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22 April 2020 | Story Prof Thidziambi Phendla. | Photo Supplied
Prof Thidziambi Phendla.

The Hollywood movie, Contagion, acutely reminded me of the impact of COVID-19 on our education our education system. The many parallels between this movie and what is unfolding worldwide today in unbelievable. Nine years ago, who would have predicted that the world would find itself right in the middle of the plot and enacting the scenes in Contagion?

There is growing concern about our education system with many asking whether the school year is ruined.

For some it may be ruined and for others less so. Parents for disadvantaged communities do not have the means, knowledge and resources to support their children’s learning during the lockdown whereas those from more advantaged communities may access information on Department of Basic Education (DBE) and other websites to support home schooling during these times. For those who did not have these opportunities the loss of school time may thus have a much greater impact.

Embracing homeschooling
However, the school calendar year may equally be extended to early next year. In any event, we already have a system that allows for aggrotats, supplementary exams that runs into the new year, each year. The academic year can be aligned to close accommodate the lost time.

This is the right time for parents to embrace homeschooling of their children. UNESCO’s “COVID-19 Education response” provides a list of educational applications, platforms and resources aims to help parents, teachers, schools and school administrators facilitate student learning and provide psychosocial support during periods of school closure. Most of the solutions are free and many cater to multiple languages. The lists are categorised based on distance learning needs and most of them offer functionalities across multiple categories (https://en.unesco.org/covid19/educationresponse/solutions).

On the one hand, for the majority of learners and students in South Africa, especially from impoverished communities, distance learning will pose a great challenge. Majority of these communities have less access to digital devices and online solutions. The DBE should work with the SABC and consider opening a free 24 hours learning channel, as a platform to provide further support to distance learning and teaching. Radio remains the cheapest and most effective means for this

On the other hand, the situation is different with some private or IEB schools. Most learners from these schools are already trained to use distance learning platforms.  For example, during this lockdown, my 13year old niece starts her school day at 07:30 every day without fail. The school uses several strategies including the Microsoft Teams to support teaching and learning. Each learner has a laptop, completes home-work, assignments and write open book tests. In this scenario, at least 80% of efficient learning and teaching occurs. The difference between the two scenarios is a matter of inequalities, equity and poverty which still prevalent in South Africa.

An unequal school system
For many years the slogan was: “Liberation first then education” maybe it is time for “life and health first”. Even in the most difficult times people have found a way to learn – think of those on Robin Island in the apartheid years. We should imitate their example and not wait for the government to provide. Maybe libraries are an essential function that should remain open in these times.

Protracted student protests in South Africa over the past few years gave universities an opportunity to explore online education as an alternative to contact teaching and learning, and have put them in a better position to deal with current shutdowns necessitated by the need to contain COVID-19.

The pandemic exposed the glaring inequalities, equity and poverty that continues to exist, in particular, in education systems and country in general. Those who have the latitude to remain indoors and maintain the social distancing are the middle and upper classes of our society. These groups have access to data to support online educational programs, while the poor barely survive to put food on their tables.

For many years the world was expecting a virus that could spread globally (e.g. the swine flu) but nothing was done. With the myriad of challenges facing, including downgrading to a junk state, funds depleted through corruption at various levels, our country could not be at a worse position than now.

Lessons from the lockdown
One lessons from the lockdown has exposed the failures and shortcomings of not only our education system, but also the entire ecosystem. Huge inequalities still exist in education systems across the globe. Universities are grappling with a myriad of problems including teaching online.  The COVID-19 pandemic forced campuses to shut down and move many functions like graduation, examinations, conferences and other collaborations to the back. Another positive outcome of the pandemic is the sense of unity it created among political, cultural, religious and social organisations in South Africa and across the globe. Consequently, the most important lesson is that lives matter more than education.

As our president, Cyril Ramaphosa said, “We are currently in unchartered territory, which we have never had to navigate before”. It is therefore, very difficult to forecast the full degree of the short-, medium- or long-term impacts of the COVID-19 pandemic on the education system. The longer the virus remains, the greater and more permanent changes may be. Certain things will probably change forever. Not only will our conception of going to office to work alter, but also our whole conceptualization of what a university is will change. We will probably see universities becoming more and virtual and operated from a highly decentralized basis. 

                                                              

Prof Thidziambi Phendla is currently manager of Work Integrated Learning at the University of the Free State. She is the Founder and Director of Domestic Worker Advocacy Forum (DWAF); and The Study Clinic Surrogate Supervision; Chair of Council: Tshwane North TVET College (Ministerial appointment).

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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