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NSF under fire as Denel learners face unpaid stipends and accommodation crisis

By Thapelo Molefe

The National Skills Fund (NSF) has come under intense parliamentary scrutiny over unpaid stipends, accommodation problems and disruptions to the training of hundreds of young people transferred to the Denel Training Academy programme.

The Portfolio Committee on Higher Education heard on Wednesday that some learners had been removed from accommodation, forced to travel long distances to training sites and, in some cases, found sleeping in corridors after the termination of service provider Phila Jordan Capital (PJC).

NSF acting chief executive Melissa Erra told MPs that the fund had been alerted that learners were being “kicked out of their accommodation or being relocated” after the PJC project was terminated.

Some learners were moved so far from their workplaces that they had to wake up at 3am or 4am to travel from Pretoria to Johannesburg, she said.

“When we deployed our security team to go and verify the status, we found that some of the learners were sleeping in the corridors,” Erra said.

The NSF subsequently intervened with food packs and sanitary supplies.

The crisis affects 761 learners who were transferred from PJC to Denel after the NSF terminated PJC’s contract following concerns about its delivery of the programme.

The fund said 701 learners received their July stipends, while August payments were only made in September after administrative problems at Denel. May and June stipends remain unresolved because no teaching and learning took place during the transition between PJC and Denel.

The NSF said a legal opinion from the Department of Higher Education and Training indicated that paying stipends for periods when no training took place could potentially constitute fruitless and wasteful expenditure.

Denel has since been asked to pursue a declaratory order in the Labour Court on the outstanding May and June payments.

But MPs questioned why learners should continue bearing the consequences of administrative failures.

Higher Education Minister Buti Manamela said the situation was unacceptable and warned that responsibility must extend beyond simply fixing the administration of the projects.

“So when that opportunity is interrupted, Chairperson, by unpaid stipends, inadequate accommodation or a provider that fails to deliver, I think the consequences should extend beyond the administration of a project,” Manamela said.

“Those families have made sacrifices. Learners have moved away from home and their plans and expectations are placed in jeopardy.”

He said learners should not suffer because of failures within the administration of the NSF or its service providers.

“I do not think and I remain committed to the fact that learners should not be prejudiced, should not in any way suffer precisely because of the challenges that those who are responsible for administration have committed.”

Manamela said there should be consequences for training providers and any NSF officials found to have been negligent.

The briefing also exposed confusion over the exact status of some payments.

The NSF said most April learners had been paid, except four suspended learners, while its project manager later acknowledged that she might have been wrong about the timeline after MPs challenged the account against information previously provided by Denel.

Committee member Sedukanelo Louw demanded clarity on the payment failures.

“Learners are suffering,” he said. “We can’t be lying forever. We must be truthful and we must take a decision as Parliament.”

The committee also heard that one learner remained outstanding for April and 57 for July at one stage of the payment process, while individual learners were still affected by missing attendance registers and work-integrated-learning documentation.

The August stipend payment was eventually made by Denel on 14 September, a day later than planned.

Committee chairperson Tebogo Letsie said Parliament would engage directly with affected learners and indicated that members were likely to visit or speak to them in the coming weeks.

The crisis follows the NSF’s termination of the PJC project in May after repeated non-compliance.

The fund said its security verification found learners facing serious accommodation and food problems, while teaching and learning had been disrupted.

The NSF said more than R11 million remained unreconciled from the PJC project and that the matter had been referred to the state attorney for recovery. It was also referred to the Hawks.

Erra said the NSF accepted responsibility for the learners because they are beneficiaries of the fund.

“We do take accountability because these are our beneficiaries,” she said.

The NSF is now targeting 30 October to stabilise the Denel programme, including finalising a remedial plan, addressing additional training requirements and resolving outstanding stipend matters.

The fund said Denel’s latest remedial plan requires another two months of workplace teaching and learning, while SAA Technical has indicated that it needs another 10 months.

The discrepancy is still being investigated and could have financial implications for the programme.

The NSF’s intervention comes amid broader concerns about its management of skills projects. Parliament has previously raised concerns about alleged maladministration and financial management at the fund, while the Special Investigating Unit has been authorised to investigate allegations involving the NSF.

For the learners caught in the Denel transition, however, the immediate issue remains whether and when they will receive the money they are owed and whether the training programme will be completed without further disruption.

