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25 October 2023 | Story Dr Kwazi Magwenzi | Photo supplied
SANRAL Chair launch
The SANRAL Chair in Mathematics and Science , Prof Loyiso Jita with the Programme graduates, the PhD and Masters SANRAL Alumni at the event held on 28 September 2023 in Johannesburg, South Africa.

The South African Chapter of the South African National Roads Agency Limited (SANRAL) Chair alumni programme at the University of the Free State (UFS) was recently launched at the Silverstar Hotel and Casino in Johannesburg. The event aimed to showcase and celebrate the achievements made and lessons learnt in the programme, highlight the key elements and outputs to the Faculty of Education stakeholders and reimagine the future. The Faculty of Education has increased its footprint in Engaged Scholarship activities, aligning itself with the UFS Vision 130. Multiple stakeholders and community partners were invited to witness the outstanding achievements of this programme.

Since its inception in 2014, the SANRAL Chair has produced over 40 PhD graduates in three countries, namely South Africa, Lesotho, and Zimbabwe. One of the key goals of Vision 130 is for the UFS to be regionally engaged and to contribute to pressing societal needs. This involves knowledge generation that contributes to local and regional development and building sustainable partnerships. The PhD and Masters graduates have become a highly valued human resource in the South African education system and the region, and are now positioned as leaders in Institutions of higher learning in South Africa, Lesotho, and Zimbabwe.

The SANRAL Chair currently supervises a cohort of doctoral and master's students,  providing guidance in mathematical research and publications. The internship programme represents SANRAL's commitment to building skilled capacity in communities, along with driving social and economic transformation. SANRAL has also identified common challenges faced by Small, Medium, and Micro-sized Enterprises (SMMEs) in its projects and has implemented training programmes to address these issues. 

South Africa has implemented a range of programmes designed to achieve Sustainable Development Goal 1 (SDG 1), which includes land reform, agriculture, free higher education and growth. Despite the significant progress made on South Africa’s developmental journey since the advent of democracy in 1994, the country remains one of the most unequal societies in the world. Achieving the SDGs is, therefore, in South Africa’s best interest as the country pursues the vision of a united, non-racial, non-sexist, and prosperous nation living in harmony with itself and the rest of the world. 

As South Africa looks ahead to 2030, it seeks to build on the substantial progress achieved thus far, and on the robust policy, legislative, and planning foundation. The focus will be on consolidating and expanding the many areas where public welfare and development are at the forefront. 

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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