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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 hosts tenth SASRIM conference filled with highlights
2016-08-23

Description: SASRIM conference book Tags: SASRIM conference book

A new OSM book entitled Musics of the Free State:
Reflections on a Musical Past, Present and Future
will be launched on 25 August 2016 as part of the
South African Society for Research in Music’s
conference, hosted by the UFS.

Photo: Supplied

Bridging the gap between music thinking and music making. This is one of many aims of the South African Society for Research in Music (SASRIM), whose 2016 annual conference will be hosted by the Odeion School of Music (OSM) at the University of the Free State (UFS). It marks the tenth anniversary of SASRIM and the congress, from 25 to 27 August 2016, features many highlights. This includes the Arnold van Wyk Centenary Gala Concert and the launch of the OSM book Musics of the Free State: Reflections on a Musical Past, Present and Future. Keynote speakers will be Stephanus Muller from Stellenbosch University and Guthrie Ramsey from the University of Pennsylvania.

Society encourages multiple facets of music research
Research forms a crucial part of music and therefore SASRIM looks at perspectives on thinking and performing the boundary between music thinking and music making. The society also encourages the submission of a wide variety of proposals, including those exploring alternative formats, multiple facets of music research and practice on the African continent, and disciplinary intersections. Contributions that reflect on the first decade of the society’s existence or any aspect related to Van Wyk are especially welcome.

New OSM book receives sterling international review

Musics of the Free State is a nuanced and
richly endowed study of musical practices in
South Africa, which deserves the international
dissemination it will now receive”.

“It will deeply repay close reading far beyond Bloemfontein.” That was some of the praise that Musics of the Free State received from Prof Harry White from the University of Dublin in the International Review of the Aesthetics and Sociology of Music 47 (1). According to him the book, edited by Prof Martina Viljoen from the OSM, “is a nuanced and richly endowed study of musical practices in South Africa, which deserves the international dissemination it will now receive”.
The book will be launched on 25 August 2016 in the Odeion foyer after the Arnold van Wyk Centenary Gala Concert.

Gala concert commemorate celebrated SA composer
The gala concert on 25 August 2016 at 18:00 will be recited by OSM staff members and the OSM Camerata in the Odeion Auditorium. The programme for a special concert, presented in collaboration with Fine Music, has been curated to celebrate the centenary of the birth of South African composer, Arnold van Wyk. Tickets are available at Computicket or at the door.

The concert, which will also serve as the annual OSM Dean’s concert, will be broadcasted live by Fine Music Radio.

See the following links:

More information about SASRIM 2016.
To listen to the broadcast of the Arnold van Wyk Centenary Gala Concert (then click the button to listen live).
A complete review by Prof White on Musics of the Free State will be available soon.
Copies of Musics of the Free State can be purchased from the OSM at OSM@ufs.ac.za.

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