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09 April 2025 | Story Anthony Mthembu | Photo Supplied
Divine Wayela Bitalo
Divine Bitalo, Counselling Psychologist and PhD student at the University of the Free State (UFS), graduates with a Master of Social Science in Counselling Psychology during the UFS April 2025 graduations.

In what she describes as the result of ‘’being curious enough to see if it will all work out’’, Divine Bitalo, Counselling Psychologist and PhD student at the University of the Free State (UFS), is set to walk across the graduation stage in the Callie Human Centre on 9 April 2025. Bitalo will receive her Master of Social Science in Counselling Psychology, joining three other students in her category during the April graduation ceremony. 

 

A journey through rejection and reflection 

While this milestone is one of great joy and fulfilment, it follows three challenging years marked by repeated rejections. Bitalo shared that she had applied to several institutions for a place in a master's programme – but each application was met with disappointment. 

“That period made me question my inherent worth and whether I was meant to be doing the work which I so deeply wanted to do,’’ she recalled.  The impact on her mental health was profound, as she could not practice as a Counselling Psychologist without a master’s qualification. 

Everything changed when she received her acceptance letter from the UFS. That moment, she said, was filled with immense gratitude and marked the turning point in her academic and personal journey.   

 

Lessons from a season of waiting 

Bitalo believes the setbacks taught her valuable life lessons. “It shattered the mentality that there’s only one way to achieve your goals or live your life,” she said. ‘’Had I moved straight from my honours to my master’s, I would have retained that rigid thinking -  and I don’t think I would have developed the capacity to understand that human beings are fallible.” 

She went on to share a deeply personal insight: “There is no one scripture, no single speech, or perfect word of encouragement that can magically fix everything. Sometimes, we just have to sit with the uncertainty and wait to see if we make it.” 

The period of waiting, she said, also shaped the kind of professional she is becoming. “The patients I now see benefit from a better version of me - one who has walked through uncertainty and has come out stronger on the other side.”  

 

Research, recognition and a PhD

As part of her master’s programme, Bitalo produced a research thesis titled Fatherhood, manhood, and personhood: South African fathers’ experiences of parental identity development. The study, which has since been published by Taylor & Francis, explores how South African men understand and interpret fatherhood. 

‘’There was a time when fatherhood was primarily about provision and protection. Today, a new generation of fathers is bringing tenderness and emotional care into the role,” she explained. “My study looks at how we can marry these two approaches.’’ 

Now having completed her master’s degree, Bitalo is already working towards a PhD focused on emerging adulthood, with particular attention to the markers of adulthood in the South African context.

Looking back, she views her graduation as a powerful symbol of resilience and faith. “Walking across that stage represents more than just academic achievement – it’s proof that sometimes things really do work out, even when everything around you suggests otherwise.”  

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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