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03 July 2020 | Story Dr Nico Jooste and Cornelius Hagenmeier
Cornelius Hagenmeier,left, and Dr Nico Jooste.

South Africa has established itself as a regional higher education hub, which has until the recent COVID-19 pandemic been hosting increasing numbers of international students. The vast majority hails from the neighbouring countries in the Southern African Development Community and includes increasing numbers of postgraduate students, specifically doctoral students. The country has become one of the global epicentres of the pandemic. We argue that while the country is grappling with combating the virus, its higher education system and stakeholders must keep focusing on the post-COVID-19 future. The way the country and its higher-education system treat international students in the present crisis may determine whether it will be able to retain its position as a regional higher education hub, and whether it will be able to be a driver for PhD capacity development in the SADC region and Africa following the pandemic.

South African higher education has promoted ethical practices that govern their engagements with international students. The Code of Ethical Practice – accepted by all South African universities, guide the university’s actions for all phases of study, including the phase where students would be required to go home and return for studies. The common obstacles influencing international student mobility to and from the country caused by the lack of cooperation by government departments, should not have been a problem in this case, as all activities are coordinated by the South African National Coronavirus Command Council (NCCC). According to South Africa’s President, Cyril Ramaphosa, “the NCCC coordinates government’s response to the coronavirus pandemic. The NCCC makes recommendations to Cabinet on measures required in terms of the national state of disaster. Cabinet makes the final decisions”. (Written response by the President to written question NW 725 by Adv. G Breytenbach dated 5 June 2020.)  

International Students in the Initial Phase of the COVID-19 Crisis
The lockdown that the country imposed in March 2020 to combat the pandemic, resulted in a large part of its international student population returning home, particularly those hailing from neighbouring countries for whom travel was easy to organise. At the time, it was anticipated that students would be able to return after a three-week lockdown of the country. Most universities expected that their international students would come back to campuses after an extended recess in April 2020. At many universities, international offices assisted international students with travel arrangements and organised for those unable to travel, mostly students from other regions of the world, to remain in university residences until campuses would reopen. International students expected to be able to return to their universities soon, resulting in many travelling light and leaving essential learning, research, and personal items behind in residences.

However, controlling the COVID-19 pandemic proved far more complicated than anticipated, and the lockdown was replaced by a risk-adjusted strategy that provides for five alert levels, of which level five has the most severe restrictions on public life. As the country progressed to level four on 1 May 2020, South African universities were permitted to resume face-to-face classes for final-year medical students. On Wednesday (13/5), directions were gazetted that “allow for the once-off travel of final-year medical students studying at a public higher education institution to travel from their homes to the university campus where they are registered for study during the period 8-31 May 2020” (GG No. 43319 of 13 May 2020). No clarity was provided on whether this would include international students; the wording was at least wide enough to allow for this. Stakeholders interpreted the regulations in different ways, but at least a limited number of international final-year medical students returned from Lesotho. 

Preparation for the Resumption of Select Face-to-Face Classes 
When the South African Minister of Higher Education and Training, Dr Blade Nzimande, charted the way forward for South African higher education during the COVID-19 pandemic, he enunciated the principle that “all students should be given a fair opportunity to complete the academic year 2020” (speech on 23 May 2020). In this political announcement, he stated that final-year students in programmes requiring clinical training (e.g. nursing, and dental sciences) would begin from 1 June 2020. He postulated that other critical groups of students, including final-year and postgraduate students who require access to laboratory equipment, should be allowed to return to the country’s campuses. He did not refer in any way to a planned exclusion of international students, and at least some universities included international students in their planning for the resumption of select face-to-face classes in June 2020. 

International Students in Basic Education
When the teaching of select grades in basic education resumed in South Africa in June 2020, students from neighbouring countries were allowed to resume their daily commutes across the South African border according to regulations gazetted on 28 May 2020 (GG No. 43364 of 28 May 2020). It appears from individual reports received from border posts that boarding school students are returning from Lesotho and Botswana.

International Students in Higher Education   
As the country moved to alert level three on 1 June 2020, some stakeholders in South Africa’s higher education system anticipated that at least international students from neighbouring low-risk countries such as Lesotho or Botswana would be allowed to return when their face-to-face classes would resume. Directions issued by the South African Department of Higher Education and Training on 8 June 2020, however, unequivocally stated that ‘international students who returned to their home countries during the lockdown will only be permitted to return to campuses when Level 1 of the strategy is announced’ and explained, without elaborating on detail, that ‘these international students will be supported through remote learning until they return. Tailored catch-up plans will be implemented when they return.’ Consequently, many international students are likely to return after face-to-face classes in their modules have recommenced, and it is left to individual higher-education institutions to ensure that they are not ‘left behind’. Core challenges to ensure this include the cost of data in the main source countries of international students, as well as limited internet speed. Some universities are trying to alleviate this by providing data allowances for international students; however, this is not yet practised uniformly throughout the sector. 

