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08 June 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.

Third webinar presented on 29 June 2021

South African local government has often been the target of protests due to poor service delivery. This either suggests that local government is not capable of carrying out technical tasks, or that constituents are not being heard by the representatives they elected.  Without capable and ethical politicians, the best institutions and policies in a country will serve no purpose if they are not protected. Institutions run the risk of being ineffective and not reaching their full potential in an environment without an ethical framework and the required human capabilities. South Africa suffers severe capability deficiencies due to poor political management that requires fixing at a political level.  

Will the forthcoming local government elections be the solution to much-needed change OR will electoral reform – a somewhat far-fetched ideal – provide the platform for ultimate change?

Date: Tuesday, 29 June 2021
Topic:  South African politics and the local government elections: scene setter for a capable state?
Time: 12:30-14:00
RSVP: Alicia Pienaar, pienaaran1@ufs.ac.za by 26 June 2021

Facilitator:

Prof Francis Petersen
Rector and Vice-Chancellor, UFS

Panellists:

Dr Ferial Haffajee
Associate Editor
Daily Maverick

• Prof Susan Booysen
Director of Research
Mapungubwe Institute for Strategic Reflection (MISTRA)

Mr Ebrahim Fakir
Director of Programmes
Auwal Socio-Economic Research Institute (ASRI)

Prof Sethulego Matebesi
Associate Professor and Academic Head of the Department of Sociology
University of the Free State

Bios of speakers:

Dr Ferial Haffajee

Ferial Haffajee is a South African editor and journalist. She is currently associate editor at the Daily Maverick. Previously, Ferial was editor-in-chief at the Mail & Guardian and City Press, where teams working with her won numerous investigative journalism awards.  She is a regular analyst and commentator on radio, television, and elsewhere. Ferial is a member of the Aspen Global Leadership Network and a member of the African Leadership Institute.   She serves on the board of the Open Society Programme on Independent Journalism. She has won numerous awards for journalism and for her support of media freedom, including an International Press Freedom Hero award from the Committee to Protect Journalists in 2015 and the Naspers Phil Weber award in 2013 – the global company’s highest internal honour.   Previously, Ferial was chairperson of the South African National Editors’ Forum and chairperson of the CNN/MultiChoice African Journalist of the Year Awards. She has served on the boards of the World Editors Forum and the Global Editors Network. She published a best-selling book called What if there were no whites in South Africa, and in 2017 she was awarded an honorary doctorate from the University of the Free State for her journalism.

Prof Susan Booysen

Prof Susan Booysen is a political scientist, author, and analyst of South African politics. She is also Director of Research at the Mapungubwe Institute for Strategic Reflection (MISTRA), emeritus professor at the University of the Witwatersrand, and visiting professor at the Wits School of Governance.

Booysen’s third book in her Wits University Press trilogy of research-driven books on the African National Congress of South Africa, Precarious Power: Compliance and discontent under Ramaphosa’s ANC, was published in March 2021. The first two parts of the set were The African National Congress and the Regeneration of Political Power (2011) and Dominance and Decline: The ANC in the Time of Zuma (2015). Precarious Power (http://witspress.co.za/catalogue/precarious-power/) is available from South African bookshops and digitally from online stores such as Amazon’s Kindle Store and Barnes & Noble.

Booysen also edited a range of books on South and Southern African politics. Her latest edited volume for the Mapungubwe Institute is Marriages of Inconvenience: Coalition politics in South Africa (July 2021). Her previous edited books are FeesMustFall: Student Revolt, Decolonisation and Governance in South Africa (WUP, 2016) and Local Elections in South Africa: People, parties, politics (SUN Press, 2012). She co-edited Democracy and Elections in Southern Africa (2009) with Denis Kadima.

Mr Ebrahim Fakir

Ebrahim Fakir is currently Director of Programmes at the Auwal Socio-Economic Research Institute (ASRI). He was awarded the 2014 Ruth First Fellowship at the University of the Witwatersrand and was a part-time lecturer in the WITS School of Governance in 2018.  Until October 2016, he was head of the Political Parties and Parliamentary Programme in the Electoral Institute (EISA) [2009-2016], where he edited and published the Election Update focusing on the analysis of SA elections. He was an editorial adviser to the independent start-up media house Daily Vox and regularly contributes analysis, opinion and comment articles to POLITY, the Mail & Guardian, Sunday Times, News 24, and Business Day, among others.

Formerly a senior researcher and analyst in the Centre for Policy Studies in Johannesburg (2003-2009), he worked in both the Pretoria and Cape Town offices of the Institute for Democracy in South Africa (IDASA – 1998-2003), and also in the Legislation and Oversight Division of the first democratic Parliament of the Republic of South Africa (1996-1998). Before that, he was a tutor in English Literature at the then University of Durban-Westville (1994-1996), writing for the popular press as well as for academic and policy journals on politics, development, and the state.

He read for a degree in English Literature at the University of the Witwatersrand, where he was elected to the Student Representative Council. He was a visiting fellow at the Institute of Development Studies at the University of Sussex (2006) and a Draper Hills Summer Fellow at the Centre on Democracy, Development and the Rule of Law at Stanford University in 2011.

Prof Sethulego Matebesi

Sethulego Matebesi is Associate Professor and Academic Head of the Department of Sociology at the University of the Free State. Matebesi’s primary research interest is social movements, community development, and mining-company-community relations. He is particularly interested in understanding the role of trust in community protests at municipal level and the conflict between mining companies and mining communities in South Africa. His recent publications include two monographs – Social licensing and mining in South Africa (2020), and Civil strife against local governance: Dynamics of community protests in South Africa (2017).

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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