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Dr Lucia Meko
Dr Lucia Meko believes that face-to-face engagement helps students become more empathetic, culturally aware health professionals.

In South Africa, the streets often tell stories of contrasts where wealth and poverty, tradition and modernity, and diverse cultures meet at the same intersection. It is a place where neighbours may speak different languages, worship in different ways, and sit down to very different meals. These everyday differences do not just influence how people live – they shape what ends up on their plates.

According to Dr Lucia Meko, Senior Lecturer and Head of the Department of Nutrition and Dietetics at the University of the Free State (UFS), dietitians play an important role in such a diverse landscape. “Their mission is to empower individuals and communities to make informed, healthy food choices that support long-term well-being. According to the Health Professions Council of South Africa (HPCSA), dietitians are trained to provide personalised nutrition counselling aimed at preventing and managing diet-related diseases,” she says.

“This means that whether someone is dealing with diabetes, high blood pressure, or simply trying to improve their eating habits, a dietitian can offer guidance tailored to their unique needs and circumstances.”

However, Dr Meko believes that while theory is important, many students only truly understand the reality of their future clients when they experience it first-hand. At the UFS, students do not have to wait until the end of their degrees to gain this insight. Community service learning begins in their very first year.

This approach immerses students in the communities they will eventually serve, offering a practical education that goes beyond textbooks. By working directly with communities, students gain a deeper appreciation of the challenges individuals face in making healthy food choices,” she says.

“These experiences help shape well-rounded professionals who are not only knowledgeable but also empathetic and culturally aware,” adds Dr Meko.

Unlike traditional volunteering, this is structured learning with clear outcomes. Students apply classroom theory to real-world issues while simultaneously giving back. Through this process, students develop critical thinking, cultural competence, and the ability to communicate health information in ways that are relevant and respectful,” she explains.

 

What really happens on the ground

To understand what this looks like in practice, Dr Meko points to a research study conducted by the department. It examines the experiences of fourth-year students during a Community Nutrition Module internship. This internship is one of eight work-integrated learning (WIL) components in the module.

In this particular placement, students work in Ward 51 in Mangaung, visiting homes and engaging directly with residents. During each visit, they profile the community member’s demographics, measure nutritional status (using weight and height), and assess dietary patterns. Afterward, they offer tailored dietary counselling.

Beyond individual visits, students also explore the broader food environment: visiting supermarkets, vegetable gardens, early childhood centres, and street vendors all form part of their learning.

Importantly, this programme is not one-sided. Feedback from both students and community members is gathered to improve the experience and assess its impact.

So far, early findings are promising. Students not only learned; they were transformed. Interestingly, students mostly showed appreciation for their own privileges in comparison to the disadvantaged communities they visited,” says Dr Meko. One student reflected: “It humbled me and made me very grateful for all that I have, because I think we really lose sight of that sometimes.”

After a township tour, another student admitted: This was very insightful, as we often have stereotypes about the way people live and what people eat, simply because of where they live.”

In a cooking activity, students were challenged to apply dietary guidelines in real kitchens. The outcome? A deeper understanding of the barriers faced by many. “Dietetic guidelines we have given to some patients were really put into perspective, as cooking with less salt is not as easy as we think,” says Dr Meko, quoting student feedback.

Some even used what they learned in other placements. One student took a simple grocery list she developed during her internship to the hospital setting: “It is the most practical way to influence someone to shop differently.”

Others were inspired to continue working in food access. “I was impressed with the size of the vegetable gardens and was also inspired to be part of projects like these in the future,” shared another student.

Perhaps one of the most powerful observations came from a student who said: “I feel empowered but also sad to see that this is how most of the country is living and that we can make a difference, no matter how small.”

 

A lasting impact for both student and community

For Dr Meko, this is exactly what service learning should achieve. “While lectures and textbooks can teach the theory behind intercultural competence, it’s the face-to-face interactions – listening to people’s stories, understanding their struggles, and working alongside them – that truly bring those lessons to life.”

