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10 May 2024 | Story Leonie Bolleurs | Photo supplied
Maureen Maisiri - Keynote Speaker PhD Candidate UFS
Delivering the keynote address at the first PhD Colloquium in Disaster Risk Management and Climate Change Adaption, Maureen Maisiri said that it is important to stop taking approaches that do not include people affected by disasters and climate change.

In the midst of South Africa's complex socioeconomic challenges, including poverty, food insecurity, and environmental degradation, a study tiled: Nature-based solutions practices: implications on farm performance, sustainable environment, poverty reduction and food security among South African households? explores the potential of nature-based solutions (NBS) to address these pressing issues. Focused on disaster risk management and climate change adaptation, this study examines the adoption of NBS and its impact on environmental sustainability, agricultural productivity, and community resilience. Collins Okolie aims to offer valuable insights for policy makers, farmers, and communities by investigating the viability of NBS as a strategy for mitigating disaster risk and managing climate change. His work emphasises the importance of raising awareness about NBS and its transformative potential in enhancing farm performance, food security, and poverty reduction.

This study was one of a number of studies discussed during the first three-day PhD Colloquium in Disaster Risk Management and Climate Change Adaptation hosted by the Disaster Management Training and Education Centre for Africa (DiMTEC) at the University of the Free State (UFS).

Becoming a centre of excellence

According to Dr Olivia Kunguma, Lecturer in DiMTEC who acted as chair, the colloquium was inspired by DiMTEC’s vision to become a centre of excellence. It aimed to support PhD candidates and find solutions and recommendations for the increasing incidents and declared disasters in Africa. She added that the colloquium was also the centre’s way of contributing to the achievement of global targets, such as the Sendai Framework for Disaster Risk Reduction 2015-2030 priorities, the Paris Climate Change Agreement of 2015, and the Sustainable Development Goals.

Among the more than 80 delegates who attended the colloquium were key stakeholders in disaster management, including representatives from the National Disaster Management Centre and the Gauteng Provincial Disaster Management Centre, in addition to the PhD candidates. The event also received support from UFS research structures, including the Directorate Research Development represented by its Director, Dr Glen Taylor, and the Faculty of Natural and Agricultural Sciences, represented by the Dean, Prof Paul Oberholster. External stakeholders in attendance included Counsellor Lulama Titi-Odili, the Deputy Mayor of the Mangaung Metropolitan Municipality, and Khotso Tsotsotso, the acting Head of the Old Mutual Foundation. The event was also sponsored by the Old Mutual Foundation, the Gauteng Provincial Disaster Management Centre, and the National Disaster Management Centre. “Having the Old Mutual Foundation as the primary sponsor is exciting for the disaster management fraternity, as it will see insurance companies take a growing interest in disaster risk management, resilience building, and climate change adaptation,” said Dr Kunguma.

Dr Kunguma pointed out the excitement and productive engagement between the audience and the PhD candidates as a particular highlight of the event. She emphasised the rigorous and scientific feedback received by the candidates, allowing them to reflect on their research motivation, perspectives, and future implications. The event provided an invaluable opportunity for PhD candidates to receive practical, social, and scientific feedback from both research experts and industry professionals. Dr Kunguma remarked, “The feedback and engagements have improved their work, and sharpened their presentation skills and confidence in their work and in themselves.”

Additionally, the initiative provoked praise from the Deputy Mayor, who underlined her role in advocating for increased funding for disaster management. Counsellor Titi-Odili stressed the importance of budgeting sufficiently for disasters. She acknowledged that disasters often originate at the local level and advocated for adjustments in the disaster declaration process. She also proposed the involvement of interns or graduates in government disaster management efforts.

Jurgens Dyssel from the National Disaster Management Centre also provided his input on the value of this initiative. He indicated that such a platform brings new knowledge that should be aligned with industry needs for translation into community impact. He suggested that the colloquium be aligned with the National Disaster Management Research Agenda, a repository for all research in disaster and climate studies.

Tshepo Motlhale, Chief Director of the Gauteng Provincial Disaster Management Centre, added that the colloquium is an innovative platform for diversifying all aspects of interventions and creating a space to enhance partnerships and collaborations to come up with solutions.

Blended systematic and sustainable solutions

Giving a voice to the PhD candidates was Maureen Maisiri, who was also appointed as the keynote speaker for this event. According to her, there is a need to create blended systematic and sustainable solutions and to stop taking approaches that do not include people affected by disasters and climate change. Maisiri encouraged fellow PhD candidates to work in teams, to appreciate diversity, and to be disciplined.

In the panel discussion on My PhD journey and contribution to Disaster Risk Management and Climate Change Adaptation, the work of Daizy Nalwamba and Zukiswa Poto investigated critical aspects of disaster risk management and climate change adaptation. Nalwamba's study in Zambia explored the effectiveness of environmental education in promoting sustainable practices, revealing gaps between knowledge and practical application. Meanwhile, Poto's research in South Africa highlighted the need to prioritise economic resilience in disaster management legislation, advocating for proactive measures to support business continuity and community resilience.

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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