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When you're queer and a woman of colour, seeking healthcare services is not as easy as walking into a clinic or showing up for a doctor's appointment.

You have to weigh up if your health at that moment is bad enough to put up with slurs, racism or both — if you don't get turned away, that is.

My last HIV test was at a private clinic. I was with a woman whom I wasn't necessarily in a relationship with at the time, but we went to get tested together.

A nurse was standing, waiting for us outside the testing room. Before she even said "hello", she barked: "Two women can't come for a test at the same time. One must stay outside."

I went in alone, even more anxious than before. 

Did I mention that I'm terrified of needles?

Nervously, I asked redundant questions to break the awkward silence.

Impatient, she pricked my finger. As I winced, she said, "you know there's a 50-50% chance you could be HIV positive?"

Shortly after, she sent me on my way. I was too happy with my result and even happier to leave.

Oftentimes, when we look at data, we don't think of the numbers as people, especially not people we know.

This week I wrote about the quality of HIV testing services in the country, and it looks bleak. But, I already knew that before looking at the numbers.

So, why does quality matter? For starters, I'd like not to be treated as subhuman.

Enjoy this week's exclusive read.

Roxy de Villiers, Bhekisisa social media & engagement officer
@Roxy_d_Villiers

Help us keep quality health journalism and social justice reporting free. Click here.
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The Lean Healthcare Summit will inspire the healthcare community to advance lean thinking and practice in their facilities to improve efficacy, free resources, reduce waiting times, impact staff morale, delight patients and save lives. During the Summit you will hear case studies and talks from Lean CEOs and leading international Lean practitioners on meeting the challenges in raising performance in healthcare and related organisations. There will be a particular focus on the African context.

We are proud to host three public sector hospital CEOs as speakers, including Grey Dube of Leratong Hospital, Gladys Bogoshi representing Charlotte Maxeke Johannesburg Academic Hospital and Groote Schuur Hospital CEO Bhavna Patel. Sharon Vasuthevan, Executive at Life Healthcare, one of South Africa’s top private hospital groups, will also be speaking.

All these leaders have embraced Lean and enjoy the benefit that it has brought to their healthcare facilities. John Toussaint, the keynote speaker, is the founder and Chairman of Catalysis, USA. He is a world-renowned healthcare improvement leader working across the globe, including South Africa. Don’t miss out on hearing more from these local and international healthcare Lean leaders. www.lean.org.za/lean-summit. Contact Mia Faull for more information.
We sometimes forget that the country's gains in the fight against HIV rest on one thing - and 15 minutes in someone's life. (Delwyn Verasamy, Mail & Guardian)
In the last decade, South Africa's largely gone from zero to hero when it comes to HIV. We scaled up treatment and now run the largest antiretroviral programme in the world. We slashed mother-to-child HIV transmission rates and we gained back previous years in life expectancy once lost to Aids denialism

But each of these accomplishments rests on one, single thing: Our HIV testing services

And we might have cause for concern.

In this week's exclusive, Roxy de Villiers takes you through testing services in five provinces to look at data you're going to have to read to believe. 

Get the whole story
A tale of two worlds: Why the quality of #HIV testing in SA is a mixed bag. @Bhekisisa_MG reports: http://bit.ly/335n6u2 A tale of two worlds: Why the quality of #HIV testing in SA is a mixed bag. @Bhekisisa_MG reports: http://bit.ly/335n6u2
We've had some new subscribers from the Western Cape all the way to Toronto. We'd like to give a warm welcome to all our new readers:

Carol Bosch from Western Cape
Paul Malherbe from Massachusetts
Craig Tudhope of A&L Management Consultants
Dawn Ingle from the United Kingdom
Donald Tshabalala from Gauteng
Nonhlanhla Sithole from Toronto
David Bawden from Gauteng
Keith Milne from Western Cape
Ranjan Singh of Intermac Pharmaceutical
Augustine Odo of OHP Pharmacy
Bernd Appelt of GIZ
Mtwakazi Bula of the Black Health Professions Association
Eleanor Marardie of the Regent Business School 



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Opportunities from around the web:



Call for registration, International AIDS Conference — San Francisco and Oakland

Registration has been opened for the 23rd International AIDS Conference which will take place from 6 to 10 July 2020.

Next year's AIDS Conference will mark the first time the world's largest conference on HIV and AIDS will be hosted in two neighbouring cities.

Conference registration has opened two months early to allow delegates more time to apply for visas.

Early registration ends on 15 January, 2020. Group registration only applies to five or more people and the organisation requesting a group registration must nominate one group representative who will administer the group booking.

Media registration is free for eligible members of the media who will be attending in their capacity as journalists, photographers, videographers and community educators.

For more information about visa applications, click here.
To register, click here.



Meta-Research for Transforming Clinical Research, What should we change in the way we are doing research, 25 November 2019 — Paris

Organised by the Methods in Research on Research (MiRoR) consortium, this meeting will look at meta-research, for instance, within preclinical studies as well as opportunities for data sharing, including within the pharmaceutical industry.

Other subjects to be discussed include tools and strategies to increase the replicability of studies and new approaches to evaluate researchers. Registration is free, but seats are limited.

