I just watched this video on mental health challenges in public healthcare and believe communities need to wake up to the perils ahead.
Public health care under strain
It is estimated that one in six people globally will experience a mental health disorder in their lifetime. In South Africa, it is estimated that close to one in three people live with a mental illness and the majority are unable to access suitable care. Given the high prevalence of mental illness in the country, it is unsurprising that mental health is one of the leading causes of disability.
The COVID-19 pandemic has had a profound impact on people’s mental health. The lockdown, loss of jobs, and social isolation have increased anxiety and depression. In addition, there has been a significant increase in the number of people experiencing domestic violence.
The mental health system in South Africa was already under immense strain before the pandemic hit. The added pressure of the pandemic has led to concerns about the ability of the public healthcare system to deal with the increased demand for mental health services.
The COVID-19 pandemic and its effect on mental health
There is a growing concern that the public healthcare system will not be able to deal with the mental health demands related to COVID-19. The virus has already significantly impacted people’s mental health, and with the lockdown measures in place, many people are struggling to cope.
The increased demand for mental health services will likely strain an already stretched healthcare system. This could lead to longer waiting times for mental health care and a general deterioration of mental health services.
There are calls for the government to invest more in mental health services to improve the ability of the healthcare system to deal with the increased demand. However, it remains to be seen whether this will happen.
The risks of not addressing the mental health needs of the population
There is growing evidence that the population’s mental health needs are not adequately addressed. This is leading to increased risks for individuals, families and communities.
The knock-on effect of the pandemic and mental health on entrepreneurs and small business owners, already under fiscal strain, could have a severe impact on the financial stability of communities.
There are several reasons why the population’s mental health needs are not adequately addressed. One reason is that mental health is still taboo in many cultures. This means people are reluctant to talk about their mental health problems and seek help.
Another reason is that mental health services are often underfunded and understaffed. This means there are not enough resources, and people with mental health problems often don’t get the help they need.
The population’s mental health needs must be taken seriously and addressed properly. This will require a concerted effort from individuals, families, communities and governments.
The potential solutions
Mental health is a significant challenge in the public healthcare system. The potential solutions to address this challenge include:
– Providing more resources for mental health services
– Improving access to mental health care
– Increasing awareness of mental health issues
– improving the quality of mental health services
The South African Society of Psychiatrists (SASOP) is urging the government health department to increase its investment in community-level mental healthcare. See link here.
These solutions require a concerted effort from all healthcare system levels, from policy-makers to front-line workers. However, with the right support, the public healthcare system can significantly progress in addressing the mental health challenge.
The Upside response
Upside Community Services’ response to this pandemic rests on two fundamental pillars
Early intervention
Public-Private partnerships
Research has shown that early intervention has a greater level of success but it also reduces the strain on public healthcare by reducing the numbers of severe mental health cases.
Public-private partnerships allows for a more rapid deployment of mental healthcare services to the communities that need it.
The outbreak of COVID-19 has had a profound impact on the lives of people across the globe. In South Africa, the pandemic has significantly impacted the education sector. The closure of schools has harmed the learning and development of learners, particularly those in Grade R.
Grade R is a critical year in the foundation phase of schooling. It is the year learners consolidate the skills and knowledge they have acquired in previous years. They also begin to develop the skills and knowledge they will need in the future.
The consequential impact of COVID-19 on the educational development of Grade R learners is a serious cause for concern. In this blog post, we will explore the impact of the pandemic on the education of Grade R learners and what can be done to mitigate the negative effects.
hoto by Arthur Krijgsman: https://www.pexels.com/photo/children-sitting-on-brown-chairs-inside-the-classroom-4019754/
The effect of COVID-19 on the schooling system
The pandemic drastically changed the fundamental operations of schools. Schools had to close, forcing learners to switch to remote or online learning. The digital divide was a major challenge for learners, especially those in grade R. The shift to online learning meant that many learners did not have access to the resources needed to continue learning from home, especially those in disadvantaged areas.
