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BETTER
TOGETHER.
I SS U E | March 2019
32
To post, or
not to post?
Social media and
professional conduct
Atlantis Special
Economic Zone
Tackling
Developing our local
economy through
green technology
Bridging the
spectrum
Autism spectrum
disorder on the rise?
tuberculosis
at grassroots
level
editor ’s note
CONTENTS
ON THE COVER
MAGAZINE TEAM The Tuberculosis
Quality Improvement
Managing Editor Project makes an
Faiza Steyn impact in Cape
Acting Editor Winelands.
Leah Moodaley page 20-23
Proofreaders
Aré van Schalkwyk,
ISSUE 32 MARCH 2019
Mishqa Rossier
Afrikaans translation
owning your role and
Aré van Schalkwyk Frederick Basson
isiXhosa translation shows us how an
Luvuyo Martins idea and a little bit of
your actions Contributors
Mishqa Rossier, Sylvanus du
Plessis, Moegamat Gallant (MG),
Lance Rushin, Jason Combrink,
initiative can translate
into innovation.
If there is one thing that none of us can deny, it is that
social media has changed the way we live. In fact, it has Maret Lesch, Joe-Mark Arnold,
Nerosha Mohamed, Fernel
changed the way we connect with one another, relate
Abrahams, Salomé Bronkhorst,
to one another, and most importantly — the way we Dino Fredericks, GreenCape
express ourselves. In this issue, we cover the basics on how
Layout and design
social media links to your professional conduct as a public
Corporate Communication
servant (page 6). As sensitive as the topic of social media
Art Director
and professional conduct may be, it links to our value of
Annalie Boshoff
accountability as social media should be a platform that we
can all enjoy responsibly. Artwork, illustrations and
infographics
If you’re looking for a dash of inspiration to brighten
Annalie Boshoff,
your day, look no further than page 10. We meet Sister Hantie Engelbrecht
Dannelene Noach, an employee with a moving story about
Photographer
her public service career in a foreign country and her
Zanele Jam-Jam
renewed sense of purpose in her role after returning to the
Interns
Western Cape. We also speak to three WCG leaders who
Samora Mpulu, Nangamso Majola, 30
share their views on ethical
Larnelle Britz, Kaylin Abrahams
behaviour after receiving
Put the “I” in innovation the Best Ethics award at the Administration
Denise Williams,
on page 22. Provincial Service Excellence
Nokuzola Ngcizela
KNOW BETTER 36 Public profile
Awards ceremony (page 36). 2 Q&A Social media and
We turn the page to innovation with FC Basson, a living Communication and liaison
Portia Percival, Nokuzola Ngcizela
10 4 Inside info professional conduct
example of putting the “i” in innovation. Hopefully his story 16 Bridging the spectrum 38 Crucial conversations
will encourage you to put the “i” in innovation too (page Editorial Committee Advocate All about autism Make or break your job
Brent Gerber (DG), André spectrum disorder performance
22). We also look at the newly launched Atlantis Special
Joemat (SG), Faiza Steyn (Head
Economic Zone on page 28, putting Atlantis on the map as 27 How government works
of Corporate Communication),
a place where green technology goes to grow. The three spheres
Sylvanus du Plessis (Head of explained
Don’t miss out on inclusive health care for the LGBTQI+ Creative), Leah Moodaley (Acting
community on page 18, and a detailed outline of autism Editor) 34 Credit craving
spectrum disorder treatment at the Mitchells Plain Community Beating your credit
addiction
Health Centre (page 26) in recognition of Autism Awareness
Disclaimer
Month in April. This issue is all about making good, ethical
The Department of the Premier’s
FEEL BETTER
07 Inspiration
35
choices, being accountable for our actions, and taking the
corporate communication Directorate has From prison to purpose
initiative to be better. copyright on all intellectual property and
18 Good taste
artwork in the Better Together magazine.
Happy reading, Reducing your sugar and BE BETTER
all content in the Better Together
magazine adheres to copyright law. We take a look at the 14 salt intake 20 TB Awareness
Leah Moodaley WORK BETTER Introducing one of our
recently launched
Acting Editor 05 Test your policies best TB projects
Atlantis Special Economic
Update on Regulatory 24 All about ethics
Zone and its focus on
Impact Assessments HODs weigh in on ethical
green technology, conduct
10 Awakening Atlantis
skills development and
A local injection of 40 Starting your public
contact us job creation. industrial activity service career
14 Inclusive service Online induction
Telephone: 021 483 6017 delivery 30 Putting the ‘i’ in
Postal address: Better Together magazine, P.O. Box 659, Cape Town 8000 LGBTQI+ health clinics innovation
Email: Better.Together@westerncape.gov.za 33 Innovation Hub Turning your ideas into
All letters can be sent to the above email or postal address. MyGov’s latest addition reality
I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 1
letter from the Director-General
INSIDE
THE LATEST NEWS,
EVENTS, AND
Q&A INFO
ADVICE FOR YOU
It seems to me that not all
Q WCG departments follow
the same grievance process. Is
this indeed the case? And if so,
why? In addition, what is the
appropriate time frame allocated
Dear Colleagues
from an employee filing a
Three months in and 2019 is already in full swing. This past grievance, to all parties agreeing
financial year marked the last phase of a five-year electoral
term, allowing all WCG departments to reflect on goals achieved
to a resolution?
and milestones reached since 2014. We are also able to measure
our progress against the objectives set out in the Provincial
Strategic Plan drafted five years ago. What have we learned? Can The rules governing Assisted by graduate interns from the
these lessons be used to improve our plans for the future?
Many of us are working hard to make a difference and ensure
A the grievance
procedure for
Chrysalis Academy who are on a year-
long paid work placement programme
maximum citizen impact through our various programmes and Individual grievances in the Department of Community Safety,
projects, while maintaining compliance and upholding good is entrenched in the Minister Winde certified documents from
governance. Although compliance and good governance are vital Government Gazette no. a WCG safety kiosk outside the Cape
in fulfilling our role as the Western Cape Government, I want to 25209, dated 25 July 2003, Do you Town police station.
re-emphasise our number one priority as public servants: serving The Grievance Procedure
for the Public Service. It
have a
the residents of the Western Cape to the best of our abilities.
