Challenges and innovations brought about by the Covid-19 pandemic regarding medical and pharmacy education especially in Africa and implications for the future

Background: Multiple measures introduced early to restrict COVID-19 have dramatically impacted the teaching of medical and pharmacy students, exacerbated by the lack of infrastructure and experience with e-learning at the start of the pandemic. In addition, the costs and reliability of the Internet across Africa pose challenges alongside undertaking clinical teaching and practical programmes. Consequently, there is a need to understand the many challenges and how these were addressed, given increasingly complex patients, to provide future direction. Method: An exploratory study was conducted among senior-level medical and pharmacy educators across Africa, addressing four key questions, including the challenges resulting from the pandemic and how these were dealt with. Results: Staff and student members faced multiple challenges initially, including adapting to online learning. In addition, concerns with the lack of equipment (especially among disadvantaged students), the costs of Internet bundles, and how to conduct practicals and clinical teaching. Multiple activities were undertaken to address these challenges. These included training sessions, developing innovative approaches to teaching, and seeking ways to reduce Internet costs. Robust approaches to practicals, clinical teaching, and assessments have been developed. Conclusions: Appreciable difficulties to teaching arising from the pandemic are being addressed across Africa. Research is ongoing to improve education and assessments

Book Reviews

Laying ghosts to rest - Dilemmas of the transformation in South AfricaMamphela RampheleTafelberg: Cape Town2008.288 p

The use and disposal of greywater in the non-sewered areas of South Africa: Part 2 – Greywater management options

Greywater has been identified as a key area of research in South Africa owing to the fact that service delivery in low-income areas largely consists of on-site dry sanitation with communal water points where greywater has the potential to create a host of environmental and health problems. The main aim of this study was to investigate the use and disposal of greywater in non-sewered areas in South Africa and this included developing options for the management thereof, both in terms of reducing health and environmental risks as well as possibly providing benefits through controlled reuse. This paper reports on observations made in the course of a two-year study that examined greywater management in 39 low-income non-sewered settlements situated in 6 of the 9 provinces. Proposals are made for the selection of various greywater management options as well as guidance for the planning for, and handling of, greywater from low-income areas.Keywords: greywater strategies, greywater management options, greywater generation, greywater disposal, greywater use, non-sewered area

The use and disposal of greywater in the non-sewered areas of South Africa: Part 1 – Quantifying the greywater generated and assessing its quality

Greywater has been identified as a key area of research in South Africa owing to the fact that service delivery in low-income areas largely consists of on-site dry sanitation with communal water points where greywater has the potential to create a host of environmental and health problems. The main aim of this study was to investigate the use and disposal of greywater in non-sewered areas in South Africa and this included developing options for the management thereof, both in terms of reducing health and environmental risks as well as possibly providing benefits through controlled reuse. This paper reports on observations made in the course of a two-year study that examined greywater management in 39 low-income non-sewered settlements situated in 6 of the 9 provinces. Proposals are made for the selection of various greywater management options as well as guidance for the planning for, and handling of, greywater from low-income areas.Keywords: greywater quantities, greywater generation, greywater quality, non-sewered area