Nurses in private and public practice exchange notes at annual conference
This is according to Dr Tracey de Klerk, chair of the Gauteng department of health, who was speaking at the two-day Fifth African Nursing Conference which started on Wednesday and will continue until Thursday at the Birchwood Hotel & OR Tambo Conference Centre in Boksburg.
'For the past two conferences, there were many requests for the public to know more about private, and private to know more about public, especially with the word NHI (National Health Insurance) and people not understanding that NHI is a fund and that we are looking at universal health coverage,' she said.
Different speakers across the Sadc region and various provinces in the country tackled different topics about the nurses' profession and the challenges they have.
De Klerk said the conference was more focused on universal health coverage. She said it was about showing people that public and private health nurses could work together — but first, they need to understand each other.
'Sometimes we need to ask a question, not just to get a response, but to get that understanding. Because when you understand, whether it's culture, e nvironment or even the health ecosystem, it touches your mind, it touches your heart to have a look at the magnitude of the public sector and why the public sector also needs that support,' she said.
According to her, they are using the conference to look at the best practices, and both public and private practitioners were combining ideas on how best nurses can work together during the NHI implementation.
'What can we do collectively to move forward? Because, you know, there's a proverb that says, if you want to go fast, go alone. But if you want to go far, go together.
'We want to go far; we want the system to find a way to work. Yes, we know that there are issues, whether it is staffing, whether it is resources, but somewhere we have to begin,' she said.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Mail & Guardian
5 hours ago
- Mail & Guardian
Mothers, grandmothers and other caregivers need care too
The caregivers of children who are at home also need support. Photo: File Young children in South Africa live on the edge of both possibility and risk. If all of them were to grow up thriving, it would unlock opportunities for our country: a stronger economy and a safer, happier society. And yet, more than To address this, we need to increase access to quality early childhood development (ECD) centres or playgroups. We also need to support the caregivers of our youngest children who are at home, where learning begins. The science is clear. A baby's brain is not fully developed at birth, it develops most rapidly in the first three years of life. Babies are born eager to connect: they babble, make facial expressions and reach out. When caregivers respond with warmth, smiles, eye contact, sounds or words, it strengthens brain development. This is the power of ' But for too many caregivers, the odds are stacked against them. There are nearly seven million children aged 0–5 in South Africa, and nearly two-thirds live in the poorest 40% of households. Caregivers, most often women, carry an enormous, often invisible burden. More than 80% of children live with their biological mothers, many of whom experience a lack of support, or daily survival stress because of poverty, with a Poor infrastructure, inefficient services, financial insecurity, fragmented support and enduring gender norms undermine their capacity to provide nurturing care. Many also do not have confidence in their role as their children's first teachers because 'learning' is still viewed as something that happens in crèches or schools. Less than a third of caregivers read books with their children. Many homes don't have age-appropriate books at all with just less than If we want to break the cycle of poverty, inequality and poor learning outcomes, we must start with the people doing the work of care. Across South Africa, organisations are doing this work, often with limited resources. These organisations recognise that for children to thrive, we must pay attention to the wellbeing of their caregivers. Organisations such as Programmes like Organisations recognise the importance of shared care of young children. Among them is Through programmes like We must invest in learning from and expanding evidence-informed programmes, and strengthen partnerships between government, donors, NGOs and researchers to create scalable, sustainable systems. The Hold My Hand Accelerator in partnership with SAPPIN, is conducting a survey of organisations and initiatives that support responsive caregiving and early learning. If you would like to know more about the survey or complete the survey please use this . Shelley O'Carroll is an early childhood development specialist and consultant for the .


Mail & Guardian
5 hours ago
- Mail & Guardian
Most people on ARVs stay on them. Does our health system know that?
