| By Reu'el McAllister Singh (Communications Intern)
 World Salt Awareness Week, taking place from 12 - 18 May 2025, is a global health campaign aimed at reducing excessive salt intake and its related health risks. Led by World Action on Salt, Sugar & Health (WASSH) and Action on Salt, the 2025 campaign theme, "5 Ways to 5 Grams", encourages simple lifestyle changes to bring daily salt consumption in line with the recommended limit of 5 grams.
Why Salt Awareness Matters Salt plays a key role in flavouring food and is essential for many important body functions, including fluid balance, nerve health, nutrient absorption, and muscle function. However, consuming too much salt can have serious consequences for your health. Excessive salt intake is one of the leading contributors to high blood pressure (hypertension), which increases the risk of heart disease, stroke, and kidney damage. So, how exactly does salt affect your body? When you consume excess salt, your body retains more water to dilute it. This increases your blood volume, forcing your heart to pump harder and putting strain on your arteries. Over time, this added pressure can cause the arteries to stiffen, raising the risk of cardiovascular events and long-term organ damage. Contrary to popular belief, salt-related health risks don't only affect older generations. Rising rates of high blood pressure are being seen in children and young adults, making it clear that excessive salt consumption is a concern for all age groups, highlighting the importance of awareness campaigns like World Salt Awareness Week. South Africa's Hidden Health Threat South Africans are known for their love of bold, flavourful food, but this often means high salt consumption. According to the Heart and Stroke Foundation South Africa, one in three adults in the country suffer from high blood pressure (hypertension). This makes hypertension one of the most common and serious health issues affecting the population. Hypertension is often called a "silent killer" because it typically has no noticeable symptoms, yet it significantly increases the risk of heart attacks, strokes, kidney failure, and other life-threatening conditions. In South Africa, it's one of the leading causes of death and disability, contributing to the country's growing burden of non-communicable diseases. Although the World Health Organization (WHO) recommends no more than 5 grams (1 teaspoon) of salt per day, some estimates suggest South Africans consume as much as 40 grams daily, eight times the limit. The danger lies not only in the salt we add at the table, but in hidden salt found in processed foods like snacks, deli meats, sauces, instant noodles, and ready-made meals. 5 Ways to 5 Grams: Practical Steps to Reduce Salt Intake The 2025 campaign introduces five practical ways to lower your salt intake: - Check food labels and choose lower salt options: Always read nutrition labels and select products with reduced or low salt content.
- Boost flavour and health with herbs and spices to replace salt: Season your meals with garlic, lemon juice, pepper, fresh herbs, and other natural alternatives.
- Use low or reduced sodium salts, seasonings, and sauces: Choose salt substitutes and sauces that are specifically made with less sodium.
- Drain and rinse canned vegetables and beans: This simple kitchen habit can greatly lower the salt content in canned goods.
- Eat mostly fresh, minimally processed foods: Fresh fruits, vegetables, and unprocessed meats typically contain less salt than packaged and processed items.
Raising Awareness and Encouraging Change Changing our salt habits begins with awareness. Many people underestimate how much salt they consume daily, especially when it's hidden in foods that don't taste particularly salty. Awareness means understanding not just what needs to change, but why it matters. Whether through conversations at home, workplace initiatives, or community outreach, raising awareness can create a ripple effect of positive change. By sharing what we learn, we empower others to take small, meaningful steps toward better health. Talking about the health effects of excess salt can help people rethink their habits and adopt healthier routines. Together, we can build a culture that supports smarter eating and protects long-term health. A Small Change with a Big Impact World Salt Awareness Week 2025 serves as a powerful reminder that small daily lifestyle changes can lead to significant health benefits. By following the "5 Ways to 5 Grams" approach, we can protect our hearts, our brains, and our communities one teaspoon at a time. Resources Use these trusted sources to learn more and take the first step toward a healthier lifestyle.