We have been confronted with a is therefore applicable to
question?
shrinking budget, a water crisis, energy all officials appointed in Please send us
Although compliance and constraints, and natural disasters across terms of the Public Service any questions
good governance are vital in the province. Have we turned these Act 1994 and is applied you might
situations into opportunities to grow and uniformly and consistently. have about
fulfilling our role as the Western innovate? If not, this is the year to do so.
Cape Government, I want to Let us step up as innovation leaders and
The Directorate
Employee Relations
processes,
procedures, 1
continue to find new ways of improving within the CSC deals programmes
re-emphasise our number
one priority as public servants:
service delivery.
I want to challenge each and every
with all grievances for
all 11 departments. The
and projects
within the Police back
serving the residents of the one of us to use this new year to change
the way we go about our work. Let us
departments of Education
and Health deal with their
Western Cape
Government.
on our streets
Western Cape to the best find new ways to add value to the own matters. We will ask the Last month, the Western Cape Our solution is to relieve police
of our abilities. services we deliver by embodying As per the grievance appropriate Minister of Community Safety, officers from their desks so
our values of care, accountability, rules, grievances must be department or Alan Winde, launched a week- that they can get back onto
competence and responsiveness. Instead lodged within 90 working directorate to long pilot project which saw our streets. If our staff can
of seeing our daily tasks and deliverables as a list of responsibilities days from the date of answer you and WCG staff volunteers on duty do the police’s desk work for
to tick off before moving on to the next, let us take pride in becoming aware of the act you might see as Commissioners of Oaths them, they can go out and
everything we do, and take care when working and communicating or omission that adversely your answer in in order for designated police focus on catching criminals,”
with one another. As public servants, our mandate is to serve the affected the official. The the next issue. officers to focus on averting explained Minister Winde.
people. Let’s work together to achieve this mandate. grievance must be dealt You can also crime. The initiative was a The aim is for this
Remember, it’s not just what we do, but how we do it with within 30 working send a letter to result of Minister Winde’s push initiative to be rolled out
that counts. days (including the referral acknowledge, to get more police officers across the province in the
to the EA) or within the recognise or on active patrolling duty to near future. A snap survey
mutually agreed upon compliment address a critical shortage of amongst employees in the
extended period. This service police officers amidst a rising Western Cape Department of
mutually agreed upon delivery or an crime rate. Community Safety showed
period, must be reduced exceptional “As a province, we do that many staff members were
Adv. Brent Gerber
to writing. colleague. not have a mandate over willing to do voluntary shifts
People Management the police, but we want to during working hours at their
Practices do something to help our local police stations to help
Corporate Services Centre, residents who are living in fear. their community.
Department of the Premier
2 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 3
inside info at work
2
Using Design
Thinking to improve
service delivery
In January 2019, the Department of Economic
Development and Tourism (DEDAT) hosted 3
an Innovation Open Day under the theme
“Design Thinking for Public Service
COACH MG
Commit to
Innovation”. The open day, which included
an informative workshop on how Design
Thinking can assist the public sector to
achieve their goals of service, delved into your word
how one well-executed idea can positively
impact the daily lives of thousands of people. THE POWER OF WORD A Regulatory Impact
The Open Day commenced with a speech Let me kick off this session by It is called a ‘speech act’ Assessment looks at a
by the Minister of Economic Opportunities, saying well done on using the because it is, in fact, an action. proposed plan or policy
Beverley Schäfer, who explained that Design Wheel of Life (Issue 31) as a And, as every action has a from all perspectives to
Thinking is a very exciting topic because it tool to determine which areas cause, there is inevitably ensure, amongst other
embraces creativity, change and potential. of your life you wish to focus an effect. things, that it makes
“It isn’t often that the word innovation is on this year. While we are all financial sense and that
mentioned synonymously with government, as very unique in so many ways, THE POWER OF it does not contradict
there is this idea that government is very slow we have one thing in common: COMMITMENT existing plans or policies.
moving, tied up in red tape and bureaucracy; we have goals. These goals will “Until one is committed, there
but innovation is something that we should drive you into daily conscious is hesitancy, the chance to draw
be associated with. When a government or unconscious action as you back, always ineffectiveness.
innovates, it means it is really solving the etch closer to the life you’d Concerning all acts of initiative
problems that citizens have put forward, and love to live. Let me use the and creativity, there is one
as civil servants we need to constantly be next few lines to support you elementary truth, the ignorance
evaluating the problems we face.” Minister in taking one step closer to of which kills countless ideas
Schäfer went on to say that the mark of true committing, such that you and splendid plans: That the
innovation is to positively influence people’s are able to bring your goals moment one definitely commits
lives. “In Western Cape, we have introduced into reality. oneself, then Providence moves
17 new innovations in 2016 and 2017 which Here we go! To increase too. All sorts of things occur
have impacted the lives of 165 000 people. your ability to manifest the to help one that would never
RIA rules
These people are now better off because of goals that you desire with otherwise have occurred. A
an idea that someone had to solve a problem less effort, you will need to whole stream of events issue
or service.” develop the power of your from the decision, raising
First used in 2002, the term Design words. There is a hidden, very in one’s favor all manner of What is a RIA? Why was RIA
Thinking has come to encapsulate a different real power in our words and assistance, which no man could A regulatory impact introduced? the
way of thinking about design and how it the way we phrase things. have dreamt would have come Assessment (riA) is an reduction of red tape was
can be applied to solve real-life problems. Usually, we use our words to his way.” – W. H. Murray All spheres of evidence-based tool to test the adopted as a key intervention
According to Tim Brown, the CEO of communicate. What we are Action is the fuel that will practicality and feasibility of in achieving provincial
international design and consulting firm sometimes unaware of is that ultimately drive our goals into
government cArry out regulatory proposals – new strategic goal 1: to increase
IDEO, Design Thinking is “a human-centered we are also able to use our reality and by simply using their functions According laws or policies and changes to opportunities for jobs and
approach to innovation that draws from the words to create. When we the “I” alone, in your speech to certAin policies And existing ones, the risks to be growth. it is generally accepted
designer’s toolkit to integrate the needs of know how to use our words as act, you automatically place addressed by those laws and that poor quality regulation
people, the possibilities of technology, and the a force of creation, it is called yourself in a position where
regulAtions. Before A policy policies and the options for and policy-making increases
requirements for business success”. a ‘speech act’. A speech act you now declare that “YOU” are or new lAw is proposed delivering their objectives. compliance costs for business
Design Thinking can be used to provide is a verbal declaration, clearly the one that is responsible for And developed, it must Adhere and other groups, resulting
a more holistic approach to the design of defined in space and time, of taking the action that will lead When was RIA in unnecessary complexity
services, integrated solutions and even what one is committed to. you to achieve your goal.
