Bonitas - Parenting Hub

Living longer isn’t enough, it’s time to live better

Good news: South Africans are living longer. According to Statistics South Africa’s 2025 Mid-Year Population Estimates, life expectancy has climbed to 64 years for men and 69.6 years for women. This marks a remarkable recovery from the devastating lows of the early 2000s, when the HIV epidemic cut lives tragically short. Expanded access to antiretroviral treatment deserves enormous credit for that turnaround. But here is the number that should stop us in our tracks: our healthy life expectancy sits at just 52.8 years. That means the average South African spends roughly a decade, sometimes more, living with illness, disability, or diminished quality of life before they die. We are adding years to life, but we are not yet adding enough life to years. This World Health Day, on 7 April, that is the conversation we need to be having. A nation under double pressure South Africa’s health landscape is uniquely complex. We carry a double burden of disease that few countries face at the same scale. On one side are communicable diseases: an estimated 8.15 million South Africans are currently living with HIV, representing 12.9% of the total population. On the other, non-communicable diseases (NCDs) are rising at an alarming rate and they are increasingly becoming the silent drivers of preventable death. Diabetes is perhaps the starkest example. Its prevalence has nearly tripled over a decade, from 4.5% in 2010 to 12.7%. By 2019, an estimated 4.58 million South Africans between the ages of 20 and 79 were living with the condition. More troubling still? Over half of them (52.4%) were undiagnosed. High blood pressure and heart disease follow a similarly concerning trajectory, steadily eroding the life expectancy gains we have worked so hard to achieve. The root of this problem is not only a lack of healthcare access though that inequality remains real and urgent. A significant part of the challenge is a lack of health literacy: people not knowing their numbers, not understanding their risk, and not knowing when or where to seek help. Information is healthcare World Health Day is not just about healthcare systems. It is about ensuring that every person, regardless of income, geography, or education level has the knowledge they need to protect their own health. That is health literacy. And it is one of the most powerful, and underused, tools we have. At Bonitas, we believe that a medical scheme’s role extends far beyond paying claims, we are a healthcare partner. That means meeting our members where they are: helping them understand their conditions, navigate the system, and make informed decisions before a health crisis forces their hand. Our Be Better Benefit is a direct expression of that philosophy. It is designed to empower members to take a proactive approach to their health, offering access to wellness screenings, tests, vaccines and preventative care measures – helping with early detection of health issues, and allowing for timely intervention. Because the best claim is the one that never needs to be submitted. Part of health literacy is understanding your medical aid, not just having it. Too many South Africans are either underinsured, enrolled on benefits that do not match their actual health needs, or simply uncertain about what their plan covers. With NCDs now affecting South Africans across every age group and income bracket, having the right cover is not a luxury. It is a necessity. Choosing the right medical scheme benefit option means understanding your family’s health profile: your age, chronic conditions, preventative care needs, and anticipated healthcare use. It means asking the right questions. And it means having a scheme that gives you the tools, and the transparency, to make those decisions confidently. A shared responsibility South Africa has made genuine, hard-won progress in public health. Infant mortality has dropped to approximately 23 deaths per 1,000 live births. Under-five mortality has fallen to around 26 per 1,000. But the next frontier of progress will not be won in hospitals alone. It will be won in the daily decisions people make about their health: whether it is getting screened, managing a chronic condition, or seeking care early rather than later. For that to happen, people need information, support, and a healthcare partner they can trust. This World Health Day, we at Bonitas reaffirm our commitment to being exactly that, not just a funder, but an educator, an advocate, and an ally in every South African’s journey towards a longer, healthier life. For more information on the Bonitas Be Better Benefit and to find the right benefit option for you and your family, visit www.bonitas.co.za.

April 7, 2026

What is HELLP?