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PYEI creates nearly 140,000 youth opportunities amid unemployment crisis
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PYEI creates nearly 140,000 youth opportunities amid unemployment crisis

By Akani Nkuna 

The Presidential Youth Employment Initiative (PYEI) created 139,693 earning opportunities for young people through the National Pathway Management Network during the first quarter of the 2026/27 financial year.

Deputy Minister in the Presidency Nonceba Mhlauli told reporters on Wednesday that of these opportunities, 106,093 were secured through SA Youth, while a further 33,600 earning and learning opportunities were secured through Employment Services South Africa (ESSA).

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She was outlining the PYEI quarterly progress report covering the period between April to June 2026. The network is designed to link unemployed youth with training, support and earning opportunities.

Mhlauli said the SA Youth platform had enabled 2.6 million youth to access opportunities since its establishment in 2020. Close to 70% of the opportunities were accessed by young women.

Since the establishment of ESSA, close to 5.7 million young people have registered with the service and 386,733 of them have secured opportunities.

“At the same time, we recognise that temporary opportunities alone cannot resolve South Africa’s youth unemployment challenge. This is why the PYEI also focuses on systems change, demand-led skills development, enterprise development, sustainable earning pathways and connecting young people to opportunities through a national network,” Mhlauli said.

She said the Youth Employment Service placed 5,244 young people into workplace experience opportunities in the first quarter, adding that 233,393 workplace experience opportunities have been delivered since the establishment of PYEI.

A total of 2866 people were recruited during phase five of the revitalised National Youth Service programme. 

“This is the largest phase of the revitalised National Youth Service to date and [it] is recruiting 100,000 young people across South Africa. Since inception, the National Youth Service has provided 140,922 paid service opportunities across its five phases, with young women accounting for 68% of these opportunities,” said Mhlauli.

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The PYEI also supports enterprise development and self-employment, providing alternatives for young people who struggle to find traditional employment. During the quarter, the National Youth Development Agency provided 5,214 enterprise support opportunities, including 4,795 non-financial and 419 financial opportunities.

A total of R95 million was committed to the fourth National Pathway Management Network Innovation Fund to support innovative youth employment solutions – particularly in rural communities – for young people with disabilities and through civil society and youth-led organisations.

“The impact of the PYEI cannot be assessed only by the number of young people who access an opportunity. We must also understand what happens afterwards: whether young people move into further opportunities, secure sustainable income, progress into employment or enterprise, and whether the pathways we are creating are helping young people build livelihoods,” said Mhlauli. 

Youth unemployment remains one of the country’s most pressing economic and social challenges.

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R341m Wits cultural precinct set to reshape Braamfontein

By Bhekizenzo Zonele

Wits University is investing R341 million in a new cultural precinct in Braamfontein as part of efforts to open its arts and cultural facilities to the wider Johannesburg community.

The precinct will bring together existing and new arts, performance and heritage facilities, including the Wits Art Museum, Jack Ginsberg Centre for Book Arts, Chris Seabrooke Music Hall, Digital Arts building and additional facilities for the Wits School of Arts.

Plans include expanded music and fine arts facilities, new exhibition spaces, a theatre amphitheatre and upgrades to the Wits Theatre Complex.

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The five-year development project is also expected to contribute to the regeneration of Johannesburg’s inner city.

Wits Vice-Chancellor Professor Zeblon Vilakazi said the project was intended to strengthen the university’s relationship with the city.

“The Cultural Precinct is about opening Wits to Johannesburg and creating spaces where students, artists, scholars and the public can meet, create and exchange ideas,” Vilakazi said.

A major donation from Wits alumnus Chris Seabrooke, through the Seabrooke Family Trust, will fund most of the estimated R341 million capital cost, with Wits contributing the balance.

Seabrooke, who completed his MBA at Wits in 1985, said the investment was intended to create a cultural space that would benefit Johannesburg beyond the university community.

“The arts have an extraordinary ability to bring people together and to change the character of a place,” he said.

The Wits Foundation will have the right to sell the donated shares through block trades or on the market over the estimated five-year period of the project to provide funding for the development.

The precinct will be embedded within the Faculty of Humanities and Wits School of Arts and will incorporate disciplines including digital arts, film and television, fine arts, music, theatre and performance, Drama for Life, cultural policy and visual cultures.

