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07 December 2020 | Story Eugene Seegers | Photo Jolandi Griesel
From the left; Tiana van der Merwe, Deputy-director: CTL; Prof Francois Strydom, Director: CTL, and Gugu Tiroyabone, Head of Advising, Access, and Success in CTL.

The UFS has taken an evidence-based approach to managing the impact of the COVID-19 pandemic. Within the first week of lockdown, the Rector and Vice-Chancellor, Prof Francis Petersen, put appropriate governance structures in place, consisting of a COVID-19 Senior Executive Team and seven task teams focused on managing the different aspects and responses to the pandemic. One of these task teams was the Teaching and Learning Management Group (TLMG), chaired by the Vice-Rector: Academic, Dr Engela van Staden. This multi-stakeholder group represents all the environments in the university responsible for teaching, learning, and support to the academic core.

The core function of the TLMG was to ensure that teaching and learning could continue in order to help staff and students to complete the academic year successfully. The first step in the evidence-based response was to understand students’ device access, data access, and connectivity.  The Centre for Teaching and Learning (CTL) developed a survey to which 13 500 students responded. The results showed that 92% of students had an internet-enabled device, 70% could get access to the internet off campus, and 56% had access to a laptop.

The survey was followed by the Vulnerable Student Index (VSI) developed by the Directorate for Institutional Research and Academic Planning (DIRAP), which helped the university to create a better understanding of the vulnerability of about 22 000 students at the UFS. 

#UFSLearnOn is born

Based on VSI results, the UFS immediately initiated the purchase of 3 500 laptops to be distributed to assist more students. In addition, the #KeepCalm, #UFSLearnOn and #UFSTeachOn campaigns were launched. These campaigns are aimed at creating the best possible support for academic staff and students respectively, by adapting existing support and practices most suited to an emergency remote-learning environment. The departure point of both campaigns was to design a response for the constrained environments of our students. 

The #UFSLearnOn for students creates materials that students can download on cellphones and that would provide them with skills and ideas on how to get connected and create an environment where they could study at home. The #UFSLearnOn website has been viewed by more than 77 000 students to date, and the resources were shared with other universities to support a collaborative approach to addressing the COVID-19 challenge. A total of 177 000 Facebook users have been reached by these #UFSLearnOn materials.

The #UFSTeachOn campaign focused on supporting staff to transform their materials and teaching approach to a new reality. Staff members who attended training sessions numbered 3 800, a testament to their commitment to create the best possible response. Both the #UFSLearnOn and #UFSTeachOn campaigns are continuing, with an overwhelmingly positive response from staff and students.

Multi-pronged approach

However, these campaigns would become two of the 16 strategies the UFS has developed to manage the risks created by the pandemic. Creating responses is, however, not enough; you need evidence that these initiatives are making a difference. Therefore, the CTL was tasked with creating a monitoring system using data analytics. To date, 34 reports have served at the weekly TLMG meetings. The reports monitor the number of staff and students on the Learning Management System (LMS), measuring how much time they are spending learning, and whether they are completing assessments. 

During the peak of the first semester, 90% of students were online, supported by academic and support staff. The average performance of students per faculty per campus was monitored. The use of data analytics allowed the UFS to identify students who were not connecting, as part of the #NoStudentLeftBehind initiative. 

A ‘no-harm intervention’

Gugu Tiroyabone, Head of Advising, Access, and Success in CTL, says that this intervention was designed to effect behavioural change while not scaring a student, in an effort to enhance chances of success: “Under the banner of No Student Left Behind (NSLB) at the UFS – a ‘no-harm intervention’ – the task team continuously reflects on the numbers, which provides insights on student behaviour relating to access/engagement on the LMS system. The quantitative data is integrated with students’ qualitative narratives to tailor individualised responsive support through academic advising, tutorial support, and other student-support services in faculties and student affairs. The NSLB was one of many other faculty and institutional initiatives deployed during the pandemic to promote equitable outcomes despite the disparities students face as a result of the pandemic. The NSLB has fast-tracked the use of analytics and student narratives to transform the way we support students and enhance student success by effecting behavioural change that promotes student and institutional agency. NSLB has been an exercise of shared efforts to cultivate effective learning, teaching, and support that has exemplified the UFS’ organisational growth-mindedness. Numbers and words tell a better story – this has helped us become an agile, focused, and responsive institution.”

Keep moving forward

This approach has resulted in 99,95% of students participating in the first semester. The 0,05% (or 204) students who were not able to participate are being supported to continue their studies successfully. 

The success of the UFS’ approach is not only borne out by quantitative evidence, but also by qualitative feedback, such as the following quote sent to an academic adviser on 24 August:

“Thank you so much (adviser’s name); if it wasn't for you, I would have dropped out, deregistered or even committed suicide during this pandemic. I want to say that I have passed all my modules with distinctions, all thanks to you. After all the difficulty of learning I have experienced during this period. Please continue your great work to others (you were truly meant for this job) and God bless you.”

There are hundreds more testimonials like these, which testify to the inspiring efforts of students and staff at the UFS to finish the academic year successfully with very low risk. Some of these testimonials have been captured in the CTL publication, Khothatsa, which means ‘to inspire or uplift’.

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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