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| by Roma Ramphal – HST Provincial Differentiated Care Manager  
Over the years, South Africa's Central Chronic Medicines Dispensing and Distribution (CCMDD) programme has made remarkable progress in improving access to treatment for patients with chronic health conditions. Through the introduction of convenient collection models ‒ from smart lockers and mobile pick-up points (PuPs) to extended multi-month dispensing ‒ we've gone a long way in decongesting clinics and bringing health care closer to communities. We've built a system that centres on the patient — and that's something to be proud of. 'Patient-centred' or 'patient-centric' care has become a cornerstone of how we think about strengthening health systems, and rightly so. But let's pause and reflect: placing a patient at the centre doesn't mean that we've done enough. A patient isn't a passive figure around whom we design processes ‒ the patient is a person who is navigating real challenges, emotions and uncertainties and who needs support, guidance, encouragement and care. That's why it's time to shift both our language and our approach by moving from 'patient-centred' to 'patient-partnered' ‒ because real progress happens not when patients are placed in the middle, but when they are brought to the table, heard, valued, and involved as equal partners in their own care. Partnering with patients means involving them in shaping the unique programme of care that they should receive. It's the difference between delivering medicine for people and delivering solutions with them. As implementers, our attention often leans heavily on refining processes, issuing circulars, and conducting one training session after another. While these are undoubtedly important, we must ask ourselves: 'Are we solving the right problem?' because often, the issue is neither a policy flaw nor a training gap — it's a behavioural or supervisory one. Here's an example: a facility may have eligible patients properly transitioned into CCMDD, with their parcels being delivered and collected on schedule. On the surface, all seems well. But then a review of the viral load dashboard reveals poor suppression rates. What's going wrong? The patients are collecting their parcels ‒ but they're not taking their pills. This is where partnership becomes crucial. Rather than reacting with new standard operating procedures or resorting to more training of clinicians, we need to go deeper, through engagement with the patient. Maybe they don't fully understand how or when to take the medicine. Maybe they're facing stigma, dealing with side-effects, or struggling with substance use. Or perhaps no-one has taken the time to check in and encourage their treatment adherence. These are not process failures — they are human challenges. Strong and supportive supervision plays a pivotal role here. If patients are being enrolled into CCMDD but are never followed up, or if staff are simply ticking boxes without meaningful engagement, then we've missed the mark. Even the most robust system will fall short without ongoing coaching, accountability, and open, honest conversations with the people it's meant to serve. So how do we shift? Firstly, we must intentionally create safe spaces for patients to share their experiences, not only through complaint channels but also via advisory groups, community listening sessions, or even anonymous feedback at PuPs. These insights can help us to reshape and refine our services in ways that truly respond to patient needs. Secondly, let's make communication more personal, consistent and practical. Every patient should walk away from each interaction — whether at a clinic, a smart locker, or a mobile PuP ‒ feeling informed, empowered and confident about their treatment. SMS reminders, visual materials, and even voice-notes in the patient's language can reinforce key messages in ways that resonate for them. And let's ensure that their cellphone numbers are regularly updated on the SyNCH system, so that every message reaches the right person, at the right time. Thirdly, we must acknowledge the power of relationships: a Post-Basic Pharmacist Assistant who takes time to explain the regimen to the patient; a nurse who checks that the patient understands their treatment schedule; a PuP issuer who reminds someone of their next collection date. These small, human interactions build trust – and that trust leads to better adherence, stronger engagement, and ultimately, better health outcomes. Finally, we need to evolve how we define and monitor success. Yes, parcel collection matters – but what truly counts is what happens afterwards. If a patient collects their medicine but doesn't take the pills, then our work is not done. In the end, the success of CCMDD won't be measured by how many parcels are delivered. It will be measured by how many patients stay healthy, achieve viral suppression, and remain connected to care. That kind of success doesn't come from systems alone. It comes from partnership – from listening, engaging, and walking this journey with our patients, side by side. For more information on CCMDD contact the Department of Health helpline on 0800 012 322, Whatsapp 0600 123 456 or email info@health.gov.za, or email the Health Systems Trust at communications@hst.org.za
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| By Mandisa Dlamini (HST Communications Assistant)
Hospice Week in South Africa runs from 5 to 11 May and is a chance to honour the great role that hospice and palliative care services play in the lives of people with terminal and life-threatening illnesses. This week is also a time to bring to light issues related to this care and also to celebrate the professional staff, volunteers and families that put in very long hours to see that our ailing friends and family die with dignity, comfort and care.
