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11 July 2018 Photo Johan Roux
GLS explores global view on gender and intersectionality
Students share their views on hard- hitting global issues

Race, gender, and inequality, a sharp focus in modern society, was discussed at the first session of day two of the Global Leadership Summit (GLS), on 10 July 2018. A panel discussion was led by Prof Ahmed Bawa, CEO of Universities South Africa and Prof Danie Brand, Director: Free State Centre for Human Rights at the University of the Free State (UFS).

Identity and gender issues important to youth
During the panel discussion, Dr Yvonne L Terrell-Powell from Edmond Community College, Seattle, in the US, spoke on the expectations put on first-generation students as they enter the higher education space. “In the United States when I was a student, in predominantly black universities, the expectation was to be involved in civic and political engagements, and not to only study.” Intersectionality was discussed and how identity is used as a criterion for exclusion, marginalisation and the perpetuation of all forms of “isms” and disregard of minority groups such as LGBTIQ+ communities. Other panellists included Pura Mgolombane, Dean of Student Affairs at UFS, Dr Vivienne Felix, Director: Experiential Learning, New York University, Margo Van Muylder, a student from the University of Antwerp, and Dr Segun Obadire, Director of International Relations at University of Venda.

Delegates were entertained by an Arts and Social Justice Theatre Production Psalm 69 and a play named Cosmology and Culture; Patriarchy. A dialogue on the play ensued between the audience and members of the cast who discussed abuse of women and the disabled, and the role of men, with experiences shared from a global perspective.

Reconciliation and transformation give hope
The second session commenced with a panel discussion on reconciliation and transformation titled “Stepping up and committing to change: A vision for the youth in terms of socio-economic reconciliation and transformation”. The session was moderated by Prof Francis Petersen, UFS Rector and Vice-Chancellor, alongside Dr Glen Taylor Senior Director: Research Development at UFS, with panellists from various sectors such as business, student leaders, human rights organisations and the Bloemfontein Business Chamber.
 
Ndaba Ntsele, Executive Chairman of Pamodzi Group and former UFS Council member and panellist spoke of the ability to overcome challenges that can hold one back. “You need to decolonise and detribalise yourself, see yourself first as a human being, never fear or feel that your background can hold you back.” Dr Glen Taylor, Senior Director: Directorate Research Development, spoke of the impact of research that is being produced at UFS. “Instead of the number of articles published, we need to ask what the impact is of our research in society.”

The summit is a joint programme between the UFS International Office, Student Affairs and the Institute of Reconciliation and Social Justice. It will continue with more panel discussions, robust engagements and more activities until 14 July. The programme includes an excursion to Kimberley and the Galeshewe township in Northern Cape. Delegates will have the opportunity to attend the annual Vrystaat Kunstefees/Free State Arts Festival which will be held on the Bloemfontein Campus from 10-14 July, as well as other African theatre productions.

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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