Bonitas – innovation, life stages and quality care

The role of medical aids in the long game of HIV eradication in SA

South Africa enters World Aids Day this year at a pivotal moment. While the country has made significant strides in reducing new infections and improving access to treatment, HIV remains a major public health challenge. Millions of South Africans rely on the national HIV programme, placing sustained pressure on public clinics to provide prevention, testing and treatment services. Within this landscape, medical aids play a critical supporting role through structured, long-term HIV care offered to members, which helps to ease the burden on public facilities while ensuring people living with HIV receive consistent, high-quality treatment.  Though often understated in national discussions, this support contributes to the same long-term goals as the national HIV response, which are early diagnosis, continuous treatment and viral suppression at scale.  ‘The future of HIV care depends on consistency, not crisis response,’ says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘Medical aids have a responsibility to make that consistency possible by supporting members with reliable access to treatment, monitoring and counselling.’ Adapting to a changing HIV care landscape This form of support matters more as national policy shifts. South Africa’s HIV treatment approach now makes it easier for people living with HIV to access care and stay on treatment. For members, this means fewer clinic visits, more convenient ways to get medicine, and additional avenues for support – all designed to help them maintain long-term health and wellbeing. ‘Structured HIV programmes ensure that members benefit from regular health checks, emotional support and guidance from trained counsellors in addition to receiving the medicine they need,’ says Hadebe. ‘This helps them manage side effects, understand their treatment plans and address challenges early, reducing the risk of interruptions and supporting sustained health outcomes.’ Early detection remains a cornerstone of the national HIV response. Expanding access to self-testing and pharmacy-led services allows more people to know their status sooner, creating opportunities for immediate treatment and ongoing care. Consistent support ensures that individuals start treatment promptly, stay engaged, and achieve viral suppression – outcomes that are essential to limiting transmission and protecting public health. ‘Long-term success in HIV care depends on consistent support and follow-up at every stage, from early diagnosis to ongoing treatment and emotional guidance,’ says Hadebe. ‘When people have access to regular monitoring, counselling and timely interventions, it improves individual outcomes as well as strengthens the health system as a whole.’ Achieving South Africa’s 95‑95‑95 targets depends on well-coordinated, long-term systems. While public health facilities carry the bulk of the responsibility, structured programmes in the private sector play a vital supporting role. ‘World AIDS Day is a reminder that progress relies on continuity, and that prevention, testing and treatment must be sustained to be effective. Consistent, structured support strengthens the national response, helps reduce new infections, and improves the lives of people living with HIV across the country,’ concludes Hadebe.

November 28, 2025
Bonitas – innovation, life stages and quality care

Premature birth – what to expect

Expecting a baby is an exciting time of your life, and you want to make sure that you do as much as you can to make sure your new child is as healthy as possible. Premature birth is something you want to try to avoid or manage as carefully as possible. In many cases the cause is unknown, and according to The World Health Organisation, one in ten babies are born preterm. A birth is considered premature when a baby is born before the 37th week of pregnancy. The final few weeks in the womb are important to your baby’s full development, so being born prematurely can lead to longer hospital stays, short term, and long term complications. Why does it happen? Some of the more common risk factors which contribute to preterm births are having had a premature birth before, you’re pregnant with twins/multiples or you have issues with your uterus or cervix. However, often the cause of preterm birth often can’t be identified. Your health is also a factor that impacts on your likelihood to have your baby prematurely. Smoking during your pregnancy (which is not recommended), diabetes, high blood pressure (which can develop into preeclampsia) and being over or under weight are all potential premature birth causes. To try and avoid preterm birth you can talk to your doctor about any existing health issues, such as depression, diabetes or high blood pressure) before getting pregnant – this way you can manage any problems with a treatment plan. Waiting 12 months between pregnancies and eating healthy (making sure that you get the correct prenatal vitamins needed) can also help prevent premature birth. What if my baby is born preterm? If your baby is born prematurely they are at risk for long and short term complications. Many preterm babies lead completely healthy lives, however, the more premature and underdeveloped your baby is when they are born, the more likely they are to have issues. If your baby is born prematurely they may be put into a neonatal intensive care unit into an incubator. Some babies will spend longer in the unit than others, this all depends on when they are able to live without medical support.

November 21, 2025
Bonitas – innovation, life stages and quality care

Why medical aids must go beyond medicine in managing diabetes

For millions of South Africans living with diabetes, the condition is a daily negotiation between lifestyle, access to care and financial strain. Around 4.5 million people in the country have diabetes and many more remain undiagnosed. As the burden of chronic illness grows, it’s becoming clear that medical aids must go beyond paying for medicine to enabling holistic, continuous care that safeguards both health and dignity. ‘The typical approach for the treatment and management of diabetes comes down to managing glucose levels, but understanding the individual behind the condition, their habits, challenges and support structures, is just as crucial,’ says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘Medical aids need to be active partners in helping members live well in a holistic manner, instead of simply focusing on managing the immediate and most obvious aspects of a disease.’ This shift in thinking is crucial, he adds, since diabetes doesn’t exist in isolation, with chronic conditions like hypertension and heart disease often accompanying it. The fragmented approach that focuses narrowly on funding prescriptions leaves patients unsupported in critical areas like nutrition, mental health and education. ‘If medical aids are to deliver meaningful health outcomes, they must replace fragmented care with coordinated, member-centred systems,’ he says. ‘Bonitas’ Diabetes Management Programme represents this evolution in action as a shift from transactional care to proactive, personalised support.’ Holistic diabetes care For medical aids to make a measurable impact on the country’s chronic disease burden, diabetes care must evolve from a benefits table to a coordinated ecosystem. The task is to integrate the many moving parts; the family doctor, pharmacist, dietician, care coordinator and the digital tools need to be part of one ecosystem that helps patients stay engaged. Several schemes are already adopting this approach. Bonitas, for example, offers a Diabetes Management Programme that has been structured around personalisation and continuity, with the treating doctor remaining central to care and supported by a wider clinical team. This allows members with multiple chronic conditions to receive consistent, informed treatment across disciplines. Care coordination is also becoming a cornerstone of effective managed care. Schemes can effectively close the gaps that often lead to disengagement among patients by giving members direct support from healthcare professionals who guide them through treatment plans, assist with lifestyle adjustments and connect them with specialists when needed. In addition, digital tools such as mobile apps, wellness questionnaires and feedback platforms make it easier to track health metrics and access educational resources that encourage members to take ownership of their wellbeing. When used effectively, these systems support the kind of proactive healthcare that prevents complications rather than reacting to them. ‘Diabetes often progresses silently, which makes annual screenings essential for identifying risk early and preventing long-term damage. When patients are diagnosed sooner and have the knowledge and tools to manage their condition, outcomes improve for both members and the medical schemes funding their care,’ says Hadebe. For South Africa to make meaningful progress against chronic diseases like diabetes, medical aids must continue to expand their scope beyond medicine and adopt a long-term, human-centred approach. The future of healthcare lies in understanding and in giving every person the chance to live well, not just live longer.

November 13, 2025
Bonitas – innovation, life stages and quality care

How to choose the right medical cover in 2026

As medical schemes unveil their 2026 product ranges, South Africans face a recurring challenge. Too many options, too much jargon and the risk of choosing a plan that doesn’t fit is a reality many medical aid seekers are all too familiar with. With contribution increases averaging between 8% and 9% across the industry, getting the right balance between affordability and protection is more important than ever. “Medical aid should feel like a safety net, not a financial burden,” says Lee Callakoppen, Principal Officer at Bonitas Medical Fund. “The key is choosing a plan that works for your life and unique circumstances and understandably this is where most people get stuck.” Step one: Understand your health reality Before comparing plans, take stock of you and your family’s healthcare needs. A young, healthy individual may manage well with a hospital plan, while a family or someone living with a chronic condition may need comprehensive cover. Consider whether you rely on chronic medication, how often you see a doctor, and whether you have any upcoming procedures. Industry trends show that schemes are tailoring their products to different life stages. For instance, Bonitas’ 2026 range introduces BonCore, a digitally enabled hospital plan with day-to-day GP funding aimed at younger members, and BonPrime, which adds a savings component to improve flexibility. These reflect a broader move towards personalisation and digital access in medical aid. Step two: Compare hospital plans and comprehensive cover Many South Africans still misunderstand the difference between these two main options. Hospital plans cover costs only once you are admitted, while comprehensive plans include day-to-day benefits such as GP visits, medication, dentistry and optometry. Cheaper hospital plans might seem appealing but can lead to high out-of-pocket expenses for everyday care. Comprehensive cover, although pricier, may provide better long-term value. Step three: Check provider networks and access to care Not all medical aids give you access to the same hospitals, doctors, or specialists. Before signing up, confirm that your preferred healthcare providers are part of the scheme’s network, especially if you live outside major cities. Using out-of-network doctors often results in co-payments or full out-of-pocket charges. In 2026, several schemes have expanded digital health access, allowing members to consult virtually or through telemedicine platforms. “Bonitas has strengthened its virtual care options and preventative screening network to support early detection and intervention,” says Callakoppen, an approach gaining traction across the sector. Step four: Understand premiums, co-payments and limits It’s tempting to focus only on the monthly premium, but every plan structures its benefits differently. Some lower-priced options carry higher co-payments or strict limits on certain treatments, such as maternity, dentistry or mental health. Reading the benefit guide closely can help avoid unpleasant surprises later. “Out-of-pocket costs can add up quickly,” says Callakoppen. “We’ve seen how members who only compare premiums often end up paying more in the long run.” Bonitas’ own 2026 increases average 8.8%, with certain plans kept below that to maintain accessibility, reflecting broader industry efforts to balance affordability and sustainability. Step five: Consider additional benefits and value-added services Wellness and preventative benefits are becoming central to private healthcare. Schemes are expanding offerings such as mental health support, maternity benefits and chronic disease programmes, with many also providing access to virtual consultations and wellness apps that reward healthy living. One in three South Africans is likely to experience a mental health condition in their lifetime, which has driven several funds to increase cover in this area. For example, Bonitas has made depression a covered chronic condition and now offers access to mental health support via the October Health app. While these value-added services shouldn’t replace core cover, they can make a noticeable difference in daily wellbeing and encourage proactive healthcare management. Step six: Review your cover regularly Life changes and your medical aid should too. Whether you’re planning to start a family, switch jobs or are managing a new condition, reviewing your plan each year ensures it still fits your needs. A registered broker can help compare plans across different schemes, and their services are free to consumers. “Too many people stay locked into outdated plans because switching feels overwhelming,” says Callakoppen. “It’s worth taking the time to reassess to ensure your cover evolves as your circumstances do.” As the 2026 medical aid season is in full swing, the choice can feel daunting. But a little homework and the right expert advice can turn it into an empowering process. Understanding your health needs, your budget and how benefits actually work will help you make a decision that provides real peace of mind.

