News / Africa

South African Health Care Might be Rationed

A Paramedic from the Kwazulu-Natal Emergencies Medical Rescue Services (EMR) inspects one of the 150 new Ambulances stationed at Durban's Wentworth Hospital, South Africa, 28 Feb 2010
A Paramedic from the Kwazulu-Natal Emergencies Medical Rescue Services (EMR) inspects one of the 150 new Ambulances stationed at Durban's Wentworth Hospital, South Africa, 28 Feb 2010

South Africa continues to be in a health care crisis.  Doctors and nurses are leaving the country.  Equipment, supplies and hospitals are inadequate.  And, there are charges that the health care system is rife with fraud and mismanagement.

This woman, who does not want to be identified by name, has tuberculosis. Every day she comes to this clinic to get her medication.

"I lost two brothers because of the TB," she said.  "That is why I want to take the treatment for TB and finish this course.

She is one of the lucky ones.  The Eastern Cape is poor.  Unemployment is high and disease is rampant.  HIV, tuberculosis and other infectious diseases are all at pandemic proportions.  But the health care system is in chaos.  

Daygan Eager is a researcher for the Public Service Accountability Monitor.

"There isn't capacity there to deliver even the most basic services," said Eager.  "You're talking about rehydration packs for people with diarrhea.  Diarrhea is a major killer in South Africa."

In South Africa, each province has its own health care department.  Here in the Eastern Cape, this department has a long documented history of mismanagement and fraud.  Siva Pillay is the head of the department.

"We did investigations.  We found huge fraud.  I don't want to lie to you.  There's more than $200 million rand [$27million] of fraud and things like that," noted Pillay.

The biggest problem, though, is the increase in tuberculosis. Most of the patients here with TB are also HIV positive. Doctors, like Pillay, believe the increase in TB is because of the HIV epidemic.

"Our biggest pandemic today is the HIV pandemic, with the TB component which is complicating the issues," added Pillay.

Yet, reports say people often go untreated for both HIV and TB because the department does not have the capacity to handle them.   So this volunteer, who goes by the name Toyota, tries to deal with the HIV part of it by counseling women to be tested for HIV.  She is HIV positive, herself.  She got the disease when she fell in love with a man who was HIV positive.

"He helped me by lending me money to go to school," said Toyota.  "But, at the same time he hurt me, because he didn't tell me he was HIV positive."

The man died.  Today, she is on anti-retroviral drugs.  She says many women will not go in for testing, because being HIV positive carries a certain stigma.

"Meaning you are like a prostitute, you got it from selling your body.  So that's why people don't want to come out," added Toyota.

It is estimated that tens of thousands of people are walking around, untreated for HIV/AIDS.  And, that has just worsened the TB problem.  TB can be life threatening, if it is not treated. For those that can find the treatment, it is long.  Six months of pills taken daily.  But a volunteer named Duda says a lot of people stop taking their medication too early.

"They [are] feeling strong.  They are gaining weight.  Now they stay at home.  They think they are cured," Duda explained.

But they are often not cured.  The TB comes back and sometimes in more dangerous forms.  Again, researcher Daygan Eager.

"You talk about high level services like HIV and TB.  Very often the services are not there for people who need the services desperately," added Eager.

Health department head Pillay says he just does not have the money to improve the services.

"You have a budget that is insufficient to provide the necessary treatment to provide health care," he noted.

And Pillay says, if the number of ill continue to increase, he will have to consider denying treatment to some people, so he can give it to others - even for critical conditions like HIV. In effect, he will be rationing the care.

"We like to believe that there is none, because health care is a very emotional issue, but everywhere there is rationing of care. And, rationing of care is a reality we will have to face," added Pillay.

The United States, one of several countries providing aid to help African nations combat HIV/AIDS, has given more than one billion dollars, so far, to South Africa.  And it has pledged another $500 million, in the next two years. Yet treatment is not reaching thousands of people, either because they do not want it or because South Africa's strained health care services cannot deliver it.

You May Like

Photogallery Pistorius Sentenced, Taken to Prison

Pistorius, convicted of culpable homicide in shooting death of girlfriend Reeva Steenkamp, will likely serve about 10 months of five-year sentence, before completing it under house arrest More

UN to Aid Central Africa in Polio Vaccinations

Synchronized vaccinations will be conducted after Cameroon reports a fifth case of the wild polio virus in its territory More

WHO: Ebola Vaccine May Be in Use by Jan.