Pregnancy and the arrival of a new baby is a time of great excitement and joy for expectant parents. However, occasionally there can be complications, which is why pregnant moms should have regular health checks and be aware of any unusual symptoms that may develop. Over the past few years, there has been discussion around a condition known as HELLP Syndrome. It’s a life-threatening complication in pregnancy that can be difficult to diagnose. We reached out to Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund and his clinical team, to get some answers and advice about HELLP. What is HELLP Syndrome? HELLP (Haemolysis, Elevated Liver enzymes, Low Platelet count) Syndrome usually develops before the 37th week of pregnancy but can occur shortly after delivery. It’s a serious complication that affects the blood and liver. H = Haemolysis is the breakdown of red blood cells that carry oxygen from lungs to the rest of the body. EL= Elevated liver enzymes. High levels of these chemicals in the blood can be a sign of liver problems. LP = Low platelet count. Platelets are little fragments of blood cells that help with blood clotting. A low platelet count can lead to serious bleeding. What causes HELLP? ‘We don’t know what causes HELLP syndrome,’ says Dr Mkhatshwa, ‘however, you are at risk if you have pre-eclampsia or eclampsia.’ About 1 to 2 in 10 pregnant women (10 to 20 percent) with pre-eclampsia or eclampsia develop HELLP. Pre-eclampsia is caused by high blood pressure. It usually starts after the 20th week of pregnancy or giving birth. Eclampsia is when pre-eclampsia is uncontrolled and causes seizures. Many women are diagnosed with pre-eclampsia before they have HELLP which is a more severe form of pre-eclampsia. What are the symptoms / signs of HELLP? You may feel tired, have pain in the upper right part of the belly, bad headaches and nausea or vomiting. You may also experience swelling, especially of the face and hands and blurry vision. Some women develop HELLP suddenly, without having any signs or symptoms. If you have any signs of HELLP Syndrome, call your medical practitioner, emergency services or go to a hospital emergency room for medical care right away. How is HELLP diagnosed? To find out if you have HELLP Syndrome, your healthcare provider will do a physical exam to check for: Belly pain or soreness, especially in the upper right side An enlarged liver High blood pressure Swelling in your legs Other tests could include: Blood tests to check your liver enzyme levels, lactate dehydrogenase and full blood and platelet count with a peripheral smear Urinalysis to check for protein in the urine A CT scan to see if there’s bleeding in your liver Non-stress test or ultrasound to check your baby’s health. A non-stress test checks your baby’s heart rate, in the womb, to see how the heart rate changes when your baby moves. This test is to make sure your baby’s getting enough oxygen. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb Is HELLP painful? Symptoms of HELLP include serious pain just below the ribs, or the upper right side of the chest area (where the liver is), shoulder pain or pain when breathing. How is HELLP treated? You may be given medication to control your blood pressure and prevent seizures or you may require a blood transfusion to treat anaemia and low platelet levels. Early birth may be necessary because HELLP complications can get worse and harm both you and your baby – either through an induced labour or by C-Section depending on the health assessment results of the baby. How does it impact the baby? Infants born to mothers with HELLP Syndrome may have a variety of birth injuries: Intrauterine growth restriction (IUGR) or severe respiratory distress. Are there long term effects of HELLP? A history of HELLP Syndrome means you are at increased risk for recurrent pre-eclampsia and HELLP Syndrome as well as increased long-term morbidities, particularly depression and chronic hypertension. Can HELLP develop after childbirth? Yes, up to 30% of all patients who develop HELLP Syndrome do so after giving birth, typically within 48 hours. Can I have another baby after HELLP syndrome? If you had HELLP in a previous pregnancy, regardless of the time of onset, you have a greater risk for developing it in future pregnancies. ‘The condition is serious but rare’, stresses Dr Mkhatshwa. ‘Throughout your pregnancy it’s important to understand the changes your body is going through and to discuss any unusual pain or symptoms with your medical practitioner. This will ensure you receive the right help especially if you develop a complication and make the pregnancy and birth the joyous event it should be!’

April 3, 2026

Closing the gap on eye care through early detection this World Optometry Week

Uneven access to optometry services in South Africa puts pressure on prevention, but collaboration and technology are helping shift the dial. Access to good eye care in South Africa remains uneven, resulting in many conditions being diagnosed too late. World Optometry Week, observed from 22 to 28 March, shines a light on this reality, where one in 10 South Africans suffers from some form of vision loss, highlighting the importance of eye health and the role early detection plays in preventing avoidable vision loss. This challenge is exacerbated by the fact that, while there are approximately 4 200 registered optometrists in South Africa, only a small proportion practise in the public sector. This limits access to care for many communities and delays diagnosis, particularly in under-resourced areas. As a result, prevention remains one of the most important, yet underutilised, tools in protecting eye health. “The reality is that many serious eye conditions develop without noticeable symptoms early on,” says Dr Themba Hadebe, Clinical Executive at Bonitas. “By the time vision is affected, the condition may already be advanced. Regular eye tests are critical in detecting issues early and preventing avoidable vision loss.” This year’s World Optometry Week theme, “A Shared Vision: Collaboration in Global Eye Care”, underscores the need for a coordinated approach to improve access, strengthen prevention and enable early diagnosis. This is one way to ease pressure on the broader healthcare system, since identifying conditions earlier reduces the likelihood of more complex interventions later, benefiting both patients and providers. Why early detection matters Conditions linked to chronic illnesses, particularly diabetes, remain a significant contributor to vision loss in South Africa. Diabetic retinopathy is among the leading causes of blindness in working-age adults, yet it often develops without pain or early warning signs. Advances in optometric technology are beginning to shift how the risks of permanent damage are identified and managed. Developments highlighted by the American Optometric Association point to a growing role for AI-assisted diagnostics and enhanced imaging in improving both the speed and accuracy of screening. These tools support clinicians by flagging potential abnormalities during routine eye tests, enabling earlier referral for further assessment where needed. Within this context, collaboration between medical schemes and provider networks plays a role in strengthening preventative care. Through its partnership with PPN, Bonitas provides members with access to diabetic retinopathy screening as part of the eye testing process at participating network practices. The screening process uses AI-assisted technology to evaluate retinal images in real time, flagging any irregularities that could indicate early-stage disease. This allows clinicians to identify potential issues ranging from diabetic retinopathy to glaucoma or macular degeneration before they progress to more serious stages. Patients who require further assessment are referred for secondary care, ensuring timely intervention and reducing the risk of irreversible vision loss. “This approach extends the reach of early detection by combining advanced technology with coordinated care and helps make the most of the limited number of specialists available,” says Hadebe. “Spotting problems early dramatically improves outcomes while reducing pressure on our healthcare system. In practice, it means a member could walk into a routine check-up and leave with peace of mind, or if something is flagged, a clear path to treatment.” As World Optometry Week highlights, awareness must translate into action. In a healthcare environment where access is not equal, regular eye tests, particularly for those at higher risk, remain essential to safeguarding vision and improving long-term health outcomes.