November 10, 2025
Bonitas – innovation, life stages and quality care

Physical Touch & Newborns- Why is this so Important

The birth of your baby is a beautiful and special moment in both of your lives. You may be wondering about your newborn’s senses, while they are born with all necessary senses, some are less precise than others and develop as your baby grows. Physical touch is an important aspect of your child’s growth, coming from your womb, where they are tightly cocooned in your womb. Skin to skin contact offers benefits to both you and your baby, and touch is one of the senses that can help comfort your baby, making them feel more secure and helping strengthen the bond between the two of you. Why is touch important? Touch enables your baby to learn more about the world, bond with their mother and learn communication skills, as touch and body language will be the first way that you can ‘speak’ to one another. Breastfeeding is an important part of this, as your baby then spends time in her mother’s arms. The benefits of touch goes beyond the physical. Contact between mom and baby has been shown to lower cortisol levels, which in turn benefits the functioning of the immune system.  Children that are deprived of touch can be more aggressive with other conduct disorder problems. What is swaddling? Coming from a tightly packed womb, you’ll find that your baby is comforted by touch and close cuddles. Swaddling your baby in a blanket is also another technique that you can use on young babies to help them feel more secure, as it stops them from upsetting themselves from their own startle reflex. It’s important that your newborn finds their new world a comfortable and soothing place. Swaddling is an old technique, and beyond helping your little one feel safe and secure, your baby is likely to sleep better and will be kept nice and cosy in their blanket. If you decide to swaddle your baby it’s best to do so from birth, as opposed to introducing it when they are older as this can increase the risk of Sudden Infant Death Syndrome. Using the proper techniques when swaddling is also important, as incorrect wrapping can lead to issues.

November 7, 2025
Parenting Hub

Bonitas and partners drive family health access at Mpumalanga Family Health Day

Access to healthcare is one of South Africa’s most pressing public health challenges, with many families still facing barriers such as long travel distances, overburdened clinics and limited screening opportunities. These realities mean preventable or manageable conditions often go undetected until they become serious. Against this backdrop, Bonitas Medical Fund’s recent Family Health Day in Mpumalanga demonstrates how targeted partnerships can help bridge the gap between available healthcare and real access. In partnership with the Gift of the Givers Foundation, the Rotary Action Group for Family Health & AIDS Prevention (RFHA) and the South African Department of Health (DoH), Bonitas Medical Fund hosted a Family Health Day at Elukwatini Stadium in Mpumalanga on 30 October 2025. The initiative formed part of the national Close the Gap campaign, which aims to place one million additional people on antiretroviral therapy (ARVs) by December 2025. “Our goal is to take healthcare to where people are,” says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. “When families have easy access to screening and counselling, they’re more likely to seek help early to ensure preventable health issues do not become life-threatening illness and disease.” Bringing family healthcare closer to home The Family Health Day offered an integrated package of services, including HIV testing and counselling, TB screening, vital-signs and diabetes checks, STI testing and immunisations through the Department of Health and RFHA. Communities were also provided access to optometry and audiology screening, dental care, mental-health support, menstrual-health education and hygiene pack distributions through Gift of the Givers. “Families were able to have several checks done in a single visit thanks to multiple services being clustered under one roof, on a single day,” says Hadebe, adding that this approach tackles three core barriers to care: cost, travel distance and lack of coordinated services. A recent study on healthcare access and the relation to deprivation in low-income urban households found that among low-income households in Gauteng, access to healthcare was significantly influenced by multiple deprivation factors. These included the availability, quality and proximity to healthcare facilities.  Vision, hearing and dental issues often go untreated as people living under challenging socio-economic conditions tend to prioritise immediate survival needs. Providing access to these essential services helps restore dignity and confidence, while creating opportunities for early intervention. “We know that good health begins with access,” says Hadebe. “When the private and public sectors collaborate, we can reduce the inequalities that hold families back from living healthier lives.” Supporting national goals The Mpumalanga Family Health Day directly contributes to South Africa’s “Close the Gap” campaign by increasing testing, treatment referrals and health education. Beyond HIV and TB, the initiative addresses broader determinants of health, such as vision, hearing, dental and mental well-being, which are critical to family stability and productivity. Family health must not be a once-off intervention, but an ongoing commitment to ensuring that everyone, regardless of where they live, can access the care that helps them thrive. “A project like this is a great example of how our partnership with GOTG is perfectly aligned as both GOTG and Bonitas have the drive to help others. And, in terms of the Scheme, it’s our way of moving a step closer to providing quality healthcare for all South Africans,” Hadebe concludes.

October 31, 2025
Bonitas – innovation, life stages and quality care

Don’t wait until it’s too late: Making mental health benefits work for you

October is Mental Health Awareness Month, a timely reminder of the importance of taking care of one’s health and wellbeing. And while access to mental health resources is scarce for most South Africans, those with medical aid have a wealth of mental health benefits at their fingertips but are not taking full advantage of them. This underutilisation may stem from a lack of awareness of what benefits are available on their medical aid plans, but can also be linked to stigma surrounding mental health and wellbeing as well as negative social attitudes around mental illness. With mental health prevalence being a key concern in South Africa, the South African Depression and Anxiety Group (SADAG) anticipates that 1 in 3 South Africans will be diagnosed with a mental health condition in their lifetime. Recent SADAG research also shows that 52% of employed South Africans suffer with mental health conditions with burnout, depression and anxiety most prevalent. What’s more, SADAG reported receiving up to 3,000 calls per day to its helpline, with hundreds more emails, SMSs, WhatsApps and social media messages from people seeking help, resources and support. “Many people don’t realise that their medical aid includes mental health coverage,” says Dr Themba Hadebe, Clinical Executive at Bonitas. “The delay in finding the right help can cause manageable conditions to escalate, sometimes even requiring hospitalisation, but this can be avoided by ensuring those with medical aid are aware of and empowered to tap into their mental health benefits.” “We’ve seen that mental health admissions are highest among members aged 35 to 55, with females experiencing a higher rate of hospital admissions compared to males,” adds Dr Hadebe. “However, despite lower admission rates, males have a significantly higher risk of suicide, highlighting the importance of proactive mental health screening and early intervention for all members.” The importance of early intervention In light of South Africa’s ongoing and often silent mental health burdens, Bonitas has taken concrete steps to ensure its members use their mental health benefits to the fullest. Hadebe says that all Bonitas plans now include depression as a chronic condition, enabling easier access to treatment without added cost. “We have expanded our mental health programme, providing consultations with psychologists and psychiatrists, counselling sessions and stress management support. Members can access these services through the Bonitas app, which integrates with October Health, offering convenient and confidential care,” Hadebe says. To promote early intervention, Bonitas has made mental health a key focus of its preventative care and screening initiatives. Through these initiatives, members are encouraged to recognise symptoms early and access the support and treatment they need before conditions become more sever. Additionally, the scheme has also realigned its referral protocols with wellness screening providers to ensure members are promptly connected to support. “Mental Health Awareness Month is a reminder that benefits exist to help, but only if they are used. As a medical aid scheme, we have a responsibility to make mental health support accessible and visible,” says Hadebe, “which is why it is so crucial to break down stigma and ensuring members know how to use their benefits. Mental health is just as important as physical health, and early intervention can prevent more serious complications.”

October 22, 2025
Bonitas – innovation, life stages and quality care

Due soon? What to include in your hospital bag

With your due date fast approaching, this is a very exciting, yet stressful time for most moms to be. Here is a great list of what to pack for the big day! Ideally, you should have your bag ready to go by 36 to 37weeks, apart from the last minute grabs such as your tooth brush and phone charger. Please see our extensive list of the essential items and also items to make you feel more comfortable for mom and baby (and dad, of course!) Baby Car seat – Many hospitals won’t let you leave without one. Please make sure you know how to strap baby properly into the seat and the seat is secure in the car. Safety first! A going home outfit: It’s important to keep baby skin to skin (this means no clothes on baby; only a nappy) for as long as possible, as this promotes growth, bonding and a calming period for you and your baby. When it’s time to go home, pack different outfits in different sizes as you don’t know how big or small baby will be. Aim for an outfit in Newborn sizes, and 0-3 months. Don’t forget a beanie or socks if the weather is cold. Blankets or Muslin wrap to keep baby nice and cosy. Bottles – If you are going into the hospital knowing you are going to bottle feed, take your bottles with. The hospital usually supplies the formula, but if you have a preferred brand, take some along. If breastfeeding doesn’t work for you, don’t stress! The nurses will provide the bottles and formula. Nappies and wipes to keep baby clean and dry. The nurses in the hospital will show you how to change baby if you are a first time mom. Mom Your medical aid information, your pre authorization/ doctors forms, your ID card and all other important documents you may need. Keep this safely in a folder all together to avoid any stress. A robe or dressing gown – This is such a handy item to have to cover up and make you feel comfortable Pyjama’s that button down at the front – If you are breastfeeding it’s a lot easier to undo the buttons than lift your top continuously. Comfortable, soft and loose pants such as lights weight shorts, stretchy leggings or sleep pants are ideal. Maternity pads and disposable breast pads. Nursing bras are also wonderful and offers great support for breastfeeding moms. Slippers or slip in shoes. Your feet may be a little swollen after delivery, so don’t feel bad leaving the hospital in the snuggest and easiest pair of shoes you can slip into. Slipper socks also work great. Cotton underwear, preferably in a dark or black colour. One that fits you well but rises above the uterus. This is good for moms who have a caesarean section and natural birth as it offers support and doesn’t cause pain along the wound site. Nipple cream – If you’re planning on breastfeeding, your nipples will be happy you are being so proactive. Toiletries – You will want to brush your hair and have a shower after baby has arrived. Take your shampoo, face cream, lotion and body wash, as well as your toothbrush and toothpaste. Deodorant, lip balm and extra hair ties are also a great items to have on hand. Cell phone charger – Because your phone will be full of photos of your new addition to your family. Water bottle and snacks. Take a reusable water bottle as its very important to keep hydrated during and post-delivery. Snack on dried fruit and wine gums to keep your sugar up and to give you energy (with permission from your midwife or doctor of course) A magazine or book, your laptop or some music. Labour may sometimes become a little long. It’s good to keep busy. Most hospitals and birthing clinics supply towels, pillows and blankets. If you have a favourite, take yours along to the hospital. A set of clothes to go home in. Your make up bag and straightener or curling iron. While you won’t be focused on looking great during labour, you may want to take some photos after the birth of your little one. Get someone to help you and make you feel good about yourself (and the great work you’ve just done!) Dad/Birthing partner Camera – Take photos! Lots of them. This is a great job for dad to do during birth. It will make them feel a lot more involved. Snacks: Another great job for dad. Full his bag with plenty of snacks and treats that you can both enjoy during your stay. Comfortable clothes – As he may be sitting with you for quite some time, let him pack some tracksuit pants, t shirts, slippers and hoodies.  Extra underwear is also a winner if he is staying overnight. Chargers – For phones, laptops and cameras. The longer the wire, the better, as most plug outlets are likely to be far from you. Toiletries – He may want to freshen up during the course of your stay. Many private hospitals offer you a baby bag when you are admitted for delivery. This is a great item and will contain most, if not all baby’s toiletries such as soap and creams. If you forget something, it’s not the end of the world. The nurses may be able to help or someone can go to the shop for you. All baby ideally needs is a clean nappy, milk, and most importantly, you.

