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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

Moving towards creating a more accessible UFS for mobility-impaired students
2015-07-21


Centre for Universal Access and Disability Support’s logo for persons with mobility impairments.
Design: Karoo Republic


Hi, my name is Jackson, and I am a wheelchair user following an accident that left me paralysed.

We often take for granted the ability to navigate obstacles, and to move readily from place to place. Few people have to worry about mobility on campus, but for students with mobility impairments, it presents many challenges that few of us are aware of.

 

The biggest struggle for students with mobility impairments is often encountered in the lecture room/hall. Once they arrive at the class (often struggling to get there on time), their next challenge might be entering the classroom and finding a suitable place where they can sit comfortably. As it is, there are only a few loose tables in most lecture halls. Consequently, the students have to sit through the lecture taking notes and working with their laptops resting on their laps. Obviously, this is uncomfortable and not conducive to their learning process.

 

When students have limited hand function, the result is that they write more slowly and with difficulty. However, the UFS does offer assistance from scribes, adapted computer hardware/software, assistive devices, and/or modified furniture. Such adaptations can be arranged by the Centre for Universal Access and Disability Support (CUADS), which boasts an official test and examination venue where students with mobility impairments can proceed with their tests and exams if they prefer.

 

Students with Cerebral Palsy may experience difficulties with quick, sudden physical movements, and delayed processing of information. Stressful circumstances can result in their experiencing difficulty when having to write or process information quickly enough during test and examination situations. The Extra Time Panel, in collaboration with Student Counselling and Development, determines the time concession for those students with mobility impairments who have such needs.  

 

The importance of accessible parking spaces exclusively designated for wheelchair users not only involves such places being closer to a building entrance but also wide enough for a wheelchair user to get in and out of a vehicle safely.

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