Core Challenges 
To avoid harm to South Africa’s reputation as a preferred destination for international students, the country and its higher-education system will have to find satisfactory answers to critical questions:

• How can the South African higher-education system ensure that no international student is left behind in modules for which face-to-face classes resume, especially considering those who require clinical/laboratory training? A recent webinar between Vice-Chancellors from six SADC countries highlighted the fact that connectivity and data availability throughout Southern Africa is still one of the biggest challenges facing all higher-education systems. Not only the South African system, but all other SADC universities will have to be innovative to resolve this problem, especially where all have committed themselves to not leave any students behind.

• Who will bear the considerable cost for necessary interventions, such as the provision of data to international students abroad?

• How can the training of critical professions for combating COVID-19 in Southern Africa be sustained at South African higher-education institutions when degrees such as medicine (MB ChB degree) require clinical training and examinations through a practical component?

• How can reputational damage to South Africa as a destination for international students be avoided when, apparently, high school students from (at least) Lesotho are allowed to enter the country and return to boarding schools, but students in critical health science degrees are not allowed to return to classes?

Way forward
We posit that careful balancing of the often conflicting priorities of combating COVID-19, ensuring that no international students are left behind, and sustaining the training of professionals who are critical in the fight against COVID-19 in Southern Africa, is necessary to ensure that South Africa contributes optimally to the fight against the pandemic in Southern Africa and sustains its position as a preferred destination for international students post-COVID-19. It will be important to demonstrate to the world that the country is living up to its world-renowned Constitution, which entrenches equality as a fundamental right. Any differentiation between international and local students, as well as between secondary and tertiary education students, which does not have a rational connection to a legitimate government purpose such as protecting public health, may infringe the country’s internationally celebrated Constitution, taint South Africa’s standing as a higher education hub, and jeopardise its existing reputation as a preferred destination for international students. Moving forward, thoughtful action is required to ensure that future generations of international students choose to study in South Africa following the pandemic, and to encourage those who left in haste when the COVID-19 crisis intensified, to return to complete their studies. 

 

Opinion article by Dr Nico Jooste is Senior Director of the African Centre for Higher Education Internationalisation (AfriC) and a Research Fellow of the University of the Free State (UFS) South Campus. Mr Cornelius Hagenmeier is Director of the Office for International Affairs at the UFS and serves on the AfriC Board of Directors. Both are writing in their personal capacity.

News Archive

First doctorate in Thoracic Surgery in Africa awarded
2009-05-12

The University of the Free State (UFS) has become the first university in Africa to award a Ph.D. degree in Thoracic Surgery. The degree was conferred on Prof. Anthony Linegar from the university’s Department of Cardiothoracic Surgery during its recent graduation ceremony.

Thoracic surgery is a challenging subspecialty of cardiothoracic surgery. It began in South Africa in the 1940s and is a broad medico-surgical specialist discipline that involves the diagnosis, operative and peri-operative treatment of acquired and congenital non-cardiac ailments of the chest.

Prof. Linegar became the first academic to conduct a mixed methods analysis of this surgical specialty, which included a systematic review of all the research done in this field in South Africa. The title of his thesis is A Model for the Development of Thoracic Surgery in Central South Africa. The research was based on the hypothesis of a performance gap between the burden of disease in the community and the actual service provision. It makes use of systems theory and project management concepts to develop a model aimed at the development of thoracic surgery.

The research proved that there is a significant under provision of clinical services in thoracic surgery. This was quantified to a factor of 20 times less than should be the case, in diseases such as lung and oesophagus cancer. According to Prof. Linegar, there are multiple reasons for this. Listed amongst these reasons is the fact that thoracic surgery is not part of the undergraduate education in medical training. There tends to be a low level of awareness amongst clinicians as to what the thoracic surgeon offers their patients. The diagnostic and referral patterns in primary and secondary health facilities, where diseases must be picked up and referred early, are not functioning well in this regard. In addition, relatively few cardiothoracic surgeons express an interest in thoracic surgery.

Prof. Linegar’s model is named the ATLAS Mode, which is an acronym for the Advancement of Thoracic Surgery through Analysis and Strategic Planning. It includes the raising of awareness of the role of the specialist thoracic surgeon in the treatment of patients with thoracic diseases as part of the solution to the problem. Furthermore, it aims to develop an accessible and sustainable specialist service that adequately provides for the needs of the community, and that is appropriately represented in health administration circles.

His promoters were Prof. Gert van Zyl, Head of the School of Medicine at the UFS, Prof. Peter Goldstraw, from the Imperial College of London, United Kingdom (UK) and Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the UFS.

Prof. Linegar has been with the UFS since 2004, is a graduate from Stellenbosch University in 1984 and completed his postgraduate training in Cardiothoracic Surgery at the University of Cape Town. He was granted a Fellowship in Thoracic Surgery at the Royal Brompton Hospital in London, UK and has since held consultant positions at the UFS, Stellenbosch University and in private practice. He has been involved in registrar training since returning from the UK in 1994 and has extensive experience in intensive care medicine. He has published widely, has presented papers at many international conferences, has been invited as a speaker on many occasions and has won awards for best presentation on three occasions.

Media Release
Issued by: Lacea Loader
Assistant Director: Media Liaison
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@ufs.ac.za  
12 May 2009
 

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