October 13, 2025
Bonitas – innovation, life stages and quality care

New Dad’s roles

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Know that it’s normal to have fears – there is no simple way to prepare for parenthood and all new parents (yes Moms too!) have some concerns or fears about their new role. Learn as much as you can about your baby’s daily routine and offer to help out with activities you are comfortable doing. Make “Daddy Time” a special time every day by spending one-on-one time talking, reading or singing to the baby – work with Mom to build these activities into the daily routine. Offer to attend your baby’s doctors’ visits whenever possible – it helps you learn about your baby and provides a second set of ears to hear what the doctor has to say. Be actively involved in providing a safe environment for the baby – help keep an eye out for safety hazards. Make sure your baby is never exposed to second-hand smoke and has a drug free place to live. Be gentle with the baby – never shake your baby or toss them in the air. Be mindful of how you talk and act around the baby – a gentle voice and kind gestures are always best. Support from Mom to Dad The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Ask Mom to teach you to do things you may not know how to do yet – this way you can help out and support her as you learn about your new baby. Once you’re comfortable, offer to watch the baby so Mom can get some extra rest – this gives you time with the baby while supporting Mom as well. Take care of yourself, get regular check-ups and exercise daily – work to stay healthy for the newest member of the family. Set a good example and keep smoking and drugs out of your baby’s home. Talk with Mom about how she feels about herself after her pregnancy – she may need your support and encouragement to resume intimacy and sex since things like her self-image and her body may have changed. Treat Mom to small gifts and simple gestures that tell her that you care about her – these will help her understand that she is still special to you even if she is feeling tired and her self-image has changed. Emotional aspects for Dad The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Especially in the first few weeks after birth, use compassion when dealing with both Mom and baby. They both have just been through a difficult experience and your compassion will go a long way in supporting them as they move into the next part of their journey. You may often find yourself in new and challenging situations where you have the choice to either laugh or cry – choose humour, it helps everyone survive and thrive during challenging times. Life doesn’t always prepare us for our role as a parent so as a new Dad you will often find yourself in new situations with no rulebook – rise to the occasion by using your creativity and imagination to overcome new challenges. Remember that patience is a virtue – this is especially true when you have a newborn, so remember to slow down, take a deep breath and relax before you react to trying situations. Always keep in mind that much of what you are doing in the early days after the birth of your baby is a form of service for both baby and Mom – don’t see it as a negative, rather see it as a time for you to develop a new leadership role as you offer yourself in service to others. Dad comforting a crying baby The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. As a first step, always make sure your baby has been fed and changed and that they are comfortable – if so then go on to the next steps to soothe them. Swaddling: holding a baby close can help them feel more secure, so snuggle them in a soft blanket. Side/Stomach: holding your baby on their side or stomach may help calm them. Shhh: making this noise often helps sooth your baby. Sucking: is very comforting for your baby, so if it’s not feeding time, give them a pacifier to suck on. Swinging: gentle movement is often soothing to a baby, so gently rock them in your arms or put them safely in an infant swing. Remember that even though it may be frustrating, it’s important for you to be patient and gentle with your baby. Use this time to bond with your baby and allow Mom a much-needed break from her role as a caregiver. Getting Dad involved The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Talk with Dad about his thoughts, feelings and concerns regarding his role in caring for your newborn – this will help you understand his comfort level. Get Dad involved in your baby’s care – he may need help in learning how to hold the baby or change diapers so include him in as many of the day-to-day activities as you can. Have Dad help with a night feeding when possible – if you are breast feeding consider pumping a feeding ahead so he can take one feeding for you during the night. Have him talk, read or sing to the baby every day – build these activities into your baby’s daily routine. Involve Dad in doctors’ appointments whenever possible. Ask Dad

September 15, 2025
Bonitas – innovation, life stages and quality care

Reasons why your baby is crying

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. If your baby is crying, the first step is trying to figure out the reason.  Some of the most common reasons why a baby is crying are: Hunger is usually the first thing you should think of – they may give other signs first like rooting, fussing, smacking their lips and putting their hands to their lips. A dirty diaper – many infants don’t like a wet or dirty diaper, so changing their diaper when they cry is a simple thing you can do to help calm them. In need of sleep – babies may not just nod off to sleep when they are tired, they may get fussy and cry, so after feeding and changing diapers you may want to try soothing activities like finding a quiet place, holding them close and rocking them to help them get to sleep. Wanting to be held – babies like to be cuddled, so if you have tried all of the above tips without success it could be that your baby just wants you to hold and cuddle them; also talk in a soft voice or sing softly. Tummy troubles – babies can develop gas pains, colic, constipation, milk allergies and other conditions that make them cry; if this happens often talk with your doctor about ways you can soothe their tummy. Needing to burp – a trapped gas bubble in your baby’s stomach can make them uncomfortable, so if they are crying after a feeding, try burping them to see if that helps. Additional reasons are mentioned in the following tip. Additional reasons why your baby is crying The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. In addition to the reasons mentioned in the previous tip, the following are reasons why your baby may be crying: Temperature troubles – babies will often cry if they are too cold, this may happen when you are changing them or washing them; it can also happen if they are too hot, though this is less common. Little irritations – babies are very sensitive to small discomforts like a hair wrapped around a finger or toe, scratchy clothing or being placed in the wrong position, so look for little discomforts if the big things don’t appear to be the cause of their distress. Teething – newborns don’t have teeth coming in but sometimes their teeth will move around under the gums causing them discomfort; their teeth won’t usually start to come in until they are about 4-7 months; a cold washcloth and gentle pressure on their gums may be soothing. Over stimulation – newborns can’t always process all the things that are going on around them, so if you think your baby may be suffering from too much stimulation take them to a quiet spot away from bright lights, hold them close and soothe them until they can calm down. Not enough stimulation – some babies are outgoing and like to see what’s going on around them, so if you think this is your baby’s issue try carrying them in a sling, front carrier or backpack so they can get the extra stimulation they need. Not feeling well – if you’ve met all your baby’s basic needs and they are still crying and fussy they could be coming down with something, so keep a close eye on them, check their temperature if you think they might have a fever and contact your doctor if needed. Things to try to comfort a crying baby The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Sucking is soothing for a baby and can lower their heart rate and relax their stomach, so give them a pacifier or a clean finger to suck on when nothing else seems to stop their crying. Babies are used to being warm and secure in the womb so when all else fails try imitating that experience by swaddling them and holding them securely or carry them with you in a sling. Some babies respond well to sound and movement, so try putting on some music and dancing with them – gently of course! Try white noise – often babies like noises that mimic the whooshing sounds they heard before they were born, so try running the vacuum cleaner, a fan or the water faucet or use a recording of a water fountain, a gurgling stream or waves. A change of scenery can sometimes help, so dress your baby appropriately and step outside your front door; walk around slowly and talk in a soothing tone. Get them moving – babies like motion so try carrying them around or take them for a ride in the stroller or the car; sometime this will work when nothing else seems to help. Massage may be helpful for some babies – don’t worry about knowing the right movements, just try a soft, gentle massage in a warm place free from drafts. Start all over again – sometimes it’s helpful just to start at the top of the list again; change their diaper, hold them close, feed them if their hungry and see if something works the second time around. If you ever think your baby is in distress because of a health-related issue don’t hesitate to contact your doctor. No question is ever “dumb” if it involves the wellbeing of your baby! Feeling frustrated when a baby won’t stop crying The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Keep in mind that crying won’t hurt your baby, they may just need a release so let them cry. Put your baby down and let

September 8, 2025
Bonitas – innovation, life stages and quality care

When’s the last time you had a Pap smear done?

By the time most women get around to booking a Pap smear, it’s often already overdue. Between work, family and the mental load of daily life, preventative health checks down the list of priorities, but when it comes to cervical cancer, later can be too late. Cervical cancer is one of the most preventable cancers, yet it is the second most prevalent type of cancer affecting South African women. The tragedy is that, in most cases, the disease could be caught early or avoided altogether through regular Pap smears and early treatment of abnormal cells. “When cervical cancer is diagnosed late, treatment becomes more invasive, more expensive and survival rates drop dramatically,” says Dr Themba Hadebe, Clinical Executive at Bonitas. “If abnormal cells are picked up during a Pap smear, they can often be treated before they ever become cancer.” For most women, Pap smears should be done every three years between the ages of 21 and 29. From age 30 onward, there are two screening options: a Pap test every three years or an HPV PCR test every five years. If previous results have been consistently normal, screening may no longer be necessary after age 65.   The hidden costs of skipping your Pap smear Problematically, there aren’t many noticeable signs and symptoms in the early days of cervical cancer, and by the time symptoms like unusual bleeding, pelvic pain or discharge appear, the cancer is often advanced. It’s also worth noting that survival rates plummet the later it’s caught. Along with the negative physical health implications of neglecting cervical cancer screening, there is also the financial and emotional costs that come with treating advantaged stage cancer. “A late diagnosis means exorbitantly high medical bills, since treating advanced cancer can run into hundreds of thousands of rands. Compared to the simple act and lesser cost of a screening, the better choice is of course prevention over cure.” Medical schemes like Bonitas are stepping up by covering Pap smears in their preventative care benefits, tackling one of the biggest barriers to cervical cancer screening head-on – cost. “We don’t want our members to think of their medical aid as just something that’s there when they’re sick. Taking proactive measures to protect your health is crucial and starts with something as simple as booking that screening,” adds Dr Hadebe. If it’s been more than three years since your last test, or you can’t remember, book your Pap smear now. Cervical cancer is preventable, but only if abnormal cells are detected early. Waiting until symptoms appear could mean the difference between a simple procedure and a life-threatening diagnosis.

August 28, 2025
Bonitas – innovation, life stages and quality care

Preparing your home for your baby

Waiting for you baby to arrive is both exciting and nerve wrecking. In order to mentally prepare yourself and your family, you can start getting  your home ready for the newest addition of your household. The urge to get your home ready for your baby is also known as nesting, and it’ll normally happen near the end of your third trimester. If you are ready to start spring cleaning, here are some tips on how best to organise your home for little one. Have everything ready for your return from the hospital When you and your baby return from hospital you’ll probably be feeling tired and sore, so making sure your home is ready before you go into labour is a good idea. Food prep, cleaning and buying home supplies are all things that’ll become more difficult with a newborn. Meal prepping, having a stocked baby changing table and home essentials stock piled will all be things you’ll be glad to have done beforehand. Baby proofing your home Baby proofing your home can ideally start up to 3 months before your due date, as this will give you time for any projects that may take slightly longer. Cover all electrical sockets, get safety latches for cabinets and get rid of any loose or dangling cords. Not only can you take your time prepping your home, but you can also make sure that you are ready with baby essentials, such as a changing table, a baby monitor and newborn baby clothes. All things you don’t want to be looking for postpartum with a baby to look after. Don’t over do it Although it can be tempting to go full throttle with home adjustments there are certain things you should avoid to prevent injuring yourself. Don’t move large furniture, as your ligaments and tendons are softened by pregnancy hormones, making a strain or injury more likely. Avoid reaching too high, as this can put strain on your lower back (which may already be achy). Delegating to your family and friends eager to help will give you the opportunity to rest while making sure that your home is perfect for your newest addition.

