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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

Council approves two senior appointments

2012-03-13

Dr Choice Makhetha and Prof. Hendri Kroukamp
13 March 2012

We are delighted to announce the appointment of Dr Choice Makhetha as Vice-Rector: External Relations, and Prof. Hendri Kroukamp as Dean of the Faculty of Economic and Management Sciences.

Both appointments were approved on Friday 9 March 2012 by the UFS Council during its quarterly meeting at the Bloemfontein Campus.

“Dr Makhetha is an experienced administrator in higher education and has spent time shadowing the Presidents of Harvard and Spelman Universities in the USA, where she gained invaluable experience in positioning universities for world-class impact,” said Prof. Jonathan Jansen, Vice-Chancellor and Rector of the UFS.

Her portfolio will entail external linkages, partnerships and strategic alliances of the university with national and international stakeholders.

Previously, Dr Makhetha was the Special Assistant to the Vice-Chancellor. Before that she was acting Dean: Student Affairs, also at the UFS. She has served as acting Vice-Rector: External Relations since February 2011.

Dr Makhetha obtained a Master’s degree in Political Science from the UFS in 2000 and a Ph.D., also in Political Science, in 2003. She was named the UFS’s Dux student for 1998/99. Dr Makhetha has received many awards for her work and she serves on various boards and committees in South Africa and abroad.

In 2010 and 2011 she was a fellow at Harvard University and Spelman College as part of Higher Education South Africa (HESA)’s Higher Education Leadership and Management programme.

“Prof. Kroukamp is a distinguished academic in the field of Public Administration and a highly experienced manager and leader of academic departments. He has been serving as acting Dean of his faculty since September 2010,” said Prof. Jansen.

Prof. Kroukamp holds a B.A. (Hons.) degree in Public Administration from Stellenbosch University and an M.A. degree from the University of Port Elizabeth (UPE). In 1993 he obtained a qualification in Project Management from the World Bank. He completed a D.Phil. in Public Administration at UPE in 1996, where he was a lecturer. Prof. Kroukamp joined the UFS in 1999 as a professor and Chairperson of the Department of Public Management.

He is the referee of various national and international publications, serves on various publication boards and is a member of various national and international boards and committees.

Prof. Kroukamp, who is a National Research Foundation (NRF)-rated researcher, has received many NRF awards. Amongst these are NRF Overseas International Conference Awards in Turkey, Korea, Poland and France. He has also received a UFS Top Research Award in the Faculty of Economic and Management Sciences.

Both appointments apply retrospectively on 1 March 2012.

Media Release
13 March 2012
Issued by: Lacea Loader
Director: Strategic Communication
Tel: +27(0)51 401 2584
Cell: +27(0)83 645 2454
E-mail: news@ufs.ac.za

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