March 20, 2026

TB awareness remains critical in South Africa’s ongoing fight against this persistent disease

Tuberculosis (TB) may feel like a disease of the past to many people, yet in South Africa it remains one of the country’s most serious public health challenges. Despite years of progress in treatment and prevention, TB continues to claim thousands of lives and affect hundreds of thousands of families each year. In fact, the World Health Organization estimates that around 54,000 people died of TB in South Africa in 2024, while about 249,000 people fell ill with the disease. While these numbers represent a decline from previous years, showing that the country has made measurable progress, there are still thousands of people with TB who remain undiagnosed and untreated, continuing the cycle of transmission in communities. “As a country, we have made important strides in improving TB diagnosis and treatment outcomes, but the disease remains a significant health threat,” says Dr Themba Hadebe, Clinical Executive at Bonitas. “Continued awareness, early testing and access to appropriate care are critical to reducing the number of people who become seriously ill or die from TB.” Early detection and prevention remain key The disease is caused by bacteria that spread through the air when a person with active TB coughs, sneezes or speaks, making early detection and treatment essential to limiting its spread. The most common symptom is a persistent cough that lasts for two weeks or longer, sometimes accompanied by blood or mucus. Other warning signs may include fever, night sweats, fatigue, unexplained weight loss and chest pain. Because TB can develop gradually, some people may not recognise the symptoms immediately or may attribute them to other illnesses. “This is why regular screening plays a crucial role in preventing the disease from spreading,” adds Hadebe. “TB screening services are widely available in South Africa through public clinics, hospitals and private healthcare providers, and people who are at higher risk, including those living with HIV, diabetes or other conditions that weaken the immune system, are encouraged to screen more regularly. Diagnostic tests such as sputum tests or chest X-rays can help confirm the presence of TB and ensure treatment begins as soon as possible.” Prevention also extends to everyday practices. Because TB spreads through the air, opening windows and doors, allowing fresh air to circulate, and practising good respiratory hygiene, such as covering the mouth and nose when coughing or sneezing, are simple but effective steps that help limit the spread of infection. Addressing stigma to strengthen the response Beyond medical treatment and screening, the stigma and misinformation surrounding TB are another barrier that continues to undermine TB control efforts. Many people still hesitate to test for TB or disclose their diagnosis because they fear judgement from others. This reluctance can delay treatment and allow the disease to spread further. It’s important that people are educated on the fact that TB is both treatable and curable, and contracting the disease is not a reflection of personal failure. When communities understand this, people are more likely to seek help early and adhere to treatment. “Medical schemes, healthcare providers and communities all have a role to play in ensuring people feel supported rather than judged when they seek care,” says Hadebe. “Our focus as a medical scheme is on encouraging preventative care and ensuring members have access to the screenings and health assessments that help detect risks early.” A broader focus on preventative health can also play an important role in strengthening the country’s response to diseases such as TB. Regular health screenings help people better understand their overall health and identify conditions, such as diabetes, that can weaken the immune system and increase vulnerability to TB. For Bonitas members, this preventative approach is supported through access to annual wellness screenings that measure key health indicators such as blood pressure, cholesterol, blood glucose and body mass index. Members can also complete online health assessments through the Bonitas Member App or the Member Zone, which provide personalised health insights and recommendations and can encourage people to seek medical advice sooner when symptoms arise. While progress against TB in South Africa is encouraging, the fight is far from over. TB Awareness Month serves as an important reminder that everyone has a role to play in protecting their own health and that of their communities. Recognising symptoms early, seeking testing when needed and supporting those undergoing treatment can make a meaningful difference in slowing the spread of the disease.