August 22, 2025
Bonitas – innovation, life stages and quality care

 Don’t let Seasonal Affective Disorder (SAD) bring the blues this winter

As the colder months settle in, many of us brace ourselves for more than just runny noses and shorter days. You may have noticed a heaviness that creeps in that feels like a dip in mood, energy and motivation. While it’s easy to brush off as the ‘winter blues,’ this slump could be a sign of Seasonal Affective Disorder (SAD), a type of depression that follows a seasonal pattern most commonly triggered during winter. ‘Mental health is a key component of your overall wellness, yet it’s often neglected, especially during busy, high-pressure periods,’ says Dr Themba Hadebe, Bonitas Clinical Executive. ‘Recognising the signs of SAD early is essential, because the sooner you acknowledge it, the sooner you can take steps to manage it.’ What is Seasonal Affective Disorder? SAD is more than feeling ‘a bit off’ when the sun disappears behind grey skies. It’s a clinically recognised form of depression linked to reduced sunlight exposure, which can disrupt your body’s internal clock (circadian rhythm), affect serotonin and melatonin levels, and ultimately throw off your mood and sleep patterns. Symptoms of SAD often include persistent low mood or sadness, fatigue or lack of energy even after sleeping, difficulty concentrating, cravings for carbs or weight gain, and withdrawal from social interaction. If this feels familiar, you’re not alone, and it’s not just ‘in your head’. SAD affects many South Africans each year, and yet often goes undiagnosed or misunderstood. How to lighten the load If winter tends to weigh on your mental health, there are a few strategies that may help. First, try to get more sunlight. As simple as it sounds, making time for natural light, even on cold or cloudy days, can significantly boost your mood. Sit near a sunny window, go for a midday walk, or consider using light therapy lamps that mimic sunlight and support your body’s internal clock. Moving your body can also make a noticeable difference, since exercise is one of the most effective natural mood-boosters. You don’t need a full gym session either. Even a 15-minute stretch, dance break, or walk around the block can help to lift your energy and shift your mindset. What you eat matters too. While it’s tempting to dive headfirst into comfort food, try to balance your meals with options rich in omega-3s, like salmon or walnuts, as well as vitamin D and whole grains. Research shows that low levels of vitamin D, which naturally drop during winter, are closely linked to symptoms of depression. And, perhaps most importantly, talk to someone. Whether it’s a psychologist, a trusted friend or a support group, opening up about how you’re feeling is a powerful first step. ‘For those with medical aid, be sure to check what mental health benefits are available to you through your plan,’ adds Hadebe. ‘Bonitas members, for instance, have access to mental health support, including a wellness questionnaire, consultations with registered professionals and wellness programmes designed to support emotional wellbeing all year round.’ Bonitas covers psychology consultations as part of its comprehensive care benefits, and its wellness programmes offer digital resources and support tools to help you manage mental health year-round. You’re not alone We tend to prioritise physical health, but our mental health is just as critical. SAD is often overlooked, but it can significantly impact your quality of life if left unaddressed. And, if you or someone you love is feeling persistently low this winter, don’t wait it out. Take it seriously, speak to a professional, and explore your options. ‘Mental wellness isn’t a luxury, but a necessity for overall wellbeing,’ says Hadebe.

July 17, 2025
Bonitas – innovation, life stages and quality care

Your pregnancy – a comprehensive guide

Morning sickness remedies The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Relieving morning sickness often takes some trial and error before you find a method that works for you. Here are a few suggestions you can try to see if you find them helpful. To find relief from a smell that is bothering your stomach try carrying a handkerchief or washcloth with a few drops of an essential oil in it that does not cause nausea, such as lemon. It may relieve morning sickness if you breathe into the handkerchief or washcloth, so you no longer smell the bothersome odour. Eat smaller meals every two hours or so. If you have morning sickness try eating cold foods as they have fewer smells that can make you feel sick. Vitamin B6 and B12 taken regularly as advised by your doctor could help reduce your nausea and/or vomiting due to morning sickness. Folic acid and pregnancy The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Neural tube defects are birth defects of a baby’s brain and spinal cord that occur early in a pregnancy. They can often be prevented when the mother takes folic acid just prior to getting pregnant and through the first part of the pregnancy. Because much of this time period occurs before a woman knows she is pregnant, and 50% of all pregnancies are unplanned, it’s recommended that all women of childbearing age have folic acid supplementation. The recommended amount of folic acid intake is about 400 micrograms (or 0.4 milligrams) for women of childbearing age. For women who have had a pregnancy that resulted in a neural tube defect a higher dose is often recommended. Less folic acid is required at other life stages so check with your doctor to determine your exact needs. First Trimester The first trimester (weeks 1 to 12) The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. The first trimester can be a difficult time for many pregnant women.  Some may feel great, while others may feel horrible.  Here are some of the changes you may experience during the first 3 months: Nausea is normal in up to 85% of women; this may or may not include vomiting Light spotting is normal and about 25% experience this during implantation Tender breasts Constipation Increased vaginal discharge that is thin and milky white in colour Increased fatigue Cravings and aversions to certain foods Increased urination Heartburn Mood swings Gaining weight Call your doctor right away if you experience any of the following: Significant bleeding, cramping or sharp abdominal pain Foul-smelling, green or yellow discharge Severe nausea or vomiting Severe dizziness Too much or too little weight gain (more than 3 kg (6.5 lbs.) per month or less than 1 kg (2 lbs.) per month) Second Trimester The second trimester (weeks 13 to 27) The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Most women find the second trimester the easiest and most enjoyable.  Usually, morning sickness and fatigue fade and you start feeling like your usual self again.  There are many big changes that occur during these weeks, some of these include: Growing breasts Gum discomfort, swelling or bleeding Increased pressure on back which can cause back pain Nasal congestion and increased nosebleeds Thin, milky white vaginal discharge continues Increased urination, heartburn and constipation continue Increased hair growth of current hair and in new places such as the face, arms or back Headaches Haemorrhoids Flutters of movement can sometimes start to be felt around 20 weeks Increased sensitivity to the sun Stretch marks, spider and varicose veins may show up Brown pigmentation on the face (“mask of pregnancy”) and a darker line down the abdomen (linea nigra, Latin for “black line”) may appear Increased weight gain Call your doctor right away if you experience any of the following: Significant bleeding, cramping or sharp abdominal pain Foul-smelling, green or yellow discharge Severe nausea or vomiting Severe dizziness Too much or too little weight gain (more than 3 kg (6.5 lbs.) per month or less than 4.5 kg (10 lbs.) by 20 weeks) Third Trimester The third trimester (weeks 28 to 42) The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. The third trimester can bring some uncomfortable symptoms as you prepare for the birth of your baby.  Here’s what to expect during this time: Back pain Braxton Hicks contractions Increased breast size Increased discharge from previous months Fatigue Increased urination, heartburn and constipation continues Haemorrhoids Difficulty breathing Swelling in your feet, ankles and hands Increased weight gain Call your doctor right away if you experience any of the following: Cramping or sharp abdominal pain Foul-smelling, green or yellow discharge Severe nausea or vomiting Severe dizziness Too much or too little weight gain Pain or burning with urination Sudden swelling in your feet Contractions that are regular and get closer and closer together and more intense Spotting or any bleeding Nutrition Good things to eat The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Good nutrition is essential for a healthy pregnancy.  Here are some ways to eat healthy during your pregnancy: Take your prenatal vitamin Eat a variety of foods each day Eat more fibre (pasta, rice, fruits, veggies and cereals) Eat more calcium (at least 4 servings of dairy products, green leafy vegetables, etc.) Eat more iron (red meat, eggs, green leafy vegetables, beans/lentils, dried fruit and iron-enriched cereals and grains) Bad things to eat The

June 23, 2025
Bonitas – innovation, life stages and quality care

Premature birth – what to expect

Expecting a baby is an exciting time of your life, and you want to make sure that you do as much as you can to make sure your new child is as healthy as possible. Premature birth is something you want to try to avoid or manage as carefully as possible. In many cases the cause is unknown, and according to The World Health Organisation, one in ten babies are born preterm. A birth is considered premature when a baby is born before the 37th week of pregnancy. The final few weeks in the womb are important to your baby’s full development, so being born prematurely can lead to longer hospital stays, short term, and long term complications. Why does it happen? Some of the more common risk factors which contribute to preterm births are having had a premature birth before, you’re pregnant with twins/multiples or you have issues with your uterus or cervix. However, often the cause of preterm birth often can’t be identified. Your health is also a factor that impacts on your likelihood to have your baby prematurely. Smoking during your pregnancy (which is not recommended), diabetes, high blood pressure (which can develop into preeclampsia) and being over or under weight are all potential premature birth causes. To try and avoid preterm birth you can talk to your doctor about any existing health issues, such as depression, diabetes or high blood pressure) before getting pregnant – this way you can manage any problems with a treatment plan. Waiting 12 months between pregnancies and eating healthy (making sure that you get the correct prenatal vitamins needed) can also help prevent premature birth. What if my baby is born preterm? If your baby is born prematurely they are at risk for long and short term complications. Many preterm babies lead completely healthy lives, however, the more premature and underdeveloped your baby is when they are born, the more likely they are to have issues. If your baby is born prematurely they may be put into a neonatal intensive care unit into an incubator. Some babies will spend longer in the unit than others, this all depends on when they are able to live without medical support.

June 16, 2025
Bonitas – innovation, life stages and quality care

Due soon? What to include in your hospital bag

With your due date fast approaching, this is a very exciting, yet stressful time for most moms to be. Here is a great list of what to pack for the big day! Ideally, you should have your bag ready to go by 36 to 37weeks, apart from the last minute grabs such as your tooth brush and phone charger. Please see our extensive list of the essential items and also items to make you feel more comfortable for mom and baby (and dad, of course!) Baby Car seat – Many hospitals won’t let you leave without one. Please make sure you know how to strap baby properly into the seat and the seat is secure in the car. Safety first! A going home outfit: It’s important to keep baby skin to skin (this means no clothes on baby; only a nappy) for as long as possible, as this promotes growth, bonding and a calming period for you and your baby. When it’s time to go home, pack different outfits in different sizes as you don’t know how big or small baby will be. Aim for an outfit in Newborn sizes, and 0-3 months. Don’t forget a beanie or socks if the weather is cold. Blankets or Muslin wrap to keep baby nice and cosy. Bottles – If you are going into the hospital knowing you are going to bottle feed, take your bottles with. The hospital usually supplies the formula, but if you have a preferred brand, take some along. If breastfeeding doesn’t work for you, don’t stress! The nurses will provide the bottles and formula. Nappies and wipes to keep baby clean and dry. The nurses in the hospital will show you how to change baby if you are a first time mom. Mom Your medical aid information, your pre authorization/ doctors forms, your ID card and all other important documents you may need. Keep this safely in a folder all together to avoid any stress. A robe or dressing gown – This is such a handy item to have to cover up and make you feel comfortable Pyjama’s that button down at the front – If you are breastfeeding it’s a lot easier to undo the buttons than lift your top continuously. Comfortable, soft and loose pants such as lights weight shorts, stretchy leggings or sleep pants are ideal. Maternity pads and disposable breast pads. Nursing bras are also wonderful and offers great support for breastfeeding moms. Slippers or slip in shoes. Your feet may be a little swollen after delivery, so don’t feel bad leaving the hospital in the snuggest and easiest pair of shoes you can slip into. Slipper socks also work great. Cotton underwear, preferably in a dark or black colour. One that fits you well but rises above the uterus. This is good for moms who have a caesarean section and natural birth as it offers support and doesn’t cause pain along the wound site. Nipple cream – If you’re planning on breastfeeding, your nipples will be happy you are being so proactive. Toiletries – You will want to brush your hair and have a shower after baby has arrived. Take your shampoo, face cream, lotion and body wash, as well as your toothbrush and toothpaste. Deodorant, lip balm and extra hair ties are also a great items to have on hand. Cell phone charger – Because your phone will be full of photos of your new addition to your family. Water bottle and snacks. Take a reusable water bottle as its very important to keep hydrated during and post-delivery. Snack on dried fruit and wine gums to keep your sugar up and to give you energy (with permission from your midwife or doctor of course) A magazine or book, your laptop or some music. Labour may sometimes become a little long. It’s good to keep busy. Most hospitals and birthing clinics supply towels, pillows and blankets. If you have a favourite, take yours along to the hospital. A set of clothes to go home in. Your make up bag and straightener or curling iron. While you won’t be focused on looking great during labour, you may want to take some photos after the birth of your little one. Get someone to help you and make you feel good about yourself (and the great work you’ve just done!) Dad/Birthing partner Camera – Take photos! Lots of them. This is a great job for dad to do during birth. It will make them feel a lot more involved. Snacks: Another great job for dad. Full his bag with plenty of snacks and treats that you can both enjoy during your stay. Comfortable clothes – As he may be sitting with you for quite some time, let him pack some tracksuit pants, t shirts, slippers and hoodies.  Extra underwear is also a winner if he is staying overnight. Chargers – For phones, laptops and cameras. The longer the wire, the better, as most plug outlets are likely to be far from you. Toiletries – He may want to freshen up during the course of your stay. Many private hospitals offer you a baby bag when you are admitted for delivery. This is a great item and will contain most, if not all baby’s toiletries such as soap and creams. If you forget something, it’s not the end of the world. The nurses may be able to help or someone can go to the shop for you. All baby ideally needs is a clean nappy, milk, and most importantly, you.