to A regulAtory impAct introduced and is it and associated uncertainty.
process changes. In the broadest sense, Assessment. compulsory? riA is riA was therefore adopted as
Design Thinking uses the sensibility, approach, It has the format: Let’s commit to our word. compulsory in respect of all a key instrument for better
methods and tools of a designer to match “I will” significant new legislation and regulation, policy and service
peoples’ needs and requirements with what “I promise to” Regards, policy, as well as significant delivery, to achieve targeted
an organisation and its strategy can viably “I commit to”; distinct from Coach MG amendments to existing acts, policy and regulatory
convert into citizen value. “I want to” Head of Sport at Groote Schuur regulations and policies. it was objectives more efficiently
To find out more, access the Design “I’d like to” High School and certified mandated by a cabinet and cost effectively.
Thinking Guide on MyGov. “I should,” or “I’ll try to”. Life Coach resolution in may 2016.
4 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 5
at work inspiration
Dannelene Noach’s career in
the public service has taken
her places not many would
go, but she has transformed
her experiences into hope
and inspiration for others.
Who or what does RIA
apply to? A RIA should
be started early in any policy-
making process that is to result
in legislation, before the
process of drafting legislation policy or rules with a general
is undertaken. The RIA will effect on others are required
identify the most suitable by provincial ministers and
mechanism to address the Cabinet to produce a RIA.
problem and will determine
whether there is an actual need How long does a RIA
for legislation or a policy. take to complete? It is
It can also be applied essential to note that RIA is
to existing policies, laws a structured process; it is
and regulations to assess not conducted as a once-off in government, but is best
exercise at a static point. It used as a guiding tool to
is an ongoing assessment improve the quality of political
All departments and agencies that happens alongside, and administrative decisions.
and informs, policy and The decision to develop and
that exercise statutory powers law-making processes. A implement policy remains
and make policy or rules with a RIA is typically prepared in the responsibility of those
general effect on others are different stages and, in the
format pursued by the Western
in power.
required by provincial ministers Cape Government, follows a Are internal policies
and Cabinet to produce a RIA. three-phased approach: exempt from RIA? No,
+ Significance test; but most are likely to fail the
+ Initial RIA; and test for significance. If they do
trauma
+ Full RIA. show up as significant, an initial
their economic, social and The average RIA takes six to RIA should at the very least be
environmental impacts, costs 12 months depending on the conducted.
to triumph
and benefits. RIA seeks to complexity involved. It should
predict the consequences, also be noted that the level Who is responsible for
and more specifically, possible of details included in the RIA carrying out RIA? The
unintended consequences should be proportional to department/unit considering
specific to the regulatory/ the scale and impact of the developing the policy or piece
policy proposals. proposed policy or regulation. of legislation.
Dannelene noach shares her story of
Are all provincial If a policy proposal
departments subject passes the RIA, can it
overcoming the oDDs when working in a foreign hospital,
to RIA? Yes, all departments then be developed and anD continuing her public service career with the same
and agencies that exercise implemented? RIA is not a passion after returning home.
statutory powers and make substitute for decision making
Contributor: LarneLLe britz
6 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 7
inspiration inspiration
A
pproaching the Mitchells Centre. In total, her current area After starting her nursing work very differently in
Plain District Hospital of management comprises 176 career in 1973 and completing other parts of the world. Dannelene’s
office of Klipfontein/ beds and 150 staff members. her midwifery course, Dannelene During her arrest, Dannelene biography
Mitchells Plain Sub-Structure Raised in the quaint worked in the Obstetrics endured constant assault and
Dannelene authored the book,
Area Manager, Mrs Dannelene Western Cape town of Department at Tygerberg interrogation. Isolated, with
Woman Alone based on her
Noach, one cannot anticipate Wuppertal, Dannelene’s Hospital for 27 years. “While no way to contact her family
experiences as a nurse in a
On 4 December 2018, the warmth with which you upbringing revolved around I worked, I studied various back home in South Africa,
foreign country. “Woman
Dannelene won Bronze will be welcomed inside — a three things: hard work, faith, courses, including health Dannelene’s faith was tested.
Alone takes the reader on a
in the category Best warmth quickly met by the and family. These three simple management as part of a After 99 days behind bars,
journey through suffering and
Overall Batho Pele Public chills when listening to her yet special elements ended up degree at Unisa. A nurse must Dannelene was finally released
hardship, but beneath the surface
Servant at the Western journey as a professional nurse saving her life in Saudi Arabia never stagnate; you need to keep and allowed to return home in
Dannelene’s feisty personality
Cape Government annual imprisoned for a crime she decades later. Dannelene grew pace with what’s happening 2008. “Looking back on the
kept her from being engulfed.
