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23 July 2024 Photo Barend Nagel
Nhlanhla Simelane
Nhlanhla Simelane is a second-year Language Practice student, majoring in South African Sign Language. He is also a former Chairperson of Signals – a student association that is aimed at promoting SASL and Deaf awareness.

Opinion article by Nhlanhla Simelane, Student Assistant: South African Sign Language and Deaf Studies, Faculty: The Humanities, University of the Free State.

It has been a year since the president signed off on the amendment bill to include South African Sign Language (SASL) as one of the country’s official languages. And one may wonder, what has changed since then? After all, many individuals and organisations, including the Deaf Federation of South Africa (DeafSA), the National Institute for the Deaf (NID), and Deaf rights activists from the Deaf community, believed that official recognition of sign language would lead to significant developments for SASL and the Deaf community.

Since then, SASL has mostly benefited from exposure from the SASL Indabas that PanSALB held on 9-10 March 2023 and another one on the 1-2 February this year. These Indabas were aimed at “discussing the standardisation of SASL and mapping a way forward”. They included several stakeholders, including our very own institution. They also had an impact on the development of SASL in various institutions, including UNISA and University of Cape Town (UCT), and it is hoped that this influence will extend to other institutions.

However, one must not overlook the fact that despite being a minority language, SASL already enjoyed significant language rights. For example, the South African Schools Act recognised it as an official language in 1996. The Use of Official Languages Act of 2012 provided another benefit that was not even enjoyed by the other 11 official languages; with this act, state entities had to establish a language policy outlining the use of official languages for public communication, specifically if a member of the public chose SASL as their preferred language. It also benefited from protection under the South African Sign Language Charter, launched by the SASL NLB (National Language Board) in 2020, roughly three years before it became official. Even Prof Theodorus du Plessis, Professor Emeritus in the Department of South African Sign Language and Deaf Studies, University of the Free State (UFS), in a previous opinion article, mentioned that there would be little to gain from officially recognising SASL, aside from the added symbolism associated with such a move. As a matter of fact, SASL had more to lose than gain due to its official recognition, as you will learn later in the article.

A human rights level

On a human rights level, which is more relevant to those living with hearing impairments in the country, the officialisation of SASL still had no significant effect on any of their human rights. This is simply because these persons already enjoyed their rights. However, what the officialisation cost the Deaf community* is the privilege as mentioned earlier that the Use of Official Languages Act of 2012 provided – users of SASL having the right to choose SASL as their language of interaction with the state – the very one that official languages do not enjoy. This is thus a disadvantage to the Deaf community, considering that they already suffer from a lack of interpreters in the county. An article by Nicky Bezuidenhout early this year highlighted that there is a “lack of access to crucial services like healthcare and justice due to a shortage of qualified South African Sign Language (SASL) interpreters”. Therefore, many Deaf people rely on untrained or unqualified individuals and mostly even family members to act as interpreters. This was mostly the case in my life, being a CODA (Child of a Deaf Adult) and having to interpret for my parents. And besides my proficiency in SASL, there was still the matter of a breach of confidentiality. This is a common problem for many people. Therefore, more SASL interpreters (SASLi) are needed. Additionally, it is up to everyone to take it upon themselves to learn SASL through the various provisions that are available today.

More development for SASL as a language

Thankfully, the UFS, among a few other institutions such as the Wits University, North-West University as well as the Durban University of Technology, makes such a provision through its SASL short course. Another way to learn is through mobile applications such as DEAFinition and the NID SASL Dictionary. The previous platforms also offer inexpensive online courses. This way, one can be equipped with SASL fundamentals to at least be able to hold a conversation without the need for an interpreter. Furthermore, we can only anticipate that since SASL is officially recognised, it will become more accessible in higher education institutions, as mentioned earlier, and will be included in the South African school curriculum, particularly for mainstream schools. As a result, more people will have the opportunity to learn SASL. Moreover, we can expect to see an increase in the number of qualified teachers with not only teaching skills but also proficiency in SASL.

Nonetheless, it has only been a year and matters regarding language plans and policies often require a great amount of resources, with time being the greatest of all. We can only hope that its officialisation has indeed led to the cultural acceptance of SASL and the relevant community, promoting substantive equality, and preventing unfair discrimination based on disability. But more importantly, we hope that this is not the end of the road for SASL in terms of its development as a language.

*Footnote: It is important to make a distinction between deaf people who are deaf but do not identify as part of the Deaf community and do not use SASL (who are referred to with a lowercase “d’’), and those who are deaf and are part of the Deaf community, making use of SASL as their first language (who are referred to using a capitalised ‘D’).

• Nhlanhla Simelane is a second-year Language Practice student, majoring in South African Sign Language. He is also a former Chairperson of Signals – a student association that is aimed at promoting SASL and Deaf awareness.

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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