June 2, 2025
Bonitas – innovation, life stages and quality care

Helping your child grow and learn

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. The first year: how can I help? There are many ways you can help your baby grow and learn during their first year of life.Here are some ideas to get you started: Love, hold and care for your baby Respond to your babies needs and cries Talk, read and play with your baby Daily tummy time Set limits and redirect their attention when needed- they are too young to understand good and bad at this age. Years 1 to 2: how can I help? There are many ways you can help your 1 to 2-year-old grow and learn.Here are some ideas to get you started: Be patient! Give your child plenty of rest and quiet time Allow safe and appropriate independence School-aged children: how can I help? School-aged children are learning to think more logically, but they still need a lot of direction from their parents. Here are some ideas to help your school-aged child: Let them learn from their accomplishments and mistakes, but continue to provide unconditional support and direction Use firm and consistent rules explained simply, clearly and gently Self-esteem is fragile at this age: be encouraging and positive Involvement in sports can be a great way to stay healthy and promote activity, not exercise If your child is dealing with bullying, listen to their fears and create a concrete plan to stop the bullying immediately.  Talking to their teachers and the school can be very instrumental Sex education begins in elementary school; use your child’s cue to determine what they should know and when

May 19, 2025
Bonitas – innovation, life stages and quality care

New Mommy Tips

Caring for Baby The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Circumcision care Newborn circumcision is a surgery that removes the loose skin (foreskin) that covers the end of a baby boy’s penis. It may be done for various reasons and usually heals with 7-10 days. Follow the care instructions you were given by your baby’s doctor. Often times they will recommend that you use a small amount of petroleum jelly on the site at diaper changes to prevent irritation. Contact your baby’s doctor if you see blood or pus around the circumcision or if you smell an odour coming from the site. Myths about newborns The following are common myths about newborns: Myth: Don’t touch their “soft spots” – Truth: Known as the fontanels, these areas are a thick protective membrane, not your baby’s brain, so if you happen to touch them gently nothing bad will happen; as with all of your baby, handle that area with gentle loving care. Myth: Baby girls don’t have periods – Truth: Baby girls may have a “mini period” within the first few weeks of life which is the result of the stimulation of their uterus by Mom’s high estrogen levels. If you ever have questions about what’s happening with your baby, contact your doctor. Myth: Babies don’t get acne – Truth: Some newborns will develop acne due to circulating hormones from their mother between 2 weeks and 2 months of age; you don’t need acne creams, just cleanse the area gently. Myth: Babies have flat chests – Truth: Some babies may temporarily have swollen breasts due to their mothers circulating hormones; this can happen to boys and girls. Myth: Sneezing must mean my baby has a cold – Truth: Newborns have tiny noses and often have some congestion, so they may sneeze a lot at first; if they have thick, coloured mucus and are sneezing a lot then they may be developing a cold. Never hesitate to contact your doctor if you are worried about what’s going on with your baby. No question is ever “dumb” if you are worried. Bathing your newborn Your baby doesn’t need a full bath every day, only 3-4 times a week. When giving them a full bath make sure the water is warm, but not hot, by testing the temperature with your elbow – if it’s too hot for your elbow, it’s too hot for your baby. Use mild bath soap made specifically for babies – harsh soaps may dry and irritate their skin. Always keep one hand on the baby while they are in the bathwater. There are some parts of your baby that will need to be washed with mild soap every day, especially their face, chin, neck and bottom. Do not use soap on their belly button (navel) or on a circumcision until it’s healed. Make sure the room you are in to bathe your baby is warm and free of drafts. Every baby is different so don’t hesitate to talk with your baby’s doctor if you have any questions about caring for your newborn. Healthy skin for newborns You don’t need to use lotion or powder on your baby unless it’s been recommended by their doctor. Don’t use fabric softener or bleach on their clothes as these can irritate their skin. Use mild detergent to wash their clothes, making sure to wash new clothing before you put it on the baby. Be careful not to overdress your baby – if you are comfortable in a t-shirt and shorts, your baby will be fine in a t-shirt or short sleeved onesie and a diaper. Diaper care for your newborn Periodically check your baby’s diaper to see if it’s wet or soiled. Change their diaper whenever one becomes wet or soiled. When changing your baby’s diaper, wash their bottom with mild soap and warm water or use disposable baby wipes. Be sure to wash your hands each time you finish changing a diaper. Additional tips for care of newborn For mouth care, wipe you baby’s gums daily with a clean damp washcloth or an infant toothbrush. To prevent scratches, keep your baby’s finger and toenails cut short. Remember that newborns sleep a lot – usually between 16-18 hours a day. Make sure to schedule your baby’s first check-up as recommended by their doctor – it’s usually recommended between 2-4 weeks of age. Umbilical cord care Do not place the baby in bath water until after the umbilical cord stump has fallen off. Keep the umbilical cord stump clean and dry – if it becomes soiled you can clean it with a cotton ball, mild soap and water. Umbilical cord stumps usually fall off about 2-4 weeks after birth – contact your baby’s doctor if this doesn’t happen. If the umbilical cord stump turns red around the base, bleeds, develops coloured drainage or a bad odour contact your baby’s doctor right away since it could be a sign of an infection. Contact your baby’s doctor if you have any questions or concerns about your baby’s umbilical cord stump. Teething pain relief The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. To help soothe the pain from teething give your baby a teething ring, a wet washcloth cooled down in the refrigerator, or feed him/her cold foods such as applesauce or yogurt. You can also talk to your doctor about giving your baby acetaminophen (Tylenol) to ease the pain.

May 12, 2025
Bonitas – innovation, life stages and quality care

Getting to grips with flu

Few common illnesses are more unpleasant than the flu. The aches, pains, chills, fever and cough are bad enough. Add the other potential symptoms including runny nose, vomiting, diarrhoea, fatigue or sore throat and you’ll want the illness to be over as soon as possible. Or try to prevent it. Annually, flu kills around 11 500 people in South Africa and 20 000 are hospitalised. ‘The seasons are changing and with it comes the ‘flu virus,’ says Dr Themba Hadebe, Bonitas Medical Fund’s Clinical Executive. ‘Now is the time to take precautions against catching flu, including having a flu vaccine, which is recommended by the World Health Organization (WHO).’ Why a Flu vaccine? Although the flu vaccine will not eliminate your risk of developing flu, it helps reduce your chances of severe infection. What are Flu pandemics? These occur when a new flu virus emerges that is significantly different from circulating seasonal strains, causing widespread illness worldwide. Best known examples are the: 1918 Spanish flu, 1957 Asian flu, 1968 Hong Kong flu and the 2009 H1N1 pandemic. The 1918 Spanish flu pandemic was the most severe, it is estimated to have been responsible for the deaths of 50-100 million people. What is Flu? Flu is a contagious respiratory illness caused by the influenza viruses. It can cause mild to severe illness and can lead to hospitalisation and even death, especially in high-risk groups such as young children, the elderly, pregnant women and people with underlying health conditions. What is the current Flu strain in South Africa? There are four types of flu viruses: A, B, C and D. Most seasonal outbreaks of flu in humans are as a result of the A and B viruses. The most commonly reported influenza viruses for 2024 are type A(H1N1) and type B. What are the most common Flu symptoms in 2024? These may include the following:  Fever of 38˚C or higher Aching muscles, especially in your back, arms and legs Chills and sweats Why do I need a Flu shot every year? ‘All viruses mutate – meaning the genetic material of the cell changes – but not at the same rate. Some mutate very quickly, including the flu virus. Which is why we get a new flu vaccine every year,’ says Dr Hadebe.  Other preventive measures include frequent handwashing, covering your mouth and nose when you cough and sneeze, avoiding close contact with sick individuals and staying home when ill. Will the flu shot give me Flu? A flu shot cannot cause flu. Flu vaccines are currently made either with flu vaccine viruses that have been ‘inactivated’ and are not infectious or with no flu vaccine viruses at all. Some side effects may occur like redness, tenderness and swelling where the shot was given but this is mild and will only last a few days. These are infinitely preferable to a bad case of flu.  Who should get a Flu vaccine? Annual flu vaccines are recommended for everyone six months and older, especially for those at higher risk of complications. The vaccine helps your immune system fight off the virus by producing antibodies which is why it’s best to vaccinate in April or May, before the start of flu season. Flu vaccinations are available at most pharmacies and the costs are generally covered by medical schemes. Anyone in the high-risk groups including: Healthcare workers  Individuals over 65 years  Individuals with chronic diseases – or comorbidities – for example: Cardiac disease, diabetes, asthma, kidney diseases (due to poorer baseline immunity)  Pregnant women  People with a BMI over 40 People who are immune compromised Who should NOT have the Flu vaccine?  Those allergic to eggs or egg proteins as the vaccine manufacturing process involves the use of chicken eggs  Infants under 6 months of age  Individuals who may have had a severe reaction to a flu vaccine in the past Individuals who may be suffering from flu symptoms already  How is flu transmitted? It spreads mainly through respiratory droplets when an infected person coughs, sneezes or talks. It can also spread by touching surfaces contaminated with the virus and then touching your mouth, nose, or eyes. What are the complications of Flu? Flu can lead to various complications, such as pneumonia, bronchitis, sinus infections, ear infections and worsening of chronic medical conditions like asthma or heart disease. Complications are more common in high-risk groups. ‘Flu viruses spread very quickly from person to person’, says Dr Hadebe.  ‘Even if the flu vaccine is not 100% effective, it will reduce your risk of getting flu, and, if you do get it, it will be a great deal milder’.  