Service Excellence Awards did not commit. The places up “in a household that served in the world and in your experience, material objects
We learn the value of friendship
ceremony. “As a nurse, she has been, the torment one true God” and believes it community.” Dannelene’s mean nothing to me anymore.
in difficult circumstances and the
she understands the she has experienced, and the was this that helped her turn ambition and interest in the The experience changed me.
persevering love of family.”
meaning of care and as a unwavering dedication she trauma into triumph. In medical field was passed down When I came back, I was
— synopsis written by Ilna Grobler
manager, she ensures that shows to her true calling come Dannelene’s words, “we all to her daughter Lee-ann, who broken. It was difficult to feel
everyone in her space feels together to tell a story of have a cross to bear in life; it planned to study medicine over the moon about being
important, appreciated steadfast service. Dannelene will teach us love and respect”. after matriculating. free. I needed to be restored.
and cared for.” works in obstetrics, gynaecology, She learned this lesson 30 years When the opportunity That meant I needed to forgive.
and paediatrics and also covers into her memorable career. presented itself, Dannelene I prayed about being back at
the Heideveld Emergency made the logical decision to work because I knew it could
accept a nursing contract support my healing.”
abroad where she would be A number of staff
able to refine her management appreciation awards line the
skills and earn a better income four walls of her second-floor
for the university fees to come. office. Looking at each frame, email to share my story in the
“I wanted to stay in obstetrics she expresses her gratitude Better Together magazine,
“I grew to appreciate because after working in other for the milestones she — as I had to pray about it before
units, I grew to appreciate well as her family — have I agreed. After praying, I knew
the gift of bringing life the gift of bringing life into reached since her experience that this article would motivate
into this world instead this world instead of seeing abroad. “When I came back, I others. This incident never
it leave.” saw an advertisement in the broke me; and because it never
of seeing it leave.” She spent seven long and Tygerburger for this job. I was broke me, it can give hope to
productive years establishing reluctant to apply because those who need it.” Dannelene
clinics and implementing I thought I would never get continues to inspire and uplift
processes in the Saudi Arabian it. My daughter submitted her colleagues. Moreover,
capital of Riyadh under the my application without me sharing the valuable lesson
National Guard. She would knowing and three weeks later that we need to overcome our
wilfully move wherever her I was invited to an interview.” personal battles and inspire
superior advised; to train young Soon after, Dannelene found those around us with the
nurses, counsel colleagues, and herself back in a hospital doing lessons we have learnt. She
organise efficient systems for the work she has always loved founded the Women Alone
patient care. “People were kind doing in spite of the places it Foundation to carry out
to me, I had a car and a driver, once took her. “I have a deep community outreaches in the
a nice place to stay, a good love for nursing, and for people. form of feeding schemes, old
salary… They acknowledged the What happened to me brought age home visits, and spiritual
good work I was doing there.” me to a place where I am able outreaches across the country.
Dannelene’s diligence to help women who have lost The foundation is intended to
allowed nothing and no one to hope. I help them become uplift women through skills
come between quality service winners again.” development, “especially
and patient care, especially Dannelene admits that women who have suffered
not irregularities. According to there was a point during her abuse”.
“Putting my story down to Dannelene, her strong principles arrest when she felt like giving With her guidance, the
paper was essentially a step in of honesty and fairness up on everything. “When I Obstetrics and Paediatric
my healing process ... we are eventually led to confrontation felt down like that, I started departments in the Klipfontein
all granted opportunities to and wrongful imprisonment singing.” She explains that her Sub-structure are flourishing,
share our experiences and be a for shedding light on corrupt trauma bruised and broke her and ties with the Mitchells Plain
beacon of light to others.” activities taking place at a flesh, but strengthened her community have never been
— Dannelene Noach facility. She remarks that things spirit. “When I received the stronger.
8 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 9
sustainability sustainability
Through partnerships
with local TVET colleges,
high schools, and youth
organisations, sought-
after skills are being
A NEw wESTERN CAPE SPECIAL ECoNomIC developed and utilised.
ZoNE IS kEy To uNLoCkING ThE DEvELoPmENT
PoTENTIAL oF ATLANTIS ThRouGh ECoNomIC
INvESTmENT AND CommuNITy INvoLvEmENT.
photographS Supplied by greenCape
For an SEZ to be designated,
government must ensure that it
is worth the investment before
AwAkening
submitting the application to the
National SEZ Advisory Board.
“You need to consider the market
conditions, potential incentives,
atlantiS
and infrastructure requirements,”
explains Fernel. In June 2018, it
was recommended by the national
Cabinet that the zone be officially
designated.
Why AtlAntis?
C
ontrary to the myth of SpeCial eConomiC There were a few reasons for
Plato’s lost city of Atlantis, zone explained the chosen location of the SEZ,
the real Atlantis may have An SEZ is a geographically- including the availability of
found its industrial niche. Just designated area set aside by suitable land. “The investors we
40 kilometres north of Cape Town, government for targeted economic were talking to were looking
TOP: Solar panels absorb light Atlantis is now home to one of activities. The Atlantis SEZ has for large pieces of land; if you
from the sun and convert it into the country’s nine operational been set aside specifically for manufacture wind turbines, you
electrical energy. special economic zones (SEZs). green technology — technology need quite a large area to produce
BELOW: GRI Renewable Launched by President Cyril that exists to limit the harmful the 45-metre long blades. You
Energies opened its first wind Ramaphosa in December 2018, effects of human activity on the also need facilities large enough
tower manufacturing plant in the Atlantis SEZ has attracted environment. SEZs are supported to load these blades onto trucks
the Atlantis SEZ. R680 million in direct investments by special laws and systems that are to transport them.” Atlantis is
and created 300 permanent jobs. often different from the rest of the close to national and regional road
country, including tax incentives and networks, enabling suppliers and
building allowance. Not only do distributors to access the SEZ and
these special laws and systems make transport machinery and materials
it easier for new enterprises to with ease.
succeed, they also attract domestic The Atlantis SEZ is intended
and foreign direct investment. to revitalise the town through
Fernel Abrahams, Deputy an injection of capital and the
Director for Energy at the arrival of new business, which
Department of Economic may help to address poverty
Development and Tourism, and unemployment in the area.
explains that “the idea for a The very purpose of an SEZ is
green manufacturing zone was to promote job creation and
developed between the City of economic growth, and Fernel
Cape Town and GreenCape about points out that Atlantis offered
seven years ago, after which land an existing industrial capability.
