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
TEXT SIZE - +

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

Abuja Blast Impacts Lives, Livelihoods

Officials say they are looking at ways to help bombing victims and boosting security More

Cambodia Technology Adviser Criticizes Cybercrime Draft Law

Phu Leewood says current criminal code can be used to prosecute offenders and that there is no need for a separate law More

Photogallery A Year Later, Boston Remembers Deadly Marathon Bombings

City pauses to honor victims and salute emergency workers who came to their assistance in frantic moments after blasts 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.
Google Buys Drone Companyi
|| 0:00:00
...
 
🔇
X
George Putic
April 15, 2014
In its latest purchase of high-tech companies, Google has acquired a manufacturer of solar-powered drones that can stay in the air almost indefinitely, relaying broadband Internet connection to remote areas. It is seen as yet another step in the U.S. based Web giant’s bid to bring Internet to the whole world. VOA’s George Putic reports.
Video

Video Google Buys Drone Company

In its latest purchase of high-tech companies, Google has acquired a manufacturer of solar-powered drones that can stay in the air almost indefinitely, relaying broadband Internet connection to remote areas. It is seen as yet another step in the U.S. based Web giant’s bid to bring Internet to the whole world. VOA’s George Putic reports.
Video

Video Ray Bonneville Sings the Blues and More on New CD

Singer/songwriter Ray Bonneville has released a new CD called “Easy Gone” with music that reflects his musical and personal journey from French-speaking Canada to his current home in Austin,Texas. The eclectic artist’s fan base extends from Texas to various parts of North America and Europe. VOA’s Greg Flakus reports from Austin.
Video

Video Millions Labor in Pakistan's Informal Economy

The World Bank says that in Pakistan, roughly 70 percent work in the so-called informal sector, a part of the economy that is unregulated and untaxed. VOA's Sharon Behn reports from Islamabad on how the informal sector impact's the Pakistani economy.
Video

Video Passover Celebrates Liberation from Bondage

Jewish people around the world are celebrating Passover, a commemoration of their liberation from slavery in Egypt more than 3,300 years ago. According to scripture, God helped the Jews, led by Moses, escape bondage in Egypt and cross the Red Sea into the desert. Zlatica Hoke reports that the story of the Jewish Exodus resonates with other people trying to escape slave-like conditions.
Video

Video Police Pursue Hate Crime Charges Against Kansas Shooting Suspect

Prosecutors are sifting through the evidence in the wake of Sunday’s shootings in a suburb of Kansas City, Missouri that left three people dead. A suspect in the shootings taken into custody is a white supremacist. As VOA’s Kane Farabaugh reports, he was well-known to law enforcement agencies and human rights groups alike.
Video

Video In Eastern Ukraine, Pro-unity Activists Emerge from Shadows

Amid the pro-Russian uprisings in eastern Ukraine, there is a large body of activists who support Ukrainian unity and reject Russian intervention. Their activities have remained largely underground, but they are preparing to take on their pro-Moscow opponents, as Henry Ridgwell reports from the eastern city of Donetsk.
Video

Video Basket Maker’s Skills Have World Reach

A prestigious craft show in the U.S. capital offers one-of-a-kind creations by more than 120 artists working in a variety of media. As VOA’s Julie Taboh reports from Washington, one artist lucky enough to be selected says sharing her skills with women overseas is just as significant.
Video

Video UN Report Urges Speedier Action to Avoid Climate Disaster

A new United Nations report says the world must switch from fossil fuels to cleaner energy sources to control the effects of climate change. The Intergovernmental Panel on Climate Change released the report (Sunday) following a meeting of scientists and government representatives in Berlin. The comprehensive review follows two recent IPCC reports that detail the certainty of climate change, its impacts and in this most recent report what to do about it. VOA’s Rosanne Skirble has the details.
AppleAndroid