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ARV defaulters urged to resume treatment
ARV defaulters urged to resume treatment

The Citizen

time15-05-2025

  • Health
  • The Citizen

ARV defaulters urged to resume treatment

The KZN Department of Health is on a quest to find nearly 117 000 people on antiretrovirals (ARVs) and bring them back to treatment by the end of the year. Health MEC Nomagugu Simelane said the province has about 1.5 million people who are stable on ARVs, saying that the department is now on a mission to find thousands more who have stopped treatment for various reasons. Simelane explained that the province is participating in the newly-launched Close the Gap campaign, a collaboration between the National Department of Health and the South African National Aids Council. Speaking on the Department's KZN Health Chat multimedia programme last Friday, Simelane said the campaign aimed to reach 1.1 million people across the country who know their HIV status, but are not on treatment. The MEC said although more than 200 000 people in KZN are estimated to be lost to treatment, they have set a target of finding 117 616 of them by year-end and returning them to care. 'We are determined to bring people back on treatment. As we always say, no one should ever die just because they've stopped taking medication that can suppress HIV to the point of being undetectable. We know that some people stop taking their ARVs due to treatment fatigue, which we strongly discourage. In some ways, we are victims of our success as a province. People take their medication until they feel so well that they think they can stop,' she said. Simelane added that they only feel better because of the treatment. 'So, we urge everyone to stick to their treatment and for those who've stopped, to come back and re-enrol. If we don't, resistance can develop, making treatment less effective and putting our lives at risk,' she said. She also cautioned that excessive alcohol use can lead to defaulting on treatment. 'Being a teetotaler doesn't make you ibhari (a bumpkin) or unfashionable. There is nothing wrong with not drinking. But if you must drink, do so in moderation – especially if you are on ARVs. Drinking too much makes it harder to keep track of time, let alone remember to take your medication. We plead with our compatriots to take care and protect their health,' she said The MEC said while the department intensifies its Close the Gap efforts, anyone wishing to return to the ARV programme is encouraged to visit their local clinic and speak to a healthcare worker. HAVE YOUR SAY Like the South Coast Fever's Facebook page At Caxton, we employ humans to generate daily fresh news, not AI intervention. Happy reading!

Kick to touch: Paul Mashatile goes generic, faced with questions on key issues in Parliament
Kick to touch: Paul Mashatile goes generic, faced with questions on key issues in Parliament

Daily Maverick

time09-05-2025

  • Politics
  • Daily Maverick

Kick to touch: Paul Mashatile goes generic, faced with questions on key issues in Parliament

