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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

Always good to be honoured at home, says Justice Richard Goldstone

2012-02-06

Justice Richard Goldstone received an honorary doctorate from the university on 3 February 2012.
Photo: Duard Grobbelaar

Dumela article (pdf document)
Justice Richard Goldstone's - acceptance speech (pdf document)
Mail & Guardian article (pdf document)

The University of the Free State (UFS) is determined to make a success of its academic and human projects, and is not prepared to compromise on standards in the process.

This was the message of Prof. Jonathan Jansen, Vice-Chancellor and Rector, at our universities official opening on Friday 3 February 2012. These projects, said Prof. Jansen, are the foundation of the institution.

The official opening coincided with an honorary doctorate in Law conferred on Justice Richard Goldstone.

The UFS has enrolled the “smartest and most diverse class since 1904,” Prof. Jansen said.
Top learners with six A’s, and more learners from top schools inside and outside South Africa, have made the UFS their university of choice. “We are determined that the best students must study at Kovsies.”

Prof. Jansen also referred to learners in the school system who sit and wait while teachers fight amongst themselves at the education departments. “What are we going to do with those students?” The UFS provides an opportunity for these students to enter higher education with its University Preparation Programme on its South Campus in Bloemfontein. “The fastest growth at our university is on this campus. It is set aside for children who cannot be taken up in the mainstream.”

Some of the students who were part of this programme are doctors, lawyers and teachers today.

“We set a high standard in our academic project to make sure our students are the best available.”

In its Schools Project, the UFS has 23 schools under its wing and the net is broadening. Pass rates in these schools improved dramatically; in some from 13% to 100% in one year.

The human project sets standards for good behaviour. “I was astounded to see how young people get together to find other people as human beings,” Jansen said. “I have enormous hope for this country.

Some of the other projects he mentioned were the provision of more space for students to study, a refocus on the Qwaqwa Campus in the Eastern Free State, the placement of new academics, and agreements with universities abroad on the placement of young scholars.

After receiving his honorary doctorate, Justice Goldstone congratulated the university on the fact that transformation did not lead to standards being compromised.

“The university now takes its place as a leading university on our continent. The leaders of the university can hold their heads up high about their achievements.”

Judge Goldstone, the bearer of 26 honorary doctorates from various countries around the world, said: “It is always good to be honored at home”.

The official opening was attended by staff, students, guests and community leaders.

Media Release
3 February 2012
Issued by: Lacea Loader
Director: Strategic Communication
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: news@ufs.ac.za

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