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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

Statement by the senior leadership of the University of the Free State
2016-02-29

Statement by the senior leadership of the University of the Free State regarding the situation on the Bloemfontein Campus 

All academic and administrative activities on the Bloemfontein and South Campuses of the University of the Free State (UFS) resume on Monday 29 February 2016.

In light of the recent incidents on the Bloemfontein Campus, the university leadership would like to address the understandable concerns of students, staff and the general public. The university obviously respects the rights of individuals to freedom of speech and expression, but notes that these rights are subject to reasonable limitation, and cannot extend to justifying criminal acts.

The Bloemfontein Campus is secure and security measures have been doubled up to ensure the safety of students, staff and public property. The court interdict is in place and will be enacted if required. Unlawful disruptions, including those involving criminal conduct, will not be tolerated.

The university strongly condemns the unlawful and unacceptable conduct by students, protesting outsourced workers, and visitors to its campus during the past week, and in particular the assault on protestors at Xerox Shimla Park on Monday 22 February 2016 during a Varsity Cup rugby match between the FNB Shimlas and FNB Madibaz. The university has started a comprehensive and independent investigation into criminal activities on this campus before, during and after the Xerox Shimla Park events.

The university regrets the destruction of public property and the intimidation of staff and students which led to the shutdown of academic and administrative activities on the Bloemfontein Campus. Extensive investigations are underway to identify the perpetrators who took part in all incidents of disruption and criminal conduct, and urgent steps will be taken against such individuals or organisations in due course.

The university leadership remains deeply concerned about a dangerous and damaging allegation that a lecturer was identified on a widely circulated photograph while assaulting a protestor at the Varsity Cup rugby match on Monday 22 February 2016. The university diligently investigated this allegation and found it to be false; the individual is NOT a member of the UFS staff. A suspect was however identified and evidence handed over to the South African Police Services (SAPS) for urgent action.

It has further come to the attention of the university management that a number of individuals and organisations continue to make blatantly false and defamatory statements on social media platforms with the intention of inciting criminal conduct, threatening individuals, and spreading fear within the university community in order to unsettle the campus. Investigations are at an advanced stage to prosecute individuals and groups involved in such criminal conduct in the social media; both those who post these statements and those who repost or retweet them, are liable under the law.

Should you wish to confirm whether there is any truth attached to a circulated rumour or allegation, please call +27(0)51 401 2911, +27(0)51 401 2634 or send an email to news@ufs.ac.za. Legal steps will be taken against individuals and organisations that persist in circulating such misleading and damaging statements.
    
The UFS urges all individuals who are in possession of evidence or knowledge of any crimes that have been committed on the Bloemfontein Campus in the past week, to come forward with such evidence and information and to call the numbers indicated above or to send an email to news@ufs.ac.za. Any individuals who are in possession of video footage and photographs of the incidents at Xerox Shimla Park, the Equitas Building (formerly known as the CR Swart Building), Thakaneng Bridge, various residences, the Main Building and the grounds in front of the building, are requested to provide such evidence in order to assist with the identification of those involved in criminal acts.

The university leadership remains committed to its duty to act in the best interests of its students and staff and calls on its community and the public to act peacefully at all times and respect the rights of others.

Issued by: Lacea Loader
(Director: Communication and Brand Management)
Email: news@ufs.ac.za

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