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29 June 2023 | Story Dr Ina Gouws | Photo Supplied
Dr Ina Gouws
Dr Ina Gouws is a Senior Lecturer in the Department of Political Studies and Governance

University of the Free State

We find ourselves on the other side of another Youth Day in South Africa. I acknowledge the importance of this anniversary, although I recognise that it is not for me to fully comprehend the profound significance of commemorating the events of 16 June 1976. I therefore refrain from presuming to address the depth of pain, both enduring and otherwise, that this commemoration signifies.

Let me then stay with the broader significance of Youth Month in my deliberations.

Cabinet approved the theme for Youth Month 2023 to be: “Accelerating youth economic emancipation for a sustainable future”. In 2022 the theme was: “Promoting sustainable livelihood and resilience of young people for a better tomorrow”, and, in 2021 the theme was:  “The Year of Charlotte Mannya Maxeke: Growing youth employment for an inclusive and transformed society”.

Cooperation and partnership between government and the youth is fractured

For a government known for abject failure especially regarding education and economic policy, these are lofty ambitions for which we have not seen positive results. I fear that most of our country’s youths are not aware of these themes or else take note with understandable cynicism.  The trust they should have in our government to expect positive outcomes for policies and plans simply does not exist. The cooperation and partnership that needs to be forged between government and the youth in South Africa is therefore fractured to say the least. Consequently, a sense of disillusionment has taken hold.

Feelings of marginalisation and being unheard have bred disengagement, apathy, and even resentment. It appears this government can only talk a great game. None of this is news, is it? The problem is that the breakdown in trust undermines the foundation of a healthy democracy, hindering the government’s ability to effectively represent and address the needs of our youth. The effect of this failure has disastrous consequences for young people to the very core of their dignity.

It is therefore crucial to recognise the profound human consequences that come with unemployment and dire prospects. The impact of unemployment on young individuals is not to be underestimated or only boxed into aspects of economics, as it significantly disrupts their sense of self and place in the world way beyond that. I believe the approach in South Africa should therefore also recognise the intrinsic value and dignity of the youth beyond their economic productivity. As it is,  I fear they have ended up finding their self-worth in only ever being prone to confrontation and protest, instead of constructive problem-solving. It is then no surprise that a grim view of the future can hinder the formation of new social connections and limit opportunities for networking, further exacerbating the isolation experienced by unemployed youth which feeds this apathy and disinterest the majority seem to have in the political process.

What is to be done?

I don’t see any purely political drive or approach to provoke widespread youth participation being successful in this context. What is to be done? We must start with ways to create ‘willingness’ first. For that, purpose beyond politics, in which they have lost trust and interest, is necessary. I have no doubt that the country’s youth care about their communities even if they feel disconnected and have little to offer to assist because of their dire socio-economic realities. We must create spaces for dialogue, storytelling, and collective reflection to challenge societal narratives surrounding work and success, promoting alternative measures of value and worth. Emphasising the importance of empathy, compassion, and community solidarity can help combat the stigmatisation and isolation faced by unemployed youth.

Moreover, recognising the agency and potential of young people is essential for the nation's future development and prosperity. It would be best to first focus on independent initiatives and collaborations outside of the government’s sphere of influence. Emphasising grassroots movements, civil society organisations, and community-led efforts that can drive change from the bottom up, could get the youth involved without focusing on politics alone. By focusing on initiatives that bypass or work independently of the government, youth can still actively participate and work towards their goals, and I believe that willingness to participate lies just below the surface.

Change will take time

The challenge, and perhaps frustration, is to recognise that long-term perspective and focus on building a sustainable foundation for youth political engagement will be necessary. With the damage that has been done, change will take time and involve continuous efforts beyond any specific government’s tenure. And relying so heavily on any community’s resilience should be seriously questioned, especially when it comes to the youth. There must be a more positive outcome than what they have thus far lived, after showing such perseverance. I believe we can help recover a willingness in our youth to again or for the first time participate in constructive ways to promote necessary change for themselves and their communities beyond a day or a month; for a lifetime.

News Archive

First doctorate in Thoracic Surgery in Africa awarded
2009-05-12

The University of the Free State (UFS) has become the first university in Africa to award a Ph.D. degree in Thoracic Surgery. The degree was conferred on Prof. Anthony Linegar from the university’s Department of Cardiothoracic Surgery during its recent graduation ceremony.

Thoracic surgery is a challenging subspecialty of cardiothoracic surgery. It began in South Africa in the 1940s and is a broad medico-surgical specialist discipline that involves the diagnosis, operative and peri-operative treatment of acquired and congenital non-cardiac ailments of the chest.

Prof. Linegar became the first academic to conduct a mixed methods analysis of this surgical specialty, which included a systematic review of all the research done in this field in South Africa. The title of his thesis is A Model for the Development of Thoracic Surgery in Central South Africa. The research was based on the hypothesis of a performance gap between the burden of disease in the community and the actual service provision. It makes use of systems theory and project management concepts to develop a model aimed at the development of thoracic surgery.

The research proved that there is a significant under provision of clinical services in thoracic surgery. This was quantified to a factor of 20 times less than should be the case, in diseases such as lung and oesophagus cancer. According to Prof. Linegar, there are multiple reasons for this. Listed amongst these reasons is the fact that thoracic surgery is not part of the undergraduate education in medical training. There tends to be a low level of awareness amongst clinicians as to what the thoracic surgeon offers their patients. The diagnostic and referral patterns in primary and secondary health facilities, where diseases must be picked up and referred early, are not functioning well in this regard. In addition, relatively few cardiothoracic surgeons express an interest in thoracic surgery.

Prof. Linegar’s model is named the ATLAS Mode, which is an acronym for the Advancement of Thoracic Surgery through Analysis and Strategic Planning. It includes the raising of awareness of the role of the specialist thoracic surgeon in the treatment of patients with thoracic diseases as part of the solution to the problem. Furthermore, it aims to develop an accessible and sustainable specialist service that adequately provides for the needs of the community, and that is appropriately represented in health administration circles.

His promoters were Prof. Gert van Zyl, Head of the School of Medicine at the UFS, Prof. Peter Goldstraw, from the Imperial College of London, United Kingdom (UK) and Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the UFS.

Prof. Linegar has been with the UFS since 2004, is a graduate from Stellenbosch University in 1984 and completed his postgraduate training in Cardiothoracic Surgery at the University of Cape Town. He was granted a Fellowship in Thoracic Surgery at the Royal Brompton Hospital in London, UK and has since held consultant positions at the UFS, Stellenbosch University and in private practice. He has been involved in registrar training since returning from the UK in 1994 and has extensive experience in intensive care medicine. He has published widely, has presented papers at many international conferences, has been invited as a speaker on many occasions and has won awards for best presentation on three occasions.

Media Release
Issued by: Lacea Loader
Assistant Director: Media Liaison
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@ufs.ac.za  
12 May 2009
 

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