March 19, 2026

Why contraception should be treated like any other preventive health measure

While flu shots, pap smears and blood pressure checks are the preventative measures we more readily associate with preventive healthcare, contraception should feature just as prominently on that list, yet it is still often considered an ‘optional extra’. According to a recent study, about 49% of all pregnancies in low- and middle-income countries are unintended. In South Africa, more than half of pregnancies are reported as unintended, with about 20% unwanted and 35% mistimed. Dr Themba Hadebe, Clinical Executive at Bonitas, says that the public must become more informed on the importance of it. ‘Contraception must be recognised as a core part of preventive medicine, because it directly reduces maternal complications, unsafe abortions and the social and economic strain that unplanned pregnancies place on families.’ This year’s World Contraception Day, themed ‘A choice for all. Freedom to plan, power to choose’, is a reminder that the conversation on reproductive health cannot exclude the topics of prevention, choice and empowerment. Tackling barriers to access Despite its proven benefits, contraception remains out of reach for many South Africans. Barriers such as cost, limited availability in certain regions, stigma and misinformation continue to prevent people from making informed choices about their reproductive health. Dr Hadebe notes that making contraception a more prominent part of preventive healthcare starts with knowledge and support. ‘For our members, normalising contraception as preventive medicine means providing clear information and, of course, easy access to the benefits they are entitled to. The more people understand their options and how to use them effectively, the more confident they can be in making decisions about their health and their futures.’ For medical scheme members in particular, contraception should never be seen as an out-of-pocket luxury. At Bonitas, all women up to the age of 50, have access to contraceptives alongside other preventive measures such as wellness screenings and check-ups. In this way, individuals can make proactive choices that protect both their health and financial wellbeing. Normalising contraception as routine care ‘Preventative care should not only be viewed as the notion of keeping illnesses at bay, but rather as a means for empowering people to make decisions that keep them healthy and secure,’ says Dr Hadebe. ‘This includes reproductive health, which is central to overall wellness.’ This year’s World Contraception Day calls for contraception to be viewed and treated as routine healthcare. When placed alongside the already normalised forms of preventative care, contraception becomes less stigmatised and more widely accepted as part of the everyday health toolkit. This has a number of positive ripple effects, namely reducing maternal risks, as well as empowering women and their families to make informed decisions about their own reproductive health.

March 16, 2026

Bonitas celebrates record growth and broker excellence at 2026 Top Broker Awards

Bonitas Medical Fund hosted its annual Top Broker Awards last night, recognising the leading brokers, advisers and brokerages whose performance and partnership helped drive the Scheme’s growth in 2025. The awards reinforce the strategic role brokers play in educating members and guiding them through healthcare decisions that have long-term impact. Brokers form an integral part of Bonitas’ distribution ecosystem, helping individuals and corporates match needs with the right medical cover and support. The evening brought together South Africa’s foremost advisory professionals, as Bonitas honoured top performers across multiple categories, including Bronze, Silver, Gold, Platinum and Special Awards. The pinnacle accolade, Bonitas Broker of the Year, was awarded to AlexForbes, reflecting its exceptional performance with more than 5 000 new principal members enrolled during the year. Record growth and impact Bonitas entered 2026 on the back of a strong 2025 performance, building on record financial results and membership growth reported in 2024. The Scheme achieved its highest January intake ever this year and with substantial gains in total lives covered and diversification across market sectors. This is a key milestone in the Scheme’s strategic redirection in appointing new providers with a diversified, innovative skillset to optimise performance in terms of wellness, marketing, new business, digital and data management. Bonitas Principal Officer Lee Callakoppen acknowledged the contribution of the broker community to this performance, highlighting that sustained member growth is rooted in conversations, trusted advice and deep professional relationships. “Behind every membership figure is a family, an employee, an individual whose peace of mind has been strengthened by the assurance of quality healthcare. Our brokers make that possible,” said Callakoppen. He further emphasised that the Scheme’s robust financial position allows it to absorb cost pressures while maintaining competitive pricing and benefits for members. Celebrating excellence across categories A total of 31 awards were presented, each backed by detailed actuarial analysis and independent evaluation of performance based on new principal members enrolled during 2025. Awards recognised not just volume but quality of growth and strategic contribution. Among the standout winners: Special awards included Best Net Growth (NMG Consultants and Actuaries), Most Sustainable Book (Wynsam Wealth) and Best New Performing Broker (Nexus Independent Financial Professionals). The inaugural Top Wellness Broker Award, reflecting commitment to member health engagement and risk profiling, went to AlexForbes. The evening spotlighted not only strong performance but also the breadth of expertise and resilience within South Africa’s advisory community. Bonitas reiterated its commitment to ongoing collaboration with brokers to enhance service delivery, strengthen member outcomes and respond to evolving healthcare needs. “Our shared work extends beyond figures,” Callakoppen added. “It is about improving access to care, enabling sustainable healthcare decisions and building trust across all segments of our membership.”

