THE SECRETARY-GENERAL
12 January 1998
Dear Mr. Spitzer,
Thank you for your letter dated 16 December 1997 and the 1996 Annual Report of "Medical Education for South African Blacks". I congratulate you and your colleagues on the many achievements of your organization and the important work you continue in support of medical education for South Africans of all races. It gives me particular pleasure to know that the Permanent Mission of the United States of America to the United Nations is blessed with such dedicated talent. I wish to thank you for your service as a Public Delegate to the Permanent Mission and wish you success in all your future activities.
Again, my thanks and warm regards.
Yours sincerely,
Kofi A. Annan
Mr. Jack Spitzer Public Delegate Permanent Mission of the United States of America to the United Nations New York *•„
UNITED STATES MISSION TO THE UNITED NATIONS
J 1 I I I
799 UNITED NATIONS PLAZA NEW YORK, N. Y. 10017-3505 1 DEC f 9 1997
., EXECUTIVE,,, Ml, . MUECRETA^NERAL 16 December 1997
It is my pleasure to present to you the 1996 Annual Report of "Medical Education for South African Blacks", an organization of American support to enhance the medical profession in South Africa.
I have had the privilege of serving as its vice-Chairman since its founding.
With best wishes.
Jack Spitzer
H.E. Mr. Kofi Annan JJii^ef^Secretary-General ._****" ^* United Nations Room S-3800 New York, N.Y. 10017 M E S A B 1996 ANNUAL REPORT
Dr. Timothy Visser, Head of Internal Medicine, Conradie Hospital, Cape Town
"My M. ES&'B sckolemkty cdlowed ;«.£- -to stay tn wzdictttjckov ^Bift we H£e:ei mamf jtwre Soutk doctvn."
MEDICAL EDUCATION FOR SOUTH AFRICAN BLACKS ME SAB'S "MISSION
MESAB RAISES FUNDS FOR THE TRAINING AND DEVELOPMENT OF BLACK HEALTH CARE PROFESSIONALS, IN ORDER TO HELP IMPROVE HEALTH CARE FOR ALL SOUTH AFRICANS.
MESAB is a partnership among Americans and South Africans of all races and ethnic groups. The U.S. and South African staffs cooperate closely on designing and implementing our programs, which are described in this report. We maintain good working relations with the Mandela Government, in particular with its Ministries of Education and Health. MESAB is incorporated in the District of Columbia as a charitable, educational association and is tax exempt under Section 501 (c)(3) of the United States Internal Revenue Code. Contributions to MESAB are tax deductible to the full extent of the law. MESAB is registered with every state government that requires registration by charitable organizations. MESAB participates in many workplace campaigns, including the Combined Federal Campaign, state government campaigns, and United Way campaigns. MESAB meets all standards of the National Charities information Bureau (NCIB). We welcome inquiries for further information. MESAB/South Africa is registered as a tax-exempt educational trust, headed by a Board of Trustees (see inside back cover).
MEDICAL EDUCATION FOR SOUTH AFRICAN BLACKS, INC. 2101 EAST IEFFERSON STREET Box 6611 ROCKVILLE, MD 20849-6611 TELEPHONE: 301-816-6320 FAX: 301-816-7473 E-MAIL: [email protected]
MESAB WEST COAST OFFICE 2913 RAMONA STREET PALO ALTO, CA 94306 TELEPHONE/FAX: 415-326-8516 E-MAIL: [email protected]
MESAB/SOUTH AFRICA 7 YORK ROAD PARKTOWN/JOHANNESBURG 2913 TELEPHONE: 011-647-2530 FAX: 011-643-4318 E-MAIL: [email protected]
COVER PHOTO: HARVEY LEIFERT (SEE ALUMNI NOTES, PAGE 3) To OUR FRIENDS...
