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03 August 2020 | Story Nitha Ramnath | Photo Supplied
Prof Ivan Turok.

The University of the Free State is pleased to announce that the Human Sciences Research Council’s (HSRC) Prof Ivan Turok has been awarded a research chair by the South African Research Chairs Initiative (SARChI). Prof Turok is one of South Africa’s most cited social scientists. He will hold the Research Chair in City-Region Economies in the Department of Economics and Finance and the Centre for Development Support at the UFS. The UFS is now home to six SARChI chairs.  

The research chair is the first partnership of its kind between a South African university and the HSRC. The chair will seek to understand how cities can accelerate economic growth and inclusive development in SA. It will analyse why some cities are more successful than others, and what policies and practices can improve conditions for citizens and communities. It will also provide funding to increase research capacity through the appointment of postdoctoral, PhD, and master’s students.

SARChI is a government intervention aimed at strengthening the scientific research and innovation capacity of South African universities. It was established by the Department of Science and Technology in 2006 and is managed by the National Research Foundation (NRF). According to the NRF, its prestigious research chair is awarded to established researchers who are recognised internationally for their research contributions.  

“Prof Turok’s appointment as Research Chair is a great honour for the university. He is a highly rated researcher and his knowledge of city-region economies will be of exceptional value to the university’s research portfolio, as well as to the country’s agenda of transforming urban areas. Our country is in dire need of research in this area, in which Prof Turok will be playing a significant role,” said Prof Francis Petersen, Rector and Vice-Chancellor of the UFS. 

According to Prof Lochner Marais, Head of the UFS Centre for Development Support, the research chair will have four main themes: The Urban System – Demographics and Economics; Economic Sectors in Space; Dynamic Places; and Strategic Urban Assets. The chair brings together research from the Departments of Economics and Finance, Urban and Regional Planning, and the Centre for Development Support. The long-term goal is to develop the chair into a centre of excellence.

“The chair is co-funded by the South African Cities Network. All research will speak directly to the South African Cities Network’s agenda of transforming urban areas in the country,” Prof Marais adds.

In congratulating Prof Turok, the CEO of the Human Sciences Research Council, Prof Crain Soudien, said, “It is fitting that this research chair has been awarded to Prof Turok.  It is a culmination of many years of work in the area of city regions through which he has earned a sterling reputation as a scholar in this area of work.”

Prof Turok has authored more than 150 peer-reviewed publications and 11 books/monographs. He holds an NRF B1-rating and is the former Editor-in-Chief of the top international journal, Regional Studies. He is currently Executive Director: Economic Performance and Development at the Human Sciences Research Council and was Chairman of the Durban City Planning Commission. He was formerly Professor of Urban Economic Development, and Director of Research: Department of Urban Studies at the University of Glasgow. Prof Turok was also a Mellon Fellow at the University of Cape Town and Professor of Urban and Regional Planning at the University of Strathclyde. He is an occasional adviser to the United Nations, OECD, African Development Bank, UNECA, and several national governments. His recent books include Transitions in Regional Economic Development (2018, Routledge), Value Chains in Sub-Saharan Africa (2019, Springer), and Restoring the Core: Central City Decline and Transformation in the South (2020, Elsevier). He has a PhD in Economics from the University of Reading.

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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