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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

Fighting the tuberculosis battle as a collective
2015-09-28



The team hard at work making South Africa a
healthier place

Tuberculosis (TB) is second only to HIV/AIDS as the greatest killer worldwide due to a single infectious agent. More than 95% of TB deaths occur in low- and middle-income countries. Despite being more prevalent among men than women, TB remains one of the top five causes of death amongst women between the ages of 15 and 44 years. While everyone is at risk for contracting TB, those most at risk include children under the age of five and the elderly. In addition, research indicates that individuals with compromised immune systems, household contacts with pulmonary TB patients, and healthcare workers are also at increased risk for contracting TB.

According to the Deputy Director of the Centre for Health Systems Research and Development (CHSR&D) at the UFS, Dr Michelle Engelbrecht, research has found that healthcare workers may be three times more likely to be infected by TB than the general population.

The unsettling fact

“Research done in health facilities in South Africa has found that nurses do not often participate in basic prevention acts, such as opening windows and wearing respirators when attending to infectious TB patients,” she explained. 

In response to this concern, CHSR&D, which operates within the Faculty of Humanities at the the University of the Free State (UFS) Bloemfontein Campus has developed a research project to investigate TB prevention and infection control in primary healthcare facilities and households in Mangaung Metropolitan.

Action to counter the statistics

A team of four researchers and eight field workers from CHSR&D are in the process of gathering baseline data from the 41 primary healthcare facilities in Mangaung. The baseline comprises a facility assessment conducted with the TB nurse, and observations at each of the facilities. Individual interviews are also conducted with community caregivers, as well as TB and general patients. Self-administered questionnaires on knowledge, attitudes, and practices about TB infection control are completed by all nurses and facility-based community caregivers.

Healthcare workers are the main focus of this research, given their increased risk of acquiring TB in healthcare settings. At clinics, interventions will be developed to improve infection control practices by both healthcare workers and patients. TB patients’ households are also visited to screen household contacts for TB. Those found to have symptoms suggesting TB infection are referred to the clinics for further assessment and treatment.

The findings of this study will serve to inform the development of an intervention to address TB prevention and infection control in primary healthcare facilities. Further funding will be sought to implement and evaluate the intervention.

Curbing future infections and subsequent deaths as a result of TB is the priority for the UFS. The cooperation and collaboration of the community, government, and sponsors will ensure that this project is a success, hence prolonging life expectancy.


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