March 9, 2026

‘Foot and mouth’ vs ‘hand, foot and mouth’ disease: What’s the difference?

Following South Africa’s declaration of foot and mouth disease as a national disaster in February 2026, there has been intensified public attention on the outbreak affecting livestock across parts of the country. There have been a number of South Africans who have confused this with the common childhood illness, ‘hand, foot and mouth’ disease, resulting in widespread panic and misinformation. It’s important to note that the two diseases are not related, despite the similarity to one another, and the current outbreak poses no public health risk to humans. Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund, says understanding the distinction is key. “When a disease affecting animals shares part of its name with a human illness, it is easy for people to assume the worst. The current foot and mouth disease outbreak affects livestock only and does not pose a risk to human health. Clarifying this helps families respond appropriately and prevents unnecessary worry or medical visits.” The difference between the two diseases Foot and mouth disease affects cloven-hoofed animals such as cattle, sheep and pigs. It is a highly contagious viral disease within animal populations and is managed through veterinary controls, movement restrictions and vaccination programmes. Its impact is agricultural and economic, not human. Hand, foot and mouth disease, by contrast, is a viral infection that affects people, most often young children. Typically caused by coxsackievirus, it spreads through close contact in settings such as homes and schools. Symptoms may include mild fever, mouth sores and a rash on the hands and feet. Most cases are self-limiting and resolve with supportive care. There is no crossover between the two viruses in this context and the livestock outbreak does not increase the risk of hand, foot and mouth disease in communities. “Heightened media coverage has contributed a lot of the uncertainty, especially in an environment where information circulates rapidly across social platforms,” says Hadebe. “Part of caring for our members is helping them interpret health developments accurately, and this means providing access to clear, evidence-based information. This enables people to make appropriate decisions about when medical care is required and when reassurance is sufficient.” Parents and caregivers should seek medical advice if a child develops symptoms consistent with hand, foot and mouth disease, especially persistent fever, signs of dehydration or unusual lethargy. However, precautionary medical visits are not necessary in response to the livestock outbreak alone. While the foot and mouth disease outbreak remains a serious issue for the agricultural sector and the broader economy, it does not constitute a human health emergency.

February 26, 2026

The silent risk of ignoring your health: Why annual screenings matter in 2026

Between the demands of work, taking care of a family and perhaps even trying to fit in some semblance of social enjoyment, maintaining your own and your loved ones’ long-term health and wellbeing can become less of a priority. You might even wait until a problem arises to get health concerns checked. For those in their mid-thirties and early forties, however, the biggest threats to long‑term wellbeing rarely announce themselves with pain or cause for alarm. Conditions such as high blood pressure, elevated blood glucose, high cholesterol and early‑stage cancers tend to progress quietly, only becoming apparent when they have advanced significantly, and often in later years when there is less you can do to help matters. If this sounds like you, you wouldn’t be the only one potentially neglecting your own and your family’s future health. Non‑communicable diseases (NCDs) are now among the leading causes of death and disability in South Africa, responsible for 51% of all deaths. These are driven by lifestyle factors such as limited physical activity, diet patterns and stress. ‘We have seen numerous provincial health authorities across the country highlighting a rapid rise in NCDs and have launched community screening campaigns to address issues such as elevated blood glucose and blood pressure before complications arise,’ says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘This is evidence of the national push towards early detection and prevention as key tools in controlling the NCD epidemic, and it’s important that all South Africans start taking their health more seriously.’ Screenings are non-negotiable Annual health screenings are the frontline in this preventative approach. A comprehensive screening gives a clear picture of where your body stands right now, capturing key indicators such as blood pressure, glucose levels, cholesterol, body mass index and waist‑to‑hip ratio which are known predictors of future health outcomes. Detecting abnormalities early allows for simpler interventions, often involving lifestyle changes or medicine that prevent progression to chronic and costly conditions. ‘For someone juggling career and family commitments, prevention over treatment is the obvious preference in both practical and financial terms. Waiting until a condition causes symptoms frequently means discovering it at a stage where treatment is more complex, costly and disruptive,’ says Hadebe. ‘Managing early indications through regular monitoring, diet, physical activity and targeted medical support is typically far more affordable and less disruptive than hospitalisation or long‑term specialist care.’ Bonitas’ annual wellness screening, available to all members aged 21 and over, is designed with this real‑world need at its core. It brings together essential tests that can identify silent conditions long before they escalate, helping members understand their current health status and make informed decisions about next steps. Early detection not only reduces personal risk but also lessens the strain on health systems and households. This is useful with conditions like hypertension or diabetes, which when caught early and managed efficiently, result in fewer emergency hospital admissions, fewer complications and less time away from work. This matters for quality of life and for productivity in a workforce already stretched by the demands of the modern economy. Getting a fuller picture of your health There are further advantages to annual screenings beyond spotting the unseen. The process helps individuals gain a fuller understanding of how lifestyle, genetics and environment affect their health. It acts as a checkpoint, encouraging people to evaluate habits and set actionable goals around nutrition, exercise, sleep and mental wellbeing. And the reality is that for many, seeing numbers grounded in medical data provides the impetus to make lasting changes. Importantly, being proactive about health also builds continuity with healthcare providers. Regular engagement allows practitioners to observe trends over time and refine personalised health plans, and to intervene when risk factors worsen. This continuity improves diagnosis accuracy and fosters a partnership in health management that extends beyond reactive care. As South Africa continues to scale up early detection efforts and broaden access to screening services across age groups and communities, prevention should be part of your health routine. Annual health screenings are an accessible and effective way to guard against silent conditions that can undermine long‑term wellbeing. ‘Your health is one asset you cannot afford to neglect. Take advantage of your annual wellness screening available to you from your medical aid, and protect yourself, your family and your futures,’ concluded Hadebe.