was made available by the City. In “Atlantis was developed in the
2013, the Department of Economic 1970s as a small industrial hub and
Development and Tourism then while there have been significant
formally proposed a green challenges over the years, the
technology special economic zone Atlantis community is equipped
in Atlantis; within the national with skills that can be utilised in
Department of Trade and Industry’s the SEZ.” Experienced welders,
SEZ programme”. boilermakers, advanced electronics
10 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 11
sustainability sustainability
be presented elsewhere as it A X I-Atlantis ngoku ilikhaya leminye
Wind power involves is not offered in Atlantis”. She Atlantis is tans een van die land yemimandla yezoqoqosho esebenzayo
turning energy from the goes on to explain that working se nege operasionele spesiale ekhethekileyo kwesithoba yeli lizwe
wind into other forms of with any community requires ekonomiese sones (SES’e). Die (ii-SEZ). Lo mmandla waphehlelelwa
useful energy. time, effort and honesty and Atlantis-SES, wat in Desember 2018 nguMongameli uCyril Ramaphosa
that Atlantis has proven to deur president Cyril Ramaphosa ngoDisemba 2018, i-SEZ yalo mmandla
be no different. “Seeing the bekend gestel is, het R680 miljoen in wase-Atlantis sele itsale utyalomali
results of the young learners on beleggings gelok en 300 permanente oluzizigidi ezingama-R 680 waze
the Ikamva Youth Programme werksgeleenthede geskep. wadala nemisebenzi esisigxina
and getting the feedback and ‘n SES is ‘n gebied wat die engama-300.
appreciation of their parents regering vir geteikende ekonomiese I-SEZ yingingqi ibekelwe
has made the work with the aktiwiteite kies. Die Atlantis-SES bucala ngurhulumente ukwenzela
community very rewarding.” is spesifiek vir die ontwikkeling ukuphumelelisa imisebenzi
Since its inception in van groen tegnologie gekies – dit yezoqoqosho ekujoliswe kuyo.
2012, the Atlantis SEZ has is tegnologie wat bestaan om die I-SEZ yase-Atlantis ibekelwe bucala
made significant progress in skadelike uitwerking van die mens ngqo ngenjongo yokuphumelelisa
not only making the world a se aktiwiteite op die omgewing ithekhnoloji ethathela ingqalelo indalo
better, greener place, but also te beperk. Daar word beoog – ithekhnoloji enciphisa iziphumo
in improving the livelihoods om die dorp deur middel van ‘n eziyingozi kwimisebenzi eyenziwa
of individuals through open kapitaalinspuiting en nuwe besigheid ngabantu kokusingqongileyo. Yenzelwe
opportunities. With numerous te laat herleef, wat daartoe sal ukuhlaziya le dolophu ngokufaka imali
investors standing ready bydra om armoede en werkloosheid nangokufika kwamashishini amatsha,
to invest once additional in die gebied aan te spreek. nto leyo enokunceda ekuqubisaneni
Wind turbines, operational structures are in GreenCape is as Atlantis se SES- nendlela nokungaphangeli kwabantu
place, the Atlantis SEZ has projekbestuurseenheid aangestel. kule ngingqi. IGreenCape iliCandelo
solar panels, insulation,
already demonstrated its Die Wes-Kaapse Departement loLawulo lweProjekthi yeSEZ yase-
biofuels, electric investment potential, as well van Ekonomiese Ontwikkeling en Atlantis eliqeshiweyo.
vehicles, recycling as the growth that can be Toerisme, in vennootskap met die ISebe loPhuhliso lwezoQoqosho
materials, and green achieved through collaboration, Stad Kaapstad en die nasionale noKhenketho loRhulumente
building materials are acknowledges that infrastructure should be to develop those skills.” flexibility, efficiency and Departement van Handel en weNtshona Koloni, lisebenzisana
all examples of green projects like SEZs are often slow to According to Francis Jackson, adaptability. Nywerheid, is daartoe verbind om neSixeko saseKapa ngokunjalo neSebe
develop. “We have been working GreenCape SEZ Project Executive, According to the GreenCape die gemeenskap van Atlantis by die loRhwebo noShishino kuZwelonke,
technology. on this project since 2012 and we’ve “the process for election of project office, Atlantis is now verdere ontwikkeling van die SES’e azibophelele ekubandakanyeni
only now become operational.” members to the Atlantis SEZ known as the town where green te betrek. uluntu lwase-Atlantis ekuqhubekeni
It is projected that by 2021, the Community Stakeholder Network technology goes to grow. kokuphuhliswa kwe-SEZ.
Atlantis SEZ will have facilitated the is underway. The network and its
workers, and electricians are a creation of another 1 000 – 1 100 members will act as a channel
few examples of skilled labour in jobs and attracted investments between the Atlantis SEZ, its
the area. of up to R 1.3 billion. Fernel multi-stakeholder forums and
emphasises that infrastructure structures, and the community”.
ATLANTIS SEZ DRIVERS development requires patience and GreenCape has focused
GreenCape is the appointed that investment does not happen on developing skills within
Atlantis SEZ Project Management overnight. the community to meet the
Unit, responsible for coordinating The Western Cape Government needs of the industry through a
a large sum of the operational Department of Economic number of initiatives, including
work that has gone into the SEZ. Development and Tourism, in the Annual Renewable Energy
According to Fernel: “Before the partnership with the City of Cape Challenge, the Ikamva Youth
SEZ was even proposed, GreenCape Town and the national Department of Tutoring Programme, and general
was instrumental, with the City of Trade and Industry, are committed exposure to the green technology
Cape Town, in developing the to involving the community of industry. To date, close to 300
core of the project as a green Atlantis in the further development learners have benefited from these
technology hub.” Minister of of the SEZ. “There is a programme projects. Furthermore, Master
Economic Opportunities, Beverley underway for a community forum Artisan Academy South Africa
Schäfer adds that, “aside from which is broadly representative of provided solar PV installation
their specialist work in preparing all organisations in the community training in 2016, and three female
the request for designation, the so that we have a direct channel interns from Atlantis have already
GreenCape team also laid the of communication with each other transitioned into permanent
groundwork for investments, at each phase of the project,” says appointments in the project office.
skills and infrastructure Fernel. “When investment does take GreenCape’s Ursula Wellman
development. By the time the place, it is important that the admits that “one of the most
zone was designated [in 2018], Atlantis community is able to challenging aspects of developing The promotion of skills
they had secured investments benefit directly through the skills to meet the demand is development in Atlantis
of over R680 million and had employment of local people, who getting the delivery of skills contributes to the objectives of
been running highly impactful already have the necessary skills. development targeted to industry Project Khulisa in developing
youth skills and enterprise If the skills do not exist within the demands. Technical skills training, sought-after skills for key
development programmes”. Fernel community, part of the project such as welding, often needs to industry sectors.