Wits said the development forms part of its broader efforts to make its cultural, heritage, scientific and sporting assets more accessible to the public.

ALSO READ: Vul’Amathuba Festival connects Gauteng job seekers to more than 9,000 opportunities

The project comes as Johannesburg seeks to revitalise its inner city and attract greater cultural, creative and economic activity.

The precinct will form part of a wider Johannesburg cultural network that includes the Joburg Theatre, Market Theatre, Sci-Bono Discovery Centre, Tshimologong Digital Innovation Precinct and Constitutional Court.

Jozi My Jozi CEO Innocent Mabusela welcomed the development, describing it as a potential contribution to the city’s broader renewal efforts.

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Manamela challenges industry to turn skills into jobs at R103m Takealot-Services SETA partnership
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Manamela challenges industry to turn skills into jobs at R103m Takealot-Services SETA partnership

By Charmaine Ndlela

Higher Education and Training Minister Buti Manamela has challenged industry to ensure that skills development translates into employment as Services SETA and the Takealot Group launched a three-year partnership on Tuesday, targeting 20,000 income-generating opportunities.

The partnership is backed by an initial Services SETA investment of about R103 million and aims to create pathways from training to workplace experience, entrepreneurship and income generation, particularly within South Africa’s growing digital economy.

Manamela said the initiative formed part of government’s broader “skills revolution” and responded to President Cyril Ramaphosa’s call for training to lead to employment.

ALSO READ: Fort Hare holds Buhlungu to notice period after resignation

“Every training that takes place in the country must lead to employment,” Manamela said.

He said one of the biggest challenges facing the post-school education and training system was limited participation by employers in providing workplace opportunities to students and graduates.

While government had invested heavily in universities, TVET colleges, community education and training centres and other institutions, Manamela said the system could not succeed without employers opening their doors to young people.

“One of the major catalysts has been the absence of employers actively participating, opening up their doors, and hosting students either as entrepreneurs or as future employees,” he said.

The Takealot partnership is intended to address that gap by linking training to practical opportunities in the platform economy.

The programmes include work-integrated learning placements for TVET college learners, critical-skills bursaries, Personal Shopper training and tools of trade, driver development and training, Marketplace SME localisation and digital training for small businesses.

Manamela said the partnership was designed to go beyond conventional training and expose young people to different ways of participating in the economy.

“We’re not just going to be using this programme to train people to ride bikes,” he said.

ALSO READ: Future Economy Expo puts AI, advanced manufacturing and new careers in focus

While driver training forms part of the initiative, Manamela said the broader objective was to enable young people to participate as entrepreneurs, connect customers with goods and use digital platforms to access economic opportunities.

He said the partnership could potentially be replicated with other companies and across different sectors of the economy.

Manamela said the success of the programme would depend on whether participants moved from classrooms and training programmes into internships, employment, entrepreneurship or other sustainable income-generating opportunities.

“If this programme becomes a success, we will ensure that not only do we expand, but we also replicate,” he said.

About 500 students from Gauteng community colleges are also expected to participate, broadening the programme beyond TVET students and graduates.

Manamela said this would expose community college students to digital opportunities and help connect different parts of the post-school education system to the changing demands of the economy.

“We want to call on industries to partner with us so that we’re able to train for the skills that industry itself requires,” he said.

He acknowledged concerns from employers about the complexity and time involved in government systems, saying these were issues that needed to be addressed.

Deputy Minister of Higher Education and Training Yusuf Cassim said the launch represented a shift from signing agreements to implementing them.

The relationship between the department and Takealot dates back to a strategic memorandum of understanding signed in September 2025. The agreement established a framework for collaboration around workplace learning, bursaries, learning materials and support for township entrepreneurs and small businesses in the digital economy.

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“An MOU is a commitment. A partnership is a mechanism. But implementation is where the commitment becomes real,” Cassim said.

He said the R103 million investment would support workplace learning for TVET learners, critical-skills bursaries, Personal Shopper training, driver development, Marketplace SME localisation and digital training for small businesses.

Cassim said the initiative should ultimately be measured by its effect on individual participants.

“Did they acquire a skill? Did they gain meaningful workplace experience? Did they earn an income? Did they gain access to a market?” he said.

He said township-based entrepreneurs should be able to participate in the modern economy without necessarily having to leave their communities.

