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22 April 2025 | Story André Damons | Photo Supplied
Dr Tafadzwa Maramura
Dr Tafadzwa Clementine Maramura is a Senior Lecturer and NRF-Rated Researcher in the Department of Public Administration and Management at the UFS.

With roughly half the world’s population experiencing severe water scarcity for at least part of the year, according to the UN World Water Development Report 2024, a researcher from the University of the Free State (UFS) seeks to understand how South Africa and the rest of the African continent can ensure that every person has access to water.

Besides Dr Tafadzwa Clementine Maramura, Senior Lecturer and NRF-Rated Researcher in the Department of Public Administration and Management at the UFS, research focusing on service delivery, especially delivery of water to the most vulnerable and poorest households, her work also focuses on the water-health nexus. In February she was appointed the Secretary for the Institutional Governance and Regulations Framework – a sub-specialist group for the International Water Association (IWA), becoming the first black African female to be appointed to this position.

According to statistics quoted by Greenpeace, 5.52 billion people out of a population of 7.78 billion in 186 countries face water insecurity, of which, 1.34 billion are Africans, accounting for more than 90% of the continent’s population. The United Nations World Water Development Report 2024: water for prosperity and peace; facts, figures, and action examples state that as of 2022, 2.2 billion people were without access to safely managed drinking water.

 

Research focus

With this, and with the Sustainable Development Goals (SDGs) – especially Goal 6 (clean water and sanitation) – in mind, Dr Maramura seeks to understand how South Africa and the rest of Africa can ensure that everyone gets access to this particular resource. “My research focuses on water governance and sustainable service delivery, public policies, and the green economy in the African, as well as the South African, context. What I found is interesting and really saddening at the same time. When you break it down, you realise that one in every three people in Africa don’t have access to potable water.

“Water is a basic human right, you can survive without electricity and other luxuries, but not without water. Each time you brush your teeth or flush your toilet with at least 15 litres of clean water or you are watering your garden with clean water, there are people that actually don’t have access to basic drinking water,” says Dr Maramura.

She is also investigating what the government is doing to ensure it delivers on this service it is mandated to, as South Africa has all the policies in place, and the best constitution in the world, but still the poor and most vulnerable communities do not have water.

“Access to clean water is not just a basic need; it is a matter of dignity, equality, and survival. As a young African woman, through my research, I see first-hand how the burden of water scarcity falls disproportionately on women and girls, robbing us as women, of education, economic opportunities, and health.

“But we are not just victims – we are leaders in this fight. By empowering women and investing in sustainable water solutions, we can transform our communities and break the cycle of poverty. The time for action is now because water is life, and every African deserves it.”

 

The water-health nexus

Dr Maramura has book chapters coming out in June this year that focus on the water-health nexus in failed states, thereby merging SDG 3 and 6 on health and water respectively. Water plays an indispensable role in the world as it is important for accomplishing several other SDGs, such as zero hunger, poverty eradication, good health and well-being, and affordable and clean energy. It all depends on the achievement of goal 6.

Says Dr Maramura: “You cannot solve problems in isolation; you cannot look at the water problem in isolation. If you have a water problem, you have a health and education problem because kids can’t go to school if there is no water. Hospitals can’t function when there is no water.

“SDG 3 speaks to health and SDG 6 speaks to water and that is where the nexus is, nexus meaning connection between water and health. How can we ensure that we merge the two together and ensure researchers working on health and water can find common ground to address any challenges arising from the lack of water so that we don’t have these health issues?”

South Africa is an upper-middle-income country but still struggles to deliver potable water to everyone and many communities in the country still rely on ventilated pit latrines due to limited access to modern sanitation facilities. With the deadline for achieving the 17 SDGs only five years away, South Africa is at risk of failing to achieve the SDGs.

 

Solving the water problems

According to Dr Maramura, there is no magic wand that can be used to solve all the country's water problems, but a collaborative and comprehensive effort is needed. “There is work that needs to be done. The government, private sector, the communities, as well as other role players need to work together. South Africa is a water-stressed country with rainfall below the global average. We realised that we have scarce groundwater resources.

“The community needs to understand, participate, and be aware of how much damage we can do by just drilling boreholes and digging wells. The private sector needs to know what it is that they can do to ensure that they also play a part through their corporate social responsibility and philanthropic dimensions in assisting the community.”

From the government side, she says, the policies are there so the government needs to consult with the communities, the private sector, and all other relevant stakeholders. They need to involve affected communities and after consultations, they need to engage these communities because they understand their problem best.

News Archive

First M degree in Sport Medicine commences at the UFS
2006-02-03

Some of the guests that attended the launch of the M degree in Sport Medicine were from the left Dr Derik Coetzee (senior lecturer at the UFS Department of Human Movement Science and one of the tutors of the programme); Dr Sorita Viljoen (a student from Bloemfontein); dr Stephan Pretorius (a student from Pretoria) ; Dr Louis Holtzhausen (Programme Director:  Sport Medicine at the UFS) and Prof Teuns Verschoor (Vice-Rector:  Academic Operations at the UFS).
Photo: Lacea Loader


First M degree in Sport Medicine commences at the UFS   
 

The classes of the first group of nine students registered for the M degree in Sport Medicine at the University of the Free State (UFS) commenced at the School of Medicine this week.

This is the first degree of its kind presented by the UFS.  Only two other universities in South Africa are presenting the course, namely the University of Cape Town and the University of Pretoria.

“It is an important new subject field for medicine in South Africa and is aimed at medical doctors,” said Dr Louis Holtzhausen, Programme Director of Sport Medicine in the School of Medicine and head of the UFS Sport and Exercise Medicine Clinic.

The course focuses on the wellness and healthy lifestyle of patients and also intercepts the growing need for a specialized medical service for sportsmen,” said Dr Holtzhausen.

Athletes’ needs for specialised medical care have increased dramatically during the past ten years.  “The primary health care practitioner has already surrendered a great deal of the athletics community to disciplines such as physiotherapy, bio kinetics, homeopathy, chirology and other alternative disciplines because of a lack to provide for these practitioners,” said Dr Holtzhausen.

“The course is especially in demand with general practitioners because they want to deliver a more specialized service to patients.  With this course a student can call him/herself a sport doctor and will then not only be able to present patients with scientifically funded exercise, food supplements and advice on their lifestyle, but will also be able to help with the rehabilitation of patients with chronic illnesses,” said Dr Holtzhausen.

“The greatest medical care expense in South African stems from lifestyle bound illnesses such as depression, strokes and obesesiveness.  The M degree in Sports Medicine at the UFS will intercept some of these problems,” said Dr Holtzhausen.

According to Dr Holtzhausen the duration of the degree is three years and it comprises of three legs.  In the first leg, attention is given to an athlete’s performance and how it can be improved with the correct methods and supplements.  In the second leg attention is given to the wellness of patients and the reversibility of the risk of illness and the exercise rehabilitation of chronic illnesses such as diabetes and hart problems to assist patients to exercise in a scientific way in order for them to start living optimally again.  In the third leg attention is given to a healthier lifestyle as a precautionary measure. 

The course also includes a lecture part (four attendance sessions of seven days each) and a thesis.  

“The new course is important for the UFS as the whole tendency in medicine is to move into a direction of a more affordable precaution.  There is no other qualification or programme with as much detail as this course,” he said.

Media release
Issued by: Lacea Loader
Media Representative
Tel:   (051) 401-2584
Cell:  083 645 2454
E-mail:  loaderl.stg@mail.uovs.ac.za
3 February 2006

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