\^/t is with a great deal of pride and gratitude that I have accepted the Chairmanship of Medical Education for South African Blacks, following my election by the Board in September 1996. First, on behalf of all who have been a part of this significant undertaking—as supporters, donors, Board members or scholarship recipients—I wish to thank Donald Kennedy for his many years of outstanding leadership as chairman of MESAB. Under Don's leadership, MESAB has grown into an organization that now is the largest source of private scholarship aid for black South African students in medical, dental, nursing, pharmacy and allied health schools in South Africa. All of us affili- ated with MESAB are pleased that Don will be continuing his service as a member of the Board of Directors. The year, 1996, has been one of continuing accomplishments for MESAB. We are now providing scholarship support (full or partial) to nearly 700 students. However, as noted in our President's report from Harvey Leifert, much remains to be done. The shortage of trained black health professionals in South Africa continues to be acute and severe. The health status of black South Africans still lags far behind that of whites in that country. A healthy popula- tion is a prerequisite for robust economic development. Most importantly, for the future prospects of South Africa and, indirectly, the future of subsaharan Africa, there must be continued efforts to produce the trained professionals and educated individuals who will ultimately comprise the middle class needed to bring social and economic stability to that region of the world. It is our contin- uing commitment to those goals that motivates all of us—donors, directors, staff, and scholarship recipients. I ask all of you to be steadfast in your support, as we work with our colleagues and friends in South Africa. Their goal is to realize the full potential of that society, that nation, and that part of our world for democracy and development. ; kJ. LOUIS W. SULLTVAN, M.D., Chairman
ESAB's Annual Report is not a dry recitation of facts and figures (at least, I hope it isn't!) Rather, we see it as an important part of our public education program, conveying information to Americans about health condi- tions in South Africa and our efforts to accomplish our mission "to improve health care for all South Africans." In this issue, you will read about: • Four of our 600+ alumni who are now at work in the community, improving health care for disadvantaged patients, while demonstrating the impact and effectiveness of your past contributions to MESAB. • The first year of our direct involvement with the Perinatal Education Program, or PEP, which will in time help nurse-midwives improve black maternal and infant mortality rates. • A remarkable train that plies the byways of the South Africa rail network, bringing health care to remote areas, with the help of senior health science students, including MESAB scholars and a MESAB alumnus. We have always listed in our Annual Reports the names of all of the students who receive scholarship support from MESAB, so that our donors know exactly who benefits from their gifts. This year, we are also identifying recipients of special scholarships, such as those provided by Coca-Cola and the Kellogg Company. I want to thank outgoing Board Chairman Don Kennedy for his unstinting support and friendship during our four years of complementary responsibilities. His firm dedication to social justice and MESAB's mission underlie much of our success, and happily, he remains a member of the Board. And welcome to Dr. Louis Sullivan as our new Chairman. Lou has been a stalwart MESAB supporter and active Board member since the organization's earliest days. Finally, thanks to all of you whose generous contributions make our work possible. You are MESAB. <4HI wtf HARVEY V. LEIFERT, President SCHOLARSHIP PROGRAM
Minister of Education Says Thousands More Doctors are Urgently Needed
(^_J) cholarships for black students in the health sciences are the core of MESAB's programs in South Africa. Each year, we receive additional confirmation that this program is relevant to current needs and is effec- tive. Minister of Education Sibusiso Bengu has added his personal endorsement of the importance of MESAB's scholarships in making higher education possible for disadvantaged students. (See Page 8.) In short, South Africa has a serious deficit of trained health care Drofes- MESAB Optometry students at Rand Afrikaans University show visiting President Harvey Leifert the " ~ school's public eyeglass clinic. sionals where they are needed most: in rural areas, including former "tribal homelands," and in the of their own medical personnel. And this inflow to black townships and informal settlements that South Africa is balanced by an outflow of mainly abound on the fringes of cities and towns. The short- white South African doctors to countries of the First age includes some 2,000 medical doctors; further, World, including the U.S. many of the allied health professions are totally The solution lies, of course, in training more absent from traditionally black residential areas. South African