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

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.
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.

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.

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.

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.

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.
The largest representative survey of South African youth aged between 15 and
24 shows that by the age of 23, one in five South African youth are HIV
positive. The research also confirms findings from the government's 2002
ante-natal clinic survey as well as the HSRC survey of 2002 that HIV
prevalence in this age group appears to be stabilizing.
Although one in 10 South African youths aged between 15 and 24 is HIV
positive, 96 percent of 15 year olds are HIV negative.

The largest survey ever conducted amongst South African youth shows that young women are bearing the brunt of the HIV and AIDS pandemic with one in 4 women aged between 20 and 24 testing HIV positive, compared to one in 14 men of the same age. The survey, conducted by the University of the Witwatersrand's Reproductive Health Research Unit and commissioned by loveLife, shows that by the age of 23, one in five young South Africans is HIV positive.
More than 60 percent of youth who tested HIV positive in the largest survey
ever of South Africans aged between 15 and 24 said that they believed that
they were at low risk of contracting the virus.
The largest representative sample of South African youth ever conducted has
found that almost one third of sexually experienced women reported that they
did not want to have their first sexual encounter and that they had been
coerced into having sex.
With serious staff shortages and a rural population of up to 65 percent, bringing health to the people of the North West Province is no easy job.