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27 September 2021 | Story Rulanzen Martin | Photo Supplied
From the left; Prof Michelle Engelbrecht (center), Director of the CHSR&D at the UFS, together with colleagues Dr Gladys Kigozi (right) and Prof Christo Heunis, is conducting various social sciences-orientated research projects on health and health systems.

The Centre for Health Systems Research and Development (CHSR&D) in the Faculty of the Humanities at the University of the Free State (UFS) has been at the forefront of research on the societal and human impact of COVID-19. The CHSR&D has investigated the effects of the pandemic on, among others, post-traumatic stress and the coping strategies of nurses, and is currently undertaking a research project looking at vaccine literacy and acceptability in South Africa through an online survey, which has already attracted more than 9 500 respondents.

Prof Michelle Engelbrecht
, Director of the CHSR&D, says it is important not to lose sight of the impact that the pandemic has had on society and individuals. “It has affected all aspects of life, caused economic disruptions, and posed immense challenges to both public and private healthcare, food systems, education, and employment,” she says. For the CHSR&D researchers, it is important to understand the health and socio-economic impacts in order to inform interventions and policy. 

Established in 1993, the CHSR&D stems from a rich tradition of research and training in medical sociology and sociology of health. As a centre, they generate and disseminate research findings and information on health and health systems to promote transformation in policy and practice in the South African healthcare system.

A study on the impact of the pandemic on nurses

In early 2021, the CHSR&D completed a project on the post-traumatic stress and coping strategies of South African nurses during the second wave of the COVID-19 pandemic.  This study was one the first to examine how the pandemic influenced the post-traumatic stress and coping strategies of nurses in the country. It was found that 44% of nurses were experiencing post-traumatic stress disorder (PTSD), which was comparatively higher than their counterparts in other countries. Furthermore, a lack of preparedness to manage COVID-19 patients, poorer health, and avoidance coping mechanisms were associated with increased PTSD in nurses. Nurses voiced a need for emotional support and empathy from their managers. 

Some of the intervention strategies recommended by the nurses included emotional, psychological, and debriefing sessions focusing on positive coping strategies to address stress effectively; positive and open communication between managers and their subordinates; psychological support through the Employee Assistance Programme and occupational health units; and an uninterrupted supply of quality personal protective equipment. The findings of this project were shared with the Free State Department of Health (FSDoH).

Ongoing research projects

As of 1 September 2021, the CHSR&D commenced with a national online survey on COVID-19 vaccine literacy and acceptability. While there are a number of studies looking at the uptake of COVID-19 vaccines, Dr Gladys Kigozi notes that “this study is novel, as there is a lack of information about vaccine literacy, which may be defined as the degree to which people have the capacity to obtain, process, and understand basic health information and services to make appropriate health decisions.”. The anonymous online survey is available through social media and the Moya messaging application.
 
The CHSR&D, together with a team from the FSDoH and the World Health Organisation, are also collaborating on a project looking at the impact of COVID-19 on essential health services, mortality in hospital-admitted patients, and outcomes in patients with a history of tuberculosis. According to Prof Christo Heunis, “The COVID-19 pandemic has become infamous for crippling healthcare systems. Resources and staff are being diverted to test and provide treatment for people with presumed or diagnosed COVID-19, and thus some other healthcare services are being compromised to meet the demands of caring for COVID-19 patients.” It is thus imperative to measure the impact of the pandemic on essential health services and treatment outcomes. 


Interdisciplinary research project focusing on the health and well-being of vulnerable families 

The CHSR&D, together with the UFS Department of Social Work, the School of Nursing, and the Disaster Management Training and Education Centre for Africa (DiMTEC), will commence with a study investigating the impact of COVID-19 on the health and well-being of vulnerable families in the Mangaung Metropolitan area. This project is funded by a UFS interdisciplinary grant.  While the study is limited to the Mangaung Metropolitan area, it has the potential to inform health and social policy in other metropolitan areas in South Africa – particularly with regard to preparedness and management of pandemics such as COVID-19. 

