Health-e News discusses the need for health system reform in South Africa to effectively combat tuberculosis (TB). The article emphasizes that while tools to end TB are available, the organization and financing of the health system must be improved to ensure these resources reach those in need.

In March 2026, clinics in Kenya experienced a sudden disruption in donor funding, leading to stalled supply chains and unanswered questions from programme coordinators. This incident highlighted the reliance of the country's public health infrastructure on external financial support, raising concerns about the implications of the Kenya-US health data deal, according to TechTrends KE.

The Director General of the East, Central and Southern Africa Health Community (ECSA-HC), Dr Ntuli Kapologwe, has urged African nations to significantly increase investment in primary healthcare, health workers, technology and sustainable financing. Speaking in Arusha during the organisation's second meeting, he said such investment is needed to build stronger health systems capable of delivering quality and equitable services to all citizens, according to Tanzania's Daily News.

A Leadership Nigeria column continues its argument that public policy debate in Nigeria is conducted at the wrong altitude, focusing on abstract national issues rather than citizens' daily experiences. The writer notes that Nigerians encounter the state most directly through schools, primary health centres, rural roads, markets, transport systems, environmental services and local government offices. The column argues that policy problems must first be understood at this grassroots level before effective solutions can be designed.

Patients in the Eastern Cape are being left stranded as ambulances sit grounded, forcing families to arrange costly private transport to hospitals, Health-e News reports. Lizeka Ngcozana told the outlet that when her cousin suffered a stroke, no ambulance was available at Ngonyama Clinic outside Cacadu, and nurses advised the family to find their own transport to Frontier Hospital in Komani, about 70km away. Health-e News confirmed with local transport operators that residents pay up to R500 for such trips.

The rollout of lenacapavir (LEN) in Gauteng has faced challenges, with patients in parts of Pretoria being turned away due to delays. It has been two weeks since the initiation of the vaccination program, but access remains limited for some individuals, according to Health-e News.