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22 May 2020 | Story Leonie Bolleurs | Photo Supplied
Prof Das Steÿn was announced as the recipient of the prestigious Stals Prize this week (19 May 2020), awarded by the Suid-Afrikaanse Akademie vir Wetenskap en Kuns.

Prof Das Steÿn, former Head and currently a research fellow in the Department of Urban and Regional Planning at the University of the Free State (UFS), has been named the recipient of the prestigious Stals Prize this week (19 May 2020), awarded by the Suid-Afrikaanse Akademie vir Wetenskap en Kuns (South African Academy for Science and Arts).

The current Head of the Department, Prof Maléne Campbell, together with two academics from the North-West University, Profs Juanée Cilliers (Head of the Urban and Regional Planning group) and Ewert Kleynhans (School of Economic Sciences), nominated Prof Steyn for the award.

A lifetime’s work

The Stals Prize for Urban and Regional Planning was awarded to Prof Steÿn, based on his numerous publications in Afrikaans, the important role he played in the planning profession in South Africa, his major contribution to the planning of literature, as well as the academic development of urban and regional planning. The award recognises Prof Steÿn for a lifetime's work in the field of urban and regional planning – including his appointment as a lecturer (1980-2009) and also for his time as editor of the journal Stads-en Streekbeplanning / Town and Regional Planning / Meralo ya Ditoropo le Mabatowa (2000-2019).

“As editor of the journal for Urban and Regional Planning, Prof Steÿn set a very high standard. So much so that this UFS journal was listed earlier this year on the international SciELO (Scientific Electronic Library Online), a Norwegian database. As an academic, his research and theoretical knowledge of normative planning are also highly regarded,” says Prof Campbell.

Motivating Prof Steÿn’s nomination for the Stals Prize, Prof Campbell states that as editor, he has sought to highlight issues in the South African planning industry through well-founded headlines. “The journal also grew from a small local journal to a journal that is being read every month in more than 60 countries on the free access platform,” she adds.

In addition to this journal, Prof Steÿn has also published in other journals and written books that have appeared bilingually in South Africa. Then there is also a work that has appeared in Dutch in the Netherlands with his contribution in Afrikaans.

He applied a combination of the urbanistic concept with Christian philosophy in his work and published some articles on the topic.

Distinction between thought and action

Prof Steÿn says that in urbanistics, a distinction is made between the framework of thought and action. It is a matter of answering the ‘what?’, ‘how?’, and ‘why?’ questions.

He believes urbanistics is particularly useful in public participation to bring the various role players in planning together. It makes it possible to distinguish between the considerable number of factors that complicate matters. South Africa, with its unique situation regarding planning, may be able to make good use of this concept.

As example, he uses the matter of providing basic services such as electricity to a community. “At the first level of infrastructure, the problem of providing electricity is easy to solve: x people use y units, implying that z units must be provided. This solves the ‘what?’ part of the problem. The ‘how?’ question in the superstructure is also relatively easy to answer. Different engineers may have different solutions about the appropriate design of the distribution network and how it should link to the greater whole. Still, in the end, the most effective design will be sufficient.”
 
“The major crisis is in the ‘why?’ question. At the ideological level, basic services mean different things to different people. Basic services to the Marxist are a right that every person must receive free of charge, while the capitalist considers it a commodity that every human being should pay for to receive.”

“This simple example shows that there is a definite difference in viewpoints about the mere provision of electricity and that these attitudes of people will, as a matter of course, influence the planning process itself,” he explains. 

Recognising outstanding work

The Suid-Afrikaanse Akademie vir Wetenskap en Kuns awards the Stals Prize for, among others, high-quality publications or a series of high-quality publications (preferably in Afrikaans) whereby extraordinary contributions are made to the practice of science.

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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