The period of disruption caused by the pandemic significantly affected the learning and development of Grade R learners. Research funded by the nonprofit organisation the Mr Price Foundation, has shown that as many as 38% of Grade R learners may never catch up. You can read the full research article here. This is because the foundation phase of schooling is crucial in developing foundational skills needed for future learning. Loss of this learning could profoundly affect the learners’ future learning.
Furthermore, much of the concept-building and development of new skills and knowledge takes place in physical artificial environments. E-learning is not as effective at inculcating these skills, as learners cannot interact with the environment and have an immersive learning experience.
During the prolonged lockdown, there were significant disruptions to the educational development of Grade R learners. With the physical closure of schools and the challenges of providing online education, many learners could not access the education they needed to develop the foundational skills for success in their later academic career.
The challenges brought about by the pandemic period also had an emotional impact on Grade R learners. The social, emotional and physical losses will have an impact on the educational development of these learners. The lockdown, isolation, and absence of physical interaction did not provide the social stimulus the learners needed and may stunt their emotional growth.
Furthermore, learners who do not live in a stable home environment cannot access the resources and emotional support needed for emotional growth. These learners will likely face significant challenges when they return to school and could fall behind in their educational development.
Therefore, it is clear that the impact of COVID-19 and the resultant period of lockdown had a detrimental effect on the educational development of Grade R learners. Support and interventions need to be implemented to help these learners catch up with the rest of their peers and ensure they have the skills they need to develop their education further.
Photo by Katerina Holmes: https://www.pexels.com/photo/black-boy-talking-with-teacher-about-school-online-5905717/.
The importance of early education
The impact of COVID-19 has highlighted the importance of early education for Grade R learners. Education at an early age plays a fundamental role in laying the foundations for success in a child’s later educational experience. Early learning provides Grade R learners with the skills necessary for later schooling success. This includes the development of cognitive, motor, and language skills as well as social, emotional and physical development.
Early education also equips young learners with the numeracy, reading and writing skills they need to access primary school education. Furthermore, early education forms the basis for a learner’s long-term educational development and career prospects.
In addition to providing the educational resources needed for success, early education also plays a pivotal role in imparting values, developing leadership skills and cultivating creative potential. This is especially true for Grade R learners, who are still developing the social, emotional and physical skills they will need in the future.
Given the magnitude of the challenges posed by the COVID-19 pandemic, Grade R learners must receive support and intervention to ensure their educational development is not hindered. Early education gives learners the skills and resources to succeed and impact their life trajectory.
Ghoto by cottonbro studio: https://www.pexels.com/photo/selective-focus-photo-of-young-girl-in-red-dress-playing-with-building-blocks-3662637/
The challenges faced by parents and guardians
The pandemic has presented various challenges for parents and guardians of Grade R learners. With the closure of schools and the shift to online learning, there has been a sharp increase in the responsibility and involvement of parents and guardians amid the health crisis.
An increased need for educational and technical support and guidance is essential. Many parents and guardians are unfamiliar with online learning, leading to extreme confusion and frustration.
Additional educational support in the form of so-called “extra lessons” or tutoring would assist learners to catch up. This must be done before later grades start to build on the educational foundation prepared in the foundation phase of education; however, if the school does not offer these services, it can be a real challenge for parents to access this support.
In addition to technical challenges, there are also financial hurdles. Not all parents and guardians can afford the technology and software needed for their children to access virtual learning platforms.
In a household with multiple children, the change in an educational setting has created competing demands for time, which poses another challenge. With all the members of the family home and the limited resources available, it is difficult for parents and guardians to devote sufficient attention to their children’s learning.
On top of all this is the emotional suffering endured by parents and children alike. Many cannot continue their live interactions with teachers and other children to protect their children from the virus. The pandemic’s social and emotional consequences on Grade R learners must not be overlooked.