What is Hospice Week? Hospice Week is a yearly event that puts the value of care that is given at the end of a person's life into focus. It brings the very important services that hospices provide, which in turn helps a person to live out their days as fully and comfortably as possible, to the fore. The Role of Hospices in South Africa South Africa has a very present and active hospice system at the core of palliative care. Hospice also supports and equips families and caregivers to better handle the issues that come up as a result of care for a loved one in the final stages of life. During Hospice Week many organisations such as the Association of Palliative Care Centres of South Africa: APCC will host events, workshops and fundraising activities to raise awareness of palliative care. This is a collective effort that brings together healthcare providers, families, caregivers and volunteers, all working toward the same goal to improve the quality of life of those affected by terminal illness. Hospice Week as run by groups like the APCC goes beyond end of life care. It is about the betterment of the quality of life for people with chronic conditions and the relief of pain and distress at any stage of their illness. It also brings issues related to palliative care to the public through encouraging them to make informed health choices, which in turn, ensures that people get the best support available to them. The events also promote improved services and acknowledges the contributions of professionals, who play a vital role in the overall healthcare landscape. By being a part of these events and by supporting hospice and palliative care we can play a role in the creation of a healthcare system that is compassionate and values dignity and high quality of life for all. To learn more about Hospice Week and related events, visit the South African Government's official page. For more information, do go to: St. Luke's Hospice: www.stlukeshospice.co.za T: +27 (0)21 797 5335 APCC: www.apcc.org.za T: +27 (0)21 203 4062
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| by Siyabonga Gema (HST Communications Officer)
As our continent observes African Vaccination Week, which runs from 24 to 30 April, as part of World Immunization Week, the call to action, ''Immunisation for all is humanly possible'', is proving ever more relevant. The COVID-19 epidemic, which wreaked havoc in Africa, claiming around 257 984 lives, shone a glaring light on the need for equity in the provision and acquisition of vaccines, especially when competing with wealthier countries. African Vaccination Week emphasises the need for concerted action to promote regional vaccination systems, including boosting the timely use of vaccines to protect people of all ages from disease. It strives to keep vaccination at the top of national and regional agendas through lobbying and partnerships while encouraging the implementation of other life-saving interventions. The World Health Organisation (WHO) Africa Region states that this year's theme aims to: 1. Reach zero-dose children (those that lack access to or are never reached by routine immunisation services) through accelerated implementation of big catch-up initiatives.
2. Show vaccines' health benefits for children, communities, and Africa.
3. Highlight routine immunisation's role in strong health systems and universal coverage.
4. Continue improving immunisation and address gaps with more investment. According to WHO Africa, immunisation is one of the most impactful and cost-effective public health interventions available, preventing over four million deaths yearly. Apart from its direct effect on population health, vaccination also adds value by lowering the burden of disease on people, families, and communities. This includes lowering medical costs and increasing productivity and educational opportunities. In South Africa, the government prioritises childhood vaccinations to boost children's immunity against diseases like meningitis, polio, measles, hepatitis B, diphtheria, and tuberculosis (TB). State clinics offer free immunisation, with the first shots administered at birth. Although there have been major gains in Africa in terms of immunisation, there is still some cause for concern. WHO Africa states that approximately 1 in 5 African children do not receive all the necessary and basic vaccines. As a result, more than 30 million children under five still suffer from vaccine-preventable diseases (VPDs) every year in Africa. Of these, over half a million children die from VPDs annually – representing approximately 58% of global VPD-related deaths. To sustain strong vaccination programmes that can provide vaccines to everyone in Africa, particularly the most vulnerable, strategic investments to fortify health systems are essential. In addition to improving child health and survival, expanding access to vaccines is essential for establishing the framework for nations to provide all citizens with the fundamental medical care they require to live healthy and prosper. In response, the South African government established the Expanded Programme on Immunisation in South Africa (EPI-SA), a critical public health effort aimed at avoiding childhood diseases through vaccination. Its goal is to lessen the burden of vaccine-preventable diseases by ensuring that children and pregnant women have access to lifesaving vaccines. EPI-SA has made tremendous advances in providing new vaccinations and modifying schedules to meet South Africa's specific needs. Through community involvement, disseminating correct information, and removing obstacles to access, society can play a major role in boosting vaccination and vaccine uptake. This entails collaborating with the government and other health organisations, communicating through a variety of platforms, and ensuring that everyone, particularly underserved populations, has access to immunisations.
