Abstract
Abstract The last 15 years have seen a decline in public health services with poor performance and outcomes while the disease burden has increased. Many South African healthcare workers, whilst working in the public sector, are increasingly exposed to deteriorating conditions in which they work and are often witnesses to poor practices and suboptimal treatment. A feeling of futility adds to the burden of moral injury caused by these circumstances. South Africa has a tradition of muzzling healthcare workers who speak up and expose any malpractice, but this should not deter us from performing due diligence on our patients’ care. We need to find innovative ways of documenting and reporting health delivery deficiencies, holding people to account, and if the issues are not addressed, following them up with protected disclosure to an appropriate authority.
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