Click here to find out more




Public lecture: Harnessing the Immune Response — To measles elimination and beyond, National Institute for Communicable Diseases — Johannesburg

The National Institute for Communicable Diseases will be hosting Melinda Suchard on 4 November at 5.30 pm as part of the Poliomyelitis Research Foundation's 14th James HS Gear Memorial Lecture. 

The talk will take place in the James Gear Auditorium.

RSVP by emailing Irma Latsky or contact them on 011 555 0395




Call for public comment, National Health Insurance (NHI) Bill — deadline extended

The Portfolio Committee on Health invites stakeholders and interested parties to submit written submissions on the NHI Bill now before 29 November.

The objective of the Bill is to achieve universal access to quality healthcare services in South Africa as per Section 27 of the Constitution. 

As part of this, the Bill sets up the creation of an NHI Fund and outlines its powers, functions and governance structures. The Fund will be used to strategically purchase healthcare services on behalf of citizens and certain categories of foreign nationals to ensure the equitable, effective and efficient utilisation of its resources.

Deadline: 29 November
Click here to submit your comment
For any inquiries email Vuyokazi Majalamba or call her on 021 403 3770 or 083 709 8522

PS ICYMI: Our recent story about the quality of public participation made some major waves. Now, we've created a survey to help put some numbers behind the narratives.

Take a couple of minutes to take our 13-question survey and help us gauge the level of public participation around the process and possible ways to improve it.

While the survey is anonymous, we'll publish the results on our website, bhekisisa.org at the end of the submission period. They will also be made available on nhilibrary.com. We will not include submissions marked as private in the results.

A special thank you to our civil society reviewers who helped us draft the questions!




Call for Applications, Emerging Voices for Global Health (EV4GH)

Young health systems researchers are encouraged to apply for this mentorship programme. During the course of the programme, successful candidates will receive e-coaching as well as in-person training on topics such as scientific presentation, networking and communication. Fellows will then participate in the Sixth Global Symposium on Health Systems Research in Dubai in November 2020.

Deadline: 6 February 2020
Find out more 




Call for applications, Rise Up: Gender Equity Initiative (GEI)

Rise Up, a leader in the global movement for gender equity launched the GEI in partnership with Cummins Inc. in order to advance education, opportunity, social justice and gender equity in South Africa.

The organisation will select 20 civil society and non-profit leaders from Gauteng and Durban to participate in a week-long advocacy and leadership accelerator workshop in February 2020. The purpose of the workshop is to build their advocacy capacity, strengthen leadership skills and develop a holistic understanding of the issues affecting women and girls in their communities.

Leaders will then have the opportunity to apply for competitive seed funding to launch their strategies to advance gender equity and justice across the country.

Deadline: 28 October
Find out more




Call for nominations, Aspen New Voices fellowship

Nominations are now open for the Aspen Institute's New Voices 2020 fellowship. The opportunity offers development experts from across Africa, Asia, and Latin America a year-long programme of media support, advocacy training research and writing coaching.

The institute seeks leaders from countries that are underrepresented in global development conversations. Successful candidates will live and work in the communities they service and advocate for changes they want to see at home. Twenty-five fellows will be selected for the 2020 class of which 15 will be experts in fields such as infectious and non-infectious diseases, food security, mental health, development economics, health and human rights as well as climate change.

The remaining 10 will be experts working on the frontlines of sexual and reproductive health rights.

Deadline: 15 October
Find out more




Call for papers, BioMed Central (BMC)

Submissions are now open to contribute manuscripts to the following journals: BMC Public Health; Environmental Health; Environmental Sciences Europe; Globalization and HealthMicrobiome and One Health Outlook.

The theme across all journals is environmental justice. Papers should shed light on the contribution evidence-based research can give to develop better practices and policies towards stronger environmental justice.

Submissions can include but are not limited to research on air pollution, sewage management, water systems management, drinking water quality and pesticides.

Deadline: 1 November
Find out more




Call for abstracts, Health Systems Trust

Abstract submissions are now open for the 2020 edition of the South African Health Review (SAHR). The coming edition's theme is equitable healthcare for people with disabilities in South Africa.

The Health Systems Trust is seeking abstracts providing fresh insights into health systems strengthening efforts for equitable healthcare for persons with disabilities. Preference will be given to manuscripts that take into account the complexities and opportunities for developing and sustaining inclusive health systems, especially in the context of universal health coverage.

The review will represent an evidence base which can be used to strengthen health systems and services to inform future policy development in South Africa.

Deadline: 31 October
Find out more




Call for female experts in any field, Quote This Woman+ — Various locations

Quote This Woman+ is a project to establish an online database of women and non-binary experts to improve gender representation in sourcing among the media. During the election season alone, Quote This Woman+ fielded more than 500 calls from journalists wanting to increase the voices of women in the media.

Keen to be quoted? Submit your details to kathy@augury.co.za

Deadline: N/A
Find out more

Have something to say or an opportunity to share? Let us know. Email tip-offs, comments or story and opinion suggestions to health@bhekisisa.org. 

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The Bhekisisa Team
Copyright © 2019 Bhekisisa Development Media NPC. All rights reserved.

Our mailing address is:
Bhekisisa Centre for Health Journalism, Metal Box
25 Owl Street, 4th Floor, Braamfontein Werf, 2092, Johannesburg, South Africa

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