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| by Antoinette Stafford Cloete (Health Systems Trust Communications Manager)  
According to the World Health Organization (WHO), there were approximately 263 million cases of malaria in 2023 with 597 000 malaria deaths in 83 countries. The Africa region is most affected by this disease with about 94% of all cases. About 76% of all deaths from malaria in the region were amongst children under five years of age. In 2025, the WHO, with other key partners, is working towards the elimination of the disease through the call that, "Malaria Ends with Us: [to] Reinvest, Reimagine, Reignite". What is Malaria? Malaria is a disease that can be life-threatening. Symptoms can range from feeling fatigued, a fever and chills accompanied by a headache to confusion, seizures and difficulty breathing. Those most at risk of contracting the disease and developing a severe infection are young children, pregnant women and girls, travellers and people who are immuno-compromised such as HIV-positive individuals. If left untreated the disease can progress to severe illness and death within 24 hours. Transmission It is spread to humans by some types of mosquitoes (infected female Anopheles mosquitoes), mainly found in tropical climates and is not spread by human-to-human contact. Contaminated needles and blood transfusion may also transmit malaria. Malaria can also spread through a parasite from the Plasmodium species. Prevention The disease can be prevented by avoiding mosquito bites and with medication. Travellers should always consult their health practitioner before travelling to a high-risk area about prophylactic (precautionary) medication. You can also lower your risk of contracting the disease by: - Using mosquito nets when sleeping in places where malaria is endemic (a place where a disease is generally present in a population year-round).
- Using repellants, especially after sunset when mosquitoes are more prevalent.
- Using coils and vaporisers. There are eco-friendly options available.
- Wearing protective clothing.
- Having screens over your windows.
Preventive Therapies The use of medications, either alone or in combination, to stop malaria infections and their effects is known as preventive chemotherapy. It entails providing susceptible persons, whether or not they are afflicted with malaria, with a complete course of antimalarial medication at specific intervals throughout the peak malarial risk period. Preventive therapies are increasingly being adopted in the fight against the disease as well as drug resistance when already sick with malaria. This strategy is viewed as being more cost-effective when coupled with early diagnosis and treatment of malaria as well as vector control.
Vaccines The WHO has recommended a malaria vaccine, especially for children, since October 2021. The vaccine has shown significant reductions in malaria in the under-five years of age population. Vaccines are now being rolled out as part of routine childhood immunisation programmes across Africa in countries like Nigeria. It is estimated that tens of thousands of children will be saved in this way every year.
The WHO Global Technical Strategy for Malaria 2016-2030 provides a technical framework for countries battling with the disease. It can be used as a guide towards malaria control and elimination. The strategy aims to assist countries with: - Reducing malaria incidence by at least 90% by 2030
- Reducing malaria mortality rates by at least 90% by 2030
- Eliminating malaria in at least 35 countries by 2030
- Preventing a resurgence in countries that are malaria-free.
For this to happen the WHO endeavours to play a leading role in malaria control and elimination by supporting its member states to reach universal health coverage and to achieve the goals of the Global Technical Strategy for Malaria.
The disease is preventable as well as curable and requires the political will of nations, concerted health promotion and education efforts to create awareness and a multi-pronged approach consisting of early detection, treatment and prevention.
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| By Mandisa Dlamini (HST Communications Assistant) and Willemien Jansen (HST Copy and Content Editor)
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How long have you been with HST and which position/s have you occupied? I joined Health Systems Trust (HST) in 2020 as a Clinical Support Officer, where I was responsible for managing office stationery, attending meetings, and providing general administrative support. In 2021, I was promoted to the position of Office Administrator for the uThukela District office, a role I currently hold. Over the years, I've had the opportunity to work closely with various departments across the organisation, gaining valuable experience and insight into different aspects of operations. My journey with HST has not only strengthened my administrative and co-ordination skills but has also deepened my understanding of health systems and community-based work Please share some information about what your current role entails. In my role, I provide comprehensive administrative support to donors, funders, Department of Health (DoH), and HST personnel. I manage and monitor office supplies, keep detailed usage and expenditure reports, and ensure a safe, well-maintained working environment. I co-ordinate office maintenance, implement health and safety policies, and maintain up-to-date records on assets, office equipment, and service providers. I facilitate logistics for meetings, workshops, and travel in line with HST procedures, while also handling monthly expenditure reporting and petty cash reconciliation. Additionally, I manage the district fleet database, track vehicle logbook submissions, and report accidents or non-compliance. I support HR functions by maintaining a district manpower list and assisting with documentation and internal communication. I also handle purchase orders through SAGE, maintain accounts payable records for audits, and ensure accurate financial documentation. Throughout, I prioritise efficiency, compliance, and accurate reporting to support smooth office operations. What influenced your decision to be in the development/NGO sector? My decision to enter the development/NGO sector was influenced by a combination of witnessing inequality up close and realising that I wanted my work to directly affect people's lives. Whether it was through volunteering in college, traveling and observing how various communities live, or being inspired by mentors engaged in grassroots efforts — something resonated with me. I recognised that I didn't want a career focused solely on profit. I sought to be involved in initiatives that empowered communities, advocated for justice, and aimed to create systemic change. How do you spend your time away from work? Outside of work, I enjoy relaxing at home while watching Formula One or cricket, which keeps me both entertained and energised. I also value quality time with my wife — whether it's staying in or going out together, it's those moments that keep me grounded and recharged. What gives you motivation? My family serves as my greatest source of motivation, especially my parents and my wife. Their constant support, belief in me, and the values they've instilled inspire me to keep pushing forward in both my personal growth and professional journey. They remind me daily why I strive for excellence and purpose in everything I do. Also, a big shout out to my HST family for always being there for me and keeping me motivated. From the managers to every single staff member on the ground level—working alongside you all is truly a blessing. What is the best advice you've ever received in your life? (personal or professional) "Listen more than you speak."