Deputy President Paul Mashatile faced questions in Parliament on Thursday about some of SA's most pressing issues — dysfunctional municipalities, the withdrawal of US funding for HIV/Aids programmes, and gender-based violence. His answers failed to inspire confidence. What is the government doing to fix South Africa's (SA's) most dysfunctional municipalities? What progress has the South African National Aids Council (SANAC) made with plugging the gap in funding, following the suspension of the US President's Emergency Plan for Aids Relief (Pepfar) funds? How is the government urgently addressing the persistent scourge of gender-based violence (GBV) in the country? These were some of the questions put to Deputy President Paul Mashatile by MPs during a Q&A session in the House on Thursday — and they're not trivial ones. But Mashatile repeatedly responded by suggesting the government is on top of the challenges, which would inspire confidence if he offered any substantive details. Dysfunctional municipalities ANC MP Mdumiseni Ntuli's question about the challenges in local municipalities got the deputy president enthused about the work of the Inter-Ministerial Committee (IMC), established by Cabinet in September 2024, to deal with dysfunctional municipalities. He said the IMC, chaired by Cooperative Governance and Traditional Affairs (Cogta) Minister Velenkosini Hlabisa, would further prioritise interventions focusing on 10 municipalities deemed most distressed by the Presidency. 'These include the Enoch Mgijima, Maluti-a-Phofung, Mafube, Kopanong, Emfuleni, uMzinyathi, Thabazimbi, Thembelihle, Ditsobotla, and Mamusa local municipalities. Already, eight of the 10 identified municipalities have held meetings with the technical IMC and are currently developing their turnaround strategies,' he said. In a follow-up question, Ntuli asked for timelines on the turn-around of the 10 municipalities, in light of the local government elections in 2026, and queried interventions happening at SA's other dysfunctional municipalities (66 in total). 'The municipal support and intervention plans are basically meant to address all struggling municipalities — not only the 10. However, the Presidency decided that we must start with those 10; focus on those. But work is going to start on most of the municipalities,' he responded. 'Work is going to continue on the rest,' he said, referring to the other dysfunctional municipalities. He said the government would ideally have liked to address these challenges before the 2026 local government elections, but 'it may not be possible'. DA MP Anna Maria van Zyl asked about what consequence management mechanisms are in place to ensure that officials, 'especially those in pilot municipalities under Operation Vulindlela ', face accountability. 'Our intervention will ensure that there are consequences where things are not changing… In some of the municipalities, it's not the politicians that are creating problems, it's actually the officials of the municipalities. So there will definitely be consequences where we can see that people are obviously transgressing,' he said. Pepfar funding When DA MP Dr Karl le Roux questioned Mashatile about the progress that SANAC — which he chairs — had made in finding alternative revenue sources to support HIV/Aids projects impacted by the cancellation of funding from Pepfar, he assured the House that the government was 'taking measures to prevent the negative effects that could result from the withdrawal' of Pefar. In January, Donald Trump's administration suspended billions of dollars of international aid, including for HIV-related programmes in SA. The Health Department has calculated that it needs R2.82-billion to plug the gap in funding for the rest of the financial year, according to a Daily Maverick report. Health Minister Aaron Motsoaledi has announced a plan to get an additional 1.1 million people on treatment by the end of 2025, but with no operational plan and no budget. Mashatile said on Thursday that the government 'has a contingency plan to address the gaps' in funding to 'sustain the delivery of health services'. But said talks between Motsoaledi and the National Treasury 'to discuss the possibility of funding these gaps from the fiscus' were still ongoing. He added that the SANAC had approached the National Lotteries Commission for additional funding. 'The National Lotteries Commission has submitted a funding application… which is being considered under its discretionary emergency funding,' he said. The Health Department has been slow in approaching the National Treasury with a request for emergency funds. In order to finance some of the health services that have been defunded by the US, the Health Department could have secured emergency funding from the National Treasury, in terms of Section 16 of the Public Finance Management Act, but this hadn't happened as of mid-April, GroundUp reported. 'Honourable deputy president, I hope that you understand that there is grave concern by people living with HIV and with civil society organisations that, more than three months after the funding from Pepfar through USAID was abruptly stopped, it appears that there's been no urgency shown from the South African National Aids Council — which you chair — neither by the National Department of Health, to find funding and to mitigate the damage of these funding cuts,' said Le Roux. He further asked Mashatile why emergency funding was only applied for from the National Treasury at the end of April, and when he expected this funding to be dispersed. Mashatile didn't answer the question directly. Instead, he reiterated much of his previous answer. However, he admitted: 'We didn't respond immediately, but we had to weigh the situation.' GBV measures In response to a question from MK MP Dr John Hlophe on the delays in investigations into the rape of a seven-year-old girl from Matatiele, Eastern Cape, Mashatile said the government 'remained quite concerned about the prevalence of sexual abuse amongst young children in our country'. 'The painful case of allegations of sexual abuse of the seven-year-old child in the area of Matatiele in the Eastern Cape province, and other separate cases of sexual assault of minors are currently being investigated by the South African Police Services (SAPS). According to the reports that we have received from SAPS, investigations are still underway in this case in particular,' he said. 'According to the SAPS, approximately 30 statements have been taken to date, mainly from the staff of the school in question, medical personnel who examined the victim, the children who were with the victim, and family members,' he added. ActionSA MP Athol Trollip asked whether the deputy president — as the chairperson of the Justice, Crime Prevention and Security (JCPS) Cabinet committee — was concerned that the wheels of justice in gender-based violence cases were grinding so slowly. 'Indeed, this is a matter that preoccupies us in the JCPS… We are doing everything we can to ensure that we can speed up these cases. So it's not like we are disinterested,' he responded. Concluding the session, Bosa MP Mmusi Maimane asked Mashatile if he agreed with him that the National Sex Offenders Register should be made public — given the scourge of GBV in schools. Last month, Minister of Basic Education Siviwe Gwarube said in a parliamentary reply that only 19% of teachers have been vetted against the register as of 31 March. 'The minister of justice actually indicated to us recently… that she is looking at this register with the view of making it public. I'm sure she's busy with that,' he said, adding that he agreed that those who are employed in schools should be vetted against it. 'It is definitely something we will look into,' he said. DM

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