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29 March 2022 | Story Prof Francis Petersen | Photo Sonia Small (Kaleidoscope Studios)
Prof Petersen_web
Prof Francis Petersen is Rector and Vice-Chancellor of the University of the Free State (UFS).

Opinion article by Prof Francis Petersen, Rector and Vice-Chancellor of the University of the Free State.
It is becoming increasingly difficult for institutions of higher learning in South Africa to maintain the delicate balancing act of finding sustainable funding solutions amid mounting pressures caused by rapidly altering learning and teaching environments, dwindling government subsidies, and the massification of higher education.  And uncontrolled, violent student protests might just be the final blow that sends many tertiary institutions over the precipice, says Prof Francis Petersen, Rector and Vice-Chancellor of the University of the Free State.

There is no doubt that student protests have over the years played a vital part in South Africa’s journey towards and maturation as a democracy. During the anti-apartheid struggle, student organisations such as NUSAS, SASO and later SASCO kept South Africa’s human rights violations on the international agenda through unrelenting campaigns and protests. And more recently, the #FeesMustFall movement in 2015 and 2016 has raised important awareness around ensuring access to education for students from the lowest-earning households. 

Transcending boundaries of legitimate protest

The recent spate of violent protests on some university campuses, however, seems to transcend the boundaries of what can rightfully be termed as ‘protest action’. When students at the University of KwaZulu-Natal (UKZN) and the Durban University of Technology (DUT) caused severe physical damage and disrupted classes at the beginning of the year, UKZN Vice-Chancellor, Prof Nana Poku, condemned their actions in no uncertain terms as ‘organised crime’. And he is right. This kind of behaviour is nothing but opportunistic criminality in the guise of legitimate protest. 

A few weeks after the violence erupted on campuses in KwaZulu-Natal, students on the University of the Free State (UFS) Qwaqwa Campus went on a similar rampage, throwing stones at protection officers, vandalising buildings, and raiding the university dining hall.   

There are distinct differences between these acts and the majority of past student protests.

Different issues

In most cases, current issues represent a much narrower interest than in the past, affecting only a certain section of the student population, and often revolving around the administrative processes concerning funding.  At UKZN, the main issue seems to have been students demanding to register even though they had historical debt. At the UFS Qwaqwa Campus, it was about a decision by the National Student Financial Aid Scheme (NSFAS) to pay accommodation allowances for students residing off campus directly to landlords and not to students themselves. Apart from affecting a relatively small number of students, the ‘fight’ was not per se with university management. Universities South Africa (USAf) pointed out that many of the issues raised by students this year were actually sector challenges and fell outside the control of tertiary institutions. Regardless of this, institutions regularly bend over backwards in an attempt to find workable interim solutions and making financial concessions to accommodate affected students. Prof Poku relates how at UKZN, the concessions made towards students with historical debts amounted to more than R1 billion. At the UFS, apart from similar concessions, we also offered students allowances for food and books amounting to more than R71 million this year, while they are waiting for their NSFAS subsidies to be released – a major impact on cashflow management. Despite these gestures of goodwill, a small group of aggrieved students still went ahead with violent acts, causing millions of rands of damage on campus and creating an atmosphere of intimidation and fear.  

Different environment 

University campuses today are vastly different spaces from what they used to be in the 1970s and 1980s, as a result of drastic and far-reaching changes in the educational landscape over the past few decades. Access to higher education has opened up and is no longer restricted to high-income households. The total number of students enrolled at higher education institutions increased by almost 70% between 2002 and 2020, growing to just more than one million in number. Coupled with that, tertiary institutions have gone through radical transformation processes, ensuring that they not only embrace diversity, but respect human rights and social justice through fair process and policy.

At the University of the Free State, for example, we have had well-considered, comprehensive transformation over several years in all spheres of operation, enabling us to become an institution where diverse people feel a sense of common purpose and where the symbols and spaces, systems and daily practices all reflect commitment to openness and engagement. We also have various initiatives to ensure that students are successful in their studies, ranging from tutorial programmes to language, writing, and psychological support.  Policies and structures are continuously being implemented and reviewed to embrace social justice in all its forms, with deliberate dialogue opportunities and avenues created for raising concerns and addressing them. At the UFS, student success is a social justice imperative.  Great care is also taken to involve our student leadership in governance on all levels, with a high level of student participation in all UFS governing structures. 

Despite all the different recourses available to them, and a genuine culture of participation and caring cultivated on our campuses, disgruntled splinter groups in the student body still routinely reach for the most destructive weapon in their arsenal of options, namely violent protests. These protest actions also often seem to jump the gun, as they happen in tandem with and despite fruitful, progressive negotiations with elected student leaders. Not only is this incredibly frustrating – it disrespects the rights and wishes of the overwhelming majority of students, and completely challenges the notion of ‘negotiation and engagement in good faith’. 

Wider ramifications

There are no winners in the wake of ill-considered, violent acts of vandalism. Offending students are no closer to a solution – in fact, they may find themselves suspended and in trouble with the law to boot. By disrupting classes and preventing access to campuses, they are effectively robbing their fellow students of the opportunity to work towards obtaining a qualification.  Affected institutions are impacted in their ability to provide quality education to students and in fulfilling their wider society-focused mandate. On top of that, potential donors and investors in the South African higher education sector are discouraged.

The sustainability and very survival of higher education institutions are ultimately at stake, as especially small and medium-sized universities simply cannot continue to bear the financial and operational burden that each violent protest brings. 

Tough reaction needed 

It has become necessary to take a tough stance against offenders who perpetrate senseless acts of violence and place students and staff members in danger on our campuses. At the UFS, we have always been very accommodating towards protesting students, not only as a constitutional right, but our approach in dealing with student misconduct has a strong element of restorative justice.  But we have decided to take a hard-line approach against the offenders in these latest acts of violence and destruction – opposing bail and instituting emergency disciplinary processes against them, resulting in immediate suspensions and sanctions which could lead to expulsion. We need to send a clear message that blatant acts of criminality will simply not be tolerated on university campuses.

We also appeal to political parties under whose banners many of these destructive activities are undertaken, to publicly condemn these acts and to call their members to order.

Respect a vital part of curriculum 

Throughout the course of history, we have come to associate university campuses with arenas where free speech is encouraged, and social ills are pointed out. This role should be cherished, continued, and encouraged – ‘reclaiming’ back the university campuses as spaces for discourse.  But equally important is the responsibility to use your right to freedom of expression in such a way that you do not violate the rights of other individuals or jeopardise the continued operation of the very institution you all form part of – and by implication, negatively affecting the wider interests of the society it serves. 
 
The role of universities is, after all, not only to provide good workers and innovative thinkers for the job market. We need to cultivate good citizens, who can make a meaningful difference to society. Teaching and encouraging mutual respect should be a vital part of any university curriculum. By letting criminality go unpunished and not speaking out to these acts, we are contributing towards a culture of entitlement, where people readily resort to criminal acts when they do not get what they believe they are entitled to. This cuts directly across what institutions for higher learning aim to achieve and bodes for a dangerous future. 

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.
 

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