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Towers of Hope: Serving the vulnerable and needy

20 December 2019 | Story Igno van Niekerk | Photo Igno van Niekerk

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

Higher than expected prevalence of dementia in South African urban black population

2010-09-22

Prof. Malan Heyns and Mr Rikus van der Poel

Pilot research done by University of the Free State (UFS) indicates that the prevalence of dementia, of which Alzheimer’s disease is only one of the causes, is considerably higher than initially estimated. Clinical tests are now underway to confirm these preliminary findings.

To date it has been incorrectly assumed that dementia is less prevalent among urban black communities. This assumption is strongly disputed by the findings of the current study, which indicates a preliminary prevalence rate of approximately 6% for adults aged 65 years and older in this population group. Previous estimates for Southern Africa have been set at around 2,1%.

The research by the Unit for Professional Training and Services in the Behavioural Sciences (UNIBS) at the UFS and Alzheimer’s South Africa is part of the International 10/66 Dementia Research Group’s (10/66 DRG) initiative to establish the prevalence of dementia worldwide.

Mr Rikus van der Poel, coordinator of the local study, and Prof. Malan Heyns, Principal Investigator, say worldwide 66% of people with dementia live in low and middle income countries. It is expected that it will rise to more than 70% by 2040, and the socio-economic impact of dementia will increase accordingly within this period. 21 September marks World Alzheimer’s Day, and this year the focus is on the global economic impact of dementia. Currently, the world wide cost of dementia exceeds 1% of the total global GDP. If the global cost associated with dementia care was a company, it would be larger than Exxon-Mobil or Wal-Mart.

The researchers also say that of great concern is the fact that South Africa’s public healthcare system is essentially geared toward addressing primary healthcare needs, such as HIV/Aids and tuberculosis. The adult prevalence rate of HIV was 18,1% in 2007. According to UNAIDS figures more than 5,7 million people in South Africa are living with HIV/Aids, with an estimated annual mortality of 300 000. In many instances the deceased are young parents, with the result that the burden of childcare falls back on the elderly, and in many cases elderly grandparents suffering from dementia are left without children to take care of them. “These are but a few reasons that highlight the need for advocacy and awareness regarding dementia and care giving in a growing and increasingly urbanized population,” they say.

Low and middle income countries often lack epidemiological data to provide representative estimates of the regional prevalence of dementia. In general, epidemiological studies are challenging and expensive, especially in multi-cultural environments where the application of research protocols relies heavily on accurate language translations and successfully negotiated community access. Despite these challenges, the local researchers are keen to support advocacy and have joined the international effort to establish the prevalence of dementia through the 10/66 DRG.

The 10/66 DRG is a collective of researchers carrying out population-based research into dementia, non-communicable diseases and ageing in low and middle income countries. 10/66 refers to the two-thirds (66%) of people with dementia living in low and middle income countries, and the 10% or less of population-based research that has been carried out in those regions.

Since its inception in 1998, the 10/66 DRG has conducted population based surveys in 14 catchment areas in ten low and middle income countries, with a specific focus on the prevalence and impact of dementia. South Africa is one of seven LAMICs (low and medium income countries) where new studies have been conducted recently, the others being Puerto Rico, Peru, Mexico, Argentina, China and India.

Mr Van der Poel says participating researchers endeavour to conduct cross-sectional, comprehensive, one-phase surveys of all residents aged 65 and older within a geographically defined area. All centres share the same core minimum dataset with cross-culturally validated assessments (dementia diagnosis and subtypes, mental disorders, physical health, anthropometry, demographics, extensive non-communicable risk factor questionnaires, disability/functioning, health service utilization and caregiver strain).

The local pilot study, funded by Alzheimer’s South Africa, was rolled out through an existing community partnership, the Mangaung University of the Free State Community Partnership Programme (MUCPP).

According to Mr Van der Poel and Prof. Heyns, valuable insights have been gained into the myriad factors at play in establishing an epidemiological research project. The local community has responded positively and the pilot phase in and of itself has managed to promote awareness of the condition. The study has also managed to identify traditional and culture-specific views of dementia and dementia care. In addition, existing community-based networks are being strengthened, since part of the protocol will include the training and development of family caregivers within the local community in Mangaung.

“Like most developing economies, the South African population will experience continued urbanization during the next two decades, along with increased life expectancy. Community-based and residential care facilities for dementia are few and far between and government spending will in all probability continue to address the high demands associated with primary healthcare needs. These are only some of the reasons why epidemiological and related research is an important tool for assisting lobbyists, advocates and policymakers in promoting better care for those affected by dementia.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za
21 September 2010

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