Through technology, skills development, market access and private-sector partnerships, young people could be connected to larger markets while small businesses gained access to new customers, Cassim said.

Services SETA administrator Lehlogonolo Masoga said the partnership was intended to bring training and economic opportunity closer together.

“We have entered into this partnership with Takealot to translate the skills revolution into employment creation opportunities,” Masoga said.

He said the three-year programme would combine training with employment opportunities and would be monitored to assess its impact on participants.

Services SETA regards the initiative as a pilot that could be expanded if it produces the intended results.

Takealot Group CEO Frederik Zietsman said the partnership would connect young South Africans with an existing digital economy and a range of income-generating activities.

Zietsman said more than 18,000 personal shoppers were already earning income in their communities, with most based in townships, while more than 20,000 independent contractor drivers and more than 18,000 small businesses were operating on the platform.

“This is change in action,” he said.

He said the partnership was not simply about funding but about creating opportunities that were practically accessible to young people.

He highlighted personal shoppers, drivers, township-based marketplace sellers and work-integrated learning opportunities for TVET students as pathways connecting learning to earning.

“The partnership with the Services SETA does not bring to us just money,” Zietsman said. “It brings to us the faces of youth that is looking for opportunities that are practically accessible to them.”

Zietsman also committed Takealot to measuring the programme’s impact, saying that failing to do so would mean failing the people it was intended to benefit.

He said Takealot had grown over 13 years into a business generating about $2 billion in revenue and that its approach to the partnership would be based on implementation rather than promises.

“There is an ocean between saying and doing, and we are on the side of doing,” he said.

Manamela said the programme’s success would not be judged by the amount of money invested or the number of people enrolled, but by what happened to participants after entering the programme.

“The only measure of success is that a significant number of those who participate as students in this programme must lead to some form of employment or internship,” he said.

He said government would monitor the commitments made under the partnership, including the R103 million investment and the target of 20,000 opportunities.

According to Manamela, about R4 billion from the National Skills Fund and SETAs is being directed towards partnerships with industry, with more than 100,000 students expected to be placed in work-integrated learning programmes.

He said the Takealot programme was separate from those 100,000 placements.

Manamela also called on more employers to participate in skills development partnerships with government.

He said companies contribute to the skills development levy, with portions of the funds flowing to SETAs and the National Skills Fund, while employers can claim back a portion of their allocation under existing legislation and regulations.

The partnership comes as Services SETA expands workplace opportunities for unemployed young people. Its separate To The Power of X² programme is targeting 20,000 structured, 24-month internship opportunities for unemployed university and TVET graduates.

The department has also identified workplace-based learning and stronger employer participation as key components of its 2026/27 delivery priorities, with the broader system expected to increase opportunities for students to gain practical experience.

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Future Economy Expo puts AI, advanced manufacturing and new careers in focus
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Future Economy Expo puts AI, advanced manufacturing and new careers in focus

By Charmaine Ndlela & Lebone Rodah Mosima 

For Grade 11 and 12 learners still weighing their career options, the Educonnect Media Future Economy & Career Expo 2026 offered a one-stop platform to explore study opportunities, emerging careers and the skills needed for the future economy.

Held at the University of Johannesburg (UJ) Business School on Monday, the expo brought together high school learners, parents, educators, universities, TVET colleges and industry leaders in an effort to help young people make informed decisions about their studies and future careers.

ALSO READ: Urban Academy edge Clapham on penalties to reach Kay Motsepe U19 final

Throughout the day, learners toured the various exhibition stands, engaging directly with representatives from higher education institutions, companies and organisations offering information on study programmes, careers, bursaries, internships and other opportunities.

Many learners used the opportunity to ask questions about career paths they were considering, while others sought clarity on admission requirements, qualifications and the skills they would need to remain relevant in a rapidly changing job market.

The programme focused on sectors including artificial intelligence, fintech, logistics, supply chain, digital transformation, emerging technologies, retail, manufacturing, engineering, hospitality, entrepreneurship and future skills.

Universities exhibiting at the event included Wits University, the University of the Free State, UJ, Rhodes University, North-West University, Tshwane University of Technology, UNISA and Vaal University of Technology.

ALSO READ: Tourism sector calls on universities to close skills gap

Other participating institutions included the AAA School of Advertising, Netcare Education, Inscape, SACAP and Open Window, alongside TVET colleges and corporate partners.

