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Improving health care service delivery and outcomes

01 April 2025 | Story Andre Damons | Photo Supplied

The Division of Public Health at the University of the Free State (UFS) together with the Central University of Technology (CUT), and the Free State Department of Health’s Disability Unit, held community engagements recently by visiting rehabilitation services in Bloemfontein.

These engagements were part of the co-funded project: Capacity building for the use of implementation science in various typologies in low- and middle-income countries for the prevention and/or management of the quadruple burden of disease. This was phase two in this project with the last phase including a symposium that is expected to take place on 1 April on the UFS Bloemfontein Campus.

Qhomane Mhlanga, a representative from the Free State Department of Health who is actively involved in this project, and her team, identified rehabilitation services for a case study. They also identified stakeholders to be visited during this community engagement in order to gather information on their engagement with Mangaung University of the Free State Community Partnership Programme (MUCPP). The team also visited stakeholders at the Phelang Disability Home, Carel du Toit Special School, and the Department of Education (Inclusive Education).

Research to improve health care service

Dr Phindile Shangase from the Division of Public Health, and Principal Investigator at UFS, says the purpose of community visits was to engage service providers on the implementation strategies. This includes analysing alignment of implementation strategies with the policy (National Rehabilitation Policy 2000, Free State Rehabilitation Policy Guidelines, Framework and Strategy for Disability and Rehabilitation Service in South Africa 2015-2020) as well as identifying facilitators and barriers to implementation.

“It is the intention of the Division of Public Health, UFS to continue collaborations with stakeholders in implementation science research to improve health care service delivery and outcomes. The Division of Public Health also intends to add postgraduate research studies on implementation science in the near future.

“The visit to the clinic sought to establish the services provided by the rehabilitation unit, the referral system, and how the unit collaborates with external stakeholders to enhance the service. We gained knowledge of categories of healthcare professionals in rehabilitation services, e.g., occupational therapists, physiotherapists, speech and language therapists, audiologists, orthotists and prosthetists, rehabilitation doctors, optometrists, community rehabilitation workers. Some of these professionals are not available in the facilities visited,” says Dr Shangase.

It was identified that, she continues, early hearing screening services for children are not available at healthcare facilities. Early hearing screening helps identify hearing defects which could be managed early to avoid complications that lead to hampered education and poor quality of life.

Outcome of engagements

Before the community outreach began, the UFS/CUT team, in collaboration with the Department of Health, convened to discuss strategies for navigating the Implementation Science project. The meeting focused on identifying key stakeholders and developing approaches essential for the project's success, drawing insights from the Department of Health's Mangaung Metro implementation science case study.

The team identified five primary approaches for the project: Health, Education, Livelihood, Social, and Empowerment. Additionally, the discussion highlighted both the barriers and enablers related to each approach, which are crucial for ensuring effective project implementation and sustainable outcomes. Free State rehabilitation policy guidelines document was also applied to evaluate the case study.

According to Dr Shangase, the outreach will help with drafting of an intervention plan to address policy implementation gaps identified. The information gathered will assist in commissioning further research to improve health outcomes. “The intention is to collaborate with the Department of Health to work on past research outputs, presented during research day conferences, for implementation in healthcare facilities. Newly identified research areas will also prompt projects in healthcare facilities, led by the academic partners, UFS, Division of Public Health as well as the Department of Health Sciences, CUT.”

News Archive

UFS awarded tenders worth R22,5 million for Maths and Science teacher-training

2010-03-17

The Centre for Education Development (CED) at the University of the Free State (UFS) has received tenders worth about R22,5 million over the past two years from four provinces to train Mathematics and Science teachers from underperforming schools.

The CED has received tenders from the following provincial departments of education: Free State, Northern Cape, North West and Mpumalanga.

“The centre has a good reputation for the training of teachers in these disciplines and has been involved with the upgrading of Maths and Science teachers for at least 15 years,” said Prof. Daniella Coetzee, Director of the CED.

It is currently busy with the training of North West teachers after being awarded a R13,5 million tender by the Province as part of its quest to improve pass rates in Mathematics and Natural and Physical Sciences in underperforming schools.

“The tender is for the upgrading of the knowledge and methodology of teachers for Mathematics and Natural and Physical Science, as well as the upgrading of the knowledge of subject specialists in the North West Province,” said Prof. Coetzee.

For this project the centre trains 1 000 teachers and 90 subject specialists from underperforming schools over a period of three years.

The programme commenced in February this year with a baseline assessment of the teachers to determine knowledge and methodology gaps upon which to focus in the training.

“After the programme has been completed we will also do a post-assessment to see if there had been progress,” she said.

The training is offered only on Saturdays at Vryburg, Klerksdorp, Makapanstad, Brits and Zeerust and is presented by lecturers from the CED as well as selected and trained tutors from the North West province.

“We have successfully completed another Maths, Science and Technology project for the North West Department of Education. We have also completed similar projects for the Northern Cape and one for the Free State Department of Education,” she said.

These completed projects entailed formal qualifications (Advanced Certificate in Education) in Maths, Science and Technology and were worth in excess of R5 million.

The CED has just been recently awarded yet another tender in excess of R4 million over a period of two years by the Mpumalanga Department of Education.

Prof. Coetzee had the following to say about the CED being the preferred choice of these provincial Departments of Education: “It has to do with the fact that the CED has been performing well with the upgrading of teachers. It has proven itself as a leader in the in-service training of Maths and Science teachers in South Africa.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za
17 March 2010

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