Latest News Archive

Please select Category, Year, and then Month to display items
Previous Archive
25 May 2021 | Story Dr Sunday Paul C. Onwuegbuchulam | Photo Supplied
Dr Sunday Paul C Onwuegbuchulam is from the Centre for Gender and Africa Studies, University of the Free State (UFS) who writes that African politicians must learn to respect the land and the people.

It is once again the month of May and there are many preparations being made for the celebration of Africa Day. I do not believe in or subscribe to the logic of having a specified day or month to celebrate Africa. But importantly, the present state of the socio-political and economic landscape of Africa leaves nothing to celebrate. It still baffles me that there is notable hype surrounding this so-called Africa Day celebration, especially considering the state of decay in the continent. I am aware I sound rather negative, but this is how I feel about the continent which almost 1.3 billion people, including myself, call home. There are several issues that we can talk about that go to ascertain that there is indeed nothing to celebrate today in Africa but the fact is we should rather be mourning. My focus is on the crisis of leadership and the weak institutions in most African countries. 

I am not saying that Africa has not made progress after the years of slavery and colonialism meted on the continent. No, I am sure that good stories are coming out of some African countries, seen in different forms of development, strong institutions and credible leadership in the said countries. Botswana offers a good case in point, as it is a country that has used its diamond resources to develop itself and its citizens. Arguably, Botswana’s success story can only be credited to the availability of strong institutions and leadership which considers the interest of the country and the wellbeing of the people as a priority. Perhaps another good story coming from Africa is the way South Africa, and indeed some other African countries, have dealt with the issue of the COVID-19 pandemic. It is said that Africa, with close to 17% of the world’s population, came out rather ‘okay’ with regards to not bearing the brunt of the negative impact of the pandemic. This can also be attributed to some good leadership, especially as seen in South Africa, which, though not perfect, debatably helped to minimise the impact of COVID in the country. It is also true that some African countries were not honest in reporting the levels of infections and some were in denial of the pandemic, which in itself led to the deaths of many including some among the political class in these countries. 

Leadership in Africa

Let me then talk about the issue of problematic leadership in Africa which has left the continent on its knees: today most African countries suffer from the problem of having inept and morally bankrupt leaders. South Africa is currently still going through the state capture saga playing out at the Zondo commission. The stories emerging from that commission, if true, point to a growing culture of corruption and sleaze that needs to be addressed, if South Africa will avoid becoming like other African countries ruined by the corruption phenomenon. Nigeria as a case in point is battling systemic corruption which has eaten deep into the socio-political and economic fabric of the country. Nigeria’s fight against corruption has become a losing battle with the current president, Muhammadu Buhari, obviously inept in dealing with the syndrome. Buhari coming into power in 2015 made several assurances that he would fight corruption and insecurity in the country. A few years into the second term of that administration, it can be said Nigeria is worse than Buhari found it. Corruption, insecurity and economic hardship have left Nigerians dazed and the assertion in some circles is that the Buhari campaign was the greatest fraud on Nigerians since its independence. 

Nigeria’s case perhaps offers a basis for the analysis of the crisis of leadership and weak institutions in African countries. Africa’s mostly ageing ruling class has failed African countries as a result of their power hunger, blatant ineptitude and lack of moral and political will to establish strong institutions. On these, it will seem that some African politicians are yet to learn what democracy and respect for the will of the people are all about. We have African presidents changing their constitutions to stay longer in office. There has been a history of this phenomenon in many African countries. For example, Djibouti, with president Ismail Omar Guelleh in 1999; Chad with president Idriss Déby in 2005; Cameroon with president Paul Biya in 2008 who has now stayed in office for close to 39 years; Zimbabwe with the late Robert Mugabe in 2013; Congo Brazzaville with president Denis Sassou Nguesso in 2016; 2017 in Rwanda with president Paul Kagame, who has now stayed in office 21 years and counting; Uganda in 2005 under Yoweri Museveni with the supreme court quashing the age limit for the president, thereby allowing Museveni to contest the 2021 elections.

The case of Uganda’s Museveni is perhaps the one that warrants dwelling on. The man is being sworn in for the sixth time as president of Uganda amidst claims of a rigged election. Events leading up to and during the said election leaves one with little to write home about, with reported widespread intimidation of opposition party supporters, shutting off the internet and all sorts of electoral abuses which are callously engineered to steal the people’s mandate. It is pathetic to hear Museveni always tout “democratically elected” in answer to any question which seems to suggest that he is now a dictator after having ousted one (Idi Amin). 

One interesting thing that emerges in the discussion of African leaders wanting to stay in office longer than they should is their rebuttal that democracy in Africa should not be seen as democracy as obtained elsewhere in the world – the US for instance, where a president has only two terms of four years each. African presidents see themselves and indeed democracy in Africa as incommensurate with that in Europe and the West. Hence it is not susceptible to being measured by the standards of democracy in other parts of the world. In their view, democracy is not perfect anywhere, therefore they need the world to leave them alone to practise the understanding of democracy as they see it. It is interesting to hear some politicians disingenuously use as an example the Trump saga in the US and his refusal to acknowledge defeat in an election – to buttress their point about democracy not being perfect anywhere. On this, it will seem to me that these African leaders fail to understand that Trump’s case was just what the philosopher JJC Smart called a nomological dangler. Trump’s case is a nomological dangler because it was outside of the norm in the history of relatively successful American democracy, which perhaps has become the archetype of democracy in the modern world. It is sadder to see how these politicians use the Trump case as a basis to justify their incessant craving for power and their wish to die in office. It would seem that some African leaders have converted monarchical rule to what they call democracy. A feature of democracy is the choosing and replacing of representatives through a free and fair election. This presupposes a limited time in the office of a representative, who then is replaced through a free and fair election. Democracy is then not a monarchy in which leaders die in office and or abdicate because of some reasons. Notably, in the case of African politicians, they do not leave office even when they are incapacitated by health issues. Take the recent case of Ali Bongo of Gabon. 

Live liyengcayelwa

Africa is really in trouble if this trend in leadership continues. Africa cannot progress when politicians in different countries think they are the best the country can produce to lead. African politicians should learn to stay their time in office and leave when it is time, handing over to successors who will continue where they stopped and move their countries forward. Elections and the will of the people should be allowed to reign and politicians should stop the pogrom meted out on the will of the people. This needs strong institutions which are lacking in most African countries and this is because in most cases these morally bankrupt and inept politicians have rendered these institutions useless in their countries. It is a sad issue and one which needs to be corrected if Africa and African countries will have anything good to celebrate. 

A very important African ethos is vital for us to begin to solve our problems and that is live liyengcayelwa. Live liyengcayelwa is an isiSwati saying that admonishes respect for the land and the people. This is what I am proposing to African politicians – that they learn to respect the land and the people. They do this by accepting when their time in office is up and leave peacefully. They should learn to establish strong institutions which will help in stabilising true democracy and achieving proper development in African countries. Through these, we might perhaps have a true cause to celebrate Africa.

Opinion article by Dr Sunday Paul C. Onwuegbuchulam, Centre for Gender and Africa Studies, University of the Free State.


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.
 

We use cookies to make interactions with our websites and services easy and meaningful. To better understand how they are used, read more about the UFS cookie policy. By continuing to use this site you are giving us your consent to do this.

Accept