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30 November 2023 | Story Anthony Mthembu | Photo Nomasonto Skosana
Dr Maréve Biljohn

In a proactive move to address the escalating issue of substance abuse in Mangaung, the Public Service Commission (PSC) partnered with the University of the Free State (UFS) to host a roundtable discussion. The event, held on 23 November 2023 at the Centenary Complex on the UFS Bloemfontein Campus, brought together key stakeholders, including Gadija Brown (MEC for Finance in the Free State), Dr Henk Boshoff (Commissioner of the PSC in the Free State), and Dr Maréve Biljohn (Head of Department for Public Administration and Management in the EMS Faculty at the UFS). Also present were representatives from Mangaung communities and various government bodies.  

Addressing the root cause

The primary objective of the roundtable was to collaboratively devise effective solutions to combat the growing challenge of substance abuse in Mangaung. Sisa Mlisana, Provincial Director of the PSC, highlighted the link between high crime rates and drug abuse, emphasising the need for a strategic approach to address these issues.  The initiative stemmed from a citizen’s forum hosted by the PSC in 2022, aiming to establish a connection between community members and government, particularly emphasising the correlation between substance abuse and crime.

Dr Boshoff elaborated on the purpose of the roundtable, emphasising the gathering of inputs from all the participants. The engagement session facilitated a dialogue between community members and a panel of officials, including representatives from the Free State Provincial Government, South African Police Service, Mangaung Metropolitan Municipality, Department of Social Development, Department of Education, Department of Health, National Prosecuting Authority (NPA) and the Department of Economic, Small Business Development, Tourism and Environmental Affairs (DESTEA) in the Free State. This forum allowed community members from various organisations to express their concerns and experiences regarding living in areas affected by substance abuse, with the panel providing insights and responses. 

Challenges and solutions

Community members voiced concerns about the presence of drugs in their communities not officially recognised as illegal in South Africa, leading to challenges in legal proceedings against dealers and consumers with those perpetrators being acquitted. However, the discussion also yielded potential solutions, with some community members expressing a willingness to actively participate in street-level interventions.  

Notably, recovered drug addicts present at the roundtable shared their success stories and commitment to being part of the solution. Gadija Brown commended their efforts and celebrated their triumph over substance abuse. 

Resolutions and commitments

As the discussion progressed, a comprehensive plan of action was formulated, encompassing grievances and solutions from both parties. Dr Boshoff described the plan as a binding roadmap with tangible and practical resolutions. The PSC pledged to monitor and ensure the implementation of commitments made during the roundtable discussions. 

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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