WHO assistant director Dr. Marie Paule Kieny says clinical trials of Ebola vaccines are underway or planned in Europe, US and Africa More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
After Decades of Pressure, Luxembourg Drops Bank Secrecy Rulesi
X
October 21, 2014 12:20 AM
European Union finance ministers have reached a breakthrough agreement that will make it more difficult for tax cheats to hide their money. The new legislation, which had been blocked for years by countries with a reputation as tax havens, was approved last week after Luxembourg and Austria agreed to lift their vetoes. But as Mil Arcega reports, it doesn’t mean tax cheats have run out of places to keep their money hidden.
Video

Video After Decades of Pressure, Luxembourg Drops Bank Secrecy Rules

European Union finance ministers have reached a breakthrough agreement that will make it more difficult for tax cheats to hide their money. The new legislation, which had been blocked for years by countries with a reputation as tax havens, was approved last week after Luxembourg and Austria agreed to lift their vetoes. But as Mil Arcega reports, it doesn’t mean tax cheats have run out of places to keep their money hidden.
Video

Video Kobani Refugees Welcome, Turkey Criticizes, US Airdrop

Residents of Kobani in northern Syria have welcomed the airdrop of weapons, ammunition and medicine to Kurdish militia who are resisting the seizure of their city by Islamic State militants. The Turkish government, however, has criticized the operation. VOA’s Scott Bobb reports from southeastern Turkey, across the border from Kobani.
Video

Video China Political Meeting Seeks to Improve Rule of Law

China’s communist leaders will host a top level political meeting this week, called the Fourth Plenum, and for the first time in the party’s history, rule of law will be a key item on the agenda. Analysts and Chinese media reports say the meetings could see the approval of long-awaited measures aimed at giving courts more independence and include steps to enhance an already aggressive and high-reaching anti-corruption drive. VOA’s Bill Ide has more from Beijing.
Video

Video US ‘Death Cafes’ Put Focus on the Finale

In contemporary America, death usually is a topic to be avoided. But the growing “death café” movement encourages people to discuss their fears and desires about their final moments. VOA’s Jerome Socolovsky reports.
Video

Video Ebola Orphanage Opens in Sierra Leone

Sierra Leone's first Ebola orphanage has opened in the Kailahun district. Hundreds of children orphaned since the beginning of the Ebola outbreak face stigma and rejection with nobody to care for them. Adam Bailes reports for VOA about a new interim care center that's aimed at helping the growing number of children affected by Ebola.
Video

Video Young Nairobi Tech Innovator on 'Track' in Security Business

A 24-year-old technology innovator in Nairobi has invented a tracking device that monitors and secures cars. He has also come up with what he claims is the most robust audio-visual surveillance system yet. As Lenny Ruvaga reports from the Kenyan capital, his innovations are offering alternative security solutions.
Video

Video Latinas Converting to Islam for Identity, Structure

Latinos are one of the fastest growing groups in the Muslim religion. According to the Pew Research Center, about 6 percent of American Muslims are Latino. And a little more than half of new converts are female. VOA’s Carolyn Presutti travelled to Miami, Florida -- where two out of every three residents is Hispanic -- to learn more.
Video

Video Exclusive: American Joins Kurds' Anti-IS Fight

The United States and other Western nations have expressed alarm about their citizens joining Islamic State forces in Syria and Iraq. In a rare counterpoint to the phenomenon, an American has taken up arms with the militants' Syrian Kurdish opponents. Elizabeth Arrott has more in this exclusive profile by VOA Kurdish reporter Zana Omer in Ras al Ayn, Syria.
Video

Video South Korea Confronts Violence Within Military Ranks

Every able-bodied South Korean male between 18 and 35 must serve for 21 to 36 months in the country’s armed forces, depending upon the specific branch. For many, service is a rite of passage to manhood. But there are growing concerns that bullying and violence come along with the tradition. Reporter Jason Strother has more from Seoul.
Video

Video North Carolina Emerges as Key Election Battleground

U.S. congressional midterm elections will be held on November 4th and most political analysts give Republicans an excellent chance to win a majority in the U.S. Senate, which Democrats now control. So what are the issues driving voters in this congressional election year? VOA National Correspondent Jim Malone traveled to North Carolina, one of the most politically competitive states in the country, to find out.
Video

Video Comanche People Maintain Pride in Their Heritage

The Comanche (Indian nation) once were called the “Lords of the Plains,” with an empire that included half the land area of current day Texas, large parts of Oklahoma, New Mexico, Kansas and Colorado.The fierceness and battle prowess of these warriors on horseback delayed the settlement of most of West Texas for four decades. VOA’s Greg Flakus reports from Lawton, Oklahoma, that while their warrior days are over, the 15,000 members of the Comanche Nation remain a proud people.
Video

Video Turkey Campus Attacks Raise Islamic Radicalization Fears

Concerns are growing in Turkey of Islamic radicalization at some universities, after clashes between supporters of the jihadist group Islamic State (IS) or ISIS, and those opposed to the extremists. Pro-jihadist literature is on sale openly on the streets of Istanbul. Critics accuse the government of turning a blind eye to radicalism at home, while Kurds accuse the president of supporting IS - a charge strongly denied. Henry Ridgwell reports from London.

All About America

AppleAndroid