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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: Sunday Times
2006-05-20

Sunday Times, 4 June 2006

True leadership may mean admitting disunity
 

In this edited extract from the inaugural King Moshoeshoe Memorial Lecture at the University of the Free State, Professor Njabulo S Ndebele explores the leadership challenges facing South Africa

RECENT events have created a sense that we are undergoing a serious crisis of leadership in our new democracy. An increasing number of highly intelligent, sensitive and committed South Africans, across class, racial and cultural spectrums, 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. We have the sense that events are spiralling out of control and that no one among the leadership of the country seems to have a definitive handle on things.

There can be nothing more debilitating than a generalised and undefined sense of anxiety in the body politic. It breeds conspiracies and fear.

There is an impression that a very complex society has developed, in the last few years, a rather simple, centralised governance mechanism in the hope that delivery can be better and more quickly driven. The complexity of governance then gets located within a single structure of authority rather than in the devolved structures envisaged in the Constitution, which should interact with one another continuously, and in response to their specific settings, to achieve defined goals. Collapse in a single structure of authority, because there is no robust backup, can be catastrophic.

The autonomy of devolved structures presents itself as an impediment only when visionary cohesion collapses. Where such cohesion is strong, the impediment is only illusory, particularly when it encourages healthy competition, for example, among the provinces, or where a province develops a character that is not necessarily autonomous politically but rather distinctive and a special source of regional pride. Such competition brings vibrancy to the country. It does not necessarily challenge the centre.

Devolved autonomy is vital in the interests of sustainable governance. The failure of various structures to actualise their constitutionally defined roles should not be attributed to the failure of the prescribed governance mechanism. It is too early to say that what we have has not worked. The only viable corrective will be in our ability to be robust in identifying the problems and dealing with them concertedly.

We have never had social cohesion in South Africa — certainly not since the Natives’ Land Act of 1913. What we definitely have had over the decades is a mobilising vision. Could it be that the mobilising vision, mistaken for social cohesion, is cracking under the weight of the reality and extent of social reconstruction, and that the legitimate framework for debating these problems is collapsing? If that is so, are we witnessing a cumulative failure of leadership?

I am making a descriptive rather than an evaluative inquiry. I do not believe that there is any single entity to be blamed. It is simply that we may be a country in search of another line of approach. What will it be?

I would like to suggest two avenues of approach — an inclusive model and a counter-intuitive model of leadership.

In an inclusive approach, leadership is exercised not only by those who have been put in some position of power to steer an organisation or institution. Leadership is what all of us do when we express, sincerely, our deepest feelings and thoughts; when we do our work, whatever it is, with passion and integrity.

Counter-intuitive leadership lies in the ability of leaders to read a problematic situation, assess probable outcomes and then recognise that those outcomes will only compound the problem. Genuine leadership, in this sense, requires going against probability in seeking unexpected outcomes. That’s what happened when we avoided a civil war and ended up with an “unexpected” democracy.

Right now, we may very well hear desperate calls for unity, when the counter-intuitive imperative would be to acknowledge disunity. A declaration of unity where it manifestly does not appear to exist will fail to reassure.

Many within the “broad alliance” might have the view that the mobilising vision of old may have transformed into a strategy of executive steering with a disposition towards an expectation of compliance. No matter how compelling the reasons for that tendency, it may be seen as part of a cumulative process in which popular notions of democratic governance are apparently undermined and devalued; and where public uncertainty in the midst of seeming crisis induces fear which could freeze public thinking at a time when more voices ought to be heard.

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 be seen to have become “the opposition”. The word has been demonised. In reality, it is time we began to anticipate the arrival of a moment when there is no longer a single, overwhelmingly dominant political force as is currently the case. Such is the course of history. The measure of the maturity of the current political environment will be in how it can create conditions that anticipate that moment rather than seek to prevent it. We see here once more the essential creativity of the counter-intuitive imperative.

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 is currently, 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 in different articulations, which then contend for social influence. In this way, the vision never really dies; it simply evolves into higher, more complex forms of itself. Consider the metaphor of flying ants replicating the ant community by establishing new ones.

We may certainly experience the meaning of comradeship differently, where we will now have “comrades on the other side”.

Any political movement that imagines itself as a perpetual entity should look at the compelling evidence of history. Few movements 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 ’90s. 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. Could we apply to ourselves the same degree of inventiveness and rigorous negotiation we displayed leading up to the adoption or our Constitution?

This is not a time for repeating old platitudes. It is the time, once more, for vision.

In the total scheme of things, the outcome could be as disastrous as it could be formative and uplifting, setting in place the conditions for a true renaissance that could be sustained for generations to come.

Ndebele is Vice-Chancellor of the University of Cape Town and author of the novel The Cry of Winnie Mandela

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