Industry exhibitors included the CSIR, NMMF, SNG Grant Thornton, Wray Castle Africa, VW Hatfield, Cultural Care Au Pair and Southpoint Student Accommodation, among others.

Learners were able to collect information from the different exhibitors and provide their details to institutions and organisations offering opportunities aligned with their interests.

The expo provided direct access to information on bursaries, internships and graduate programmes, while career guidance was offered across fields including business, technology, innovation, finance, manufacturing, logistics and entrepreneurship.

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Urban Academy edge Clapham on penalties to reach Kay Motsepe U19 final

By Levy Masiteng 

Urban Academy from Gqeberha in the Eastern Cape have booked their place in the final of the 2026 Kay Motsepe Schools Football Championship U19 Boys category after defeating Gauteng’s Clapham High School on penalties following a thrilling 2-2 draw in the semi-final on Monday.

The Eastern Cape side held their nerve in the penalty shootout, winning 4-3 after the two teams could not be separated at the end of regulation time.

The semi-final produced an entertaining encounter, with both schools fighting back to keep their hopes of lifting the national title alive.

Clapham and Urban Academy went into the half-time break deadlocked at 0-0, with neither side able to find the breakthrough in the opening 45 minutes.

The second half, however, delivered an exciting exchange of goals.

Clapham broke the deadlock in the 62nd minute through Thabang Makoba, giving the Gauteng side a 1-0 advantage.

Urban Academy responded in the 75th minute when Aqhama Ndibaza found the back of the net to restore parity and make it 1-1.

The drama continued as Omphemetse Sekgoto regained Clapham’s lead in the 82nd minute, putting the Gauteng side 2-1 ahead.

However, Urban Academy refused to surrender, with Lilitha Voyi scoring a crucial equaliser in the 85th minute to make it 2-2 and force the semi-final into a penalty shootout.

In the penalty shootout, Urban Academy proved more clinical, converting four penalties, while Clapham managed three goals and missed twice, sealing the Eastern Cape school’s place in the national final.

The victory puts Urban Academy one step away from the national U19 Boys title, following a dramatic comeback in which they twice fought back from behind.

Urban Academy will now turn their attention to the final at Giant Stadium Soshanguve, Pretoria, on Wednesday, where they will have the opportunity to cap their national campaign with the championship trophy.

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Tourism sector calls on universities to close skills gap
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Tourism sector calls on universities to close skills gap

By Thapelo Molefe

Tourism businesses are being forced to train students from scratch because some university courses are failing to equip learners with the practical skills needed to work in the industry, Southern Africa Tourism Services Association (Satsa) national chairperson Oupa Pilane says.

Pilane, who is also co-founder and director of the Graskop Gorge Lift Company, said the disconnect between what universities teach and what tourism businesses need was making it harder for the sector to bring young people into the workforce, while placing an additional burden on already stretched entrepreneurs.

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“Unfortunately, what we are looking for, we are looking for people to run our enterprises. And the current modules that we have are not helping us to do that,” he said.

Speaking to Inside Education at the Mpumalanga Tourism Expo in Mbombela, Pilane called on universities and other tertiary institutions to work directly with the tourism sector when developing their courses.

“We’ve repeatedly asked tertiary institutions to say, sit with us as the sector. And let us advise you on what our needs are,” Pilane said.

He said businesses wanted interns and graduates who could apply their knowledge immediately instead of requiring employers to start their training from the beginning.

“All I want, whether it’s an intern, I want a plug and play,” he said.

Pilane said the problem was evident in different areas of the industry.

“I’ve got a good chef who can’t cost. Yeah, you cook nice food, but you can’t cost a plate,” he said.

He said a similar problem emerged when he took students from Tshwane University of Technology (TUT) into the adventure tourism environment.

“They have introduced an adventure module there. I took some of the kids. I had to show them from scratch what to do,” Pilane said.

He said the students were unable to perform the work when they arrived, requiring the business to provide additional training.

“I took students from TUT, they couldn’t do anything. They were standing like me there because they just couldn’t do anything,” he said.

Pilane said this showed why universities needed to consult businesses before introducing specialised tourism courses.

“The problem is that when they were developing that module of tourism they never sat with tourism, with adventure people around,” he said.

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He said businesses were willing to take in students but could not continually carry the cost of teaching basic practical skills that should be addressed through training.