May 5, 2025
Bonitas – innovation, life stages and quality care

The lowdown on diabetes in children and teenagers

The diagnosis of type 1 diabetes in children can be overwhelming, especially in the beginning. Suddenly you and your child – depending on your child’s age – must learn how to count carbohydrates and monitor blood sugar levels and give injections. But even though there is no cure, it can be managed.  Diabetes is a chronic disease, characterised by high levels of blood glucose. ‘In type 1 diabetes your immune system, the body’s system for fighting infection, attacks and destroys the insulin-producing cells of the pancreas,’ explains Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘It can lead to serious damage to the heart, blood vessels, eyes, kidneys and nerves. However, advances in blood sugar monitoring and the delivery of insulin have improved blood sugar management and quality of life for children with type 1 diabetes.’ Statistics currently show that there are close to 5 000 adolescents that live with Type 1 diabetes in South Africa. Type 1 diabetes can be either: Hyperglycaemia: When your blood sugar levels are too high. It is the hallmark of diabetes onset and it usually continues to occur on and off after you start treatment Hypoglycaemia: Sugar levels are too low. This usually occurs as the result of diabetes treatment, particularly insulin administration which lowers blood sugar How does diabetes in children and adolescents start? It can come on suddenly or gradually in children and teens and parents often aren’t aware of the symptoms or patterns that point to a potential diabetes diagnosis. Symptoms may be similar to those of flu but, if diabetes is the cause, the sooner it’s diagnosed, the better. Symptoms of Hyperglycaemia: High blood sugar Increased hunger The body’s cells are not able to utilise glucose for energy due to a lack of insulin or insulin resistance, leading to a craving for more food. Dry mouth: A dry mouth is one of the most common symptoms which can cause trouble chewing, swallowing or speaking, dry cracked lips, sores or infections in the mouth or a furry, dry tongue Frequent urination (especially at night):  Excess glucose in the blood spills into the urine, drawing water with it and increasing the frequency of urination. This in turn increases thirst Weight loss:  Despite increased food intake, the body starts breaking down fat and muscle for energy, due to the lack of insulin Fatigue: The body’s cells cannot use glucose for energy efficiently, leading to feelings of tiredness and fatigue Blurry vision: High sugar levels in the blood can damage the tiny blood vessels in the eyes, causing fluid to seep into the lens, potentially causing blurry vision Slow-healing sores or frequent infections:  Over time, high blood sugar levels narrow your blood vessels, slowing blood circulation and restricting much needed nutrients and oxygen from getting to the wounds. As a result, even small cuts and wounds may take weeks or months to heal Fruity-smelling breath: The breakdown of fat for energy produces ketones, which can cause a fruity smell in the breath Ketoacidosis: This is when blood sugar levels are very high and the body starts making ketones. It is a very serious condition that needs immediate in hospital treatment, sometimes in the intensive care unit. If not treated right away, there is a  risk for diabetic coma. A child with a diabetic coma loses consciousness because of brain swelling due to very high blood sugar levels Symptoms of Hypoglycaemia: Low blood sugar  Trembling: Low blood sugar levels trigger the release of adrenaline, which causes shakiness Sweating:  The body’s response to low blood sugar includes releasing adrenaline, which can cause sweating Hunger: The brain detects low blood sugar and signals the body to eat Irritability or moodiness: Low blood sugar levels can affect brain function, leading to mood changes Fatigue: The brain and muscles are deprived of glucose, leading to feelings of tiredness Paleness: The body’s stress response to low blood sugar can cause blood vessels to constrict, leading to paleness Headaches: The brain is sensitive to changes in blood sugar levels, low levels can cause headaches How is type 1 diabetes treated? A daily dose of insulin is needed to keep the blood glucose level within normal ranges. Insulin is given either by injection or via an insulin pump. Your child’s healthcare provider will show you how to give your child insulin with either method.  Dr Hadebe says, ‘to make it easier for children and adolescents to monitor glucose levels and administer insulin the Scheme offers Insulin Pump Therapy and Continuous Glucose Infusion Monitoring device (CGM) to members under the age of 18.’ Eating the right foods to manage blood glucose levels. This includes timing meals and counting carbohydrates Exercise Regular blood testing Regular urine testing for ketone levels How can I help my child live with type 1 diabetes? The diagnosis affects the entire family emotionally – there are various support groups and organisations for children with Type 1 diabetes and their families. A younger child may not understand all the life changes, such as glucose monitoring and insulin injections, this can lead to anxiety and depression. They may feel different from their peers, try to treat them as a normal child, with managing diabetes as just one aspect of their daily life. Ask your healthcare provider for more information and call them if you need help.  Also ensure they are following the treatment plan and are eating the right foods, exercising and testing their blood and urine.  Early detection and comprehensive management are key to ensuring children with Type 1 diabetes lead healthy, fulfilling lives. Remember that your GP is your first port of call for all your healthcare needs. 

May 1, 2025
Bonitas – innovation, life stages and quality care

Safe cribs and playpens to use when travelling

The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Make sure the mesh is less than 1/4 inch in size so it’s smaller than the buttons on your baby’s clothing. Make sure the mesh is in good repair without any tears, holes or loose threads that your baby can get caught on. Make sure the mesh is fully attached to the top rail and bottom of the bed so there are no holes for the baby to get caught in. Make sure there are no bare, missing or loose staples or nails. When in doubt throw it out – don’t use cribs or bedding that might pose a risk to your baby. It’s your job to keep them safe! Fire safety for home with newborn The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Check your smoke detectors and carbon monoxide detectors to make sure they have fresh batteries and are in working order – install them in your home if you don’t have them already. Check your fire extinguishers to make sure they are in working order – purchase them if you don’t have one on each floor of your home already. Make sure clothing and bedding meet fire safety standards – information on their fire safety rating should be on labels and tags. Insist that your home be smoke free to prevent your baby’s exposure to second-hand smoke and also as a fire prevention measure since cigarettes are a common cause of home fires. Review or update your fire escape plan to include your new baby – review the plan with everyone in the household. For more information on fire safety visit websites like the U.S. Consumer Product Safety Commission (CPSC). Fire safety prevention in home with newborn The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Do a fire safety walk-through of your entire house, check for burnable substances near heat sources, frayed or damaged electrical cords, matches or lighters within reach of children and other situations that may be a fire hazard. Never leave space heaters of any type unattended and turn them off while you are asleep. Never store flammable liquids like paint thinner, charcoal lighter fluid or gasoline in the house and always keep them a safe distance from heat sources. Check all mattresses, bedding and sleep apparel for your baby to make sure they meet fire safety requirements – this information should be on the product label. Early warning of a fire is key to keeping your family safe, so make sure your smoke detectors and fire extinguishers meet local codes and are in working order. Be prepared and have a fire escape plan that is understood by and has been practiced by the entire household, it could save lives in a fire emergency. For more information on fire safety visit websites like the U.S. Consumer Product Safety Commission (CPSC). Newborn safety tips The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Never leave your baby alone for even a minute unless they are in a secure place like a crib or playpen. Make sure you follow safe sleep recommendations when putting your baby to bed. When in the car always use a safety approved rear-facing car seat that is specifically made for newborns. Never ever leave your baby alone in a car – be especially careful during warm or cold weather. Always use safety approved car seats, cribs and toys – if they are hand-me-downs or you are buying them used, choose items that still have a safety tag attached and check to make sure they haven’t been recalled. To prevent burns never carry hot liquids or food while you are holding your baby. Pet safety and newborns The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. If you have a dog, know that certain breeds may require extra caution with a newborn – German Shepherds, Rottweilers and Pit Bulls account for more than 50% of fatal dog bites. Always closely supervise infants when in the presence of dogs even if they are not one of the above breeds – they may experience jealousy and have other unexpected reactions to a new member of the household. Keep in mind that some pet reptiles can carry infections, like Salmonella, so keep turtles, snakes and lizards away from children under 5 years of age to prevent the spread of infections. Small pets like rodents should be kept away from newborns and infants to prevent bites or the spread of Salmonella and other possible infections. Other issues: Make sure your pet is healthy – take them to the veterinarian for a check-up and any needed vaccinations before the baby is born. Keep your pet’s nails trimmed. For cats and dogs especially, you may need to work to prepare them for the new member of the family – for example, invite friends with babies over if your pets aren’t used to children – supervise their interactions as they learn about these new additions to their world. New situations can be stressful to pets so be patient and understanding with them as they adjust to the changes in their life – scolding and punishment will only add to their stress. There are many things you can do to ensure a smooth transition, so contact your local Humane Society or other animal-focused organization for additional suggestions on preparing your pets for the arrival of your new baby. Newborns and sun exposure The following information is to be used as a guide to and at the discretion of

April 17, 2025
Bonitas – innovation, life stages and quality care

Don’t let the flu catch you – be informed and prepared

As autumn approaches, so does the flu season. Influenza, also known as ‘flu’, is an acute respiratory illness caused by an infection of the respiratory tract with the flu virus. There are four types of flu viruses: A, B, C and D. Most seasonal outbreaks of flu are as a result of the A and B viruses. Respiratory infections, including flu, can pose serious health risks, especially for vulnerable groups such as young children, the elderly and those with chronic conditions. That’s why Bonitas Medical Fund has created the Respiratory Illness Hub – a go-to resource for all South Africans, addressing everything related to your respiratory health, including flu.  From prevention and symptoms to treatment and support, you’ll find all the information you need to take control of your respiratory wellbeing. To find out more, visit www.bonitas.co.za/Respiratory-Hub Let’s face it, flu is extremely unpleasant. Symptoms develop anywhere from 1 to 4 days after infection and last up to a week. Then there is usually a sudden onset of fever, muscle pains, body aches, a dry cough, sore throat, runny nose, headache and feeling tired or unwell. In severe cases, flu can lead to serious complications requiring hospitalisation, with pneumonia being the most common. Annually in South Africa, around 40 000 people are hospitalised due to flu, and the virus is linked to approximately 11 500 deaths per year. ‘The flu viruses are typically in circulation just before the winter months, so the best time to get a flu shot is in early April,’ says Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas Medical Fund.  How is flu spread? The virus is spread from person to person, through inhaling of infected respiratory droplets from sneezing, coughing or talking. You can also be infected by touching objects or surfaces that the flu virus is on and then touching your mouth, eyes or nose. Will the flu vaccine prevent flu? Think of the flu shot as preventive care: While the vaccine won’t always prevent you or your family from getting the flu, it can prevent severe and secondary illnesses related to the flu. Why a flu shot every year? All viruses mutate – meaning the genetic material of the cell changes – but not at the same rate. Some mutate very quickly, including the flu virus. The formula for each year’s vaccine is tailored to the specific type of flu that is circulating. Currently, there are subtype A(H1N1) and A(H3N2) influenza viruses. ‘Which is why we recommend an annual flu vaccine’ says Dr Hadebe.  2025 flu symptoms: Will the flu shot give me flu? No! Flu vaccines are currently made either with flu vaccine viruses that have been ‘inactivated’ and are not infectious or with no flu vaccine viruses at all. Some side effects may occur like redness, tenderness and swelling where the vaccine was given but this is mild and will only last a few days. These are infinitely preferable to a bad case of flu.  Who should get a flu vaccine? Everyone should get a flu vaccine but particularly those at higher risk including:  Who should NOT have the flu vaccine?  What about children – when should I take my child to see a doctor for their symptoms?  Reach out to your paediatrician, doctor or clinic within 24 hours of your child displaying flu symptoms, if your child:  In general, it’s a good idea to be seen by a medical professional if your child has a fever that has lasted more than 3 days and/or appears dehydrated. Go to the emergency room immediately if your child: How do I keep my child healthy during flu season?  The first and best action you can take to keep you and your family safe and healthy during flu season is annual flu vaccines. Dr Hadebe recommends everyone has a flu shot*. He says children can be vaccinated from 6 months of age but recommends you speak to your healthcare worker about when to start vaccinating against flu.    How can I prevent spreading the flu?  There are several ways you can reduce the risk of spreading flu if you are ill: Dr Hadebe says, ‘Flu can lead to various complications, such as pneumonia, bronchitis, sinus infections, ear infections and worsening of chronic medical conditions like asthma or heart disease. Complications are more common in high-risk groups.’  ‘Flu viruses spread very quickly from person to person’, he says. ‘Even if the flu vaccine is not 100% effective, it will reduce your risk of getting flu, and if you do get it, it will be a great deal milder.’  Remember your GP should always be your first port of call *All Bonitas beneficiaries qualify for 1 flu vaccine per year. *Elderly members, aged 65 years and over, qualify for 1 pneumococcal vaccine every 5 years.