News Archive

UV belê in gehalte met strategiese fokusgroepe - Volksblad
2006-02-09

Verslaggewer
DIE Universiteit van die Vrystaat (UV) gaan vanjaar R10 miljoen beskikbaar stel om sekere van sy akademiese en navorsingsaktiwiteite in strategiese fokusgroepe te bedryf.

 

Volgens prof. Frederick Fourie, rektor en visekanselier van die UV, is hierdie ’n belegging in gehalte wat sal help om die UV nasionaal en internasionaal van ander universiteite in die wêreld te onderskei.

Tydens die amptelike opening van die UV verlede week het Fourie beklemtoon dat die strategiese fokusgroepe veel meer behels as net ’n herorganisering van gevestigde navorsingsgebiede.

“Sulke fokusgroepe behels ’n gefokusde deskundigheidsgebied en nie slegs navorsing nie, maar ook sterk voorgraadse en veral nagraadse onderrig en ’n potensieel sterk wetenskaplike grondslag vir samelewingsdiens.

“Strategiese fokusgroepe sal georganiseer word op die grondslag dat hierdie kennisgebiede op kort termyn die vlagskepe van die UV kan word. Dit beteken dat hierdie die gebiede is waarin die UV nou of in die toekoms waarskynlik ’n kompeterende voorsprong sal hê.”
Hy het gesê dit is belangrik dat die UV hom in die volgende fase van sy ontwikkeling posisioneer, nie net as ’n goeie onderrig- en navorsingsuniversiteit nie, maar ook as ’n universiteit wat in strategies belangrike kennisgebiede uitblink. Dit is noodsaaklik om energie en hulpbronne so te rig.

Nie alle akademiese en navorsingsaktiwiteite gaan egter hierdeur geraak word nie. ’n Breë ondersteuningsgrondslag is die afgelope paar jaar geskep vir uitnemende navorsing deur alle akademiese personeellede in hul eie navorsingsgebiede. Dié inisiatief sal naas die nuwe fokusgroepinisiatief steeds voortgaan.

Fourie sê die strategiese fokusgroepbenadering sal in lyn wees met die benadering wat ontwerp word deur die Nasionale Navorsingsraad (NNR) om nasionale prioriteite in berekening te bring. Breedweg is die vyf strategiese gebiede vir die UV voorlopig die volgende:
1. Voedselproduksie, voedselgehalte en voedselsekuriteit vir Afrika.
2. Ontwikkeling en streeksontwikkeling binne die Afrika-konteks.
3. Maatskaplike transformasie binne die Suider-Afrikaanse en Afrika-konteks.
4. Waterhulpbron- en ekostelselbestuur.
5. Tegnologie vir die toekoms. (’n Aparte fokusgroep rakende die chemiese nywerheid kan dalk bepaal word).

“Binne elk van hierdie gebiede kan ’n aantal nisgebiede geïdentifiseer word. Die fokusgebiede dek sowel die geestes- as die natuurwetenskappe, maar uiteraard kan en moet dit nie alles vir almal probeer wees nie,” sê Fourie.

Die presiese formulering en inhoud van die fokus- en nisgebiede sal nog bepaal word tydens gesprekke op die kampus. Dit sal met die hulp van kundiges buite die UV geskied.
Hy sê dit het sin dat ’n mediumgrootte universiteit soos die UV sy menslike hulpbronne, infrastruktuur, finansiële hulpbronne en intellektuele kundigheid sal konsentreer om te verseker dat ’n bydrae gelewer word tot Bloemfontein, die Vrystaat, die land en die Afrika-vasteland.

Hy sê van die uitvloeisels kan ’n belangrike impak op nywerheidsontwikkeling hê, byvoorbeeld in die chemiese bedryf, en dit mag ook ’n grondslag skep vir samewerking met provinsiale, nasionale en internasionale vennote.

Behalwe die R10 miljoen vir die vestiging van die fokusgroepe is daar die afgelope paar jaar groot bedrae beskikbaar gestel vir talle projekte om gehalte in onderrig en leer, in navorsing en ander gebiede te verbeter.

Berig verskyn in Volksblad - Dinsdag, 7 Februarie 2006

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