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28 October 2021 | Story Prof Sethulego Matebesi | Photo Sonia Small (Kaleidoscope Studios)
Dr Sethulego Matebesi
Prof Sethulego Matebesi is an Associate Professor and Head of the Department of Sociology at the University of the Free State (UFS)

Opinion article by Prof Sethulego Matebesi, Associate Professor and Head of Department of Sociology, University of the Free State.
When a catastrophic accident cuts the first manned mission to Jupiter’s moons short in the Astronaut: The Last Push a 2012 American science fiction film – Michael Forrest, the sole remaining astronaut, must endure the three-year return trip to Earth alone. Similarly, how will the next five-year journey of local governance in South Africa manifest itself? Again, I reckon the responses from citizens will vary widely: from widespread cynicism to hope for a better future and from distrust of a dysfunctional system to the belief that service delivery will improve.

In an all-too-familiar scenario, political party campaigns have been littered with promises of how they best represent and advance voters’ interests. In doing so, two helpful facts about these campaigns emerge. The first is that the ANC, DA, EFF, and FF+ have realised that local contexts differ significantly and have framed their messages accordingly. A cursory glance at the broadcastings of these customised campaigns reveals that they aim to provide a safe psychological outlet for community-level concerns. The second is that, in general, the election messaging and adverts of the ANC ranged from apologies to bold statements about who wields power to change the face of local governance. Opposition parties focused on improving the local government system notoriously known for the disregard of citizens’ needs and providing an active voice for the voiceless.

And guess what?

Political parties and candidates may mobilise constituencies as much as they can. However, the next five years of local governance require a significant departure from its status of dysfunctionality to a competent, legitimate political institution that produces satisfactory political outcomes. This legislative and moral mandate depends entirely on local participation in elections.

The three dimensions of increasing voter participation

Better and more meaningful political participation in elections remains a concern in South Africa. In a report for the Ford Foundation, Hahrie Han, a political science professor at the University of California, proposes a framework that details increasing participation and making it more meaningful.

Firstly, people must be able to participate. Declaring election day as a public holiday, President Cyril Ramaphosa removed an important barrier to participation. While some may believe that election day will be just another public holiday, for others – particularly those who are working – there is no need to weigh up whether to take leave for a cause that will not significantly change their lives. Furthermore, the Independent Electoral Commission (IEC) has demonstrated a sense of moral urgency by drawing unprecedented public attention to their voting processes and procedures to protect voters and election officials from spreading the virus at the polling stations.

Secondly, people must want to participate. Here, political parties and election candidates should not take voting as a taken-for-granted part of the repertoire of residents’ political activities. Election campaigns – both online (internet) and offline (door-to-door engagements, posters, and billboards) remain a powerful medium to improve visibility and deliver messages to solicit interest from citizens. But once these campaigns conclude, still, it remains an individual’s choice to want to participate in the elections. While it is difficult to assess the level of voter engagement with the election campaigns under COVID-19 restrictions, the general political climate in South Africa seems to be conducive for free and fair elections. Yet political assassinations continue to cast a dark shadow over the local government elections. This cruel feature of political life in the country serves as an ultimate intimidation tactic. It denies candidates the right to stand for election and citizens to choose their preferred public representatives.

Thirdly, Hahn argues that for people to want to participate in the political process, their participation must matter. Therefore, aside from building a sense of agency and encouraging greater participation in elections, people still need to be convinced that their vote counts and influences decisions at the local level, where voters have the chance to participate directly in the election of local councillors.

Disrupting the balance of power in local councils 

Regardless of the challenges it faces, the ANC remains in pole position to retain most of the local councils it leads. I believe there is much to be discontented about, but opposition parties – including civic forums – have yet to build the power to break the stranglehold the ANC has on elections – and that is no small task.

Interestingly, in contrast to the DA, the ANC has paradoxically avoided announcing their mayoral candidates in direct response to prevent the electoral backlash it received in the metros during the 2016 local government elections. Yet, except for a few local councils in several provinces, the metros are precisely where the most significant disruption to the balance of power will occur. 

Whether political parties will deal with the standoffs of coalition politics in hung councils, while broaching complex issues, remains a concern for South Africans. But elections remain an excellent opportunity for citizens to participate and influence local political decision-making.

News Archive

Cardiology Unit involved in evaluation of drug for rare genetic disease
2013-01-04

Front from the left, are: Marinda Karsten (study coordinator and registered nurse),
Laumarie de Wet (clinical technologist), Charmaine Krahenbuhl (study coordinator and radiographer),
Lorinda de Meyer (administrator), Andonia Page (study coordinator and enrolled nurse);
back Dr Gideon Visagie (sub investigator), Dr Derick Aucamp (sub investigagtor),
Prof. Hennie Theron, (principal investigator) and Dr Wilhelm Herbst (sub investigator).
Photo: Supplied
09 January 2013


The Cardiology Research Unit at the University of the Free State (UFS) contributed largely to the evaluation of the drug Juxtapid (lomitapide), which was developed by the Aegerion pharmaceutical company and approved by the FDA (Federal Drug Administration). Together with countries such as die USA, Canada and Italy, the UFS’ Unit recruited and evaluated the most patients (5 of 29) for the study since 2008.  

The drug was evaluated in persons with so-called familial homozygous hypercholesterolemia (HoFH).  

Following its approval by the FDA, Juxtapid is now a new treatment option for patients suffering from HoFH. The drug operates in a unique way which brings about dramatic improvements in cholesterol counts.  

According to Prof. Hennie Theron, Associate Professor in the Department of Cardiology at the UFS and Head of the Cardiology Contract Research Unit, HoFH is a serious, rare genetic disease which affects the function of the receptor responsible for the removal of low-density lipoprotein cholesterol (LDL-C) (“bad” cholesterol) from the body. Damage to the LDL receptor function leads to extremely high levels of blood cholesterol. HoFH patients often develop premature and progressive atherosclerosis, which is a narrowing or blockage of the arteries.  

“HoFH is a genetically transmitted disease and the most severe form of hypercholesterolemia. Patients often need a coronary artery bypass or/and aortic valve replacement before the age of 20. Mortality is extremely high and death often occurs before the third decade of life. Existing conventional cholesterol-lowering medication is unsuccessful in achieving normal target cholesterol values in this group of patients.  

“The only modality for treatment is plasmapheresis (similar to dialysis in patients with renal failure). Even with this type of therapy the results are relatively unsatisfactory because it is very expensive and the plasmapheresis has to be performed on a regular basis.  

“The drug Juxtapid, as currently evaluated, has led to a dramatic reduction in cholesterol values and normal values were achieved in several people. No existing drug is nearly as effective.  

“The drug represents a breakthrough in the treatment of familial homozygous hypercholesterolemia. The fact that it has been approved by the FDA, gives further impetus to the findings,” says Prof. Theron.  

In future further evaluation will be performed in other forms of hypocholesterolemia.  

According to Prof. Theron, the findings of the study, as well as the recent successful FDA evaluation, once again confirms the fact that the UFS’ Cardiology Contract Research Unit is doing outstanding work.  

Since its inception in 1992, the Unit has already been involved in more than 60 multi-centre, international phase 2 and 3 drug studies. Several of these studies, including the abovementioned study, really affected the way in which cardiology functions.  

The UFS’ Cardiology Contract Research Unit is being recognised nationally and internationally for its high quality of work and is constantly approached for their involvement in new studies.  

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