April 4, 2025
Bonitas – innovation, life stages and quality care

Shining the spotlight on TB

Worldwide, TB has returned to being the world’s leading causes of death from a single infectious agent. This followed three years in which it was replaced by Covid-19. It is also the leading killer of people with HIV/AIDS and a major cause of deaths related to antimicrobial (in TB’s case antibiotic resistance.) Each year, we recognise World TB Day on March 24. This annual event commemorates the day, in 1882, when Dr. Robert Koch announced his discovery of Mycobacterium tuberculosis, the bacillus (bacteria) that causes tuberculosis (TB). What is TB?  It’s a disease that mainly affects the lungs but can also be found in any other body organ. It is caused by an organism (germ) called Mycobacterium tuberculosis which is found in the sputum coughed up by someone with TB of the lungs. It usually destroys the soft tissue of the lungs, resulting in difficulty breathing and blood can be coughed up in severe cases. If untreated, TB can cause death. World stats About a quarter of the global population is estimated to have been infected with TB, 5 -10% display symptoms and develop the disease.  Yes, it’s curable ‘It is important to remember that TB is curable, says Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas Medical Fund. ‘However, we all need to be more aware of how contagious it is, the symptoms, the importance of getting medical attention and sticking to the treatment programme.’    Where is the highest incidence of TB? TB is the leading cause of death, from a single infectious agent, with over 25% of these occurring in the African region. Multi-drug-resistant strains, which do not respond to first-line antibiotics, continue to emerge, putting at risk public health strategies which aim to reduce incidence and mortality. Tackling TB head on The South African National Strategic Plan (NSP) aims to control the spread of TB, with an ambitious goal of zero new TB infections and deaths by 2032. Clinical data from the World Health Organization (WHO) indicates that there are still too many people falling ill and dying. ‘TB also has a big impact on the economy, not only in terms of healthcare expenses but lost productivity due to absenteeism and the direct and indirect costs to business,’ says Dr Hadebe. ‘We know that not everyone has access to private medical care but public healthcare facilities offer free testing and treatment. The most effective testing method is a sputum sample or a chest x-ray.  How is TB contracted? The disease is passed on from one person to another as germs spread into the air via microscopic droplets if an infected person sneezes, coughs or releases saliva. The incubation period is 6 weeks. Stop it before it starts  TB preventive therapy (TPT) is a course of medication that reduces the risk of developing TB disease. It’s a critical public health measure in South Africa, where TB and HIV are prevalent.  How does TPT work?  TPT eliminates the TB bacteria before they can damage organs and cause illness but is only effective if given when there is no active TB disease.  Can you have TB and not be sick? Yes, TB can be ‘latent’ – it’s in your body but not active. This means you can’t spread it but, if your immune system becomes weak, (for example with HIV/AIDS), TB can become active.  What are the symptoms? It is important to note that TB is particularly difficult to diagnose in children but the symptoms can present as a cough for two weeks or more, loss of energy and appetite and quite often a mild fever.  Who is most at risk? People living with HIV/AIDS, living in the same house as someone who has had or has TB, anyone who has had active TB in the last two years, pregnant women, children under five, iabetics, people in informal settlements, undernourished people, alcoholics, smokers, mineworkers and prisoners  Treating TB Medication must be started as soon as possible and be taken regularly. It takes six months for TB to be cured completely but, within two weeks of starting treatment, you are no longer contagious. If treatment is missed, the risk of a drug-resistant strain of TB is possible, which is difficult to treat and requires a longer treatment period. Multidrug-resistant TB (MDR-TB) remains a public health crisis and a health security threat. Only about two in five people with drug resistant TB accessed treatment in 2023. What can you do? TB in the workplace If any employees or co-workers display TB symptoms, they should stay home and limit contact with others until the results from a TB test are known. Once a person has been on TB treatment for 2 weeks, they are no longer infectious and can continue to work. Dr Hadebe says, ‘If you are concerned about your health or have been exposed to TB, you must get tested urgently.’

March 20, 2025
Bonitas – innovation, life stages and quality care

When it’s not flu’….  

While the ‘official’ flu season may still be a month or two away, reports indicate a rise in respiratory illnesses like the flu, Respiratory Syncytial Virus (RSV), and Human Metapneumovirus (HMPV), suggesting an early start to the respiratory virus season, with these viruses circulating earlier than usual.  Respiratory infections can pose serious health risks, especially for vulnerable groups such as young children, the elderly and those with chronic conditions. That’s why Bonitas Medical Fund has created the Respiratory Hub – a go-to resource for members and non-members -talking about all things related to your respiratory health. From prevention and symptoms to treatment and support, you’ll find all the information you need to take control of your respiratory wellbeing. www.bonitas.co.za/Respiratory-Hub. Respiratory illnesses that are NOT flu and for which there is no vaccine What are the most common? Dr Themba Hadebe, the Clinical and Managed Care Executive at Bonitas Medical Fund says, ‘both RSV and HMPV are being detected at increasing rates, potentially indicating a broader respiratory illness surge and are more common in young children and older adults.’ Are these respiratory diseases restricted to the winter months? Studies show that in temperate regions, HMPV mainly spreads in late winter and spring, at the same time as other common respiratory viruses such as seasonal flu and RSV. RSV is highly contagious and the season in South Africa usually runs from February to May. However, it continues to spread at lower levels and can make some people sick all year around. According to The World Health Organization (WHO), it spreads like other common cold viruses do, through infectious respiratory particles that circulate through the air. This means you can catch the virus when you are in contact with a sick person or sharing a closed space with them. You can also get infected by touching contaminated surfaces like doorknobs or handles and then touching your eyes, nose or mouth.  Why are these viruses a concern? Early increases in respiratory viruses can put added strain on healthcare systems, especially for vulnerable populations like young children and older adults.  Symptoms  Coughing, wheezing, runny nose, sore throat, fever, fatigue, muscle pain, loss of taste or smell and breathing difficulties. Who’s at risk? Children under 5, adults over 65 and people with weakened immune systems. While anyone can catch HMPV and RSV, infants, older adults and those with health conditions like immunosuppression, chronic obstructive pulmonary disease (COPD) and asthma are at higher risk for severe illness. Extra care should be taken to protect at-risk groups and health care workers from any respiratory infections. How to prevent getting them  How are they treated? Is there medical prevention?  At the moment no. Two new RSV prevention strategies are being considered for licensing and use in South Africa, namely nirsevimab and a maternal RSV vaccine. Dr Hadebe says, it is the time of the year to take precautions against all respiratory diseases. ‘Not only do these respiratory diseases make you feel ill and put added strain on the healthcare system but they can compromise your long-term health. Prevention is always best, so we urge you to follow the guidelines to avoid contracting any of these viruses and also to have a flu vaccine. While the vaccine won’t always prevent you or your family from getting the flu, it can prevent severe and secondary illness related to the flu.’   For more health tips and resources on respiratory illnesses, visit the Respiratory Hub on the Bonitas website: www.bonitas.co.za/Respiratory-Hub Remember: Your GP or clinic is your first healthcare port of call.

March 18, 2025
Bonitas – innovation, life stages and quality care

All about epilepsy

It’s not surprising that Lavender is recognised as the international flower of epilepsy. Said to symbolise isolation and loneliness, often associated with epilepsy. National Epilepsy Week is celebrated from 10-16 February this year, its purpose: To create awareness about epilepsy and support the rights and well-being of individuals with epilepsy.  Dr Themba Hadebe, Clinical Managed Care Executive with Bonitas Medical Aid, discusses the causes, types, treatment and misdirected social stigma around epilepsy.  ‘Epilepsy is the most common chronic brain disease,’ says Dr Hadebe, ‘it affects an estimated 50 million people worldwide – across all ages, cultures and backgrounds.  In South Africa, 1 in every 100 people have epilepsy. As we mark the significance of epilepsy globally, it is vital to explore this brain condition, including addressing the social challenges and stigma around the disease.’  He says, ‘despite its prevalence, many people suffering from epilepsy – especially in low and middle-income countries do not receive the treatment or understanding they need.’ What is epilepsy? It’s characterised by recurring seizures, which occur when there is excessive electrical discharge in a group of brain cells. Dr Hadebe says, ‘While seizures can range from mild lapses in awareness to severe convulsions with loss of consciousness, the frequency and severity of episodes can vary widely. Although one seizure does not constitute epilepsy, people who experience two or more unprovoked seizures are diagnosed with the condition.’ In high-income countries, treatment access is more readily available but the disease remains a challenge, due to misdiagnosis and the persistence of stigma, making life difficult for those affected. It is also worth noting that up to 70% of people living with epilepsy could become seizure-free with proper diagnosis and treatment. Yet, an estimated 90% of people in some low-income countries remain untreated. This gap in access is worsened by a lack of trained healthcare providers in these areas. Causes of epilepsy There are a number of causes, including: Types of seizures There are focal seizures, which start in one part of the brain and generalised seizures, which affect both sides of the brain. Focal seizures Simple focal seizures: The person remains conscious and may experience unusual sensations, such as strange tastes or visual disturbances. Complex focal seizures: These may impair consciousness or awareness and may involve repetitive movements such as hand-wringing or lip-smacking. Generalised seizures Tonic-clonic seizures: Involve stiffening of the muscles followed by rhythmic jerking movements, often accompanied by loss of consciousness. Absence seizures: Brief lapses in awareness, often misinterpreted as daydreaming. Myoclonic seizures: Sudden, jerky movements that can affect the limbs or entire body. Atonic seizures: Sudden loss of muscle tone, which may cause falls or head drops. The impact of seizures The impact on an individual’s life can extend beyond the physical symptoms. People living with epilepsy often experience higher rates of mental health disorders, particularly anxiety and depression. In fact, the risk of premature death for people with epilepsy is up to three times higher than the general population, with the greatest risks found in low-income countries. Treatment and care Although epilepsy is a lifelong condition, seizures can often be controlled with medication. ‘The primary treatment for epilepsy is the use of antiseizure drugs and, for up to 70% of individuals, these drugs can lead to seizure-free living’ says Dr Hadebe. ‘In some cases, when medication fails, additional options like surgery, vagus nerve stimulation, or responsive neurostimulation can help manage seizures.’ Many countries lack affordable antiseizure medications and healthcare workers may not have the training necessary to accurately diagnose and treat epilepsy. The World Health Organization’s (WHO) efforts to bridge this gap include training primary healthcare providers in diagnosing and treating epilepsy, which has already proven effective in pilot projects in countries like Ghana and Myanmar. Prevention An estimated 25% of epilepsy cases are preventable. Preventing traumatic brain injuries, improving perinatal care, reducing the incidence of stroke and infections and addressing health conditions like hypertension and diabetes, can help lower the incidence of epilepsy. In tropical regions, eliminating parasitic infections like neurocysticercosis is also critical for reducing the burden of epilepsy. The impact of diet on epilepsy management Diet can play a supportive role in managing epilepsy. The ketogenic diet, a high-fat, low-carbohydrate eating plan, has been shown to significantly reduce seizure frequency in both children and adults. It works by promoting a metabolic state called ketosis, where the body burns fat for energy instead of carbohydrates, which can help stabilise brain activity.  For individuals who do not respond well to the ketogenic diet, alternatives like the Modified Atkins Diet or the Low Glycaemic Index Treatment (LGIT) can also be effective. In addition, ensuring adequate intake of omega-3 fatty acids, vitamin D and magnesium may help support brain function and reduce the risk of seizures. More research is needed to understand the impact of diet on epilepsy, but these dietary strategies offer an important complementary approach to medical treatment. Social stigma and Human Rights Dr Hadebe says, the stigma surrounding epilepsy is a significant barrier to care. ‘Many people with epilepsy suffer discrimination, whether in the form of myths about epileptics, workplace bias or limitations on their legal rights. The problem is so pronounced that Epilepsy South Africa’s hashtag is  #StampOutStigma. In some countries, people with epilepsy face challenges in obtaining marriage licenses, employment or even the ability to drive. ‘Addressing these issues requires improved public education, along with legislation that protects the rights of people with epilepsy and ensures they receive equal treatment in all aspects of life.’ Epilepsy remains a global health issue that impacts millions of lives, particularly in low- and middle-income countries. The international community, with organisations like WHO leading the charge, continue to work towards reducing the global burden of epilepsy. By recognising the causes, types and treatment options available and addressing the social stigma, we can create a more inclusive world for people living with epilepsy.  It is time to bring epilepsy out of the shadows and into the light of understanding, compassion and care.