February 23, 2026

Medical aid myth busting: The misunderstandings we’re leaving behind in 2026

From tracking steps and calories to getting the gains at the gym and taking care of mental and emotional wellness, South Africans have never been more health conscious. At the same time, there is a growing disconnect in how we perceive the systems that protect that health. As we step further into 2026, it’s important to debunk the myths around medical aid that often cloud our judgement when it comes to looking after our own health and that of our families. Cover without interruption should be high up on our list of resolutions this year, and to achieve this, it’s important that South Africans get the facts straight. Myth 1: Medical aid is a luxury The most pervasive myth is that medical aid is a luxury. The data, in fact, suggests otherwise. According to the Council for Medical Schemes (CMS) 2024 Industry Report, hospital expenditure remains the dominant cost driver in South Africa, accounting for nearly 36% of total benefits paid. ‘Medical aid acts as a bridge to immediate, specialised intervention,’ says Lee Callakoppen, Principal Officer of Bonitas Medical Fund. ‘For a scheme like Bonitas, being a member is a guarantee of access to a network of private facilities when time is the most critical variable.’ Myth 2: Plan adjustments mean lower quality There is a common fear that moving to a different plan within a scheme is a step backwards. In reality, the healthcare market is defined by customisation, allowing you to choose a plan that fits your specific lifestyle and healthcare needs without paying for bells and whistles you don’t use. This is best seen in the rise of options that make strict use of networks and digital-first plans like Bonitas’ BonCore that was unveiled in September last year. Network options offer reduced monthly premiums by requiring members to use a specific group of healthcare providers with whom preferential rates have been negotiated. BonCore takes this further by offering a digitally enabled hospital plan that combines unlimited hospital cover with virtual-first primary care. This means that simple GP consultations happen via video link, which lowers costs and increases convenience while still providing a Benefit Booster for physical visits and specialised tests. Myth 3: Secondary products can stand alone A dangerous trend has seen some people viewing gap cover or health insurance as a replacement for full medical aid membership. While these tools have their place, they are designed as supplements and not replacements. Gap cover, for instance, is a vital tool for managing specialist shortfalls, but it relies on the foundation of a medical aid to function. Without that foundation, the protection is incomplete. Real security comes from a holistic ecosystem, with Prescribed Minimum Benefits (PMBs) ensuring that a pre-determined list of chronic conditions and emergency procedures are covered by law, regardless of the plan you choose. Myth 4: Public-private hybrids are a universal quick fix While the integration of public and private care is a key pillar of national health policy, the immediate reality for many in 2026 comes down to capacity. Public facilities are under significant strain, and while insurance products linked to public care provide a basic entry point, they often lack the elective agility that private medical aid provides. In simple terms, this means that while you might be covered for a life-threatening emergency, you could face a very long wait for elective procedures like hip replacements, cataract surgery or specialised scans. Securing private care through a scheme with a broad national footprint allows for proactive health management and the ability to treat a condition before it becomes a surgical emergency. Myth 5: Medical schemes prioritise the young and healthy South African medical schemes operate on a principle of social solidarity. This means that all contributions go into a collective pool of funds to be used by all members, as and when needed. As per the Medical Scheme’s Act 131 of 1998, open schemes are legally required to accept all applicants. In fact, Bonitas’ 2026 strategy emphasises preventative care for all life stages, which includes a series of health screenings, vaccinations and wellness assessments. This ensures that the Scheme’s R9 billion in reserves is used to keep all members healthy for longer, regardless of age. ‘Ultimately, being a member of a medical aid is about having a partner that bridges the gap between health consciousness and health security. We must move beyond viewing healthcare as a grudge purchase to seeing it as a vital tool for long-term resilience,’ concludes Callakoppen.