In the NGO/development world — and really any field that's people-driven — this is gold. It keeps you grounded, empathetic, and connected. Any future aspirations? I have recently completed my studies in Office Administration and am proudly registered with The Association for Office Professionals of South Africa. Currently, I am furthering my education by working toward completing my studies in Human Resources Administration. My goal is to continue growing in both office management and HR, combining practical experience with a strong academic foundation to support efficient and people-centered workplace environments. What are you reading at the moment? The most recent updates on current events that significantly affect our nation.
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| By Mandisa Dlamini (HST Communications Assistant)
World Health Day is celebrated on 7 April every year. In 2025, the WHO has selected maternal and newborn health as the focus of its campaign, which will have the tagline "Healthy beginnings, hopeful futures". This year-long campaign encourages all governments and health communities to drive action towards an end to all preventable maternal and newborn deaths and ensure that long-term health for women remains a priority. Around the country, events and activities are conducted during the month of April. These include free health check-ups, informational seminars, as well as workshops where local leaders will debate strategies to fight both newly emerging as well as chronic issues. Not only is World Health Day a reminder of the worldwide commitment towards improving health, it is also a time to recognise the incredible advances that have been made over the years. South Africa's rich heritage and resilient spirit continues to drive forward new innovative health policies as well as community-driven initiatives. Health Systems Trust (HST) takes the initiative to advance public health by making healthcare, information, and treatment readily available in communities. Our mobile healthcare services, such as HIV, TB and pap smear test units, extend vital checks to outlying communities. HST also actively promotes the dissemination of health information through pamphlets and community outreach, enabling the public to acquire information on prevention and well-being. HST's commitment to public health shows in our active involvement in national conferences. Recently, we made a presentation at the SAPHEX Conference in Johannesburg on pharmaceutical and healthcare developments. Our communications team is currently attending PHASA 2025 in the Western Cape, advancing our purpose to spread information and promote health initiatives. Through these initiatives, HST remains a key player that contributes to improving the lives of every individual by ensuring they are well-informed, supported, and linked to basic healthcare services. Local communities are encouraged to be actively involved by attending local functions, engaging in talks, and making use of available healthcare services. This collective effort is crucial for promoting a strong healthcare system that benefits everyone regardless of background or condition. World Health Day 2025 is a timely reminder that good health is a basic right everyone is entitled to, and every step made by communities counts towards a bigger picture of global well-being. Let us all lend a helping hand to initiatives that ensure health care is a top priority, leading the way towards a promising, healthier South Africa. For more information and ongoing updates, please visit South African Department of Health and World Health Organization.
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| By Willemien Jansen (HST Copy and Content Editor)
Bipolar disorder remains a significant mental health challenge in South Africa, affecting countless lives and placing a heavy strain on healthcare resources. The burden of disease associated with bipolar disorder is profound, as it not only impacts patients' quality of life but also contributes to broader societal issues, including unemployment and increased healthcare costs. South Africa grapples with a quadruple burden of disease stemming from communicable diseases like HIV/AIDS and tuberculosis; mortality rates among mothers and children; and non-communicable diseases (NCDs), including hypertension and cardiovascular diseases, diabetes, cancer, mental illnesses, chronic lung diseases such as asthma, as well as injury and trauma. Understanding the prevalence and implications of bipolar disorder within the South African context can shed light on the urgent need for better mental health resources and support systems. It is essential to recognise how this condition serves as a major contributor to the overall burden of disease in the country, affecting individuals and families alike. In addressing the nuances of bipolar disorder, this article aims to explore its impact on the South African population, highlighting the importance of awareness, treatment, and support as crucial elements in mitigating its effects on both individuals and society. Impact of Bipolar Disorder on South Africa's Disease Burden Bipolar disorder significantly affects individuals and the wider healthcare system in South Africa. Its prevalence, associated healthcare costs, and impact on quality of life are crucial elements of the disease burden in the country. Prevalence of Bipolar Disorder in South Africa Bipolar disorder affects up to 4% of the South African population. Though underdiagnosed, its visibility is increasing, particularly among younger adults. It often develops between the ages of 15 and 19. Factors contributing to its prevalence include genetic predispositions, environmental triggers, and socioeconomic conditions.
