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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

SRC Consultation desk

2015-04-20

In an era where woman are consistently escalating up the echelons of power, this universal phenomenon is also making waves on the Bloemfontein Campus of the University of the Free State. As different citizens would recognise First lady Michelle Obama, Public Protector Thuli Madonsela, German Chancellor Angela Merkel and United Nations Ambassador Angelina Jolie, so it is also with Student Representative Council Secretary General, Dineo Motaung. She is among a handful of ladies within the student leadership who cherish her responsibilities diligently for the interests of human beings.

The SRC Consultation Desk is an official space created by the office of the Secretary General, aimed at being of service to students alongside the students’ academic pursuit. Inspired by Ubuntu, meaning ‘I am what I am because of who we are’ comes the task of cultivating and nurturing the essence of who we are, through constructive and honest dialogue between students and the university staff. It is by talking to one another that we will establish an environment that permeates our uniqueness and pollinates our consciousness with awareness that would cause us to act in unison in propagating the vision of the university.

Toward this end, the Secretary General has commissioned two SRC members to various stations every Monday and Wednesday, to interact with both students and staff. Please find the schedule reflected below. It is hoped that through this engagement, problems will not simply be identified, but that practical and feasible solutions will be offered.

“Through the SRC Consultation Desk I hope to see the manifestation and spirit of Ubuntu on campus by the time my term ends. With all that said, I am available for any concerns,” said Motaung.

Monday 20 April 2015, 12:00-13:00

SRC Accessibility and Student Support: Louzanne Coetzee

Station: Thakaneng Bridge

Wednesday 23 April 2015, 14:00-15:00

SRC Media, Marketing & Laison: Lethabo Maebana

Station: New Computer Labs (Entrance door)

Wednesday 29 April 2015, 14:00-15:00

SRC Student Development and Environmental Affairs: Victor Ngubeni

Station: Sasol Library (Opposite Deli)

Monday 4 May 2015, 14:00-15:00

SRC Secretary General Dineo Motaung

Station: Amphitheatre

Wednesday 6 May 2015

SRC Student Media: Masingi Sam

Station: Sasol Library (close to Deli)

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