“So in between, as much as we really need to be able to bring in the students and everything, is that it ends up being an extra work for the already stretched entrepreneur, because now we must begin to teach them from scratch,” Pilane said.

The skills gap, he said, was also contributing to a shortage of South Africans with the management skills needed to run tourism businesses, particularly among people from previously disadvantaged communities.

“One of the biggest challenges that South Africa has is management skills in the tourism sector. We have very few South Africans that can be managers, especially from the previously disadvantaged communities,” Pilane said.

He said Mpumalanga had agreed on a target that businesses should not employ more than 15% non-South Africans, with foreign workers expected to bring specific skills into the sector.

Pilane said the shortage of suitably skilled South Africans could result in foreign nationals filling some management positions.

“So you then find that you will then have a lot of Mozambicans in those positions or a lot of Zimbabweans in particular in those positions,” he said.

Pilane said addressing the skills shortage was part of a bigger challenge facing Mpumalanga as the province sought to turn its tourism attractions into sustainable economic activity and jobs.

He said young people were already participating in the tourism sector, but more deliberate platforms were needed to connect them with tourism opportunities.

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One area he identified was content creation, saying young people could be used more intentionally to market tourism destinations.

Pilane said the sector had engaged the Bushbuckridge Local Tourism Organisation on bringing content creators into tourism as an economic activity rather than treating content creation as something that happened incidentally when people visited attractions.

“We want to involve young people. Young people are involved in the tourism sector. We may think that they may not. They are involved,” he said.

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Offenders, book clubs compete in Funda Mzantsi championship
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Offenders, book clubs compete in Funda Mzantsi championship

By Bhekizenzo Zonele

Nearly 550 offenders and community book-club participants are taking part in the 16th Funda Mzantsi Championship, which opened in George in the Western Cape on Monday.

The annual programme brings together 299 offenders and 244 community book-club participants from all nine provinces for reading, debate and literacy activities.

Correctional Services Minister Pieter Groenewald said the programme had expanded beyond a reading competition to include a focus on literacy, critical thinking and personal development.

“Funda Mzantsi has evolved to a vibrant celebration of literacy and reading,” Groenewald said.

He said the Department of Correctional Services (DCS) had also recorded improvements in Grade 12 results among offenders participating in the programme.

He said rehabilitation should form part of the correctional system alongside incarceration, with education and literacy programmes intended to better prepare offenders for life after release.

According to DCS, many offenders enter correctional facilities with limited educational opportunities, which can make it more difficult for them to find work or pursue further studies after serving their sentences.

The exhibition showcases a diverse collection of artwork and crafts produced by offenders across all the six regions. (Photo: DCS/X)

The department uses reading clubs, training programmes and access to books and other educational resources as part of its rehabilitation programmes.

DCS said Funda Mzantsi had also helped some participants develop writing and publishing skills, with the programme aimed at encouraging new writers, poets and publishers.

National Commissioner of Correctional Services Makgothi Thobakgale said rehabilitation remained a central part of the department’s mandate.

“Yes, we incarcerate, but we also correct and also rehabilitate.”

George Municipality Mayor Jackie Von Brandis said the championship had become an established event in the city and had helped maintain interest in reading and literacy.

The programme also includes activities in South Africa’s official languages, while Nama, an indigenous Khoekhoe language spoken particularly in the Northern Cape, is being trialled for possible inclusion in the competition.

The National Library of South Africa (NLSA), one of the organisations involved in the programme, said access to reading and publishing opportunities should extend to people regardless of their circumstances.

“Today you might be an inmate and tomorrow you might be an author, and the day after you might be a publisher, and that’s what Funda Mzantsi strives for,” the NLSA said.

The championship runs until 2 October.

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New HIV test helps flag drug resistance
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New HIV test helps flag drug resistance

By Thapelo Molefe

South Africa has incorporated a new HIV testing strategy into routine public healthcare to help clinicians quickly determine whether a patient’s treatment is failing because of drug resistance or because they have not been taking their medication consistently.

The strategy, developed through the Intensified Treatment Evaluation and Monitoring Approach (ITREMA-2) study, uses a blood test to check whether the HIV medicine dolutegravir is present in a patient’s system when their viral load increases.

Dr Kim Steegen and Dr Annemarie Wensing. Source: Wits

Researchers from Wits University, the National Health Laboratory Service (NHLS) and University Medical Center Utrecht say the approach can help ensure that resistance testing is targeted at patients who need it most, while avoiding unnecessary and costly tests.

