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Summary The South African Department of Health has published revised TB Infection Control guidelines in 2015, to provide guidance to management and staff in minimizing the risk of TB transmission in health care facilities, congregate settings (e.g correctional services) and communities. When keeping in mind the context of high HIV, MDR-TB and XDR-TB burden in South Africa, it is apparent that the national guidelines on TB Infection control policy are vitally important. According to WHO, South Africa has the second highest number of reported multi-drug-resistant TB (MDR-TB) cases globally. Approximately 10.5% of MDR cases in South Africa have XDR-TB. To address these issues, South Africa has widely embraced the concept of decentralization of DR-TB care and management. Instead of having to make long, and costly journeys to the MDR-TB centres, many patients can now access HIV and MDR-TB services close to their homes. Improved infection control measures will make healthcare environments safer for...

The world is an unequal place demonstrated clearly by the fact that the 62 richest people in the world are as wealthy as the remaining 7 billion. As the number of people on the planet grows, and the amount of resources remains the same, it seems inevitable that the divide between rich and poor will continue to worsen. In South Africa, as around the world, a person’s wealth can significantly impact their health. The Right to Health is enshrined in the Constitution and as of 2015 around six percent of the annual budget was spent on healthcare for the population. However, the quality of healthcare that ordinary South Africans receive is largely controlled by their income. A two-tier system exists, with the small private medical sector servicing the wealthy and the large public sector health system servicing around 80% of the population. Almost 40% of South Africans are unemployed, and few employers...

South Africa has always been a country that tries to maintain a balance between opportunity and struggle. Twenty years into democracy, the health landscape is undeniably very different from the one inherited by the first democratic Government....

HIV needs no introduction in South Africa with an estimated 11.2 percent of the population infected with the virus, and high levels of new infections taking place each year.[1] Social drivers of the virus in the country include gender-based violence, the acceptance of relationships ...