Access to mental health services is limited, particularly in rural areas, further complicating the diagnosis and treatment of bipolar disorder. Healthcare Costs and Resource Utilisation The financial burden of bipolar disorder, and all mental illness, on South Africa's healthcare system is substantial. Direct costs include hospitalisation, outpatient visits, and medication, while indirect costs stem from lost productivity and caregiver burden. In public healthcare, mental health resources are often inadequate. Psychiatric services struggle to meet demand, leading to longer wait times and decreased quality of care. Quality of Life and Mortality Rates Bipolar disorder considerably impairs quality of life. Affected individuals experience fluctuations in mood that can lead to difficulties in personal relationships and employment. Suicidal behaviour is a serious concern, with studies showing that individuals with bipolar disorder have a higher risk of mortality compared to the general population. The stigma surrounding mental illness remains a significant barrier in South Africa and also exacerbates feelings of isolation and hopelessness, further deteriorating mental health. Addressing these challenges, through of example public awareness campaigns, is essential for improving health outcomes in South Africa.
Interventions and Outcomes Effective interventions for bipolar disorder in South Africa can significantly reduce its burden on individuals and the healthcare system. Various treatment options, societal support mechanisms, and policy reforms are crucial for improving patient outcomes. Effectiveness of Bipolar Disorder Treatments Pharmacological treatments, including mood stabilisers and atypical antipsychotics, are standard interventions. Medications like lithium have demonstrated effectiveness in managing manic and depressive episodes. Psychotherapy, particularly cognitive behavioural therapy (CBT), complements medication by helping individuals develop coping strategies. Studies suggest that combining both approaches improves remission rates and enhances patients' quality of life. Access to proper healthcare is critical. Rural regions in South Africa often struggle with limited availability of mental health professionals, affecting the overall effectiveness of treatments. Ensuring treatment accessibility in these areas is vital for achieving positive outcomes. Support Systems and Social Stigma Support systems play a pivotal role in managing bipolar disorder. Establishing family support networks can help individuals navigate their condition more effectively. Communities that foster understanding can reduce isolation and encourage seeking help. Peer support groups also offer invaluable resources. Shared experiences can empower individuals to engage in their treatment actively and maintain connections with others facing similar challenges. Future Directions in Healthcare Policy Future healthcare policies need to prioritise mental health, particularly bipolar disorder. Investment in training healthcare professionals in mental health is essential for enhancing diagnosis and treatment strategies. Improving the integration of mental health services within primary care can provide individuals with seamless access to support. This approach can reduce the stigma associated with seeking specialised mental health treatment. Data collection and research into the specific needs of those with bipolar disorder in South Africa can inform policies. Tailoring interventions to the local context is crucial for improving effectiveness and ensuring successful outcomes. For information on mental health, or assistance please go to: Websites National Department of Health: Mental Health Masiviwe SADAG
SA Federation for Mental Health List of helplines Mental Health Information Line: 0800 567 567 LifeLine National Counselling Line: 0861 322 322 Suicide Crisis Helpline: 0800 567 567 Healthcare Workers Care Network Helpline: 0800 21 21 21, SMS 43001 SADAG: 011 234 4837 List of Whatsapp helplines Cipla Mental Health: 076 882 2775 Maybelline BraveTogether: 087 163 2030 Ke Moja Substance Abuse: 087 163 2025 Have Hope Chat Line: 087 163 2050
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| By Willemien Jansen (HST Copy and Content Editor)
  How long have you been with HST and which position/s have you occupied? I have occupied a number of positions since starting with HST in September 2015. I started as a Research Intern for one year and thereafter I was a Junior Researcher as an independent contractor until April 2017. In April 2017, I filled the position of Fleet Intern for approximately four months, and thereafter I was appointed as Fleet Controller and Team lead up until June 2019. In June 2019, I relocated from Kwa-Zulu Natal to Gauteng to occupy the Administrator position based at the Pretoria Office. I managed and maintained the office upkeep up until the effects of Covid-19 led to the office closure in September 2021. I was primarily responsible for ensuring all office equipment was carefully packaged, labelled and couriered to our head office in Durban. In October 2021, I occupied a dual position of Administrator for the Community Health Worker Think Tank (CHW TT) Secretariat led by the National Department of Health, as well as Office Administrator based at the Midrand Office. In September 2023, I was in a hybrid role filling a third position of Acting Business Development