health care professionals who are The gap has been made up in part by a wave of committed to working in their country and are doctors arriving from elsewhere in Africa, from the comfortable with the languages and cultures of its medically underserved areas. This describes the students to whom MESAB awards scholarships. ff a.w.Jro'm. tkz Eastern. Ciac, near 14,m.ta.ta.. There were K.O University financial aid officers report that many ojttstnetristr in vy hame tvwx.. ffwaj eKCOHraecd to look previous sources of scholarships have simply dried tuft) tkifJ ficU . b^y a. hjeo L jckaottKiiliiHt<3 e counselor. Tke onl~Jy up, including overseas donors that had been active in difficulty 3 keui in. Msvitie to (Joka.n.KcjhKrt wcu tke the anti-apartheid movement. Some, they say, having declared victory over apartheid seem indifferent to teuiSKcge. Zft took mzfoiir vwntkr tvtet uf&l to Syrikei.in.Hj. the slow and less glamorous work of overcoming BONGAMDLUNGU that system's doleful legacy. They, along with the RAND APRIKMNS UNIVERSITY OPTOMETRV I Ministries of Education and Health, appreciate PHOTO: RAU MESAB's ongoing commitment. This year alone, MESAB assisted nearly 700 former Soviet Union and Central Europe, and, under students in medicine, nursing, dentistry, pharmacy, a special program, from Cuba. These foreign doctors and 16 allied professions. We added one new school, come for various reasons, but large among them is the University of Port Elizabeth, to the 25 whose simple economics: the public sector salaries that students already received support from MESAB. South Africans consider low-end are higher than (UPE offers courses in nursing and pharmacy.) many foreign doctors can earn at home. Through 1996, MESAB has provided 3,800 one The qualifications of these foreign doctors vary year, renewable scholarships to 2,500 students. Of considerably, and some cannot surmount the these, more than 600 have already graduated and are language and cultural barriers. Impoverished African at work in the community. Several MESAB alumni are countries in particular can scarcely afford to lose any profiled in this Report. We have called upon our current donors to increase their contributions in support of our scholar- ships, in light of both the growing need and the MESAB proven track record of students who received previ- ALUMNI ous assistance from us. One method we have adopted NOTES... is the expansion of our named scholarship program. NAME: TIMOTHY VISSER SCHOOL: UNIVERSnY OF MESAB's first named scholarships were the Louis CAPETOWN Sullivan Scholarships, established to honor one of our CLASS: 1993 founding Board members when he was on leave to COURSE: MEDICINE serve as U.S. Secretary of Health and Human Services. MESAB SCHOLARSHIP: THREEYEARS Louis Sullivan Scholarships are funded entirely by contributions from MESAB's own Board members and provide full tuition for the final three years of dicai school was a tough grind for medical school to a few academically superior Timothy Visser, who more than once consid- students. ered dropping out. (He began his studies at UCT before the MESAB mentor program was This year, MESAB inaugurated two new named established.) But he persevered, mastered the scholarship programs, with the generous support of material, graduated, and then did his intern- the Coca-Cola and Kellogg companies, both of which ship at Cape Town's prestigious Groote provided significant donations beyond their already Schuur Hospital. generous normal level. As a result, 40 MESAB/Coca- Cola Scholars, selected at random from those eligible Since then, he has been working at for MESAB scholarships, are studying on four differ- nearby Conradie Hospital, a struggling facility ent campuses and are receiving partial support, based that serves an almost exclusively black clien- on need. tele. There are few doctors actually on staff, due to a hiring freeze and the reluctance of The MESAB/Kellogg Scholarship in Diet and many graduates to accept the low salaries Nutrition covers full tuition for one student and is offered at public hospitals. based on a combination of academic merit, financial need, and an essay. Both companies plan special Timothy's patients suffer principally from recognition for their MESAB scholarship holders, TB, HIV (over ten percent of tested patients), including plant tours and local publicity. We are seek- coronary conditions, renal failure, diabetes, ing support from other major corporate donors for and infectious hepatitis. Trauma cases involve similar scholarships. gunshot wounds of increasingly high caliber, stabbings, and vehicular accidents. Of MESAB, Timothy says: "My MESAB scholarship allowed me to stay in medical school. It also allowed me to remain in South Africa after graduation. Needy students who have to rely on loans can run up debts of R160,000 [$35,500]. There is no way to repay those loans if one works in the public sector; you have to go overseas, where salaries are higher and good offers abound. Some don't come back. "In general, I think MESAB's money has been well spent. Doctors you helped to qualify are now at work in the community. But we need many more South African doctors."
