OPINION | Govt's lack of transparency makes it difficult to monitor efficacy of TB programmes | Life

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OPINION | Govt's lack of transparency makes it difficult to monitor efficacy of TB programmes | Life
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For the ordinary person living in South Africa right now, Covid-19 is a non-event: no one checks caseloads, thinks about new variants, worries about symptoms, or thinks about vaccines. | News24Wellness

TB remains a significant public health challenge for South Africa, says Sihle Mahonga.

The TB sector, for one, is still dealing with fallout - a reduction in testing and diagnosis as well as an increase in the number of deaths. The plan - which would supplement the five-year National Strategic Plan on HIV, TB and STIs which the TB response is managed under - centres on increased testing for everyone who is considered high risk of contracting TB, irrespective of whether they have symptoms or not.

The Free State had listed outdated guidelines and the Western Cape had the 2018 drug-resistant TB clinical guidelines available. Publicly available information is critical to maintain transparency and creates an effective mechanism of accountability, which ultimately improves a project's governance. Governance is important in the context of South Africa's TB response, given the complex nature of the disease. While there has been a focus on governance in the health system, this has been largely missing in the TB sector and has been a longstanding issue predating Covid-19.

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