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Neo Ravhuhali
Neo Ravhuhali is a social worker in the Department of Student Counselling and Development at the University of the Free State.

Neo Ravhuhali is a social worker in the Department of Student Counselling and Development at the University of the Free State. 


World Social Work Day is on 19 March, under the theme: “Buen Vivir: Shared future for transformative change”. Every year, social workers celebrate the resilience of the profession and the generations of professionals who have withstood the test of times to date. International Social Work Day holds immense significance as it offers a platform to acknowledge and celebrate the tireless efforts of social work practitioners worldwide in combating social injustices, fostering equality, and championing the rights and well-being of individuals, families, and communities.

Moreover, it serves as a catalyst for raising awareness about the pivotal role of social work in addressing pressing social issues like poverty, discrimination, mental health, and equitable access to resources and services. This advocacy underscores the imperative for policies and initiatives aligned with the profession’s ethos. The day also sees social workers organising seminars as part of their ongoing professional development. Additionally, it provides an occasion to shed light on the profession’s challenges while commemorating its myriad achievements.

Beacons of hope

Society is transforming at a rapid pace engendering new and complex challenges affecting humanity. As such, social workers find themselves having to adapt to these changing times to provide the best context-specific services to their service users across the globe. This is a caring profession whose services span generations, from children to older persons. It seeks to enhance the well-being for all humanity from the cradle to the grave. In the ongoing battle against societal challenges, social workers stand as the frontline agents of transformation. Despite facing significant challenges within the social welfare sector, including inadequate funding, poor working conditions, high staff turnover, low salaries, heavy workloads, and staff burnout, social workers steadfastly deliver services across a spectrum of interventions.

These interventions encompass prevention, early intervention, statutory support, residential care, alternative care, as well as reconstruction and aftercare services. Social workers offer these vital protective services across both generic and specialised fields. Their approach to service delivery is characterised by humility and dedication, as they quietly fulfil their responsibilities with the utmost care for society’s most marginalised, oppressed, and vulnerable groups. In doing so, they make invaluable contributions to the overall welfare and development of society. Tasked with addressing a multitude of pressing issues, including the pervasive spectres of violence, poverty, substance abuse, and inequality, they serve as beacons of hope in South Africa and many other countries’ quest for a better tomorrow. 

State of balance and harmony

Interestingly, these efforts dovetail with key priorities outlined in the University of the Free State's Vision 130. This visionary framework underscores the imperative of tackling economic disparities, food insecurity, environmental degradation, climate change, political instability, unemployment, and poverty – critical issues not only in South Africa but also on a global scale. Equipped with suitable training, practical experience, a resilient mindset, and a steadfast commitment to service, social workers worldwide ardently endeavour to confront these challenges head-on.

The tradition of the social work profession has long upheld the dignity of individuals and their surroundings, promoting recognition and reverence for all people and their environment in every service provided. Social workers champion and support the autonomy of those they serve, emphasising the importance of individuals being in sync with their surroundings. This year's theme promotes and advocates for attaining a state of balance and harmony. In Spanish, it is known as “Buen Vivir”, emphasising the importance of holistic well-being, alignment with nature, solidarity within communities, and the preservation of cultural heritage as fundamental components of a satisfying life. Furthermore, the theme alludes to the need for social workers to invest in ground-breaking, community-led approaches that are rooted in indigenous wisdom therefore emphasising one of the discipline’s core principles of the right to self-determination of service users. Social workers, accordingly, need to continue striving to do nothing for the people without the people but rather with the people to establish social harmony.

The quest for such a state of equilibrium in society is persistently and significantly disturbed by geopolitical, economic, and climate-related challenges. This disruption leads to a systemic imbalance, evident in conflicts such as those in Palestine, Ukraine, and the Democratic Republic of Congo, as well as the impacts of climate change observed in various regions of Sub-Saharan Africa and beyond. Unless the welfare of individuals is prioritised in every decision and action, these challenges will persist and escalate, leading to displacement of people, mass migration, xenophobia, Afrophobia, racism, and further civil and regional conflicts, among other issues. Such outcomes can be prevented through a collective effort involving all stakeholders at all levels, starting with instilling a sense of oneness among individuals, families, and communities in the broader society. In a developmental context, social workers, together with other role players, have a critical role to play to bring about the kind of transformative change that people from different and shared backgrounds yearn for and could identify with.

Serving with dedication

On this day of celebration, we honour the unwavering commitment of social workers both within our country and across borders, who persist despite facing numerous challenges. We recognise the hardships endured by those serving in conflict-ridden regions and areas devastated by natural disasters. Additionally, we commend the accomplishments of social workers in under-resourced countries, who remain resolute in their mission to positively impact the lives of those in need.

Despite the daunting obstacles of unemployment, overwhelming caseloads, limited supervision, inadequate wages, and a public perception that often fails to fully appreciate their indispensable contributions, social workers continue to serve their communities with dedication. As advocates of change for the service users, social workers are also committed to advocating for improved wages and working conditions for all practitioners, as well as ensuring that agencies providing practical training placements for students are adequately equipped to meet their needs.

Furthermore, they urge institutions of higher education to provide optimal support to social work students, preparing them to effectively serve the vulnerable communities. In pursuit of a shared future for transformative change on a global scale, it is imperative that no one is left behind.

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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