HARVEY LEI PERT (SEE COVER PHOTO) A University of Fort Hare nursing student prepares an injec- tion for an anatomically correct dummy, under the watchful eye of his teacher at the Cecelia Makiwane Hospital in Mdantsane, near East London. MENTOR PROGRAM
Kellogg Foundation Backs MESAB Student Mentoring Through 2000
eering mentor program for has no mentor program, MESAB visitors asked first black students in health science courses completed its year scholarship students what their most difficult sixth year on a high note. Just as funds from our origi- subject was. Elsewhere, this question had typically nal IBM grant were exhausted, we received a vote of elicited such replies as chemistry, biology, or other confidence from the W.K. Kellogg Foundation. The basic sciences. These students were unanimous that Kellogg Foundation pledged a generous $227,000 over sociology was their most difficult course. four years, its first ever grant to MESAB, based on the Their explanation was that the sociology taught intrinsic merit of our mentor program and our was not that of Xhosa communities, with which they success so far. were familiar, but of white, urban society, of which they had no experience. Further, their high schools !7 fan. ajvartk^ear -kkantiacy student Jrsw. Jvtadik~we in. had not taught history, which they felt would have ^Hortk 'West 'Province, jvrm.erbj ^Bm>katkatrwa.nii., and put sociology into a meaningful context. These -wil.LcrcutKit.te: on ^NovewJier 28, i996. ff kave always students had never expressed their concerns to a faculty or staff member, but a trained mentor would wanted to be a pkA.rna.cirt, a. ktattk worker witk direct no doubt have empathized and taken action. contact in. tke co»Lm.xnity, no appointment retired. Sifter Dr. Jimi LaRose of the Medical University of tat'HJtig. sufficient ttycrience, 3 want to open tny own Southern Africa, who conducted a series of work- j frkarxum•*f *in »t•vj home town. 5%tj present, we ktn>e to travel shops for mentors and mentees as part of his study 65 lulsHteters [4-0 MflefJ to tke nearest ^karm.ac\i. The isca of the effect of mentoring (see MESAB 1995 Annual *- -* j ^/ Report), has concluded that mentoring is very useful ctinic stockr only tkc vwst haste dntgs. for both mentor and mentee. He said there is clear MMABATHO MIRIAM MOKOKA evidence that mentoring leads to a higher pass rate, UNIVERSITY OF THE WITWATERSRAND PHARMACY IV through improved study skills, better time manage- PHOTO: Wrrs ment, test and exam preparation, confidence build- ing, and improved social contacts. However, the Kellogg Foundation's grant only Mentors, too, benefit from their service to allows MESAB to continue mentoring on the six younger students. Dr. LaRose noted that they campuses where we had already established it. improve their leadership skills and build character Six years ago, those were virtually all of the schools and maturity. One mentor reported a rather different that MESAB scholarship students attended. In benefit: "I had to repeat physics. But the second time the intervening period, apartheid has ended, around, I was able to mentor a first year student and black students are attending all South African while repeating it myself. We both did very well!" universities and technikons; at some previously white institu- tions, black students are already in the majority. Students on these 20 other campuses have the same need for mentoring as those on the origi- nal six. Deans and financial aid officers have urged us to institute mentoring at their schools, and we would like to do so. We are approaching other foundations and corporations who could help us fulfill this need. What kinds of problems might a mentor resolve? They
vary widely, of course, and HARVEY LEIFERT involve both social and academic issues. At the nurs- MESAB mentors at the University of the Witwatersmnd in ing school of the University of Fort Hare, which as yet Johannesburg. PERINATAL EDUCATION PROGRAM Nurse-Midwives Gain Skills and Confidence with PEP
nly one of MESAB's programs assists South Africans who are already trained health professionals: the Perinatal Education Program, or PEP. Several thousand nurse-midwives in Southern Africa have already taken the self-study PEP course at their own expense. After extensive discussions with PEP's Editor-in-Chief, Dr. David Woods, MESAB has undertaken a coordination role, effective this year. Under MESAB auspices, groups of nurses at particular hospitals and clinics are encouraged to study PEP together. This, as compared with individual, ad hoc, study provides several benefits: The nurses can assist one another with difficult material. They provide encour- agement and moral support to each HARVEY L0FERT other. It is more cost effective to provide Nurse Pillay, a PEP graduate, tends to an