February 4, 2026

Bonitas Medical Fund revitalises future of healthcare in South Africa with new strategic partners on board

The healthcare industry has evolved significantly in the past decade with innovation, improved servicing and consolidation of medical schemes emerging. Bonitas Medical Fund has taken a strategic step in responding to the needs of its members and the Health Citizens of South Africa, by appointing Momentum Health as its new administrator from 1 June 2026. With a considerable history spanning over 4 decades, Bonitas Medical Fund has emerged as one of the leaders in the medical scheme market. Covering over 750 000 lives, the Scheme is known as the medical aid for South Africa with a range of options – strategically designed to meet the needs of South Africans from all walks of life. The change in administration is in line with the guidelines of the Health Market Inquiry and the industry Regulator, the Council for Medical Schemes (CMS). In 2024, the CMS stated that, “one of the main issues driving market stagnation is the prevalence of ‘evergreen’ contracts”. This alludes to long-term agreements between medical schemes and suppliers spanning decades without being subject to regular competitive procurement processes. Principal Officer, Lee Callakoppen, explains, “One of our key strategic objectives is to ensure we create value for our members and key stakeholders. This can take the form of benefit optimisation, favourable tariff negotiations, amalgamations to obtain critical mass or optimised service. The healthcare industry has evolved considerably over the past decade, and it was critical for the Scheme to evolve in line with this. Over the past 48 months, the Board have extensively debated the steps needed to be taken to place Bonitas in a competitive position and ensure that it remains sustainable in the best interest of our members. In doing so we have continuously evaluated the value provided by our service providers with consideration to our strategic objectives and the capabilities of our service providers as well as the expectations of our members corporate clients, healthcare professionals, and brokers. We have seen medical schemes placed under financial strain with sustainability challenges emerging and we remain committed to remaining relevant to our members and must therefore be vigilant in our approach.” This was followed by rigorous ongoing benchmarking exercises and a subsequent Request for Proposal process for administrative services and managed care – with Momentum Health appointed as the successful entity for the provision of administration services and Private Health Administrators appointed to provide managed care services. “We are delighted to cement this relationship with Momentum Health, who have demonstrated that they have the necessary capabilities to exceed expectations and support us in our strategic growth objectives” Callakoppen said. “Bonitas’ performance in the past 18 months, has exceeded all previous benchmarks with over 80 000 new families successfully enrolled on the Scheme and financial sustainability stronger than previous years. We see these appointments as strategic enablers to challenge the status quo – and drive value optimisation to continue leading the healthcare industry. Our aim is to optimise efficiencies, achieve mass enrolment, and meaningfully contribute to the shaping of private healthcare in South Africa.” Hannes Viljoen, Chief Executive Officer of Momentum Health welcomed the appointment, citing it as a key strategic opportunity in the dynamic open market for Momentum Health. “We are excited about positively impacting the health of more people. The group currently service over 3,3 million beneficiaries in Africa and more than 25 million world-wide and are strategically and operationally positioned to deliver value in a meaningful and impactful way,” he said. Dr Ayanda Mbuli, Chief Executive Officer of PHA, was pleased with the outcome, “We are deeply honoured by Bonitas’ decision to entrust PHA with its managed healthcare function, a historic milestone for the Scheme. This partnership presents a unique opportunity to further optimise the care received by Bonitas members and to meaningfully contribute to both the Bonitas healthcare agenda and the broader South African health landscape.” Bonitas has been a leading open scheme in South Africa for several decades and these changes will open opportunities to build a more significant and influential open scheme that caters for more South African’s health care needs.

