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07 August 2020 | Story Prof Francis Petersen | Photo Sonia du Toit
Prof Francis Petersen is the Rector and Vice-Chancellor of the UFS.

This Women’s Month, the focus regrettably but rightfully falls on gender-based violence during lockdown.  But unlike COVID-19, the GBV pandemic already has an effective treatment against it. And our schools and institutions of higher learning have a vital role to play in administering it.

A war being waged against the women and children of our country.” That’s how President Cyril Ramaphosa recently referred to the scourge of gender-based violence that seemed to mirror the disconcerting spike of our infection rates over the lockdown period. In the first three weeks of lockdown, more than 120 000 victims called the national helpline for abused women and children – double the usual volume of calls.

President Ramaphosa’s ‘war’ reference is quite appropriate. Global Peace Index statistics show that violence in South Africa is similar to countries at war or in conflict. When it comes to female victims, the figures almost defy comprehension:

Close to 3 000 women are murdered in South Africa every year. This means that a woman is murdered roughly every three hours in our country.  About 110 women are raped every day. About one in three South African women experience abuse by an intimate partner in their lifetime.

A Tale of Two Pandemics: Similarities

President Ramaphosa mentioned that the two pandemics are very different ‘in nature and cause’. Yet, there are some striking similarities. 

The first is that they both affect everyone. Although South Africa’s femicide rate is about five times the global average, it is by no means a phenomenon unique to our country. The United Nations refers to a ‘shadow pandemic’ plaguing all of the 90 or so countries that opted for lockdown, as everywhere women with violent partners were isolated, separated from people and resources that could assist them. 

Another similarity lies in the devastating consequences of both pandemics. Not only do they cause victims to suffer; it always circles out wider, posing a threat to the people around them. 

With both pandemics, there is a huge responsibility on governments to ensure that their citizens are protected. But there is also an equally pressing duty on citizens to look out for one another.

A Tale of Two Pandemics: Differences

On the other hand, apart from nature and cause, there are marked differences between the two pandemics:

While words such as ‘novel’ and ‘unprecedented’ are used to describe COVID-19, terms such as ‘entrenched’ and ‘enduring’ are commonly associated with gender-based violence. 

It is a scourge that has been with us for a very long time.

Sadly, there also seems to be a vast difference in the perceived urgency to address the two pandemics. While the government implemented far-reaching and immediate measures and strictly monitored adherence in an attempt to curb the one, the effective application of laws and policies to curb the other just doesn’t seem to get off the ground. 

A Known Treatment for GBV

With any pandemic, the main concern, of course, lies in finding a treatment. And while the search is furiously on for a COVID-19 vaccine, there seem to be general consensus that a major part of the solution for the GBV pandemic has already been identified. 

It lies in one simple word: Respect.

Mutual respect as a countermeasure for twisted views on paternalism, toxic masculinity, and subservience that often lie at the root of abuse in our country, and self-respect as a countermeasure to alcohol and substance abuse that regularly go hand in hand with GBV incidents.

Respect is, however, not a remedy that can be forcefully injected into an ailing society. Respect for oneself and for others has to be patiently cultivated from an early age in order to become part of a population’s DNA.

The ideal, of course, is that respect be taught at home. But in South Africa’s sad reality of vast domestic problems and social issues, respect is something that young children so often see very little of. Another stark fact is that close to two thirds of children in our country grow up without a father in the household. This is placing immeasurable pressure on our society’s women, who have to act as both caregivers and breadwinners, often bravely struggling to intercept the absence of a male role model.  

Broken households simply cannot be fixed overnight. And this is where educational institutions need to urgently step up to the plate. One of the things the COVID-19 pandemic has clearly illuminated in our country, is the vital and multi-faceted role of our educational institutions. They are so much more than just centres where academic knowledge is transferred. So often they are the places where social and psychological needs are identified and addressed. In many cases, they are the glue that holds communities together.

Vital Role of Schools and Higher Education Institutions 
 
As educational institutions, we should embrace this role and more urgently than ever focus on instilling a culture of respect in our students and learners. 

We deal with young people at a time in their lives when they are particularly susceptible to influence. What they learn while passing through our doors and over our campuses, will help determine the type of adults they eventually become.

We have a window of opportunity to guide them. And here lies the crux: Respect is a lesson that should not only be taught. It should also be shown.

Two years ago, the University of the Free State (UFS) established a Sexual Assault Response Team (SART) made up of business units across the university’s three campuses, which works according to a set process flow to provide legal, medical, and counselling services to victims of gender-based violence, primarily aimed at minimising trauma for the victim. The SART has been playing a significant role to support victims – and in this way, also easing the minds of families and friends of victims that the university cares and has processes in place.

I have often advocated that institutions of higher learning should be small microcosms of an ideal society, where respect, tolerance, and social justice permeates every aspect of our operations. The same is true for our schools.

We need to show our learners and students what an ideal society should look like. They need to see it in all our operations, policies, and actions.

They should experience it in the fair manner in which we deal with transgressions; in the absence of bullying and favouritism; in workplace policies that promote wellness in a way that exudes care; in the way we encourage and facilitate dialogue, encouraging divergent views to be aired in a safe atmosphere of respect and tolerance.

In short, our educational institutions should be spaces where the participation of members and stakeholders is valued in ways that grant the dignity and worth of all individuals and communities.  

Respect is Contagious 

What these past couple of months have also painfully taught us, is that it is not only viruses that can spread like wildfire through communities. Fear, suspicion, and uncertainty are equally contagious. But so is kindness, acceptance, care, and respect.

What is needed is for educators everywhere to embrace the fact that respect should form the bedrock of our teaching efforts.

Unlike other pandemics, the victim base for gender-based violence cannot progress organically to a state of herd immunity. Left unattended, this ‘shadow’ pandemic will simply become worse and worse.

To curb it, we need to make a conscious decision to root out the various forms of inequality that still exist in our society and replace it with mutual respect. And we need to concentrate our focus on our schools, universities, colleges, and training centres.

We need herd solidarity to guide our youth away from gender-based violence. Only then will we have a fighting chance to overcome it.

Opinion article by Prof Francis Petersen, Rector and Vice-Chancellor of the University of the Free State

 

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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