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Is South Africa falling apart – where to from here?

12 August 2021 | Story Dr Nitha Ramnath

As a public higher-education institution in South Africa with a responsibility to contribute to public discourse, the University of the Free State (UFS) will be presenting the webinar as part of the Free State Literature Festival’s online initiative, VrySpraak-digitaal.

The aim of the webinar series is to discuss issues facing South Africa by engaging experts at the university and in South Africa. Some of the topics for 2021 include, among others, reimagining universities for student success; corruption; local elections, the state of business – particularly in the Free State.

In 2020, the webinar series saw the successful participation of leading experts engaging on COVID-19 and the crisis facing the country socially, economically, and politically. This year, in lieu of the Free State Arts Festival, the UFS will present the webinar virtually over a period of five months.

Fourth webinar presented on 24 August 2021
What South Africa will look like after the recent unrest in KwaZulu-Natal and Gauteng, is yet unknown. As the country is attempting to normalise while tallying the human, political, and economic cost of the riots – what we know for sure is that the events of the past few weeks have dispelled the impression of South Africa as exceptional, with a triumphant future. Moreover, the inconsistent response from government during and after the unrest laid bare the divisions within the ruling party. As South Africans are reeling from the aftermath of the looting, a lacklustre response from leaders with unreliable, conflicting messages has brought little comfort to those most in need.

What happens now? What will it take for South Africans to advance a cohesive vision to provide a sustainable future for the next generation?

Date: Tuesday, 24 August 2021
Topic: Is South Africa falling apart – where to from here?
Time: 12:30-14:00
RSVP: Alicia Pienaar, pienaaran1@ufs.ac.za by 20 August 2021

Facilitator:

Prof Francis Petersen
Rector and Vice-Chancellor, UFS

Panellists:

• Prof Bonang Mohale
UFS Chancellor
Professor of Practice
Johannesburg Business School, and
Chairman Bidvest Group Limited

• Nikiwe Bikitsha
Board Member: Nelson Mandela Foundation
CEO and co-founder: Amargi Media

• Qaanitah Hunter
Political Editor: News24

• Prof Anthony Turton
Affiliated Professor
UFS Centre for Environmental Management

Bios of speakers:

Prof Bonang Mohale

A Professor of Practice at the Johannesburg Business School’s College of Business and Economics, and Chairman of the Bidvest Group Limited, Prof Mohale is a published author and respected business leader who has held chairmanships and directorships at some of South Africa’s top companies. He currently serves on the boards of Swiss Re Africa Limited, Rand Merchant Bank Limited (RMB), the Automobile Association of South Africa, and SBV. Prof Mohale was the former Chief Executive Officer of Business Leadership South Africa (BLSA). In 2001, he received the President’s Award for his servanthood in South African industry, and in 2019 the Free Market Foundation’s Luminary Award. Prior to joining BLSA, Prof Mohale was the Chairman of Shell Downstream South Africa (Pty) Limited, and Vice-President of Shell Upstream.

Ms Nikiwe Bikitsha

Nikiwe Bikitsha is a former journalist who has been at the forefront of major national and international developments in a news and current affairs broadcasting career spanning twenty years. Nikiwe is a Fulbright Hubert H Humphrey Fellow – the Humphrey programme is a mid-career Fulbright exchange fellowship awarded to people who have demonstrated leadership. Nikiwe holds an MA in Journalism and Media Studies from the University of the Witwatersrand, and an MSc degree in African Studies from the University of Oxford. She serves as trustee on the board of the Nelson Mandela Foundation, is a member of the Deloitte Global Advisory Council and an independent non-executive director of Deloitte Africa. Despite leaving journalism, Nikiwe remains a keen observer of society.

Ms Qaanitah Hunter

Qaanitah Hunter is an award-winning political journalist and author. She is the political editor of News24 and author of Balance of Power: Ramaphosa and the future of South Africa. Qaanitah has won a number of awards for her work, including the Nat Nakasa award for brave and courageous journalism in 2019. She is currently a master’s student at the University of the Witwatersrand. She has reported fearlessly on state capture, the Zuma years, and the political transition thereafter. Her constant probing and investigations have played a pivotal role in holding truth to power. Her writing on South African politics and investigations has featured prominently on many national media platforms, often setting the agenda in the country. Qaanitah is well-versed in issues of governance and her well-rounded and balanced political reporting has contributed to her astute analysis of news and current affairs. She has fought strongly against censorship and intimidation among journalists and has been a strong advocator for the freedom of the press. Qaanitah believes that the prospect of any democracy to persevere is pinned on how free the media is and its ability to hold those in power accountable.

Prof Anthony Turton

Prof Anthony Turton is an Affiliated Professor in the Centre for Environmental Management at the University of the Free State (UFS). He specialises in strategic planning, transboundary water resource management, policy and institutional issues, conflict resolution (mitigation), political risk assessment for large infrastructural projects, and research programme design. He is also the Director of Nanodyn Systems Pty Ltd. Prof Turton’s focus is on resources, more specifically the need to overcome water and energy constraints to our future economic growth and prosperity, both as a country and the entire SADC region. As an environmentally aware person, he believes that we are reaching the limits to our current developmental approaches and will be forced to make changes in the near future, whether we like it or not. By understanding and anticipating this, Prof Turton assists organisations in staying ahead of the game by isolating fundamental drivers at work and by identifying emerging opportunities.

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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