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“An increased viral load does not automatically mean that treatment is failing because of drug resistance,” said Professor Annemarie Wensing, lead researcher from Wits Ezintsha and University Medical Center Utrecht.

“Measuring dolutegravir in the same sample helps identify who needs resistance testing and provides clinicians and nurses with objective information to better support medication intake.”

The ITREMA-2 study involved 288 people living with HIV receiving treatment at Hillbrow Community Health Centre and Helen Joseph Hospital in Johannesburg.

When a patient’s viral load rises while they are receiving antiretroviral treatment, healthcare workers need to establish why the treatment is no longer controlling the virus.

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Under the new approach, the patient’s blood is first checked for dolutegravir. If the medicine is not detected, this may indicate that the patient has not been taking their medication consistently, making drug resistance less likely.

If dolutegravir is present but the virus continues to multiply, resistance to the medicine becomes a concern and a resistance test can then be conducted.

Dr Annemarie Wensing, lead researcher from Wits Ezintsha. Source: Wits

The researchers said this provides clinicians with an objective way of distinguishing between possible treatment non-adherence and drug resistance instead of immediately assuming that the medication has stopped working.

The approach could also reduce the cost of monitoring patients with confirmed virological failure.

Researchers estimated that laboratory monitoring costs could be 23% lower than under the previous standard approach because unnecessary resistance tests can be avoided.

Dr Kim Steegen, co-principal investigator of the study and a researcher at the NHLS and Wits University, said the research had been conducted in collaboration with the National Department of Health.

“We have worked with the National Department of Health since the onset of the project and kept them informed on the study results as the project progressed,” Steegen said.

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“By doing this, we have been able to include an adapted version of ITREMA-2 into the national guidelines, which means the people who need resistance testing the most can be easily identified.”

It could also allow healthcare workers to provide more targeted adherence support to patients who are struggling to take their medication consistently.

The ITREMA-2 study was published in The Lancet HIV on 2 September.

The study was funded by the Amsterdam Dinner Foundation through Aidsfonds and the Dutch Research Council (NWO).

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Fort Hare holds Buhlungu to notice period after resignation
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Fort Hare holds Buhlungu to notice period after resignation

By Thapelo Molefe

Suspended University of Fort Hare (UFH) Vice-Chancellor and Principal Professor Sakhela Buhlungu has resigned, but the university’s Council says his resignation cannot take immediate effect because his contract requires him to serve a notice period.

Buhlungu submitted his resignation on Monday, shortly before he was due to begin presenting his defence at a disciplinary hearing.

He is facing charges including gross misconduct, insubordination and bringing the institution into disrepute. One of the allegations against him is that he unlawfully appointed two executive directors.

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Buhlungu’s resignation came while the disciplinary process was still underway, with Council saying he had chosen not to use the opportunity to respond to the allegations against him.

“By doing so, he has elected not to make use of the fair and meaningful opportunity afforded to him to respond to the serious allegations levelled against him,” Council said in a communiqué issued on Tuesday.

Buhlungu wants his resignation to take effect immediately, but Council said it had not accepted this because his employment contract requires him to serve a notice period.

Council said it had reserved the right to continue with the disciplinary process during the applicable notice period in accordance with the university’s Employee Relations Policy.

“Although Professor Buhlungu has chosen to resign while the disciplinary process is still underway, his resignation does not resolve the allegations against him,” Council said.

Italso rejected claims contained in Buhlungu’s resignation correspondence that the independent disciplinary process was designed to produce a predetermined outcome and that he had been subjected to unfair treatment.

“These matters remain contested and should not be understood as having been established as fact,” Council said.

The university said Buhlungu’s resignation and the statements contained in his resignation letter did not determine the merits of the allegations against him.

Council said a similar process had been followed in respect of other employees implicated in breaches of the University Statute, with each affected employee given an opportunity to respond to the allegations.

It also referred to established case law concerning resignations with immediate effect, saying an employee who is contractually required to serve notice cannot unilaterally avoid the applicable notice period where the employer has not waived the requirement.

“The employment relationship therefore continues for the duration of the applicable notice period,” Council said.

The university said it would keep the UFH community informed of material developments as appropriate.

INSIDE EDUCATION

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