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NHI: The problem with trying to kill two birds with one stone

The National Health Insurance scheme aims to solve two problems — fixing poorly-run health facilities and distributing the money available for healthcare in the country in a more equitable way — simultaneously. But trying to fix two things at once may make things worse, writes Dave Martin.
In Nigeria

Inequality didn’t rise from hell: It’s man-made — and there’s nothing like a pandemic...

Why do pandemics such as Aids not automatically end when we have the medicine to control them? Because they play out in a world where inequality frequently prevents drugs from reaching the people who need it most, writes Mia Malan.
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How to get ARVs delivered to your home in the rural Eastern Cape

In South Africa’s rural areas, people often face a long, arduous journey to get to a clinic where they can pick up their HIV medicines. Not taking the drugs regularly will mean that the person’s health suffers, which can make it even harder to make the trip. The Bulungula Incubator in the rural Eastern Cape has figured out how to set up a medicine pick-up point closer to people’s homes.

#SliceOfLife: ‘I remember worrying she was cold in the tray.’ My six hours that...

In 2020, 1.9-million children were stillborn according to a new report from the World Health Organisation. Read how one woman’s experience of stillbirth inspired her to start a mental health support group for parents who lost a child during pregnancy.

5 steps, fast: This plastic sheet and pouch can stop thousands of women from...

Researchers have found a way to slash life-threatening bleeding after birth by 60%, according to a study presented at the International Maternal Newborn Health Conference in Cape Town last week.

‘She can’t discern jam from Vaseline’: Advice for the children of Alzheimer’s patients

In South Africa, a gene test that will tell you if you’re at risk for Alzheimer’s disease costs R3 600. But major organisations warn people against using these home kits without also getting counselling to help them work through the results — regardless of the outcome.

Could new abortion rules in the US affect the world’s biggest state HIV fund?

The United States government has appointed the first African head of its Aids fund, Pepfar. John Nkengasong, a Cameroonian virologist with US citizenship, will need to establish the potential impact of America’s change in abortion legislation on Pepfar funding rules.
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The cruel collusion that devastates young doctors learning how to deliver babies

Health workers-in-training say they feel forced to abuse birthing patients as part of a dark rite of passage on the road to becoming a doctor or midwife. This final year medical student explains how these experiences can shape the country’s future doctors.

Why SA women with postpartum depression go unhelped

The social and economic factors faced by women do not disappear once they become pregnant. Without additional support those problems get much worse and can be bad for their families too.

COVID, skin contact & kangaroos: How SA’s hospital rules are adapting

Policies to stop the spread of COVID-19 in South Africa have had a negative impact on maternal and newborn health care.
Medical student Inati Mcapazeli studies a chest x-ray at Cape Town’s Brooklyn Chest Hospital on World TB Day 2012.

Tackling TB: Three lessons the COVID-19 pandemic taught us

COVID-19 came with a lot of collateral damage that the world was unprepared for. Part of the pandemic ripple effect meant people weren’t able to access tuberculosis testing or treatment, derailing targets to end the disease. But there are also lessons to be learned along the way.
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Hell is 16 000 unanswered telephones. The low tech problem blocking abortions

Abortion services only got a national “how to” document for doctors 23 years after termination of pregnancy was legalised in South Africa. And while the new rules go a long way to remove barriers to ending a pregnancy, non-profits say crucial information such as a simple list of telephone numbers is still lacking.

Bundle of jitters: How these community health workers are helping moms cope with the...

Pregnancy can be a time of joy - and sadness. Many pregnant women and mothers of infants in lower-income communities acknowledge feeling depressed during this time. Here’s how community health workers helped alleviate this.

A local home for a global dream: The Aurum Institute houses HIV, TB &...

The Aurum Institute has been selected as the new host for the South African Health Technologies Advocacy Coalition (SAHTAC) — a coalition of civil...
Community health workers didn't just provide at-home HIV testing. They went into schools to help teach young people sexual and reproductive health and encourage boys to get medically circumcised.

Community health workers – could COVID finally unlock their role in the NHI?

In the absence of action from the health department, South Africa’s community health workers are once again having to fight for their rights.

Why many South African mothers give up breastfeeding their babies so soon

The long-term benefits of breastfeeding for children’s development led to recommendations for its exclusive adoption in infants. But for some mothers, it isn’t a feasible option.