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21 October 2024 | Story Leonie Bolleurs | Photo Stephen Collett
Centre for Health Systems Research & Development team
For more than three decades, the Centre for Health Systems Research & Development (CHSR&D) has been actively involved in efforts to strengthen health systems and improve health outcomes through its research and community engagement initiatives. Pictured are members of the CHSR&D team. From the left: Prof Gladys Kigozi-Male, Bridget Smit, Dr Ngwi Mulu, and Prof Michelle Engelbrecht. Absent, Prof Christo Heunis.

The Centre for Health Systems Research & Development (CHSR&D) at the University of the Free State (UFS) has played a key role in health systems research in South Africa. Established in 1993, the centre is built on a strong foundation of medical sociology and the sociology of health, addressing some of the most critical challenges in public health. For more than three decades, the centre has been actively involved in efforts to strengthen health systems and improve health outcomes through its research and community engagement initiatives.

The centre’s primary mission is clear: to generate and disseminate scientific knowledge that informs and improves health policies, strategies, and practices at the local, provincial, and national levels. As health systems worldwide continue to grapple with new and emerging challenges, the CHSR&D has positioned itself as a critical resource for evidence-based solutions that drive progress towards improved health outcomes. The centre also provides postgraduate training and capacity building that contributes to expanding expertise in health, health systems, and health-care research and development.

Focus on priority health programmes

According to Prof Michelle Engelbrecht, Director of the centre and an Associate Professor, the CHSR&D’s research portfolio covers a wide range of issues that are critical to the development of a strong health system. “The centre focuses on areas such as public health policy implementation and operational functioning, human resources for health, occupational health, and priority health programmes such as tuberculosis (TB) and HIV prevention and control, sexual and reproductive health, as well as mental health. In response to the recent COVID-19 outbreak, the centre prioritised research to enhance understanding of this global crisis. Notable studies from the past five years include COVID-19 vaccine literacy and acceptability, the psychological well-being of nurses during the second wave of COVID-19, and the impact of COVID-19 on essential health services in the Free State. Additionally, over the past five years, the centre has focused on the increased co-morbidity between TB and mental health, aiming to develop more holistic approaches to TB treatment towards improved TB programme performance.”

One of the CHSR&D's most impactful initiatives is its work in sexual and reproductive health, specifically its programme aimed at including men in the pregnancy and birth process. Historically, men have often been excluded from prenatal, childbirth, and postnatal care, which can negatively affect the health of mothers and babies. The centre is working to change this by advocating for men’s involvement in all stages of the pregnancy and birth process, creating a more supportive environment for expectant mothers and improving family health outcomes. By focusing on developing support systems and resources for men to participate actively in reproductive health, they are also working to shift policies and cultural norms that have traditionally sidelined male involvement in these critical moments.

As the world continues to confront the challenges posed by universal access to health care, South Africa is undertaking the greatest experiment ever in attempting to equalise access to quality health care by treating health care not as a commodity, but as a human right, namely through the implementation of National Health Insurance (NHI). Prof Christo Heunis, also an Associate Professor in the centre, says that the CHSR&D’s work in these areas is more important than ever. “If NHI is to be successful, (public) health systems strengthening is required. Health-related research and development, as well as the capacity to conduct such research and development – to inform health systems strengthening – is the fundamental purpose of CHSR&D.”

Collaboration with communities 

Engaging with the community is at the heart of the CHSR&D’s work. The centre has a long history of working with local communities to identify health priorities and develop solutions that are responsive to the needs of those they serve. Prof Gladys Kigozi-Male, an Associate Professor as well, notes that this commitment ensures that the centre's work is not only academically thorough, but also practically relevant and impactful.

The CHSR&D also works closely with key partners and collaborators to expand the reach and impact of its research. “The centre has a longstanding partnership with the Free State Department of Health and is actively involved in the Provincial Health Research Committee. These collaborations allow the centre to contribute to health systems strengthening in meaningful ways, particularly through citizen-centred assessment of public health-care service delivery,” adds Prof Kigozi-Male.