12 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 13
our people our people
stop the stigma Some of the contents of the “Pleasure
Pack”, which include female condoms
and a dental dam, given out for free
by local non-government organisation
In a country where InclusIvIty and Triangle Project.
openness are preached as the way
forward, many communItIes such
as lGBtQI+ (lesBIan, Gay, BI-sexual, nursing practitioners, there has
been various training in the
transsexual, Queer and Intersex) facilities to sensitise health care
stIll face prejudIce and stIGma daIly. practitioners to be able to deal
with queer and gay patients.
R
“This (the training of nurses
eproductive and sexual But is government doing with regards to LGBTQI+) is
health care sister and enough to ensure the sexual a very sensitive thing: it goes
clinical nurse practitioner health and safety of a hand in hand with morals,
Mrs Judaic Ranape, who is community that still fights values and upbringing. This
now also the comprehensive against stigma and fear? Sister is why when we do training,
nurse trainer at Southern/ Judy says government is doing we do values clarifications so
Western substructure based at a good job and is proud of the the health care professionals
DP Marais Hospital, has made service and current calibre of realise they need to consider
it her life’s mission to ensure nurses. other people’s values and
inclusivity and acceptance “Our public health services deliver the care regardless
in sexual health care in the are well equipped and we of their own feelings. It’s
province. are well within the policies, the patient’s right to receive
The passion and drive for guidelines and expectations of care, so you must put your
her job beams from Judiac’s the World Health Organisation. judgments and values aside
face when she talks about The communities know which so you can offer appropriate
sexual health care and how services are available, but service to the communities.”
she strives to ensure people, there are challenges in the Judiac says the LGBTQI+
especially youth, from minority delivery of some services with communities are so scared of
communities such as LGBTQI+, regards to others’ mind-sets being vulnerable as they have
are aware of and able to of LGBTQI+ and the fear of already faced adversity and
receive the health care that stigma and discrimination,” prejudice daily. “What health
they need. Judiac spent years explains Judiac. She added care professionals sometimes
working at Lady Michaelis that they also want nurses to forget is that the LGBTQI+
Community Health Clinic where ask patients the right questions communities often go through
she helped administer services about their sexual health depression and anxiety,
such as STI and HIV testing, and partners, as well as use especially amongst the youth,
giving advice on sexual health, the appropriate language to as they cannot normally go
first-trimester medical and make them feel comfortable in through what other teenagers
surgical abortions and family opening up to the nurse. go through because they live in
planning, to name a few. “Consider the world we live a world where they are being
The LGBTQI+ community, in: the majority of the people judged and stigmatised. So we
a community often judged think of only heterosexual as health practitioners must
and ridiculed, has found relationships and they need also be aware of the mental
solace in Sister Judi (as she to get used to accepting health aspect of the LGBTQI+
is fondly called), who always other types of people such as communities.”
has an open-door policy and lesbian or trans.” Judiac says, Judiac encouraged
encourages open dialogue. regarding the training of their LGBTQI+ communities to
continue to be open about the
health and sexual health care
needs and use government
facilities to access these
services to ensure safer,
Judaic Ranape — the “Consider the world we live in: the healthier and more aware
reproductive and sexual citizens in the province.
health care sister, clinical majority of the people think of only
nurse practitioner and heterosexual relationships and they need
comprehensive nurse
trainer at Southern/Western
to get used to accepting other types of
substructure. people such as lesbian or trans.”
14 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 15
awareness awareness
developed a year-long waiting intolerant to certain sounds or overall communication, making it
list for the service. “Once the sensations. The learning and possible for people with autism to
service began in Mitchells Plain, it problem-solving abilities of autistic form relationships and navigate
was rolled out to the other sub- children can range from severely daily life with ease. Pet interaction,
structures. Over the years, cases impaired to exceptionally gifted. music therapy, and dietary
of autism have been on the rise, in Nerosha explains that with the programmes are other forms of
the Mitchells Plain area specifically; correct therapy, children can treatment that have proven to
we don’t know why this is the improve in their abilities. “Through be beneficial. “If you start with
case.” Nerosha points out that she speech therapy, a non-verbal child therapy early enough, you will
speaks from her own experience can learn to communicate using see results. Parents need to take
of treating children diagnosed picture exchange communication, ownership of the treatment plan
with the condition in the area. for example.” Nerosha advises and continue the therapist’s work
ASD raises many questions parents to avoid using ‘baby at home.”
in terms of its cause, how it is language’, avoid shouting, keep
diagnosed, and why it affects instructions short and repeat them if
different people in different necessary, and help children along
ways. It generally refers to a instead of doing things for them.
group of disorders that present “Social stories are another way to
challenges in four key areas during help your child. Tell them a story Facts about
childhood development, namely: about the day ahead — what they autism spectrum disorder
1) social interaction; 2) verbal can expect and who they will meet. + Developmental disabilities such as ASD are
and non-verbal communication; This will help them to mentally brain-based conditions that have more to
3) repetitive behaviour; and 4) prepare for their daily interactions.” do with biology than with psychology.
differences in sensory perception. Although there is no proven + Not one person with ASD is affected in the
This may explain why your child cause of autism, early childhood same way.
responds to people and stimuli the intervention and access to + ASD is usually diagnosed by the time a child
way they do, and that they have appropriate support can lead to is three years old.
not — as many may have thought a significantly improved quality + ASD is found in every country, every ethnic
— been misbehaving. They simply of life for those diagnosed with group, and every socio-economic class.
have not developed the necessary ASD. “If you notice something even + Autism is diagnosed four times as often in
boys than in girls.
