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25 May 2020 | Story Andre Damons | Photo Supplied
Showing support for healthcare workers on the frontlines by wearing crazy shocks.

If the COVID-19 pandemic were a war, the brave healthcare workers protecting the rest of the people against this lethal and invisible enemy would have been in the firing line. The heroes battling this deadly foe in the form of a never-foreseen viral pandemic, are under immense stress and pressure, and might in extreme cases also be at risk of burnout and trauma. 

Raising awareness around depression, other related diseases
It is for this reason that the Ithemba Foundation, a non-profit organisation with two public-benefit goals, namely to raise awareness around depression and other related diseases such as anxiety as clinical, biological diseases, and to support research, organised the #Care4OurCarers for this year’s #CrazySocks4Docs (CS4D) Day on Friday 29 May. Ithemba means ‘hope’ in isiXhosa – the message being that if depression is the illness of despair, hang on to hope. 

Dr Marita van Schalkwyk, Ithemba Director, says: “As health workers we must undertake to serve the sick and needy, but we must also look out for one another, help one another, inspire one another, and seek help when we ourselves cannot keep up the demanding pace. There is always hope – the meaning of ithemba.”

Supporting healthcare professionals 
According to Dr Van Schalkwyk, healthcare professionals need support now, more than ever, and people need to show it in a visual way. “We are therefore requesting the public to wear funky mismatched socks on Friday 29 May to show that we care for our carers. This includes everyone in the health professions, also academic and administrative staff on our medical campuses, as well as our future caregivers – our medical students. We know that they are also suffering immensely from anxiety and fear, and despite this, are still volunteering to work as extras in the fight against Covid-19,” she says.

“It is clear: we as the public must show we #Care4OurCarers and that between us and a deadly virus, they are the ones fighting in the front lines and putting their lives at risk. We hope that the South African public will show how much we value our health workers. And fortunately, all of us have a number of despondent socks in our drawers that will just be too happy to find a mate on 29 May to highlight the importance of the 2020 #CS4D Day together with us, their wearers. Even if we sit behind our desks in home-office style, you can post your sock selfie on www.facebook.com/IthembaFoundation1 to show that you care – let’s use this opportunity to say a BIG thank you to all our health workers.”

The risk of burnout
Dr Lynette van der Merwe, undergraduate medical programme director, School of Clinical Medicine at the University of the Free State (UFS), says healthcare practitioners and Health Sciences students have always been at risk of burnout and mental-health problems due to various demands,  such as academic workload, emotional and physical challenges, or meeting regulatory standards.

“Dealing with the global COVID-19 pandemic and its associated uncertainties asks more from all of us, not least those on the front lines (or training to be there soon).  Add to that the challenge of dealing with COVID-19, and suddenly we are even more convinced of our need for resilience; bouncing back, growing stronger from failure, staying positive in hard times.” 

“From research in the Faculty of Health Sciences on resilience, burnout, and coping, we have seen that in spite of high levels of stress (whether personal, academic or work-related), adaptive coping strategies were associated with increased resilience and decreased burnout,” says Dr Van der Merwe.

The importance of healthcare professionals
Angie Vorster, Clinical Psychologist in the School of Clinical Medicine, says this year the world has been reminded of the immense importance healthcare professionals play in society. 

“Perhaps in 2020, more than any year before, we are called to thank and celebrate and protect our doctors. In my position as the clinical psychologist for around 800 undergraduate medical students, I continue to be humbled and in awe of the immense dedication to serving others that medical students display.” 

“Medical studies are immensely stressful and demand a great deal of sacrifice – not only in terms of finances, time, hard work, studies, and clinical work – but becoming a medical doctor also requires all medical students to be exposed to physical and psychological threats and stressors. This is an unavoidable part of working in the field of medicine,” says Vorster. 

According to her, young people pursue the knowledge and clinical skills that will enable them to save lives. “I can confirm that many medical students, interns, comm-serves, registrars, and even specialists experience depression, trauma, anxiety, eating disorders, bereavement, substance abuse, and other psychological disorders and symptoms during their studies and work.” 

However, says Vorster, there is an added threat that can be even more dangerous than these disorders, and that is the stigma associated with being a medical professional and acknowledging that you have a psychiatric disorder, and are receiving medical and psychological treatment for this.  

“This is the deadliest threat to our doctors. More insidious than any pandemic, is the lack of freedom to access psychological assistance without the fear of being labelled as impaired or incompetent. In fact, medical doctors who receive psychiatric and psychological treatment are healthier and better able to assist their patients than those who suffer alone,” says Vorster.

According to Vorster, medical professionals are exposed to even more loss and suffering than they usually would be during this difficult time of the pandemic; they put their loved ones at risk of infection, and place their own lives at risk in order to serve their patients. 

• For medical students, there is a small bonus: Ithemba wants them to post their sock selfies on www.facebook.com/IthembaFoundation1 and encourage family and friends to like their sock selfies. The student with the most likes on each campus will get a cash prize of R1 000. 

News Archive

Media: ANC can learn a lesson from Moshoeshoe
2006-05-20


27/05/2006 20:32 - (SA) 
ANC can learn a lesson from Moshoeshoe
ON 2004, the University of the Free State turned 100 years old. As part of its centenary celebrations, the idea of the Moshoeshoe Memorial Lecture was mooted as part of another idea: to promote the study of the meaning of Moshoeshoe.