In addition to its local collaborations, the centre partners with international academic institutions such as the University of South Carolina (USA) and Makerere University in Kampala (Uganda). These partnerships enable the CHSR&D to exchange knowledge and best practices with global health experts, further enhancing the quality and impact of its research. Civil society organisations such as Mosamaria Aids Ministry, Sonke Gender Justice, and loveLife also play a critical role in the centre’s work, helping to bridge the gap between research and implementation on the ground.

Quality, reliability, and future goals

"At the Centre for Health Systems Research & Development, we align with the UFS’ Vision 130, which emphasises transformation and an outward approach. We are dedicated to engaging with local and regional communities, pursuing knowledge that addresses the needs and aspirations of the Free State, South Africa, and the broader African continent. Our commitment to maintaining the highest standards of quality and reliability in our research is unwavering. By employing a variety of methodological approaches – quantitative, qualitative, and mixed-methods – we ensure that our research findings are comprehensive and can confidently inform health policies and strategies," notes Prof Engelbrecht.

In conclusion, the CHSR&D remains a critical player in the landscape of public health research and development. Its commitment to high-quality research ensures that it will continue to drive progress in health systems development and improve health outcomes for the foreseeable future. CHSR&D staff are dedicated to providing high-quality postgraduate supervision, undertaking necessary research to strengthen health systems, producing internationally impactful publications, and remaining locally and regionally relevant.

News Archive

UFS Centenary celebrations come to an end
2005-02-03

OFFICIAL OPENING

The official opening of the UFS will take place on Friday 04 February 2005 at 09:00 in the Reitz Hall (Centenary Complex). Please note that this is a test and lecture free day. The Rector and Vice-Chancellor, Prof. Frederick Fourie will be the keynote speaker. Refreshments will be served at the Centenary Complex after the opening ceremony.

The historic Centenary photograph will be taken at 11:00 on the eastern side of the Red Square (CR Swart parking area). All staff members and students are invited to be part of this massive photograph.

Important

• There will be no parking allowed on the CR Swart parking area until 12:00 on Friday 04 February 2005, as a result of the photo session.

• All academic staff members are requested to wear academic dress on the day, seeing as staff members will depict the Centenary emblem on the photograph. Academic gowns may be collected from the Gown Store on Wednesday 02 - Thursday 03 February 2005 between 08:00 and 16:00. Gowns must be returned to the Gown Store after the photograph has been taken.

SERVICE OF DEVOTION

A special service of devotion will take place on Sunday 06 February 2005 at 18:00 for 18:30 in front of the Main Building on the Red Square. This is a special gathering of students, hosted by all the interdenominational groups on the UFS campus. The evening will be a celebration of praise, thanks and worship, followed by a message from Dr Wollie Grobler. The evening will conclude with song and fireworks.

Staff members and students are welcome to bring their friends and families to this special event.

Important

• Even though there will be chairs in front of the Main Building, staff members and students are requested to bring extra pillows and blankets to sit on.

• No persons or vehicles will be allowed on the eastern side of the Red Square or on the CR Swart parking area, due to the security requirements of the fireworks show.

• All members of the choir are invited to be part of the mass choir. Lyrics will be provided.

• All persons who attend this event are requested to bring a candle for the purpose of the mass choir.

• Special transportation arrangements will be made for all service workers to enable them to attend the service. If there is someone in your faculty, department or division who would like to make use of this service, please send an e-mail to Elize Rall (ralle.stg@mail.uovs.ac.za) no later than Tuesday 01 February 2005.

OTHER ACTIVITIES

• A reunion for all former SRC members of the UFS will take place on the campus, from 04 February to 06 February 2005. An interesting programme is being planned. For more information, please contact Nicolaas du Plessis on 084 955 0875.

• The annual Rag Procession will take place on Saturday 05 February 2005. For more information, contact the Rag Office at X 2718.

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