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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

Groundwater management vital for groundwater sustainability
2016-11-09

Description: Dr Yolanda Kotzé Tags: Dr Yolanda Kotzé

Dr Yolanda Kotzé, Affiliated Researcher in the
UFS Institute for Groundwater Studies, is passionate
about the management of groundwater.
Photo: Rulanzen Martin

An interest in groundwater resource management ignited the spark for a PhD research thesis by Dr Yolanda Kotzé, Affiliated Researcher in the Institute for Groundwater Studies (IGS) at the University of the Free State (UFS).

Her PhD research thesis titled, A Framework for Groundwater Use Authorisations as Part of Groundwater Governance in Water Scarce Areas within South Africa, was the result of her interest in groundwater resource management. Dr Kotzé identified the agricultural sector as one of the major water users, and a decision was made to conduct research within this sector.  

Research funded by Institute for Groundwater Studies
Groundwater is water found underground in cracks and spaces in soil, sand, and rocks. It is stored in, and moves slowly through geological formations of soil, sand, and rocks (aquifers). The National Department of Water and Sanitation was indirectly the client for this research. The research project was funded by the IGS. Given the current drought, effective groundwater resource management can be achieved within all sectors through sustainable abstraction and use without over-abstraction.

“Groundwater can be effectively managed
in the agricultural sector by sustainable use,
monitoring the quantity of groundwater use,
and measuring groundwater levels,”
said Dr Kotzé.

Research addresses improvement of groundwater management
Her promotor, mentor, teacher, and friend, the late Prof Gerrit van Tonder, introduced her to the field of Geohydrology, and especially to groundwater resource management. “With my research, I made a significant contribution to the improvement of groundwater governance and groundwater resource management, as well as to the handling of groundwater use authorisations for irrigation purposes in South Africa,” said Dr Kotzé. With this significant contribution, she attempts to address the phenomenon of poor groundwater allocation and groundwater resource management by means of a framework. The development of this framework has shown the value of action research in an attempt to find a solution to a problem. “Groundwater can be effectively managed in the agricultural sector by sustainable use, monitoring the quantity of groundwater use, and measuring groundwater levels,” said Dr Kotzé.

The methodology of the research consisted primarily of action research, which has a five-phase cyclical process. The research was Dr Kotzé’s application for a PhD in Geohydrology at the UFS in 2012. The research was completed in 2015.

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