 2019 with 47% of these having been performed from 2016 to 2019. Thabo Molelekwa reports on the impact COVID-19 has had on VMMCs and the challenges related to resuming this service in the country.

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COVID-19 and HIV: What we can learn from a new WHO report

The risk of developing severe or fatal COVID-19 is 30% greater in people living with HIV compared to those who are HIV negative, according to a new report from the World Health Organization. Comprised of data from 37 countries, including South Africa, the report suggests people living with HIV should be prioritised for vaccination. Laura Owings reports.

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