The way forward for Grade R learners
hoto by James Wheeler: https://www.pexels.com/photo/photo-of-pathway-surrounded-by-fir-trees-1578750/
pandemic has impacted different grade levels differently and created a host of challenges for Grade R learners. To offer a bright future for these children, it is essential to create positive strategies tailored to their individual needs.
Some of the strategies that can be employed are as follows:
1. Schools, NGOs or Community organisations need to offer Support and Guidance to Parents and Guardians – It is important to provide support and guidance to parents and guardians so that they can understand and use virtual learning resources. Resources such as webinars and training can help parents and guardians understand the basics of online learning.
2. Provide Financial Solutions to Access Technology – There should be an effort to provide financial assistance where needed. This could involve providing access to affordable computers and laptops as well as affordable Internet packages.
3. Address Social and Emotional Needs – Special measures should be taken to address the social and emotional needs of Grade R learners. This could involve offering therapeutic support and emotional security and emphasizing activities that promote social engagement.
4. Make Curriculum Flexible – Government and Educational institutions should introduce a flexible curriculum that considers the current learning flux and parents’ and guardians’ emotional and financial needs.
UPside Community Services will address these issues through the following initiatives;
ALONGside Programme offers free counselling services to parents and learners to help process the impact of COVID and educational challenges.
ONside EdX Talks – ONside will guide parents and learners on the impact of COVID on their child’s future and how best to navigate their remaining schooling years
If you wish to provide provide financial support for the work that UPside does please follow this link: https://upside.org.za/donate/.
Through thoughtful strategy and executing these measures, we can ensure that the children of Grade R have a secure future despite the current pandemic.
Tutoring is a powerful tool that can help raise up learners in disadvantaged communities. Students who come from economically challenged backgrounds often lack access to the resources and support they need to succeed academically. Tutoring can bridge this gap by providing personalized, one-on-one instruction that addresses each student’s unique learning needs.
Tailored Teaching
One of the key benefits of tutoring is the ability to tailor instruction to the individual learner. In a traditional classroom setting, teachers are often limited in providing personalised attention to each student. However, each session can be customised with tutoring to meet the student’s specific needs. This can be especially beneficial for students who struggle with certain subjects or concepts, as tutors can work with them to develop a deeper understanding and mastery of these areas.
Tutoring Improves Grades
A significant body of evidence says quality tutoring can have a profound and positive impact on the academic achievement of disadvantaged students. According to the National Center for Educational Statistics, students who receive tutoring are more likely to see increases in their grades, test scores, and overall academic performance.
Some of the benefits of tutoring include:
– One-on-one attention from a tutor who is focused on helping the student succeed
– A customised learning experience that is tailored to the student’s individual needs
– The opportunity to get immediate feedback and guidance on assignments
Improved Grades Encourages Success
Tutoring can also provide students with additional motivation and encouragement to succeed. In many disadvantaged communities, students may not have a strong support system at home or in their communities. Tutors can serve as positive role models and sources of inspiration, helping students to see the value of education and the possibilities and if they work hard and stay committed to their goals.
Tutoring Builds Positive Relationships
Another important benefit of tutoring is building relationships between learners and their tutors. Students from disadvantaged backgrounds may not have as many positive adult relationships in their lives. Tutoring can provide a safe and supportive space for students to connect with caring adults who can help guide them towards success.
Overall, tutoring can be a powerful way to raise up learners in disadvantaged communities. By providing personalized instruction, motivation, and support, tutors can help students overcome barriers and achieve their full potential. As more resources are devoted to tutoring programs in underserved areas, we can create a brighter future for all young people, regardless of their background or circumstances.
ONside Programme
UPside Community Services recently launched its ONside tutoring programme. The initial focus during this pilot phase was on Grade 8 Mathematics. Tutors were available to guide these learners through their challenges by answering questions and providing support while doing actual exercises. Learners were so keen they hardly stopped to snack during the two hour session.
