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16 July 2018 Photo Sonia Small
Critical Leadership Key to Social Change
Théogène “Totto” Niwenshuti and Rena Yamazaki discuss trauma and forgiveness

The question of leadership, ethics, morality, and social change were discussed during the opening session of day three of the Global Leadership Summit, with panellists such as Dr Mvuyo Tom from the Oliver and Adelaide Tambo Foundation, Cunningham Ngcukana from the Robert Sobukwe Trust, Nomsa Daniels of the Graça Machel Trust, and students from the University of the Free State (UFS), the University of Antwerp, and the Sol Plaatje University (SPU).  The panel discussed how critical leaders make the right decisions and for whom these decisions are taken when dealing with situations of social change. 

The dialogue was followed by a performance from the Arts and Social Justice Theatre Production, as we wait, a gripping play about trust and betrayal, exploring race relations in higher-education spaces.  The cast, consisting of UFS students, engaged in a panel discussion with the audience, who later raised insights and interpretations of key concepts such as white privilege, ‘isms’, and transformation at universities. 

Trauma, reconciliation, and nation-building
One of the most harrowing events of the 21st century in Africa is the Rwandan genocide that saw close to a million people killed in a space of three months from April to July 1994.  The story of Rwanda was presented by Prince ‘Totto’ Théogène Niwenshuti, a Rwandan artist, activist, and victim. He was joined by Yuki Tanaka and Rena Yamazaki, who are students from the International Christian University in Japan, for a discussion with delegates.  The Japanese students related the narrative of Japanese colonialism, its invasion of Korea and parts of China, and the war crimes that were committed there.  Discussions ensued on issues such as retribution, reconciliation, and the effectiveness of the Truth and Reconciliation Commission in South Africa, the community justice Gacaca courts in Rwanda, and the omission of war crime narratives in Japanese history teachings and how this affects national unity, reconciliation, and trust between victims and perpetrators.

Transformation at universities – a global concern
A wide and global view on understanding the various modalities towards reconciliation and transformation were led by a panel of four: ex-SRC president Phiwe Mathe, two students from Edmonds Community College (ECC) in the USA, staff from the UFS, Cornelius Hagenmeier, Director: Office of International Affairs, moderated by JC van der Merwe from the Institute for Reconciliation and Social Justice.  Hagenmeier said, “I grew up in a divided Germany where east and west held certain stereotypes about each other.  I decided to finish my studies in the east, and this is when I realised that, on a personal level, we were able to find understanding as fellow students”. Mathe highlighted the importance of re-looking the commercialised space that the university operates in, and how that dictates its policies.  Students from ECC presented the plight of native American people in the United States and South America, the century-old discriminatory laws against these groups, and their call for social justice. 

The summit will conclude on 14 July 2018 with a sharing and reflection session where students and staff of partner institutions will present their positions on the thematic areas that were tabled throughout the week-long summit.

Related articles:
GLS explores global view on gender and intersectionality (July 2018)
Global Leadership Summit starts off on a high note (July 2018)

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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