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07 March 2018
Photo Xolisa Mnukwa
UJ Disability unit delegates Alban Burke and Leila Abdul Gafoor join UFS CUADS Assistant director, Martie Miranda and Dean of Student Affairs, Pura Mgolombane for a discussion on the operative aspects of the UFS Center for Universal Access and Disability Support.
The University of Johannesburg (UJ) Psychological Services and Career Development Department is looking to enhance the quality of services provided by its disability unit. Team leader of the Psychological Services division at (PsCAD): Leila Abdul Gafoor said University of the Free State (UFS) was on its list of targets when it boiled down to possibly benchmarking and sharing the Center for universal access and disability support (CUADS) service structures and operational procedures that could aid a more pleasant and complete university experience for students with disabilities at UJ.
Director of PysCad at UJ, Alban Burke, considered one of the strengths of his department to be its ability to serve as a hot-stop for their students with academic opportunities that could assist them financially, psychologically, intellectually and perceptually. He did, however, point out that one of their main challenges lies in their difficulty sourcing capital and resources that are exclusive to the disability unit within his department which is very expensive to operate and sustain.
Dean of Student Affairs, Pura Mgolombane, started his response to PysCad delegates with the question: “Which strategies should be operationalised in order to cater for the core needs of students?” He said the strategy should inform the operational structure that a university employs. Thus, the strategy should centre universal access as the Integrated Transformation Plan (ITP) intended it, and in that way the structure would need to support the notion of universal access; and therefore address student needs. The UFS is currently undergoing a phase of integrated transformation which Mgolombane explained which among other things, demanded avid preparations towards ensuring that universal access was prioritised.
Martie Miranda, Assistant Director for CUADS, clarifies that CUADS considered repositioning its office beneath academics due to a majority of their occupational services comprising of academic support for students with disabilities. However, due to Student Affairs’ newly developed “humanising strategic model” the centre remained put as they are being afforded efficient opportunity to change mindsets, and create an institutional culture which endorses the humanising of students with disabilities as well.
Mgolombane said in order for an institution to deliver sufficient universal access, students’ needs and experiences had to be considered and prioritised from conception. The planning and future implementation should not serve as an afterthought when allocating financial, human, physical and other resources to the various university environments.
Heart diseases a time bomb in Africa, says UFS expert
2010-05-17
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| 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.