How can data help the health department make the most of the R622 million extra it received for South Africa's HIV treatment programme? (Flickr) More than two weeks ago, Health Minister Aaron Motsoaledi About This extra budget is just over a fifth of the roughly So, how to get the best bang for these limited bucks — especially with the health department wanting to get By getting really serious about giving people more than one way of getting their repeat prescriptions for antiretroviral (ARV) medicine (so-called differentiated service delivery), said Kate Rees, co-chair of the A big part of South Africa's problem in getting 95% of people who know they have HIV on ARVs (the second target of the UN's 95-95-95 set of cascading goals) is that people — sometimes repeatedly — For the UN goals to be reached, South Africa needs to have 95% of people diagnosed with HIV, on treatment. Right now, the health department says, But the way many health facilities are run makes the system too rigid to accommodate real-life stop and start behaviour, says Rees. This not only means that extra time and money are spent every time someone seemingly drops out of line and then comes back in, but also makes people unwilling to get back on board because the process is so inconvenient and unwelcoming, she says. Rees and Wilkinson were co-authors of a Journal of the International Aids Society in 2024, of which the results helped the health department 'We often have excellent guidelines in place, built on solid scientific evidence,' says Rees, 'but they're not necessarily implemented well on the ground.' To make sure we track the second 95 of the UN goals accurately, we need a health system that acknowledges people will come late to collect their treatment and sometimes miss appointments. This doesn't necessarily mean they've stopped their treatment; rather that how they take and collect their treatment changes over time. The standard ways in which the public health system works mostly doesn't provide the type of support these patients need, as the resources required to provide such support is not available,' explains Yogan Pillay, the health department's former deputy director general for HIV and now the head of HIV delivery at the Gates Foundation. 'But with AI-supported digital health solutions and the high penetration of mobile phones, such support can now — and should be — be provided at low cost and without the need to hire additional human resources.' We dive into the numbers to see what the study showed — and what they can teach us about making the system for HIV treatment more flexible. Does late = stopped? Not necessarily. Data from three health facilities in Johannesburg that the researchers tracked, showed that of the 2 342 people who came back to care after missing a clinic appointment for collection medication or a health check, 72% — almost three-quarters — showed up within 28 days of the planned date. In fact, most (65%) weren't more than two weeks late. Of those who showed up at their clinic more than four weeks after they were due, 13% made it within 90 days (12 weeks). Only one in 14 people in the study came back later than this, a period by which the health department would have recorded them as The data for the study was collected in the second half of 2022, and at the time 'But it's important to distinguish between showing up late and interrupting treatment,' notes Rees. Just because someone was late for their appointment doesn't necessarily mean they stopped taking their medication. Many people in the study said they either still had pills on hand or managed to get some, despite not showing up for their schedule collection. Sending back a parcel of uncollected medicine after just two weeks — as was the case at the time of the study — would therefore add an unnecessary admin load and cost into the system. ( Does late = unwell? Not always. In fact, seven out of 10 people who collected their next batch of medication four weeks or more late had no worrying signs, such as possible symptoms of tuberculosis, high blood pressure, weight loss or a Moreover, given the large number of people without worrying health signs in the group for whom data was available, it's possible that many of those in the group with incomplete data were well too. When the researchers looked at the patients' last viral load results on file (some more than 12 months ago at the time of returning to the clinic), 71% had fewer than 1 000 copies/mL in their blood. A viral count of <1 000 copies/mL tells a health worker that the medicine is keeping most of the virus from replicating. It is usually a sign of someone being diligent about taking their pills and managing their condition well. Yet clinic staff often assume that people who collect their medicine late are not good at taking their pills regularly, and so they get routed to extra counselling about staying on the programme. 'Most people don't need more adherence counselling; they need more convenience,' says Rees. Offering services that aren't necessary because of an inflexible process wastes resources, she explains — something a system under pressure can ill afford. Says Rees: 'With funding in crisis, we really have to prioritise [where money is spent].' Does late = indifferent? Rarely. Close to three-quarters of people who turned up four weeks or more after their scheduled medicine collection date said they had missed their appointment because of travelling, work commitments or family obligations. Only about a quarter of the sample missed their appointment because they forgot, misplaced their clinic card or for some other reason that would suggest they weren't managing their condition well. Part of making cost-effective decisions about how to use budgets best is to offer differentiated care', meaning that 'not every patient coming back after a missed appointment is treated the same way', says Rees. Health workers should look at how much the appointment date was missed as well as a patient's health status to decide what service they need, she explains. Giving people who've been managing their condition well enough medicine to last them six months at a time can go a long way, Wilkinson told Bhekisisa 's Health Beat team According to the health department South Africa will start rolling out six-month dispensing in August. 'But not everyone wants this,' explained Wilkinson, pointing out that experiences from other countries show that 50% to 60% of people choose six-monthly pick-ups. It speaks to tailoring service delivery to patients' needs, says Rees, rather than enforcing a one-size-fits-all system when more than one size is needed. Says Rees: 'Facing funding constraints, we really need tailored service delivery to keep the [HIV treatment] programme where it is.' This story was produced by the . Sign up for the .

IOL News
7 hours ago
- IOL News
Measles-Rubella Mass Vaccination Campaign for Gauteng
The province-wide Measles-Rubella Mass Vaccination Campaign targets all children aged 6 months to 15 years, regardless of their current vaccination status. The Gauteng Department of Health will be conducting a province-wide Measles-Rubella Mass Vaccination Campaign from 4 August to 12 September 2025. The campaign targets all children aged 6 months to 15 years, regardless of their current vaccination status. Whether the road to health booklet or card is available or not, the vaccine will be given. Parents and caregivers are strongly encouraged to take their children to their nearest healthcare facility for vaccination or to provide written consent for vaccination at schools and early childhood development centres (crèches). Why is this campaign important? South Africa introduced the Rubella Vaccine into the national immunisation schedule in 2024, in combination with the Measles vaccine. Many children have not yet received the combined Measles-Rubella (MR) vaccine and remain vulnerable to Rubella infection. Measles and Rubella are highly contagious viruses that spread through droplets from coughing, sneezing, or close contact with an infected person. The incubation period is typically 10 to 14 days before symptoms appear. Common symptoms include: Fever Rash Cough Runny nose Red eyes Fatigue If not treated, these diseases can lead to serious complications such as: Blindness Ear infections Encephalitis (brain infection) and death The Member of the Mayoral Committee (MMC) for Health, Councillor Mashabela, said that protecting children from vaccine-preventable diseases is a shared responsibility. By vaccinating your child, you not only safeguard their health but also help prevent outbreaks in our communities. For more information, please visit your local clinic or contact your nearest health facility. Cllr Tshegofatso Mashabela MMC for Health