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

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.
Although health care delivery in the Eastern Cape still faces major challenges, there are positive developments. Some 131 new clinics have been built since 1994 and the department is committed to improving services as Dr. Litha Matiwane Head of Hospital Services explains.

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.

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.
Social services in the Eastern Cape have been notoriously under-resourced for decades. The promise of a 'better life for all' that came with the first democratic elections in 1994 has not always held true. In the health sector, shortages of medicines, bed linen and health workers themselves, continue to plague the health system. So is there any reason to hope? Health-e News Service visited Livingstone Hospital, Nelson Mandela Academic and Umtata General Hospitals and Cecelia Makiwane to find out.
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.

Plagued by poverty, drought, inadequate access to basic services and huge inequities, Limpopo faces enormous hurdles in bringing health to its 5,8-million inhabitants.
There appears to be an increase in child rape including cases involving
children raping other children.

A new concept is gaining momentum in South Africa. After three years of debate and discussion a Charter for Sexual Rights has been adopted enshrining the rights of women to control their sexual and reproductive health. The Charter advocates mutual respect between men and women and it is hoped that this will prevent the spread of HIV/AIDS.

Access to medicines is still a problem in some public hospitals and many clinics in the Eastern Cape. Despite the reassurance of better service for all by the Department of Health and the Batho Pele principle to put people first, this is not happening in many areas. Health-e travelled through the region and compiled this report.

Interviewed by the national public broadcaster the weekend after his state of the nation address, President Thabo Mbeki still seemed determined to ignore and obfuscate the impact of HIV/AIDS on the country. Health-e examines his remarks.
Cheaper drugs, certificates of need, social health insurance? Has government made sudden and major shifts in health policy?