Assistant. In June 2024, I was appointed Business Development Officer and still currently occupy the position. Please share some information about what your current role entails. In my role as Business Development Officer, I engage in regular professional communication with donors, partners, and internal teams, ensuring timely and effective interactions on a daily, weekly, or monthly basis as needed. I support Business Development Unit (BDU) meetings, maintaining up-to-date donor and partner profiles within the CRM database. My professional interaction extends to collaborating with other units within HST, contributing to the development of proposals. I support the proposal budgeting process, including drafting budgets, sourcing quotes, managing budget templates, and updating them as necessary. Additionally, I assist in financial due diligence, ensuring the collection of required documents such as annual financial statements, proof of banking, tax clearance, BEE certificates, and references for completed projects. I play a key role in identifying live and forecast funding opportunities that align with HST's areas of expertise and interests. To ensure timely access to relevant opportunities, I maintain an up-to-date resource list for opportunity research, as well as subscriptions to various platforms that support opportunity identification. My role includes submitting due diligence requirements for each proposal and providing administrative support for business development activities, such as meeting co-ordination, minutes, and travel arrangements. Lastly, I actively seek out relevant training opportunities to enhance the performance of the unit. Administrator for the CHW Expert Working Group (EWG) Secretariat: Under the guidance of the National Department of Health (NDoH) and the EWG Technical Work Stream (TWS) chairpersons, I provided essential support for the EWG's work plan. This included facilitating communication among team members, co-ordinating meetings, and preparing necessary documents such as agendas, attendance registers, minutes, and reports. These tasks were carried out in alignment with the objectives and timelines set forth in the EWG work plan, ensuring smooth and effective operation of the work stream. What influenced your decision to be in the development/NGO sector? NGOs, particularly in the health space, create a feeling of togetherness. People come together with a common goal and work efficiently to reach their goals. This strengthens your ties to the community and provides a sense of fulfilment in seeing a tangible effect on the livelihoods of people. Joining an NGO exposes you to different types of people and helps you develop social skills whilst retaining your authentic personality; its culturally uplifting. How do you spend your time away from work? For the greater part of my life I had spent a lot of my time playing sports and keeping active. During my time in Durban I facilitated an indoor soccer game every Wednesday for the HST colleagues based at the Head office, to encourage team building, trust and strengthen relationships. Since June 2022, my wife and I welcomed our baby daughter into the world and I spend most of my time doing family activities. In the evenings, I enjoy online gaming. What gives you motivation? My greatest motivation is my family. Particularly my parents and my daughter. What is the best advice you've ever received in your life? (personal or professional) Wasted of all days is one without laughter. Any future aspirations? My short term aspiration is to do my Masters in Public Health. Long term I would like to contribute to cancer research. What are you reading at the moment? Mostly health-related publications and the latest news on current affairs.
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| By Siyabonga Gema (HST Communications Officer) and Reu'el McAllister Singh (Communications Intern)
HST's Communications and Multimedia duo, Communications Officer Siyabonga Gema and Communications Intern Reu'el McAllister Singh are shaking things up in the digital space, with a fresh new perspective on engaging content. This continues to elevate HST's work, while ramping up our online presence. Having joined HST almost exactly a year apart, they have made their presence felt through their contributions with expertise. They share their journey with HST thus far, and profile some of their work. Siyabonga Gema Give us a brief background in terms of your work experience I joined HST in June 2023, fresh from the corporate sector where I gained valuable experience in corporate communications in my previous role as Communications Practitioner for the pulp and paper manufacturer Sappi. Before then, I worked in the public health sector as Public Relations Officer at Wentworth Hospital, a position I didn't hold for too long before the corporate bug bit. When I joined HST, I was no stranger to the NGO space as I had acquired some experience during my internship at an NGO called The Association for the Aged (TAFTA) based in Durban central. I hold an Advanced Diploma in Public Relations and Communications Management from the Durban University of Technology, and am a registered Public Relations Practitioner (PRP) with the Public Relations Institute of South Africa (PRISA). What does your current role entail? Some of my duties entail - Writing and distributing content to promote the organisation's brand, activities and products.
