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26 April 2023 | Story Leonie Bolleurs | Photo Leonie Bolleurs
reusable sanitary pads
A team of researchers from the UFS is part of a project to invent a reusable sanitary pad that is safe, hygienic, comfortable, easy to use, and friendly to the environment. From left are: Prof Katinka de Wet, Dr Marietjie Schutte-Smith, Prof Deon Visser, and Prof Lizette Erasmus.

A new reusable sanitary pad (RSP) will bring relief to many women during their menstrual cycle.

Dr Marietjie Schutte-Smith, Senior Lecturer in the University of the Free State (UFS) Department of Chemistry, together with Prof Deon Visser, Head of the Department of Chemistry, and Prof Lizette Erasmus, Associate Professor in the same department, are leading a diverse team that decided 18 months ago to do something about the challenge of not having access to conventional sanitary ware and water due to poverty and infrastructure challenges – a challenge many young women in South Africa face every month.

The team included Prof Katinka de Wet, Associate Professor in the Department of Sociology, in this process in an effort to gain a better understanding of the current perceptions, experiences, and preferences of those who will ultimately use these sanitary products. 

“We wanted to do research that has a direct and tangible impact on our immediate society,” says Prof Erasmus. 

New technology

The research team turned their focus to reusable sanitary pads (RSPs), specifically the invention of a product that can be cleaned without being exposed to direct sunlight. 

Dr Schutte-Smith explains that most RSPs must be exposed to direct sunlight to dry and prevent bacterial growth. “Exposing RSPs to sunlight is challenging for users residing in densely populated areas, besides the fact that many people find the public display of sanitary products embarrassing.”

She believes a product that can be washed and left indoors to dry, one that has antibacterial and antimicrobial properties under normal light conditions, and with durable superabsorbent inner layers, could alleviate some of these challenges.

The team then started working on technology including nanoparticles (NPs) that affix to textiles and will kill germs and fungi when exposed to normal light. 

Prof Erasmus says, “Attaching NPs to materials is not a new concept, however, the use of nanoparticles that are activated by normal light conditions is new… Also, we have synthesised several absorbent materials using natural fibres and biopolymers as the main constituents. This is an ongoing process to enhance their absorbent properties and durability so that they can be included in our product.”
We wanted to do research that has a direct and tangible impact on our immediate society. – Prof Lizette Erasmus

She adds that when the RSPs are eventually discarded (after four to five years) they will break down in the environment and not contribute further to the plastic waste problem the world is facing. Most disposable sanitary pads (DSPs) are not environmentally friendly and take 500 to 800 years to decompose. 

Dr Schutte-Smith goes on to explain that the sanitary ware will be manufactured by sewing different layers together. “The outer lower layer will consist of a hydrophobic (fluid-repellent) layer to prevent leaking, and the inner layer will consist of the synthesised and biodegradable superabsorbent polymer (SAP).”

The product will be mixed into cotton and will be removable (for better cleaning). “It will also contain NPs that use natural indoor light to disinfect. The top layer also contains our nanotechnology and will relay fluids to the absorbent inner layer.”

Social implications

Besides the important work being done by chemists to incorporate technology that will ensure the product makes sense scientifically, it is also important that the experiences, perceptions, and ideas of end users are kept in mind. 

Prof De Wet says social scientists were included in the design and development of this product to ensure that the actual needs of the end users are taken into consideration. The idea is to collaborate with school learners and university students to get their feedback on the development and eventual use of these newly developed RSPs.

“The aim, therefore, is to sensitise menstruating individuals as to the possible personal advantages of using reusable sanitary pads, including that it is less expensive in the long run, thus eliminating the problem of access to quality and reliable sanitary ware. There could even be some potential health advantages to using such products, as current disposable products contain phthalates that have been shown to have adverse health effects on individuals,” she states.

Prof De Wet also points out the environmental benefits of using reusable sanitary products, and the importance of sensitising young people to the environmental costs of single-use plastic consumption, of which sanitary ware is a major contributor. “Environmental consciousness is part of the social side of the project, given the pressures globally on the human-induced impact on our planet, and its devastating consequences,” she says. “We want the science (chemistry) to have a real social impact in people’s lives individually, socially, and environmentally.”

Future steps

According to Prof Visser, the team already has a prototype in place, which now needs to be perfected through inputs from end users. They hope to have an industry partner within the next six months that will help to get this product on the market.  

The team of chemists worked hard to develop a product that will have the potential to change many lives for the better, allowing young girls and women to thrive in life. 

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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