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16 April 2025 | Story Andre Damons | Photo Kaleidoscope Studios
Ambrose du Plessis
Dr Ambrosé du Plessis, lecturer in the Department of Public Administration and Management, at his graduation of the University of the Free State (UFS) April graduation ceremonies.

With coalition governments becoming more common in South Africa and proven to be unstable, a lecturer at the University of the Free State (UFS) devised an alternative contextual coalition-led framework towards a functioning political-administrative dichotomy. This instability adversely affects service delivery. 

The framework was devised by Dr Ambrosé du Plessis, lecturer in the UFS Department of Public Administration and Management, as part of his PhD research and focused on the City of Johannesburg Metropolitan Municipality. He hopes it can offer valuable lessons for the broader context of South Africa’s evolving political landscape, particularly in light of the 2024 national coalition-led Government of national Unity (GNU). 

Dr Du Plessis graduated with a Doctor of Philosophy with specialisation in Public Administration and management at the UFS April graduation ceremonies. Prof Liezel Lues, Professor of Public Administration and Management, in the Department of Public Administration and Management, was his supervisor. 

Dr Du Plessis is part of the newest cohort of the Emerging Scholar Accelerator (ESAP) mentoring programme for mostly lecturers who are less than five years post-PhD. This group falls within the Transformation of the Professoriate Mentoring Programme which aims to grow a critical mass of excellent emerging scholars at the university who are equipped to assume senior academic and research positions. 

 

Political-administrative dichotomy

With his thesis titled ‘The Political-Administrative Dichotomy in coalition-led metropolitan municipalities: A South African Perspective’, he focuses on the interface between politics and administration. Says Dr Du Plessis: “The political-administrative dichotomy discourse is unable to account for coalition politics in most of South Africa’s metropolitan municipalities. More importantly, political and administrative instability has become common in most of South Africa’s coalition-led metropolitan municipalities.

“What makes my research particularly interesting is that it transcends Public Administration by incorporating contributions from Political Science through critical discourse analysis. I also conducted interviews with political office-bearers, the South African Local Government Association in Gauteng province, as well as subject experts – both national and international – in public administration, political science, and constitutionalism, to uncover deeper nuances relating to local lived experiences and international perspectives,” says Dr Du Plessis. 

According to him, the increasing prevalence of coalition-led governments in South Africa’s metropolitan municipalities necessitates a reconceptualisation of the political-administrative interface. Traditional interpretations of the political-administrative dichotomy have proved inadequate in explaining the multifaceted and dynamic interactions characteristic of contemporary coalition governance. This study responds to that gap by proposing a nuanced, context-sensitive, and theoretically enriched framework that better reflects the realities of coalition-led metropolitan municipal governance in the South African context.

 

The findings of the research 

“Building on comparative and critical discourse analyses, this research advances a polychotomous framework – one that transcends mono-theoretical and discipline-bound approaches by integrating insights from Public Administration and Political Science. The framework acknowledges the existence of both formal and informal political-administrative relationships and interrogates how these configurations influence governance outcomes in coalition-led municipalities, with specific reference to the City of Johannesburg (CoJ) Metropolitan Municipality.

“The findings underscore the limitations of classical dichotomy theory, particularly in accounting for the intersectionality between coalition politics and the institutional architecture of local government. In contrast to the dichotomy discourse, which narrowly focuses on political principals and administrative office-bearers, this research situates the interface within a broader institutional and societal matrix that includes political parties, non-state actors, and citizen constituencies.”

Dr Du Plessis say although this study was confined to local government and the CoJ, he believes it makes a meaningful knowledge contribution with real-world impact, paving the way for continued exploration and innovation in both research and practice concerning the political-administrative interface in coalition-led metropolitan municipalities. “More importantly, I hope it sparks critical reflection on the central nervous system of government and governance in South Africa, highlighting the urgent need to reconfigure not only political and administrative arrangements, but also the broader governance frameworks required to manage coalition politics effectively.”

 

PhD journey 

Obtaining his PhD, Dr Du Plessis says, is extremely emotional as he hopes to have inspired the broader family and future generations of students. It is both a liberating and proud moment for him for which he is deeply grateful and extremely overjoyed. This is not only the achievement of a personal and academic goal, but also the fulfilment of a journey filled with perseverance, growth, and purpose.

Like most PhDs, his journey was characterised by challenges that not only tested his intellectual ability but also his drive to succeed. There were moments of “profound loneliness”, self-doubt and even an overwhelming sense of guilt and shame. He had to deal with mental health challenges and experienced the well-known imposter syndrome. However, the support from his wife, Natasha, and Prof Lues, as well as colleagues like Dr Marevé Biljohn, Head of the Department of Public Administration and Management, the Faculty of Economic and Management Sciences PhD support group under the leadership of Prof Tina Kotze and Mrs Igna du Plooy and the REAP programme under the leadership of Dr Henriette van der Berg and Dr Karen Booysen, were essential in completing his PhD. They guided him through the academic and emotional trials of this journey with unwavering compassion.

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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