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19 April 2024 | Story André Damons | Photo Charl Devenish
Dr Nashua Naicker
Dr Nashua Naicker, lecturer and Chairperson: Learning and Teaching Committee (SoHRS) in the Department of Optometry, UFS School of Health and Rehabilitation Sciences, graduated on Thursday (April 18) with the degree Doctor of Philosophy in Health Professions Education.

A strong need to improve the general standing of optometry as a profession and to create lifelong learning opportunities for locally trained optometrists beyond what currently exists, is what led Dr Nashua Naicker to pursue a PhD in this field.

Dr Naicker, lecturer, and Chairperson: Learning and Teaching Committee (SoHRS) in the Department of Optometry, UFS School of Health and Rehabilitation Sciences, says he feels an overwhelming sense of relief with a keen sense accomplishment by achieving what he set out to through persistence in the face of adversity.

He graduated on Thursday (18 April) at the Faculty of Health Sciences April graduation ceremony with the degree Doctor of Philosophy in Health Professions Education through the Division of Health Sciences Education. “I am pleased and hope to change the narrative on this new path as an accredited researcher from ‘how long are you going to take to finish?’ to ‘what have you learnt in this journey?’. We are far too focused on chasing a timeline rather than focusing on the contribution that one makes and the self-development in this journey of discovery,” says Dr Naicker. 

His supervisor was Prof Alvin J Munsamy from University of KwaZulu-Natal (UKZN) and co-supervisor Dr CB Written from the UFS.  

Need for educational expansion

His research was focused on establishing a framework for postgraduate programmes in specialty fields of optometry for South Africa. The investigation was carried out with practising optometrists as the primary stakeholders and with optometric academics as the custodians for education and training in the country.

“With an overwhelming need for educational expansion found in this investigation, a conceptual framework was proposed as the innovation to take the profession forward in South Africa. Improving patient care from being upskilled and receiving professional recognition for the additional competencies and proficiencies that would be gained, was the motivating factors identified by optometrists to consider further education and training,” says Dr Naicker.

According to him, being in the educational fraternity for almost two decades and as a former education committee member of the professional board of optometry, he was able to see where the shortcomings were in the profession which set him on this path to pursue this research. With most optometrists in clinical practice and no clinical postgraduate qualifications available except pure research-based qualifications in SA, Dr Naicker explains that this hindered optometrists’ professional trajectory and career path opportunities into various special interest areas. 

“By developing a framework for horizontal articulation pathways towards coursework postgraduate qualifications in various clinical specialty fields, this would be the contribution in addressing the educational gap that would guide higher education institutions in their programme development process. The beneficiaries of this expansion would not only be the health professionals but the patients who access optometric care from the optometrists who would have advanced skills and competencies to deliver comprehensive eye care services.”

Stayed motivated

Dr Naicker says the journey to his PhD was challenging from the outset as the country went into hard lockdown due the COVID-19 pandemic just five weeks after he registered for his PhD. Working on a PhD was not a priority at the time when your survival and that of your loved ones was uncertain as thousands of people fell victim to the coronavirus. Further to this, he continues, multiple changes to his supervisory team and the overhaul and revitalisation of the administration and management of the UFS Division of Health Sciences Education, also impacted his progress in his doctoral research at that time. He had felt despondent after a year of being registered when stability arrived with supervisory assistance that re-ignited his drive to pick up the slack and keep moving forward.

“The words ‘push through it’ were verbalised to me by a stranger I met in passing.  While chatting about research I found those three words to be so profound and with such depth that they resonated with my experience of facing adversity but remaining vigilant to preservere and not drop the baton in the race against time to conclude my research. Gaslighting yourself and questioning your potential to complete a PhD only compounds your procrastination which was all too apparent. The goal is to rise above the self-doubt, brush off the devil with the fork sitting on your shoulder and just ‘push through it’.”

Dr Naicker, who is currently supervising four master’s of optometry students in their research undertaking, as well as undergraduate research projects, says he is in the process of publishing the research manuscripts generated from his PhD and is also part of a task team with the professional Board of Optometry for setting up the board exams for foreign-qualified optometrists. He would also like to work on research involving educating the educators of visually impaired learners.

News Archive

Inaugural lecture: Prof André Pelser
2004-06-04

Tendencies and changes in the South African population structure in future decades.

Within the next five years South Africa will for the first time in the past century enter a period where the death rate will exceed the birth rate, largely due to the impact of HIV / AIDS.

According to sociologist Prof André Pelser, sociologist at the of the University of the Free State’s (UFS) Department of Sociology, the death rate exceeding the birthrate is only one of three demographic trends which will fundamentally change South Africa’s population structure in the following decades.

He was speaking at the UFS in Bloemfontein during his inaugural lecture as professor this week.

Prof Pelser said that according to some models the South African population will decrease within the next five decades by between 10 and 26 percent.

A second important trend which will impact on the population structure is the progressive ageing of the population.

He said the group above 65 years is the only age category in the South African population which will witness sharp increases in the next few decades.

In the next 50 years, the group younger than 15 years will reflect a decrease of 39% and those older than 65 years in South Africa will increase by approximately 110% in the next two decades.

“The systematic “greying” of the South African population will create the same economic and welfare issues as those with which governments in some more developed countries are already grappling,” said Prof Pelser.

A third trend affecting the South African population structure is the constant decrease in life expectancy.

Life expectancy at birth for the total population is projected to decrease from approximately 62 years at the beginning of the 1990’s to 43 years in 2015-2020, with sharp differences between the various population groups.

These tendencies and changes to the South African population structure have serious implications, he said.

For example, he said, the reduction in life expectancy could compromise national development objectives.

“It is estimated that more than a quarter of the economically active population will be infected with HIV by 2006,” said Prof Pelser.

The increase in the population, in age category 65, will place a financial burden on government and the economically active sector.

“Especially worrying is the fact that ever-increasing proportions of the state budget will be allocated to health and welfare services and this at the expense of other priorities like education, infrastructure, criminal justice system and trade and industry, to name but a few,” he said

“A comprehensive and integrated strategy is thus vitally important in addressing the overarching issues caused by changes in the population structure,” said Prof Pelser.

 

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