January 30, 2026

Prioritising smarter healthcare decisions in 2026

For many South African families, January is a time to plan and budget for the year ahead and set smart financial goals. While travel and big ticket spends are almost always the first to be considered, budgeting for healthcare is often left to chance or ignored altogether. This can leave families in stressful circumstances in the event that a loved one becomes unexpectedly ill or in need of medical care, and even for those with medical aid, understanding how to budget smartly for the next 12 months has never been more important. According to Mr Lee Callakoppen, Principal Officer at Bonitas Medical Fund, ‘Smart healthcare budgeting has little to do with your monthly medical aid contributions. Rather, families need to assess their needs and understand what benefits they will likely use, plan for the unexpected but inevitable out-of-pocket costs, and ensure they are investing in preventative care that protects their health and their finances.’ Evaluate the benefits Taking an honest look at how often GP visits are needed, whether there are chronic medicine needs, or if specialist consultations will be required more than once a year per family member is crucial. Other considerations include the life stages of family members, family size and medical history. All of these factors will determine how much needs to be put away towards healthcare costs as a minimum and will help avoid unnecessary monthly expenditure. Similarly, gap cover – a benefit that most people admittedly tend to underestimate in importance – can protect against unexpected shortfalls when specialists charge above medical scheme rates, particularly during hospital procedures. However, it’s important to note that gap cover is not a replacement for adequate hospital cover. Families should check whether their current plan offers comprehensive hospital cover before taking on additional gap insurance, ensuring they only pay for coverage that provides real value. Hospital cover should remain your top priority, but even with your current plan, there are ways to get more value without extra cost. Families can manage day-to-day expenses by using network GPs, medicine that is on the formulary, and setting aside a small monthly buffer for unexpected costs. Smart use of your existing benefits can help your savings or day-to-day benefits last longer, keeping your family healthy while staying on budget. Callakoppen advises, ‘Think of healthcare as a household account: budgeting for it upfront allows families to manage the year with confidence, even when the unexpected happens.’ Preventative care and real value matter Preventative healthcare plays a critical role in both health and financial planning. With immunisation coverage declining in parts of South Africa, families should take heed that neglecting to stay on track with vaccinations and routine check-ups can result in costly hospital admissions or complications from chronic conditions. Be sure to have regular screenings and simple lifestyle checks taken care of early in the year to prevent bigger and more costly challenges down the road. Making the most of your existing benefits also matters. Medical schemes like Bonitas support proactive care by providing access to networks of GPs, specialists, preventative screenings and wellness programmes that help catch issues before they become expensive problems. Families can also get more value by understanding how to use their current plan effectively. Knowing which providers are in-network, scheduling appointments strategically and using available wellness programmes ensure they are able to better maximise on benefits without extra costs. ‘Medical cover and healthcare planning are investments in your family’s wellbeing,’ concludes Mr Callakoppen. ‘With thoughtful planning, families can navigate the year ahead with confidence, ensuring both peace of mind and financial stability.’

January 26, 2026

Mental health matters during the festive season: Let’s normalise getting help

As the year draws to a close, many South Africans brace themselves for a season packed with expectations. Social commitments like braais, family visits, long-distance travel to hometowns and the pressure to create joyful memories are all realities of this time of year. For some, however, the festive season also brings the hidden burden of grief, loneliness, despair and an emotional exhaustion that can seriously dampen the cheer. ‘December can be tough, whether it’s challenging family dynamics or the lack of loved ones to spend the festive period with altogether. Many end up feeling overwhelmed, isolated or emotionally drained,’ says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. ‘We’ve all been there in some way, and it’s important that people recognise the signs early and reach out for support, because help is available and there’s no shame in asking.’ Recognising the warning signs Seeing the symptoms in family and friends can be hard, but there are few tell-tale signs to look out for. Social withdrawal is often the first red flag; in a season defined by gatherings, family dinners and busy group chats, someone toggling offline, cancelling plans or spending long hours alone may be subtle cries for help. Sleeping all day or waking up at odd hours feeling consumed by anxiety, losing their appetite altogether or overeating in search of comfort are also common warning signs. And, at a time of year when consuming more alcohol than usual is considered somewhat normal, this can be a difficult sign to spot. Drinking alone or drinking to the point of passing out or making a scene routinely, can be a way of telling someone needs help. For many, admitting mental distress carries social stigma. It may feel like a sign of weakness, especially in communities where strength is tied to ‘keeping it together’ during holiday celebrations. ‘Our mental health doesn’t go on holiday,’ says Hadebe. ‘Taking care of mental wellbeing is especially important at the end of the year, and members of not just Bonitas but any medical scheme in the country should understand that support isn’t something extra or a nice-to-have benefit, but is in fact part of what they pay for.’ Bonitas members have access to comprehensive mental health benefits paid from the scheme’s main risk pool. As such, counselling and therapy are covered under their plans. On top of that, there’s a full Mental Health Programme which aims to empower members to manage their condition more effectively. How families and communities can help Support doesn’t always require a professional. Loved ones can play a key role just by noticing and listening. A simple, open question such as ‘How are you really doing?’ can open the door to meaningful dialogue. Resist the urge to fix things immediately. Sometimes what a person needs most is to be heard. What’s more, lower the pressure to celebrate, remembering that not everyone has the emotional energy for loud parties. Rather offer quieter alternatives such as a walk, a movie night, coffee and conversation, and normalise the idea that it’s okay to opt out. And if signs persist, like constant sadness, withdrawal from life and changes in behaviour, gently suggest professional support. Offer to help find a therapist, book an appointment, or simply make the first call. For those struggling this December, remember that you don’t need to bear it in silence. With a Mental Health Programme and counselling benefits available, help is accessible, discreet and covered.

December 11, 2025

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

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

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 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

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

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

October 22, 2025

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

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

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

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

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

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

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

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

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

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

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

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

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