BRIDGING
skills to cope with everything slightly unusual, seek professional
happening around them, and advice. Don’t wait,” says Nerosha.
require extra patience and care Speech therapy can improve
to develop these skills. common signs oF autism
THE SPECTRUM
“Parents visit the clinic with spectrum disorder
their children owing to their + No babbling by 11 months of age
concerns about developmental + No simple gestures by 12
delays. We screen for signs of months (waving goodbye)
ASD and then refer to Red + No single words by 16 months
Cross to confirm the diagnosis.” + No phrases by 24 months
Screening is performed using a (noun + verb)
developmental journey format + Odd or repetitive ways of
Encourage constructive according to the child’s age moving fingers or hands
play by showing your group and the characteristic + Over-sensitive to certain
child how to do something. developmental milestones. textures, sounds or lights
Children who present with the + Lack of interest in toys, or plays
T
This involves working
towards a goal and he Mitchells Plain Community symptom of unresponsiveness with toys in unusual ways
following an example. Health Centre is treating
an increasing number of
The are referred to the audiologist to
rule out the possibility of a hearing
+ Unusual preoccupation with
light switches, doors, fans,
children between the ages of two
spectrum impairment. “I have one parent, wheels
and four presenting with signs of Communication with three children who have all + Unusual fears (fear of colours)
AUTISM SPECTRUM DISORDER autism spectrum disorder (ASD). barriers and repetitive been diagnosed with ASD. Two + Rarely makes eye contact when
DIAGNOSES ARE BECOMING Research suggests that the behaviours are only are verbal and one is completely interacting with people
disorder affects an estimated one noticeable without non-verbal,” says Nerosha. + Doesn’t point to show or ask
INCREASINGLY COMMON IN AREAS support. ASD is referred to as a spectrum for things
in 59 children. However, Nerosha
ACROSS THE CAPE TOWN METRO. Mohamed, a speech therapist because it effects individuals + More interested in looking at
Communication
AS THE QUESTIONS CONTINUE working for the Klipfontein/Mitchells barriers and repetitive
differently and to varying degrees. objects than people’s faces
Plain health sub-structure, states Some only present slight difficulties + Does not respond to name
TO OUTNUMBER THE ANSWERS, behaviours are
interacting with others in a social + Prefers playing alone
that 30 of the 130 children she noticeable even with
OUR HEALTH PROFESSIONALS treated last year showed signs of setting, while others are completely
support.
ARE WORKING HARD TO SUPPORT ASD, which translates to one in For more information about autism
four children. Communication spectrum disorder, visit the Mitchells
ASD-DIAGNOSED CHILDREN AND barriers and repetitive Plain CHC and request to see the
Nerosha explains that speech
speech or occupational therapist, or
EDUCATE THEIR FAMILIES ABOUT therapy was first introduced to behaviours severely
visit www.autismwesterncape.org.za.
THE CONDITION. the Cape Metro basket of primary impair daily life. Nerosha illustrates how pictures
health services after the Red Cross can be used to promote
War Memorial Children’s Hospital interpersonal communication. SourceS: Autism Western cape www.autism-society.org
16 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 17health health
1tsp
RECOMMENDED
DAILY SALT INTAKE
less sugar and
PER PERSON
SUGAR
salt, more life The word “sugar” originates from the Sanskrit
word sharkara. Sugar forms the building blocks
of carbohydrates, the most abundant type of SALT
TAKE A LOOK AT HOW YOUR DAILY organic molecules in living things.
SUGAR AND SALT INTAKE MATCHES The word “salary” was derived from the
UP TO THE RECOMMENDED DAILY THE 4 SUGARS word “salt” as salt was used as a method
1 Glucose is sugar found in the body. of currency in ancient times. Salt is the main
CONSUMPTION FOR HEALTHY LIVING. source of sodium in the human diet, which
2 Fructose is natural sugar found in fruit.
3 Sucrose is commonly known as is essential for nerve and muscle function
table sugar. and is involved in the regulation of
REDUCE YOUR SUGAR 4 High-fructose corn syrup is bodily fluids.
INTAKE BY CONSUMING made from corn starch and is
LESS generally found in soft drinks, Salt is a
leading contributor to
+ Soft drinks and sugar-
sweetened beverages (drink
water instead)
Sugar is not
a health problem,
breakfast cereals, sauces,
jams, canned fruit, etc. 9tsp
RECOMMENDED
+ 75% of the salt we
consume is hidden in
the food we eat.
South Africa’s cardiovascular
disease epidemic, which claims
more lives each year than all
+ Fruit juices (choose whole but the amount of sugar DAILY SUGAR
+ An adult body forms of cancer combined.
6tsp
INTAKE
we consume is.
fruits instead)
+ Candies and sweets
(opt for nuts or dried fruit RECOMMENDED
6tsp
RECOMMENDED +
naturally contains 250
grams of salt.
An estimated 2.5 million
DAILY SUGAR DAILY SUGAR
instead) INTAKE INTAKE
deaths could be prevented each year if
+ Baked goods (…save it for global salt consumption were reduced to
Christmas) the recommended level.
+ Fruits canned in syrup + You might be eating too much salt if:
(choose whole fruits instead) – You are excessively
+ Low-fat or diet foods (try thirsty
full cream or regular versions
in reduced quantities) Natural sugar – You are bloated
– Your food tastes
PER 100MG bland without salt
LABEL SAVVY – You suffer from
When checking labels for Apple frequent headaches
sugar content, remember that
sugar can also be named the SOUTH AFRICANS Popular
CONSUME BETWEEN
high-sodium
12-24tsp
following: Banana
foods to be
8.5g
+ Sorbitol
+ Treacle cautious of
OF SUGAR PER DAY —
BALANCE =1.7tsp
4-8tsp
+ Diastase Strawberry
+ Cane juice
+ Panocha + Trust your taste buds! SOUTH AFRICANS Processed
TEASPOONS ARE FROM DAILY INTAKE
Lemon + Stop adding raw salt to your cheese
+ Dextran SUGAR-SWEETENED BEVERAGES.
meals. Learn to enjoy the
natural flavours of the foods
Biltong
Mango you eat. Adding salt can
desensitise your taste buds.
Did you
You eat + Eat processed foods, canned Soy
carbs and You season sauce
Grapes sugars (white goods, soups, and baked your food with
know? bread, rice,
pasta,
fruit)
+
goods in a controlled way.