- Acting as a liaison between the organisation, the public, and the media.
- Supporting our internal and external communications strategy, writing and disseminating publicity material, responding to inquiries from the public and media, and co-ordinating promotional events, including campaigns such as for CCPAC and 3HP-TPT
- Managing the organisation's social media communications – although this function was taken over by our Communications Assistant, I still play a support and supervisory role.
- Conference co-ordination and upselling HST such as at the World Pharmacy Congress and for PHASA and the G20 summit
What makes your job fulfilling? I am always inspired when I get the chance to join my HST colleagues from our various programmes in the field and seeing first-hand the immense contribution made by our organisation in changing people's lives through the work that we do. It makes me extremely proud of being part of this organisation. It is always exciting to tell the wonderful stories of our colleagues and to shine a light on their dedicated work; this makes my work fulfilling. Who/what had the biggest influence in your decision to choose this career? My grade 3 teacher played a major role in actually making me realise that I have a gift for writing and storytelling. She is the one who encouraged me to write, and even made me enter a school writing competition – which I won! That year I received an award for Literacy which was a big deal for my mother. She even gave me my very first book. So throughout my schooling I always knew that I wanted to pursue a career in communications because that is where my strength lies. What valuable lesson has your work taught you? In my line of work, it is very important to be a good listener; that is the biggest thing I have learnt in my career. We are expected to be a credible source of information, so for us to relay accurate and factual information we must first have a clear understanding of it otherwise we run the risk of misleading our audience, which is a major reputational blow. What are your future aspirations? I have a big passion for strategic communications so I see myself transitioning more into developing compelling business communications strategies for major corporates and organisations. I believe I have gained enough experience in implementing strategies and would like to now get exposure in crafting them. So I see myself as a top executive at a JSE listed company in future, driving and providing its strategic communications direction. Reu'el McAllister Singh When did you join HST and what does your role entail? I joined Health Systems Trust in August 2024 as a Communications Intern, where I contribute to the organisation's media and public engagement efforts. My role involves crafting compelling content, managing digital platforms, and ensuring that HST's communications are clear, engaging, and impactful. A significant part of my work focuses on supporting HST's campaigns and events through photography and videography. Whether capturing key moments at health events, documenting staff at work, or producing visual content that enhances our storytelling, I help bring HST's initiatives to life through dynamic and engaging media. I contribute by: - Writing engaging blog articles to drive awareness and engagement.
- Creating health observance content for social media, ensuring informative and visually appealing posts.
- Managing and optimising social media platforms, including overseeing the Health Systems Trust YouTube channel.
- Designing web banners and visuals for various campaigns.
- Uploading job ads and blog posts to the HST website, ensuring content remains current and accessible.
- Updating and maintaining key contact and media lists to support consistent and timely communication.
- Responding to social media queries, fostering professional and timely engagement with followers.
- Conducting web analytics to track engagement metrics and refine content strategies.
- Maintaining and curating the organisation's image and video library, ensuring high-quality visual assets for future use.
What do you love about your role? I enjoy the creative aspect of the communications unit, transforming health topics into content that resonates with people. Whether it's writing an article, designing a social media post, putting together a web banner, or creating a captivating video that showcases the important work our colleagues at HST are doing in the field, I find fulfilment in making health information accessible and engaging. I also appreciate the dynamic nature of my role. One day, I might be working at the office; the next, we're travelling to a different district to support a campaign or event. This variety keeps me motivated, always learning, and continuously improving my skills. What are your challenges and opportunities for growth? Like any role, working in the communications unit comes with its challenges. Balancing multiple projects at once while ensuring deadlines are met can be demanding. Covering events or managing time-sensitive campaigns requires quick thinking and adaptability. However, these challenges push me to be more creative, resourceful, and strategic in my work. I see myself growing further in the communications and media space, particularly in digital content creation and storytelling. Whether it's expanding my expertise in social media, video production, or exploring audio-visual storytelling, I want to keep evolving. I also hope to merge my passions in a way that allows me to work on creative projects that make a real impact, whether in media, sound, or health communication. The possibilities are endless, and I'm excited to see where this journey takes me.
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