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Strong foundations but fragmented cross-government alignment slows access

Alignment, not speed alone, is key to timely access. South Africa has a relatively formalised, multi-institutional system for introducing health innovations, but adoption does not always translate into timely, equitable routine access.

Landscape Assessment of Health Technology Introduction in South Africa’s Public Health Sector - medicines, vaccines, diagnostics and devices

This report examines how new medicines, vaccines, diagnostics and medical devices are introduced into South Africa’s public health system. It draws on two linked components: a multi-case health policy analysis across the four technology categories, and four case studies: the retrospective introductions of the BPaL-L regimen for drug-resistant TB and GeneXpert MTB/RIF, and the prospective cases of adult TB vaccine preparedness and lenacapavir for HIV prevention.

Bridging research and reality: Lessons learnt from the KZN PHCTC as a governance model for Universal Health Coverage: Zamasomi Luvuno

How do we turn the principles of Community-Oriented Primary Health Care (COPC) into a functional reality? This discussion will examine the development of the KwaZulu-Natal Primary Health Care Transformation Committee (PHCTC), a structure built on the belief that health transformation towards UHC, requires collective intelligence. By utilising a shared Theory of Change, we will examine how the PHCTC creates space for multi-level planning and the scaling of evidence-based innovations.

Rapidly expanding coverage of care for children and adults with cerebral palsy in rural KZN

Improving initial access to rehabilitation services and retention in care for children and adults with moderate and severe disabilities in rural areas poses unique challenges around affordability, acceptability, and accessibility - challenges which drive inequality and are perpetuated by our own health systems. In this webinar, Maryke described how rehabilitation systems and service reforms, initially driven by COVID-19, produced surprising results that have become ‘business as usual’ for the Manguzi team in rural KwaZulu Natal.

Impact Evaluation of a Combination HIV Prevention Intervention for Adolescent Girls and Young Women in South Africa: A Non-Randomised Controlled Cluster Trial

Executive summary

Introduction

In South Africa, adolescent girls and young women (AGYW) are at high risk of HIV infection, and there has been insufficient progress in preventing HIV infection among this population. Multiple factors intersect to increase AGYW’s risk of HIV, these include, but are not limited to gender inequalities, age-disparate relationships, gender- based violence (GBV), low levels of education, lack of access to adequate sexual and reproductive health (SRH) services and stigma and discrimination.

Talking about PrEP - South African Adolescent Girls and Young Women’s communication about pre-exposure prophylaxis with partners, parents and peers

Summary

  • In response to the persistently high HIV prevalence among South African adolescent girls and young women (AGYW), HIV prevention programmes have prioritised providing pre-exposure prophylaxis (PrEP) to this population.

G20 Extraordinary Committee of Independent Experts on Global Inequality

Introduction

Inequality is one of the most urgent concerns in the world today, generating many other problems in economies, societies, polities and the environment.

Evaluating effective health system governance in the context of Universal Health Coverage globally - results of a scoping review to inform a priority setting exercise

In this webinar, Hlengiwe and Retsedisitsoe presented and discussed the findings from a global scoping review of strategies aimed at addressing challenges and risks in health systems governance in countries transitioning to Universal Health Coverage (UHC). They shared the methods from our priority-setting exercise for developing health system governance research questions for South Africa within the context of UHC.

Using implementation science embedded within a learning health systems approach to scale up integrated primary mental health care in real world primary health care in KwaZulu-Natal

In this webinar, Prof. Bhana focused on the challenges associated with integrating task sharing of mental health treatment in real-world settings. He discussed the use of implementation science frameworks supported by learning health collaboratives as a primary mechanism of change, drawing lessons for implementation of UHC.

“Girls get stressed due to the situation we are facing”: Multi level mental health stressors and resilience enablers among adolescent girls and young women in South Africa

Summary

  • Poor mental health, including high levels of stress, is associated with increased risk behaviours resulting in negative sexual and reproductive health (SRH) outcomes amongst adolescent girls and young women (AGYW)
  • We explored South African AGYW’s narratives of stressors,  coping strategies, and impacts of participating in an intervention on mental well-being.
  • We found intersecting factors across individual, interpersonal, microlevel and structural levels that are salient mental health stressors experienced
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