Having a candy, cookie or
salt or eat salt in
various foods Cold
Refined sugar sugary snack occasionally meats
+ The only taste humans
can give a quick boost of Higher
are born craving is sugar. Your body blood Sodium is
+ Sugar can actually PER 330ML SERVING Glucose is then
converts carbs energy (or sugar rush) by pressure leads absorbed into Broths and
Blood Blood
stored or used as to cariovascular stocks
and sugars into raising your blood sugar your bloodstream
change the muscle energy
glucose problems over
protein of the heart as levels really fast. But, once time
well as the pumping
mechanics of the heart.
pressure the sugar levels drop, the
cells absorb the sugar which pressure Bacon
+ Sugar and alcohol have can cause anxiety.
similar toxic liver effects. + Explore new flavours such as
Excess
+ According to brain scans, fresh herbs and spices. Extra fluid sodium
Glucose is in the body
sugar is as addictive as Insulin helps to
absorbed into
+ Replace refined sugar with strains your blood
reduces the
transfer glucose ability of your SOURCES: www.factretriever.com/sugar-facts
cocaine. to your cells your bloodstream honey when possible. vessels leading kidneys to remove www.who.int/nutrition/publications/guidelines/
to higher blood water from the sugars_intake/en/
pressure body
18 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 19feature feature
Tackling
TB aT
grassrooTs
level
TubeRCulosis is THe seCond
HigHesT CAuse of deATH in THe
CApe WinelAnds disTRiCT And
dRAkensTein sub-disTRiCT, WHiCH
led To THe iMpleMenTATion
of A Tb QuAliTy iMpRoveMenT
pRojeCT in AlignMenT WiTH
HeAlTHCARe 2030 And THe
pRovinCiAl sTRATegiC goAl 3:
inCReAse Wellness And sAfeTy
And TACkle soCiAl ills.
T
he Drakenstein’s TB Quality
Improvement Project (TB
QIP) was nominated in
the 2018 Service Excellence
Awards Best Implemented Project
category, which seeks to recognise
projects that have a positive
impact on service delivery, save
costs and improve the lives of
citizens. The team, which includes
clinical to office-bound staff, have
committed to these aims whole-
heartedly, with results showing the
The TB QIP team works on the fruits of their labour.
ground, to ensure TB patients With TB being a curable
receive care daily. disease clouded in stigma and
judgement, the TB QIP team
sought to dismantle this stigma
and ensure that TB patients
20 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 21feature feature
The bacteria that in the community receive the
causes TB is commonly treatment and medication they
spread through the air from need. In partnership with local
person to person. non-governmental organisations,
the team also meets the needs of
the community on a grassroots
level – conducting daily door-to-
door visits to deliver medication
to patients’ homes to ensure that
they finish their medication and to
check their progress.
MORE ABOUT DRAKENSTEIN’S
TB QUALITY IMPROVEMENT
PROJECT
Based on feedback, the great
success of the TB QIP in the
Drakenstein Sub-district was
evident within a few weeks.
During 2017/18, the Sub-district
improved TB screening from
48% to 65,6% and presumptive
TB cases improved from 1 730
per quarter to 2 233. Positive TB
testing improved from 239 to
305 per quarter (only sputum
testing) and clients receiving TB
treatment averaged at 98% per
quarter. While the improvements
and results of the project are Pictured is the TB QIP team, who were
very positive and encouraging, people need to realise that TB is nominated in the Best Implemented
there is still a long way to go with not an illness or disease that is Project category at last year’s Service
regard to the stigma of TB and it bound by socio-economic status, Excellence Awards ceremony.
preventing patients from seeking so it is not a problem that is
or completing treatment. assigned to poorer communities
Alice van Zyl, Provincial only – it is a problem that affects
Manager Western Cape, USAID all of us,” says Dr Rushaan Gaffoor,
Tuberculosis South Africa Project, Clinical Manager for the Department even in some of our health care
stresses that the success of the of Health Drakenstein Sub-district. facilities, unfortunately. TB doesn’t
“The stigma is a reality we need to break so that people project could not have been as “The reality is, you could be discriminate and the focus on TB
will not be ashamed to come to a clinic or to a facility to easily achieved without the full standing in the supermarket and is not as highlighted as it should
involvement and creativity of staff a person undiagnosed with TB be, which will strongly assist us in
take their medication.” and management. She explained coughs and this could infect you. tackling the stigma.
how the project came about and The stigma is a reality we need to Both Dr Gaffoor and Van Wyk
what the USAID’s involvement break so that people will not be explained that budget constraints
entails. ashamed to come to a clinic or to are another stumbling block,
90% 77% “The USAID TB South Africa a facility to take their medication. where other diseases such as HIV
71% 70% Project supports the National Often, because of that stigma, get more funding for medication,
65% 67% Department of Health to improve people don’t seek help.” resulting in new ARVs being
70% 60% 61% South Africa’s TB outcomes by
reducing TB infections, doing
Dr Gaffoor went on to say
that health staff and the media
available more frequently, while TB
medication remains the same for
health system strengthening and at large should play a vital role in years. “We are, however, excited
improving the care and treatment educating communities and assist regarding the renewed focus on
of vulnerable populations. The in breaking the stigma. “We are drug-resistant TB, which includes
50%
backbone of our project is quality all exposed to TB on a daily basis; the availability of more effective
improvement in all we do”. The it is a curable disease and people drugs at primary health care level.
The TB QIP, which provides project supports 14 districts shouldn’t be dying.” This has already contributed
technical assistance to the 30% across six provinces, namely the Dr Patricia van Wyk, Senior to improved outcomes in our
Department of Health to Eastern Cape, Free State, Gauteng, Family Physician for the Sub-district,” Dr Van Wyk added.
impact the TB burden, has KwaZulu-Natal, Limpopo and Drakenstein Sub-district, feels Even though ridding our
shown great results in the
10% 2016 JAN FEB MAR APR MAY JUN Western Cape. that not knowing enough about
the disease contributes to the
communities of the stigma of TB
entirely seems far off, the evident
Drakenstein Sub-district.
2018 2018 2018 2018 2018 2018 TB IS NOT A stigma and hopes that TB will success and positive impact of the
“POOR-PEOPLE DISEASE” soon get the focus it needs. TB QIP team show that hope and
Drakenstein TB screening progress “There is still a very strong stigma
about TB in the province, but
“The lack of knowledge leads to
this stigma in communities and
the aim of low, and even no, TB
numbers is not far from reach.
22 I S S U E 3 2 | B e t t e r To g e t h e r B e t t e r To g e t h e r | M A R C H 2 0 1 9 23You can also read