She adds that this kind of learning also builds stronger, more respectful relationships between the university and the communities it serves. “It fosters partnerships built on mutual respect, shared goals, and the exchange of knowledge and resources – locally and beyond.”

Community service learning is not just a tick-box exercise. In the UFS Department of Nutrition and Dietetics, it is a meaningful bridge between knowledge and empathy, between theory and reality, and – most importantly – between future dietitians and the people whose lives they hope to improve.

News Archive

Kovsies blossom with potential
2010-02-04

Pictured with Prof Jansen are, from the left: Marike Botha, Sibusiso Tshabalala, Cumine de Villiers, Portia Lehasa and Meyer Joubert.
Photo: Hannes Pieterse


The Rector and Vice-Chancellor of the University of the Free State (UFS), Prof. Jonathan Jansen, recently made closer acquaintance with five top Grade 12 achievers who are currently first-year students at the UFS.

The five students all achieved exceptional results in their final exams.

Cumine de Villiers from the Volkskool Secondary School in Potchefstroom obtained seven distinctions. She is an MBChB I student and resides in Roosmaryn Residence on the Main Campus. People are her passion, which makes a career as a doctor ideal for her. “I can help people physically, as well as emotionally. And save lives!” Her advice to learners is to work hard from Grade 11 already. According to her a balanced life is also very important: “The more you do, the better you can do.” One of her goals is to learn Sesotho while she is studying.

Marike Botha attended Potchefstroom Gymnasium. She obtained seven distinctions. She is also studying MBChB I and plans to become a paediatric surgeon. “I know one is going to lose patients, but one will also save lives.”

She resides in Roosmaryn Residence and plans to enjoy her student life to the full: “I am going to attend everything! Every dance, rugby match and serenade – there are some things in life that one can only experience once, and one’s first year is one of those.” According to her, the Grade 12 work is not that difficult; it is only a lot. She advises matriculants to always to their best and never to leave anything till later.

Sibusiso Tshabalala from HTS Welkom obtained three distinctions. He is studying BCom Law. He chose that degree because it perfectly integrates law and commerce. “In that way I am keeping my career options open”. He chose Kovsies for the opportunity to be part of one of the best Faculties of Law in South Africa. He resides in JBM Hertzog Residence. His advice to matriculants is to fully make use of every opportunity. “There will be setbacks – it is not supposed to be easy. All of that makes you a stronger person. Strive after your own goals – don’t measure them against others’ goals.”

Portia Lehasa from Eunice High School obtained five distinctions. She is studying BA Accounting and resides in Roosmaryn Residence. She chose Kovsies in order to be part of the transformation.

“Transformation leads to growth – and growth is essential for all persons.” She chose accounting because she enjoys challenges. “It is also a skill that will enable me to empower the economic status of South Africa.”

She also wants to become involved in everything on campus and make a difference. “You are going to see me a lot – I am going to change the world!” She also has some advice for matriculants: “It is very important to have a goal. In that way one still has something to strive for. It helps incredibly.”

Meyer Joubert attended the Ferdinand Postma Secondary School in Potchefstroom. He obtained seven distinctions. He is an MBChB I student and resides in Abraham Fischer Residence. “One’s life only becomes meaningful once one does something for someone else; that is why I want to become a doctor. By means of medicine one can make a difference to someone else’s life.” He plans to become the best doctor possible. According to him learners can take it leisurely up to Grade 10. “The requirements for many fields of study, like medicine, already apply from Grade 10. Therefore it is important to start to focus and work hard from then onwards. However, don’t only study! Balance is very important; therefore participate in sports, cultural activities and, of course, socialise.”

Prof. Jansen was, rightly so, impressed by all the talent that have settled at Kovsies this year: “This is only the beginning. With so much potential Kovsies can blossom!”

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

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