Three health ministers in a row have failed SA's nurses. Here's why

South Africa's implementation of 6MMD (six multi-month dispensing) allows stable HIV patients to collect their antiretroviral medications only twice a year instead of monthly. The program aims to reduce clinic congestion and improve patient retention and consistent medication use.

In 2025, Bauchi State launched the Impact Project to address Nigeria's maternal health crisis by deploying 100 Skilled Birth Attendants across 20 Local Government Areas, alongside free delivery kits and regular salary payments to increase access to professional childbirth care.

Boda boda motorcycle taxi riders have become frontline HIV health advocates through the LISTEN (Local Innovation Scaled Through Enterprise Network) Community of Practice. Trained in HIV self-testing, prevention methods and counseling, the riders hold monthly awareness days, operate two community testing stations, and distribute preventive items to the public. Since the initiative began in 2019, the association has reached approximately 10,000 people, referred 2,000 for antiretroviral treatment and tested around 400 people per month.

Leadership groups formed by sex workers are helping to reduce HIV rates by traveling door to door and hosting meetings to educate people on HIV/AIDS awareness and how those with the disease can care for themselves, encouraging regular visits to clinics and antiretroviral therapy use. The program began in 2013 and now has 12,000 sex workers from around the country who are trained to provide aid and advocate for those with HIV.

As appointments with general practitioners (GP) are often short and hard to get, community link workers have the time and resources necessary to support those in need of care for non-medical issues, like energy management, mood stabilizing and mental health concerns. Appointments with link workers can last up to an hour, versus the average 10 minutes with a GP, and provide comprehensive care that can be followed up on by a GP if any clinical attention is needed.

Worker-owned home-care cooperatives are emerging as an alternative to the for-profit agencies that dominate America's direct-care sector. In these cooperatives, professional caregivers earn an average of $2 more per hour than the industry standard, share in business decision-making, and stay on the job at nearly double the rate of workers at traditional agencies. Patients also stay with co-op agencies twice as long, suggesting higher satisfaction and quality of care.

The Taimaka Outpatient Clinic operates a community-based malnutrition treatment model that brings severe acute malnutrition care closer to families. Since 2019, Taimaka has treated over 12,000 children and currently cares for more than 10,000 children annually.

Komfot Health operates a technology-driven network providing post-abortion care and sexual reproductive health services across Nigeria. The organization trains healthcare providers to address biases, uses a chatbot system for patient triage and connects women to verified medical facilities in six states, acting as intermediaries between women seeking care and trusted healthcare providers. Since launching in 2024, Komfot Health has served over 1,790 women.

Local organizations are working with the Department of Health and UNICEF to eradicate polio in Taraba state. By collaborating with community leaders, they’ve been able to spread positive information about polio vaccines, encouraging more families to vaccinate their children.

The Mamacare Foundation has trained over 860 traditional birth attendants (TBAs) in hygiene, safe delivery practices, danger-sign recognition, and timely referral systems over the past decade to improve maternal care in the region. The program pairs each TBA with a supervising midwife, creating a collaborative bridge between traditional and modern maternal care. The training has increased referrals from TBAs to clinics by 40%, and district hospitals report fewer emergency cases arriving in critical condition since the Foundation has formed.