Health and medicine

Malawi has banned "dual practice" for health workers at all public clinics, hospitals, pharmacies and diagnostic centers in a sweeping move intended to stamp out corruption and restore confidence in the state health system, the government announced Monday. The directive bars public-sector health employees from holding concurrent jobs in private medical facilities. It also requires any health worker who owns or has a stake in a private clinic, pharmacy or diagnostic center to divest within 30 days or face dismissal and…

South Africa’s proposed National Health Insurance (NHI) — billed by the government as the country’s most sweeping health overhaul since the end of apartheid in 1994 — is effectively frozen amid court challenges and constitutional clashes. Bhekisisa Centre for Health Journalism spoke with health economist Susan Cleary to explore whether the NHI is a wise way forward. The debate now centers on capacity, cost, equity and the political will required to remake a deeply unequal health system. The case for NHI is straightforward…

Synthetic Drug Crisis in West Africa: A Public Health Emergency A new report warns that the proliferation of synthetic drugs across West Africa presents the most "urgent and complex" public health and security challenges facing the region. Published by the Global Initiative Against Transnational Organized Crime, the report says the burden of consumption—and its devastating consequences—falls disproportionately on young people. "The crisis has grown so severe that since 2024, two countries have declared states of…

Rwanda Battles Alarming Rise in Illicit Alcohol Consumption Rwandan authorities are raising the alarm over a surge in illicit alcohol consumption that has claimed over a dozen lives and left hundreds more facing severe health crises, including permanent vision loss. Police report that the Eastern Province is the hardest hit, where local brews are frequently contaminated with methanol—a toxic industrial chemical. The Rwanda Standards Bureau has taken significant measures by dismantling illegal production sites and…

Directive to force public servants into state healthcare ignites constitutional and capacity debate A government directive ordering public servants and senior officials to use the public healthcare system has thrown a spotlight on constitutional rights, public-sector capacity and political risk. Announced as part of negotiations over full government coverage of Public Service Employee Medical Aid Scheme (PSEMAS) fees, the move — slated to take effect on April 1 — has been met by legal and practical objections from former…

Kinshasa — The Democratic Republic of Congo has signed a five-year, $1.2 billion health financing agreement with the United States, officials announced, joining neighboring Uganda in adopting Washington’s new government-to-government aid framework. Under the pact, the DRC will receive $900 million in U.S. assistance while committing to boost domestic health spending by $300 million. The arrangement targets a slate of priority interventions intended to strengthen disease control and maternal-child health services. Program…

Paediatric HIV cure research is yielding cautious optimism: very early antiretroviral therapy (ART) can, in some children, produce periods of ART-free remission — a state in which the virus remains undetectable without ongoing medication — but it has not delivered full viral eradication, researchers say. The long quest for a cure has been complicated by HIV’s capacity to mutate and hide in long-lived viral reservoirs, a challenge that has confounded scientists for more than four decades, reports Sethi Ncube for allAfrica.…

HARARE — A group of public health physicians urged Harare and Washington on Thursday to resume negotiations after the collapse of a proposed $367 million bilateral health agreement that health experts say would have strengthened Zimbabwe's fragile health system. The proposed package, officials and health specialists said, was aimed at bolstering priority programs including HIV/AIDS treatment and prevention, tuberculosis control, malaria response, maternal and child health services and disease outbreak preparedness. Its…

The World Health Organization announced that Libya has eliminated trachoma as a public health problem, a milestone that clears the country of a disease long linked to poverty and limited access to hygiene and eye care. The validation makes Libya the 28th country worldwide and the eighth in its region to reach this specific target for trachoma, the WHO said. Trachoma is an infectious eye disease caused by the bacterium Chlamydia trachomatis. It spreads through contact with infected eye discharge on hands, clothing or by…

South Africa has declared the current foot-and-mouth disease outbreak a national disaster and will vaccinate 14 million cattle, President Cyril Ramaphosa announced, as the country confronts one of the worst outbreaks on record. "We have classified foot-and-mouth disease as a national disaster and will be mobilising all necessary capabilities within the state to deal with this crisis," Ramaphosa said, confirming the extensive vaccination campaign that authorities plan to roll out. The president's declaration elevates the…