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27 March 2018 Photo Earl Coetzee
Research focus on HIV and TB stigma among healthcare workers
Posters reading, “Let’s Stop Stigma” urge healthcare workers to ”Be kind to yourself. Be kind to others.” Pictured here are Dr Asta Rau, Director of CHSR&D and Dr Michelle Engelbrecht, deputy director of the centre.

Researchers working on an internationally funded project are tackling a key occupational health issue: HIV and TB stigma among Free State healthcare workers. They developed and rolled out interventions to decrease stigma and will soon measure the effects. 
In this four-year project, UFS researchers from the Centre for Health Systems Research and Development (CHSR&D) are partnering with Antwerp University and the Free State Department of Health.  

Stigma is like an invisible mark 
A project leader at the CHSR&D, Dr Asta Rau, says most research on stigma in public health focuses on HIV stigma towards patients. Little is done on stigma among healthcare workers themselves. 
Dr Rau says that stigma undermines people’s dignity and causes them suffering. It can even stop them from seeking healthcare. Stigma threatens the health of healthcare workers and the stability of the health system, which is already under strain due to personnel shortages. 

Interventions to make a difference

The research identified two types of stigma - external stigma that can be seen around us, e.g. in the way healthcare workers speak about or treat one another and internal stigma that happens when healthcare workers take this ‘outside’ stigma and turn it inward on themselves. 

Dr Rau says the interventions involve training healthcare workers about what stigma is and how to go about reducing it. “We give them the knowledge and tips on how to communicate when they encounter stigma. It is up to them to then use that to fight stigma.” A communication campaign with posters and branded social marketing materials supports the training. The campaign uses a single slogan: ”Let’s Stop Stigma” and urges healthcare workers to ”Be kind to yourself. Be kind to others."

News Archive

Training in critical medical skills receives preference at the UFS
2015-07-24

The UFS bought a new simulator for surgeons to learn how to perform laparoscopic operations. During the launch of the simulator, Dr Mathys Labuschagne (left), Head of the Clinical Simulation and Skills Unit, illustrates to Prof Gert van Zyl, Dean of the faculty, how the simulator works.
Photo: Rene-Jean van der Berg

The Clinical Simulation and Skills Unit in the University of the Free State (UFS) Faculty of Health Sciences purchased a new laparoscopic simulator for R1.2 million recently. The simulator will be used to teach postgraduate medical students how to perform laparoscopic surgery. The UFS is currently the only university in the country, and one of only two institutions in South Africa, that own such a simulator.

The Lapsim simulator, from Surgical Science in Sweden, is a highly sophisticated computerised tool for the training and improvement of laparoscopic surgical skills in postgraduate students within the surgical disciplines.

“The purpose of a simulator is not to replace training on patients, but to help registrars in acquiring basic laparoscopic surgical skills,” says Dr Mathys Labuschagne, Head of the Clinical Simulation and Skills Unit.

These skills include depth perception, hand-eye-coordination, instrument handling, precision and speed, which are essential before operations can be performed on patients.

Prof Gert van Zyl, Dean of the Faculty of Health Sciences, says this simulator is very important for the UFS to train registrars more effectively in theatre work.

“Not only registrars will benefit from this, but qualified surgeons may also make use of it to improve their skills.”

The simulator is pre-programmed for different medical conditions that laparoscopic surgery is traditionally used for. Programmes can be selected for procedures such as sterilisation, cholecystectomy (gall bladder removal), endometriosis, etc. The simulator even makes it possible simply to practise eye-hand coordination, and to apply stitches internally.

Watch the short video explaining more about the Lapsim simulator.

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