UPside will continue with its tutoring programme during the year. Check the website and our social media platforms to learn more and follow our YouTube Channel for online learner support content. Please sign up here if you are interested.
According to the 2022 World Mental Health Report, the world is facing a mental health pandemic similar in seriousness to the global events of 2020. The report states that in 2019, there were 970 million people globally living with mental disorders, with 14% of the world’s adolescents affected. Suicide was found to be a significant issue, accounting for more than one in 100 deaths, with 58% of suicides occurring before the age of 50 and ranking as the fourth-highest cause of death among 15- to 29-year-olds. Approximately 82% of individuals with mental disorders are residing in low- and middle-income countries.
South Africa’s Mental Health Landscape
The article highlights South Africa’s ranking in terms of mental health, stating that the country faces challenges due to factors such as high levels of violence, poverty, unemployment, and inequality. These conditions contribute to mental health disorders, including psychological distress, depression, anxiety, suicide, hopelessness, and feelings of worthlessness. The historical impact of apartheid, particularly on African communities, continues to negatively affect the mental health of women and children in South Africa. Absent fathers, which deprive children of the presence of both parents, and the phenomenon of child-headed households further contribute to mental health strain and stress on women, along with broader gender discrimination .
Inadequate Mental Health Services
Inadequate mental health services are a significant issue in South Africa, both in the public and private sectors. The article mentions that only 27% of individuals requiring treatment for mental health illnesses receive it, indicating a low treatment rate. The National Mental Health Policy and Strategic Framework 2013-2020 aimed to improve mental health among South Africans but faced challenges due to limited funding, with most of the available funding allocated to psychiatric hospitals rather than community-based services. The shortage of mental health specialists, such as psychologists and psychiatrists, is another concern, with most concentrated in the private health system, leaving limited access for the broader population relying on the public health system.
The Impact of COVID-19
The COVID-19 pandemic and related factors, including increased morbidity, mortality, and corruption, have further exacerbated the challenges of mental health in South Africa. Globally, the pandemic is estimated to have increased the prevalence of depression and anxiety by 25% to 27%. In response to these challenges, a conference called “Join the movement — Time to talk about mental health” was organized, aiming to mobilize society, increase mental health awareness, and enhance access to mental health care. The conference sought to assess the state of mental health in the country, address structural, social, and behavioral drivers, discuss required services and policies, and identify resource needs. The gathering aimed to integrate mental health services into primary healthcare and community-level care, aligning with the National Strategic Plan for HIV, TB, and STIs.
Joining the Movement: Time to Talk About Mental Health
To combat the mental health crisis, the article calls for the collaboration of the media and other influencers to fight against unhelpful and destructive stigmas surrounding mental health disorders. Stigma still plays a significant role in deaths related to mental health and limits access to treatment, as observed by the World Health Organization.
Overcoming Stigmas and Promoting Collaboration
In conclusion, the article emphasizes the urgent need to address the mental health pandemic, particularly in South Africa, where historical, social, and economic factors have contributed to poor mental health outcomes. The challenges include inadequate mental health services, limited access to care, and a shortage of mental health specialists. Efforts are being made to raise awareness, promote integration of mental health services into primary healthcare, and combat stigmas surrounding mental health disorders.
The 2022 World Mental Health Report found that 970 million people living with mental disorders globally in 2019, including 14% of the world’s adolescents. Suicide is the fourth-highest cause of death among 15- to 29-year-olds, and 82% of people with mental disorders reside in low- and middle-income countries. South Africa’s history of apartheid, including its migrant labour models, has harmed women’s and children’s mental health, leading to absent fathers and child-headed households. Mental health services in South Africa are inadequate, both in the public and private sector.
Mental health in South Africa is unacceptably low, with only 27% receiving treatment.
Community-based Therapy
Community-based care is the frontline defence of any healthcare system, and South Africa must find the will and financial wherewithal to strengthen care at the community level. There is a shortage of mental health specialists, and poorer areas struggle to access healthcare due to socio-economic reasons.
