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20 December 2019 | Story Igno van Niekerk | Photo Igno van Niekerk
Towers of Hope serves the needy

Picture a typical Free State winter’s night: Biting chills, blustery winds, and piercing cold. Now picture yourself outside, with the bare minimum of protection in the form of clothing or cover. For many in the city of Bloemfontein, this is their reality. This vulnerable community is the focus of service by the Towers of Hope congregation and foundation (ToH), which is housed on the historic grounds of the Tweetoringkerk (Two Towers Church) in the city centre. As their name suggests, this foundation provides an outlook for the future that uplifts the vulnerable, those who are in need of it most. Its vision? To transform communities from vulnerability to ability by helping them to realise their God-given dignity.

For seven years now, Towers of Hope has been providing both pastoral and practical help to the inner-city community of Bloemfontein for eleven years now, under the guidance of Rev De la Harpe le Roux. Their assistance programmes include a daily soup kitchen, Thessa Outreach for women who find themselves in difficult circumstances, the Proud Clean Bloemfontein job-preparation programme (sponsored by local businesses), support of elderly through needlework classes and monthly food packages, as well as partnerships with other trusts, NGOs, and sharing of resources with other non-profit organisations (NPOs).

Melissa Opperman, a second-year Theology student, often takes part in what is called the ‘Pastor’s Restaurant’ on a Thursday evening, as part of the Thessa Outreach. She says, “Here we provide the ladies working on the street with a nice cooked meal and occasionally medical services. We became so close with these ladies that they reach out to us and talk to us freely, even when we see them outside their usual environment; they gladly greet us and share their stories with us.” Melissa says this had a huge impact on her, both as a female student and as one studying Theology. She mentions that she has come to the realisation that women are often seen as inferior, but in this theological, pastoral space, there is equality. In addition, she notes: “Not only in this space are we equal; we as women are able to do anything if we put our minds to it. It is nice to hear how some of the ladies have stopped working at night and started developing their own skills. It just shows that a little hope can go a long way.”

In addition to sharing in a physical sense, there is also a sharing of knowledge. Students from the Department of Practical and Missional Theology in the UFS Faculty of Theology and Religion are given the opportunity to experience what is known in the field as ‘diaconia’: serving God by caring for one’s fellow creatures. Students are taught how to minister to those in the congregation and community, and especially to those in need. In this way, they are able to learn from the example of fine work being done here at ToH. Rev Le Roux says: “The whole exposure and engagement is aimed at taking the students out of their comfort zones of ‘nice urban middle and upper middle-class churches’, and guiding them to engage with the principles acquired through the lectures at the UFS, in the context of poverty.”

Naomi Smith, who works in the administrative office of ToH, says: “De la Harpe is the heart and compassion behind Towers of Hope. He is humble, but often reminds us that the purpose of the project is to be concerned about the person in front of you — that little face, their names, this individual.” She adds, “He constantly tells us to treat everyone here with love (especially the vulnerable), because they need it more than most.”

AJ’s story echoes many that come through the cramped office from which this entire non-profit operates: After decades as a homemaker and loyal wife, her husband left her and put her out on the street without a cent or other support. Rebecca de Wit, manager: operations, and Naomi Smith, office administrator, are not only compassionate to those who come knocking at ToH; they do their utmost to assist these desperately needful ones in some of the most basic ways: finding a place to stay, compiling and printing copies of their CVs, or finding someone’s qualification papers.Their drive and passion to make a difference embodies their organisation’s motto: Valuing the city, valuing the vulnerable, valuing empowerment.

The effect has been substantial: Based on ToH’s reputation, more than 600 people regularly turn up on 25 December for the annual Christmas dinner. This year will be the 12th such event, and it is also an occasion where the business community makes use of the opportunity to give back to Towers of Hope and the vulnerable ones served by these selfless workers and comforters. The meal ingredients are donated by local enterprises and prepared by volunteers from a number of Bloemfontein congregations, while practical gifts for needy children, women, and men are provided through corporate sponsorships.

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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