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18 May 2022 | Story Nombulelo Shange | Photo Andre Damons
Nombulelo Shange is a Lecturer in the Department of Sociology at the UFS and Chairperson of the University of the Free State Womxn’s Forum.

Opinion article by Nombulelo Shange, Lecturer in the Department of Sociology at the University of the Free State and Chairperson of the University of the Free State Women’s Forum.


Overview of African Union’s role in apartheid resistance 

 

South Africa’s democracy might not have existed today without the sacrifices and support of African states and their citizens who supported the Pan-Africanist ideals of a free and united Africa. Ideals that were pushed by the then Organisation of African Unity (OAU), later named the African Union (AU). Africa Day is a celebration of the formation of the AU, which was founded on 25 May 1963. The political and financial support that the OAU extended to South Africans resisting apartheid differed with the changing tides of the struggle. When the apartheid police were violently crushing student resistance in the 1970s, many fled to different African countries, where the OAU funded their stay. They did the same to support the rise of the armed struggle; uMkhonto weSizwe soldiers were assisted by the OAU, especially when it came to living expense while in exile. They also threw a lot of their efforts into international lobbying for the liberation of South Africa. 

Influential figure in the formation of the OAU, post-independence Ghanian leader and scholar Kwame Nkrumah, said: 
“The independence of Ghana is meaningless unless it is linked up with the total liberation of the continent.”

The OAU maintained this outlook for decades, with South Africa being one of the last African states to gain freedom in 1994, where most gained their freedom from colonial rule between the 1950s and 1970s. There is a long history of how the OAU and various African states fought for our freedom as black South Africans, a history so long that this brief overview does not even begin to illustrate the depth of the solidarity we received from different African countries. 

A xenophobic South Africa

The xenophobic South Africa we find ourselves in today is a huge betrayal of the work and sacrifices of leaders such as Nkrumah and the citizens who backed his dreams of a united and liberated Africa. The colonial governments left many social challenges, and it was not uncommon for them to purposefully destroy infrastructure as they left the colonies. Citizens would have been justified in demanding that the OAU direct its resources and attention solely to the rebuilding of independent African states rather than supporting the anti-apartheid resistance. 

The even bigger betrayal within xenophobic South Africa is that we maintain the colonial borders that were drawn up in the scramble for Africa while the west was determining our value based on the mineral wealth in our land and our importance only as free or cheap labour. When we fight for a South Africa that exists in silos from the rest of the African continent and question the mobility that once existed before the drawing up of colonial borders, then we allow the goals of our colonisers to continue to live and encumber us. We halt the much-needed free flow of life-affirming and possibly lifesaving ideas between us and our neighbours to tackle the many social ills that colonialism has left us with. When we maintain these decisions that were constructed to keep us oppressed and reliant on the West, we strengthen the legacy built on our oppression.  

The self-hate rooted in xenophobic South Africa

A lot of our resistance to ‘outsiders’ coming in is almost always directed at African immigrants, and this is a betrayal of our own identity and sense of self. It shows the deep self-hate that we as black South Africans carry with us and maintains the ‘better black’ narrative usually enforced by whiteness. South Africans are starting to see themselves as the ‘better blacks’ based on oppressive racist reasoning such as colourism, where lighter is perceived as better. We see ourselves as ‘better blacks’ because of our aspirations to be ‘white adjacent’, sounding white, mastering Western culture, looking white, conquering Western languages, etc. 

In his discussion of Frantz Fanon’s psychoanalysis on blackness, philosopher Kwame Anthony Appiah said: 
“Black children raised within the racist cultural assumptions of the colonial system, can partially resolve the tension between contempt for blackness and their own dark skins by coming to think of themselves, in some sense, as white.”
So, if you do not fit these categorisations, you are seen as dangerous, unsophisticated, ugly, or uneducated. You mirror the false stereotypical ideals of blackness or the blackness we have been taught to run from or conceal. African immigrants coming into South Africa tend to be perceived as not ‘white adject’ enough and end up being victimised on those and other grounds. Another dangerous dimension is ‘tribalism’ – if you can’t or don’t adequately assimilate to South African culture or speak the languages because you are an ‘outsider’, then you are victimised or further excluded. 

Drawing comparisons between xenophobic South Africa and the Rwandan genocide

The Rwandan genocide is one of the most dangerous illustrations of what happens when these two systems of oppression come together. The genocide took place in 1994; within a few months, the conflict claimed the lives of 800 000 Tutsis who were killed by the Hutus. Many issues sparked the genocide – ‘tribalism’ and the desire to be ‘white adjacent’ were just some of the reasons. The Tutsis were the favoured minority by the Belgium colonial government. When Rwanda gained its independence, the Belgium government transferred much of the political and economic power to the Tutsis, because they were believed to be closer to whiteness and therefore superior to the Hutus. Vulgar racism classifications, which were considered scientific knowledge, were used to draw this conclusion. The Tutsis were seen as having more Western features, such as sharper, smaller noses, being taller, etc. Rwandans internalised these oppressive classifications and it created tensions that eventually sparked the genocide. 

South Africa’s frequent violent xenophobic outbursts are not too far removed from the Rwandan history. The emergence of violent groups such as Operation Dudula, which spreads hatred on social media, is reminiscent of the anti-Tutsi propaganda that Hutus spread through radio in Rwanda before and during the genocide. Superficial categorisations such as skin colour are usually used to determine who is South African and who is not. Often South Africans end up also being attacked in the process, because the idea that South Africans do not have dark hues is a false social construct. Like Rwandans, we are uncritical of dangerous black constructs created by whiteness. And like the Hutus, we scapegoat the challenges created by colonialism and apartheid and which our government fails to adequately address. We blame our poverty, rising unemployment, and other social ills on African immigrants, who are also experiencing dehumanising abuses in workplaces that see them as easily disposable, while also navigating a violently xenophobic South Africa. 

This goes against the Pan-Africanist dreams of important leaders like Nkrumah, while distracting us from the problems that really matter, such as land, the economy, access to dignified work, health care, education, etc. These are all structures still largely owned or controlled by white beneficiaries of colonialism and apartheid in South Africa. So, while we attack African immigrants for low-skilled work and opportunities that are not enough to go around even without the presence of immigrants, patriarchal whiteness maintains its dominance and control over our land, economy, and our sense of self.

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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