February 12, 2025
Bonitas – innovation, life stages and quality care

Talking about HPV, cervical and the HPV vaccine

As the Department of Health gears up for the first round of Human Papilloma Virus (HPV) vaccinations for girls between 9 and 14 from February 3 to March 28, we put the spotlight on HPV and cervical cancer. The focus is on: Empowering, Preventing and Early Detection of cervical cancer. It’s important because cervical cancer kills more South African adolescents and women aged 15 to 44 than any other cancer.  It can be successfully treated, if caught early enough but it’s far better to prevent it in the first place.  Dr Themba Hadebe, Clinical and Managed Care Executive at Bonitas, provides some insights and important information about cervical cancer – caused by persistent infection with HPV – whyit is essential to screen for the virus and the vaccination that can help prevent it. Why a vaccine against HPV? HPV infects the cells of the cervix and, in some cases, the virus can persist – leading to abnormal changes in the cells that may eventually become cancerous. Over 99% of all cervical cancers are caused by persistent infection of high-risk types of HPV, including HPV-16 and HPV-18. ‘To help prevent cervical cancer, we have expanded our preventative care benefits to include the HPV vaccine across all plans,’ says Dr Hadebe.  ‘As recommended by The World Health Organization (WHO), this is 2 doses for females aged 9 to 14 years and 3 doses for females aged 15 to 26 years, per lifetime’. Screening for HPV and cervical cancer: Screening is essential to mitigate the risk of developing cervical cancer and aims to identify cervical cell changes and detect early cervical cancers before they cause symptoms. Two screening tests help with detection: It is recommended that between the ages of 21 and 65, women should have a pap smear every two years and, from the age of 30 onwards, a pap smear and HPV test should be done every 5 years. Signs and symptoms: The symptoms of the HPV virus can include: Lesions on the genital area as well as darker lesions on other parts of the body, to painful bumps on your upper limbs and skin growths on the balls of the feet and heels. The power of prevention: ‘Talk to your daughter about important lifestyle choices she must make’, says Dr Hadebe. ‘These may be uncomfortable conversations to have but they’re vitally important to protect her from HPV and subsequent diseases.’ Discussion points include the fact that the HPV vaccination is her best opportunity for protection from the virus.  In addition, she needs to consider the following: If you develop cervical cancer: Just like other cancers, cervical cancer is graded according to severity. From in situ, which means it hasn’t spread to nearby tissue, through stage one (it’s still in the original organ and small). If it progresses, it spreads to the surrounding lymph nodes and, in the most severe form, the cancer has metastasised to surrounding tissues and other lymph nodes.  As cervical cancer develops, the following may occur: ‘Cervical cancer is the most prevalent cancer among women after breast cancer,’ says Dr Hadebe. ‘Yet it has a good chance of being cured, if diagnosed at an early stage and treated promptly. Which is why, it’s important to have regular pap smears to detect any changes in the cervix and to vaccinate young girls to protect them against possible HPV infection.’  Additional information on cervical cancer and HPV can be found on the Bonitas website: www.bonitas.co.za or the Department of Health https://www.health.gov.za

February 11, 2025
Bonitas – innovation, life stages and quality care

Cwebeni gets a lifeline of water

In many rural villages across South Africa, access to clean, running water is not a convenience – it’s a lifeline.  For the villagers of Cwebeni in rural Port St Johns in the Eastern Cape, fetching water for drinking, cooking and bathing is a daily struggle.  It requires long, exhausting and treacherous walks along a narrow path to a spring, while balancing buckets. Today (November 21) there is cause for celebration as the lives of this local community are being transformed, thanks to the provision and activation of a borehole and access to running water. The need The village of Cwebeni of around 400 households and 3 000 residents, face many challenges. There are few employment opportunities and little access to basic services – such as clean water, sanitation and road infrastructure. They have not had water in the communal taps for the last eight years. This means locals, including the elderly, walk up to 5km every day to access water from a water hole they share with the livestock.  ‘The entire community has suffered because we don’t have easy access to water,’ says Zuzukeli Duna, Principal of Cwebeni Junior Secondary School.  ‘Without water, daily tasks like cooking, bathing and growing food in our gardens are very difficult. A borehole would make a significant difference to us. It will greatly improve life for thousands of people in our community as well as the 361 learners at our school.’ ‘For many of us, water is readily available, so we don’t stop to think what life would be without it,’ says Dr Imtiaz Sooliman of Gift of the Givers.  ‘But access to water is a human right and, without it, communities face huge challenges including the threat of diseases, poor hygiene and malnutrition. Clean water and sanitation go hand in hand with dignity.’ Which is why when Gift of the Givers visited Cwebeni on a hunger alleviation intervention and were alerted to this crisis, they stepped in and approached Mr Duna for permission to drill on the school grounds to look for a good source of water. ‘We always attempt to place boreholes at institutions, such as schools, to secure the infrastructure,’ explains Dr Sooliman.  ‘This provides a solution for both the school and community as we extend the water outlets to outside of the school property, so that the community can benefit too.’ The intervention Gift of the Givers began exploring the possibility of a borehole and approached Bonitas Medical Scheme for funding, as part of the Scheme’s ongoing commitment to community upliftment. Feasibility studies were conducted in March, drilling began in April when water was found, yielding 960 litres per hour. The borehole, at a depth of 200 metres, was completed in July and is solar powered. The pump and control box are run off 4 x 430-watt solar panels and the system has a 1.1 kw solar motor and a Dab 24-1/37 pump. The borehole has been lined with a PVC casing to lessen the risk of collapse and 2 x 5 000 litre storage tanks are on site, as well as two taps – one inside the school grounds and the other outside for community access. Due to the water testing results showing elevated levels of coliform bacteria and to provide  safer and better-quality water, 4 x UV lights have been installed to kill the bacteria. However, it is recommended that water be boiled for drinking. The perfect partnership The partnership between Gift of the Givers and Bonitas began in 2018, the key objective: To provide relief to the most vulnerable and marginalised communities, specifically in the field of healthcare interventions.   Lee Callakoppen, Principal Officer of Bonitas says, ‘It’s wonderful to be able to make a difference in the lives of the villagers of Cwebeni. This precious resource is essential to every aspect of life. Water provides the chance for a brighter, healthier future and no one should be denied this fundamental right. ‘This project – and others – rolled out with Gift of the Givers, reinforces our commitment to being the medical aid for South Africa.   It’s the perfect partnership, as we have the same passion and drive to assist where it is needed most. We have over 65 000 members based in the Eastern Cape and so are pleased to support this Province, in a small but meaningful way and help change lives.’ Impacting lives ‘We are so grateful to Gift of the Givers and Bonitas for undertaking this project,’ says Duna.  ‘Life has been tough, especially during the winter but we’re so happy that we now have a borehole and access to running water within the village. It is going to make the lives of our community so much easier’.   Dr Sooliman says, ‘The simple act of turning on a tap and seeing water flowing, inspires hope and possibility for a more prosperous life.’ Future investment Bonitas has committed to continuing to work with Gift of the Givers on projects that help impact the lives of vulnerable and marginalised communities, with a bias towards health interventions and access to clean water. 

November 27, 2024
Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 40 of your pregnancy

Congratulations, you’ve reached the milestone that you’ve been counting up to from the beginning. It may feel surreal to think that 40 weeks ago you had your last period and now you’re about to welcome your new baby into your life. The third trimester of your pregnancy may have been fairly difficult, as your baby and belly take up more room, and your body adjusts to accommodate your growing little one. Your body at week 40 At week 40 your body is ready to give birth after housing and growing your baby for 9 months. So close to birth you may notice changes in your baby’s fetal movement, however, they will still be moving around, so if you notice a big decrease in movement, contact your doctor. Until birth, you’ll experience typical pregnancy symptoms, including leg cramps, back and pelvic pain, trouble sleeping and diarrhoea, which is normal close to birth. Your baby at week 40 At week 40 your baby is now full-term. When your baby is born you’ll notice that they are covered in a mixture of blood, vernix and amniotic fluid. On average, baby’s at week 40 weigh about 3,5 kg and they’ll be roughly the size of a pumpkin. Even though they are just about to be born, the lungs, liver and brain are still developing. Things to keep in mind at week 40 Labour can be overwhelming, and it’s important to remember that you can do this. While your doctor will have given you a due date, it is possible that your baby won’t arrive on the dot. So make sure that you keep aware of the signs of labour and have your birth plan, hospital bags and any additional plans ready (such as making sure you have someone to look after your other kids if you have).

November 1, 2024
Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 39 of your pregnancy

You’re now one week away from week 40 – the final week of your pregnancy. Strange to think back 39 weeks, where you wouldn’t even have known you were pregnant. Lots has changed since then, and a lot will continue to change before and after birth. Your body at week 39 At this point, you’ll definitely be feeling your pregnancy. Braxton Hicks contractions, leaking colostrum from your nipples and the frequent urge to urinate may all be part of your daily life. You may be having trouble sleeping, struggling with pelvic and back pain, and your vaginal discharge may be tinged with pink or brown as the blood vessels n your cervix rupture. It is possible to be diagnosed with preeclampsia in your last weeks of pregnancy. This is high blood pressure in pregnancy and is accompanied by protein in your urine and swelling of the hands and feet. Vomiting, nausea and dizziness are also symptoms you may have preeclampsia, and if you suspect you have it you’ll need to contact your doctor right away. Your baby at week 39 Your baby is now roughly the size of a honeydew melon and is considered full term if they’re born this week. At this point, their lungs are producing surfactant so that when they take their first breath, the air sacs won’t stick together. Things you should keep in mind at week 39 You may be wondering if you can still keep doing light exercise, or what you can do to keep active during this time. Exercise in late pregnancy is still doable and is a good idea if you’re feeling up to it. Although you may be worried about damaging your growing baby, exercise during this time is beneficial as it can help strengthen your body for delivery and birth. That being said, it’s important to clarify what you plan on doing with your doctor, and focus on short, low-intensity exercises such as certain yoga and water aerobics.

October 21, 2024
Bonitas – innovation, life stages and quality care

Pregnancy, your body and your baby – week 38 of your pregnancy

There are now two weeks left of your official pregnancy span, however, there is even a chance that you may get to meet your little one sooner, as about 5% babies are born before or after their due dates. Your breathing may be feeling easier, as your baby moves lower down into your pelvis. But this can leave you with an increasingly shrinking bladder and smaller tasks that used to feel easy are now more difficult. Your body at week 38 Don’t be surprised if your nipples start leaking colostrum around this time. You may also be experiencing frequent Braxton Hicks contractions (which will be helping to prepare you for the real deal) and your nesting instincts may have kicked in, leaving you with a strong urge to clean and organise your house. Other common pregnancy symptoms at this time are frequent urination and pressure on your pelvis and hips as your baby has dropped lower into your abdomen. You may also be struggling to sleep, have swollen feet and ankles and your vaginal discharge may be tinged pink or brown. Your baby at week 38 Your little one is almost ready to meet the world! Your baby has probably shed the soft hair, lanugo, which covered their body (although some are born with patches). Although they are mostly fully developed, if born now, they will be considered early term. They are still continuing to add fat on their body, and the brain and nervous system are continually developing. Things to keep in mind at week 38 One of the questions you may have going through your mind, is how will you be sure that labour has started? Birthing classes are a good way to get to know what to expect, but if you haven’t been able to attend any of those, there are other ways to know that your baby is on its way. Your cervix will start dilating, which your doctor will be able to track in weekly check-ups. You may experience diarrhoea and during labour  you’ll have frequent contractions which will grow stronger over time.

October 14, 2024
Load More

Sidebar Image

Scroll to Top