This lecture comes at a critical point in South Africa's still-new democracy. There are indications that the value of public engagement that Moshoeshoe prized highly through his lipitso [community gatherings], and now also a prized feature in our democracy, may be under serious threat. It is for this reason that I would like to dedicate this lecture to all those in our country and elsewhere who daily or weekly, or however frequently, have had the courage to express their considered opinions on pressing matters facing our society. They may be columnists, editors, commentators, artists of all kinds, academics and writers of letters to the editor, non-violent protesters with their placards and cartoonists who put a mirror in front of our eyes.

There is a remarkable story of how Moshoeshoe dealt with Mzilikazi, the aggressor who attacked Thaba Bosiu and failed. So when Mzilikazi retreated from Thaba Bosiu with a bruised ego after failing to take over the mountain, Moshoeshoe, in an unexpected turn of events, sent him cattle to return home bruised but grateful for the generosity of a victorious target of his aggression. At least he would not starve along the way. It was a devastating act of magnanimity which signalled a phenomenal role change.

"If only you had asked," Moshoeshoe seemed to be saying, "I could have given you some cattle. Have them anyway."

It was impossible for Mzilikazi not to have felt ashamed. At the same time, he could still present himself to his people as one who was so feared that even in defeat he was given cattle. At any rate, he never returned.

I look at our situation in South Africa and find that the wisdom of Moshoeshoe's method produced one of the defining moments that led to South Africa's momentous transition to democracy. Part of Nelson Mandela's legacy is precisely this: what I have called counter-intuitive leadership and the immense possibilities it offers for re-imagining whole societies.

A number of events in the past 12 months have made me wonder whether we are faced with a new situation that may have arisen. An increasing number of highly intelligent, sensitive and highly committed South Africans across the class, racial and cultural spectrum confess to feeling uncertain and vulnerable as never before since 1994. When indomitable optimists confess to having a sense of things unhinging, the misery of anxiety spreads. It must have something to do with an accumulation of events that convey the sense of impending implosion. It is the sense that events are spiralling out of control and no one among the leadership of the country seems to have a handle on things.

I should mention the one event that has dominated the national scene continuously for many months now. It is, of course, the trying events around the recent trial and acquittal of Jacob Zuma. The aftermath continues to dominate the news and public discourse. What, really, have we learnt or are learning from it all? It is probably too early to tell. Yet the drama seems far from over, promising to keep us all without relief, and in a state of anguish. It seems poised to reveal more faultlines in our national life than answers and solutions.

We need a mechanism that will affirm the different positions of the contestants validating their honesty in a way that will give the public confidence that real solutions are possible. It is this kind of openness, which never comes easily, that leads to breakthrough solutions, of the kind Moshoeshoe's wisdom symbolises.

Who will take this courageous step? What is clear is that a complex democracy like South Africa's cannot survive a single authority. Only multiple authorities within a constitutional framework have a real chance. I want to press this matter further.

Could it be that part of the problem is that we are unable to deal with the notion of "opposition". We are horrified that any of us could become "the opposition". In reality, it is time we began to anticipate the arrival of a moment when there was no longer a single [overwhelmingly] dominant political force as is currently the case. Such is the course of change. The measure of the maturity of the current political environment will be in how it can create conditions that anticipate that moment rather than ones that seek to prevent it. This is the formidable challenge of a popular post-apartheid political movement.

Can it conceptually anticipate a future when it is no longer overwhelmingly in control, in the form in which it currently is and resist, counter-intuitively, the temptation to prevent such an eventuality? Successfully resisting such an option would enable its current vision and its ultimate legacy to our country to manifest itself in different articulations of itself, which then contend for social influence.

In this way, the vision never really dies, it simply evolves into higher, more complex forms of itself. If the resulting versions are what is called "the opposition" that should not be such a bad thing - unless we want to invent another name for it. The image of flying ants going off to start other similar settlements is not so inappropriate.

I do not wish to suggest that the nuptial flights of the alliance partners are about to occur: only that it is a mark of leadership foresight to anticipate them conceptually. Any political movement that has visions of itself as a perpetual entity should look at the compelling evidence of history. Few have survived those defining moments when they should have been more elastic, and that because they were not, did not live to see the next day.

I believe we may have reached a moment not fundamentally different from the sobering, yet uplifting and vision-making, nation-building realities that led to Kempton Park in the early 1990s. The difference between then and now is that the black majority is not facing white compatriots across the negotiating table. Rather, it is facing itself: perhaps really for the first time since 1994. It is not a time for repeating old platitudes. Could we apply to ourselves the same degree of inventiveness and rigorous negotiation we displayed up to the adoption or our Constitution?

Morena Moshoeshoe faced similarly formative challenges. He seems to have been a great listener. No problem was too insignificant that it could not be addressed. He seems to have networked actively across the spectrum of society. He seems to have kept a close eye on the world beyond Lesotho, forming strong friendships and alliances, weighing his options constantly. He seems to have had patience and forbearance. He had tons of data before him before he could propose the unexpected. He tells us across the years that moments of renewal demand no less.

  • This is an editied version of the inaugural Moshoeshoe Memorial Lecture presented by Univeristy of Cape Town vice-chancellor Professor Ndebele at the University of the Free State on Thursday. Perspectives on Leadership Challenges In South Africa

 

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