Mpumalanga ‘€“ Turning the Corner
Mpumalanga province'€™s health department, once viewed as corrupt and inept, is experiencing a healthy revival.
Mpumalanga province'€™s health department, once viewed as corrupt and inept, is experiencing a healthy revival.
Hospitalized children need the support of their families in order to cope with their sickness. Dikeledi Mtsho (not her real name) is a single parent of a one-year old terminally ill boy. She speaks about the value of spending time with her child in hospital.
Two million out of 9,4 million KwaZulu-Natal residents who live mostly in rural areas and informal settlements still don't have adequate care in South Africa's most populous province.
Each year the Red Cross Children'€™s Hospital in Cape Town treats about 170 000 children aged from 0 to 12 years. Many come from Mozambique, Malawi, Kenya and elsewhere in Africa and many of them are suffering from terminal illnesses. But how do health workers cope with the trauma of losing the young patients who have become part of their lives?

Families are reducing their food intake as a first strategy to cope with the increased financial burden of caring for a sick or dying HIV positive family member.

Despite its small population of around 2.2 million, the mountain kingdom of Lesotho is concerned that its HIV transmission rate is increasing. The official prevalence rate is 31%. Only a handful, about 5% of the infected, pay for treatment provided by the private health sector. But a grant donation has enabled Lesotho to begin ushering in a small-scale treatment initiative.

Migration is taking its toll on health services in Gauteng, South Africa'€™s economic powerhouse.

Ten years later, health services in the flat, often bleak, central province of Free State are stable and the quality of care is improving.

The Limpopo province is one of five provinces that the government says will soon be ready to join the Western Cape and Gauteng in providing AIDS treatment in the public health sector. In this feature Health-e visits Tintswalo Hospital, Limpopo'€™s second largest hospital in rural Acornhoek, and met Dr Paul Pronyk, an American who has been working at the hospital for the last six years as part of Wits University'€™s Rural AIDS and Development Action Research project.
Profense ya Limpopo ke e nngwe ya tse hlano tseo mmuso o reng di tla fana ka meriana ya Phamokathe haufinyana. Hona ka mora hore profense ya Gauteng e qale ho fumantsha bakudi meriana ena ka la 1 Mmesa. Tlalehong ena Khopotso Bodibe o etela sepetlele sa Tintswalo, se seng sa dipetlele tse kgolo profenseng ya Limpopo, se leng motseng wa mahaeng Acornhoek. Moo teng o ile a teana le ngaka Paul Pronyk eo a e nang le dilemo tse tsheletseng a sebetsa sepetleng seo ka tlase ho morero wa Rural AIDS and Development Action Research ya yunibesithi ya Wits.

One of the best-resourced provinces in the country, the Western Cape'€™s health services function well.

The lure of foreign currency combined with tough working conditions and poor salaries is contributing to the exodus of South African nurses from our health services. The BBC recently reported that South Africa rates second after the Philippines as top supplier of nurses to the UK. Health-e visited the Eastern Cape to find out more about the shortage of nursing staff.

In the remote villages of Limpopo and Mpumalanga, an innovative pilot project on gender and AIDS awareness offers rural women an opportunity for empowerment.

Huge staff shortages and weak primary care are the two most pressing problems in the Eastern Cape health system, but there are signs of improvement in provincial management.

In this feature we journey to the village of Maupye in Limpopo to meet a young boy we first met three years ago when exploring the reality of children orphaned as a result of AIDS.