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UFS launches two public health programmes

31 October 2024 | Story André Damons | Photo André Damons

What started seven years ago as a dream, came to fruition in October 2024, when the Faculty of Health Sciences at the University of the Free State (UFS) officially launched two new programmes, the Master of Public Health and PhD Public Health in the Division of Public Health (DPH).

In his welcome address, Prof Gert van Zyl, Dean of the Faculty of Health Sciences, said it is a significant milestone launching these particularly important programmes in the faculty. The launch took place on 24 October 2024 at the James Moroka Building on the Bloemfontein Campus. These programmes are dedicated to recognising and responding to complex national and global public health challenges through high-quality research, teaching and learning, and engaged scholarship.

Prof Bonang Mohale, UFS Chancellor, and Dr BE Mzangwa, Acting Deputy Director General of the Free State Department of Health and CEO of the Universitas Academic Hospital, were also in attendance, while Mr Ramphelane Morewane, Deputy Director General of HIV/AIDS, TB, Maternal and Child Health, in the National Department of Health, delivered a congratulatory message virtually.

Said Prof Van Zyl: “The vision of the public health dream in the faculty started with a small group of us having a discussion on taking public health forward. At that first meeting we already agreed on an action plan. We knew then if we kept true to this dream, we would have success, but this success would not be for us. It would be for the influence of the lives of many postgraduate students that will enrol in the programmes in this division and uplift themselves by getting a quality and relevant qualification. Ready to serve the bigger community.

“For those who are part of the vision of the public health dream, remember the dream and vision, continue with the collaborative efforts and spirit, remain committed to the dream and do everything that is needed to allow it to excel, and never forget the core values we embraced at the beginning when we started this dream,” said Prof Van Zyl.

Addressing public health challenges

Prof Anthea Rhoda, Acting UFS Vice-Chancellor and Principal, said in a video message that the launch marks a significant milestone symbolising the beginning of an academic endeavour aligned with Vision 130, which emphasises academic excellence, quality and impact.

“Today’s launch represents a crucial step in the Faculty of Health Sciences’ commitment to address public health challenges within our communities, nationally, as well as globally. It also represents a crucial step in the University of the Free State’s dedication to tackling public health challenges that are prevalent in our communities.

“The Division of Public Health aspires to be engaging, diversifying public health through innovative, global responsive research. Public health, as is common knowledge, is the study and practice of safeguarding and improving the well-being of individuals and community. It includes the promotion of healthy lifestyles, the prevention of diseases and efforts to control infectious illnesses,” said Prof Rhoda.

She said it should be remembered that public health encompasses more than a simple field of study, it’s a commitment to service, and a promise to make a positive impact in the world. She is confident that this new programme will contribute significantly to the academic prestige of the UFS and will be a source of innovative solutions to the complex health challenges of the times.

Programmes in high demand

According to Prof Joyce Tsoka-Gwegweni, Vice-Dean: Research, Transformation, and Marketing and Head of the DPH, they only enrolled the first cohort of students in the second semester of 2023.

“During that time, we enrolled six Master of Public Health students and 14 PhDs. This year we enrolled 26 students, 13 in each programme. Currently we have 46 students. 19 Masters’ of Public Health and 27 PhD students, of which 90% are black female students. We also have international students from Lesotho, Namibia and Kenya. The quality of our students is very high. They are already working in health-related institutions and most of them are in leadership positions.

“For the coming year, 2025, we have already received 224 applications for the Master of Public Health programme and 30 for the PhD. We can only accommodate 30. Our programmes are already in high demand nationally and on the continent. They address a range of public health topics of national and international importance,” said the Vice-Dean.

Prof Tsoka-Gwegweni said because of the quality of staff and the quality and relevance of the programmes, their multidisciplinary nature, sustainability, and responsiveness to local, national and global public health challenges, these programmes are contributing to the UFS vision of achieving academic excellence, quality and impact; maximum societal impact with sustainable relationships; and of achieving a diverse, inclusive equitable university.

Health and prevention are primary

Prof Geoffrey Setswe, the Managing Director of the Aurum Research Institute, delivered the keynote address, saying public health, unlike medicine and nursing is not about treating individual patients, but focuses on the maintenance of promotion of health at a population level. Health and prevention are primary. He also talked about the public health pathways and career options in this field.

The best-known elements of public health, he said, are health promotion, environmental health, surveillance, communicable disease prevention, communication, health equity, emergency preparedness, harm reduction and home visiting programmes.

“The South African public health system is rebuilding itself and working to enhance health and well-being by implementing the NHI that will enable access to high quality, people-centred and integrated health care for all South Africans. Public health training must have multisectoral applications for public health careers, specialisation and advanced education providing life experiences and related expertise for people with diverse origins and ethical motivations,” he said.

According to Prof Setswe, this model will help in the training of public health professionals to deal with the quadruple burden of communicable diseases (HIV, TB, sepsis), non-communicable diseases (cancers, diabetes, cardiovascular diseases), injuries from crime and violence (including GBV), and mental health (including depression, para-suicide, risk behaviour, harmful substance abuse) and maternal and child health.

Click to view document Click and watch the official launch below:

Prof Bonang Mohale, UFS Chancellor, also attended the launched the new Division of Public Health programmes.

Prof Geoffrey Setswe, the managing director of the Aurum Research Institute delivered the keynote address.

Prof Joyce Tsoka-Gwegweni, Vice-Dean: Research, Transformation, and Marketing and Head of the DPH, gave a short history of the DPH.

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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