infant in Frere hospital's neonatal essential supervision, including practical intensive care unit. exercises and examinations, to groups than to scattered individuals. And the new techniques COMMENTS FROM FRERE studied are applied to all patients at the institution, HOSPITAL NURSES providing more consistent case management. I feel more confident now, especially resuscitating MESAB provides one more incentive: we reim- a newborn baby. I do not have to wait for the doctor to burse the cost of study materials to all nurses who arrive. successfully complete either PEP manual under our auspices. This retroactive "scholarship" is an impor- tant inducement for nurses to begin—and complete— Even after 22 years of experience, it was good to review the whole picture and update my knowledge. the course, according to Dr. Woods and many of the participants themselves. MESAB also sponsors an informal "graduation" PEP helped me see things from a different ceremony and reception for each group that has perspective. I can now be of greater assistance. completed the program and passed the standardized examination. The first three ceremonies took place in COMMENTS FROM 1996 at Sebokeng, Medunsa, and East London. MEDUNSA NURSES At East London's Frere Hospital, the entire mater- nity ward nursing staff, supervisors included, took PER It's an upgrade. It reminds you of things you may Each of them had already delivered hundreds (in some have forgot or never thought important. We practice cases, thousands) of babies during their careers. Yet, better medicine now. every participant found PEP more than worth the time and effort. "I'm now mainly on the admin side," said Ms. S. Prinsloo, chief professional nurse in Frere's Our management of cases is better now. We have maternity unit, "and I felt I was falling behind. greater confidence in dealing with doctors. Students asked me things I could not answer, so I took the course. I now have much more confidence." It is nice to have this ceremony. You make an African woman happy by allowing her to study at 1 PERI = AROUND; NATAL = BIRTH; I.E.. SURROUNDING BIRTH. VOLUME I OF PEP home, without neglecting either her household duties COVERS CARE OF PREGNANT WOMEN THROUGH DELIVERY; VOLUME II COVERS INFANT or professional work. We appreciate all MESAB has CARE THROUGH THE FIRST MONTH OF UFE. done for us. KOVLER PROGRAM U.S. Doctors Confront Realities of Post-Apartheid Health Care
£,hree Bostonians shared their expertise with South African counterparts under the MESAB Kovler Exchange Program during our fiscal year 1996. Kovler participants contribute their professional services, while MESAB pays for their travel and living expenses, the latter in some instances augmented by local institutions in South Africa. The MESAB Kovler Exchange program is funded by a special grant from the THEODORE STEINMAN Marjorie Kovler Fund, which brings Jewish and Dr. Theodore Steinman (right) with South African colleagues. African-Americans together for cooperative programs in the United States and Africa, aimed Dr. Shapiro taught graduate students at the at performing vital humanitarian Universities of Cape Town, Stellenbosch, and the services while fostering good Western Cape, lead a seminar in clinical epidemiol- relations between the two ogy at Groote Schuur Hospital, and consulted with groups. individual researchers. He conducted similar Dr. Samuel Shapiro, who programs, though of shorter duration, in Durban, heads the Sloane Epidemiology Pretoria, and Johannesburg. Unit of the Boston University Although the level of interest and expertise in SAMUEL SHAPIRO School of Medicine, spent close epidemiology varied from university to university, Dr. Samuel Shapiro to three months in South Africa Dr. Shapiro left encouraged that this specialty will in late 1995. While he found develop and flourish, making a worthwhile contribu- many of the health problems he encountered tion to the health of South Africans. daunting, he was encouraged by a "new enthusiasm, The second and third 1996 Kovler participants particularly among young people at the start of their were Dr. Theodore and Carol Steinman. Dr. Steinman careers, not to complain about the difficulties, but to is Director of the Dialysis Unit at Beth Israel Hospital do something about them." and Professor of Medicine at Harvard Medical School. Ms. Steinman is a professional social worker who specializes in industrial relations and health in no way e?g,rcrjcs tty deej,£ra.t-ft>icle related issues. The Steinmans spent over a month in to r ajjiftins, #t£ iH.fnutM.cine My South Africa in early 1996. !j~sr IM.C, 1997 wiil & fiKAlvcar, sonic wtmlsx a Dr. Steinman was based at Groote Schuur Hospital in Cape Town and made visits to of hard work.. ^Personally, fffeel Johannesburg and Durban as well. He lectured it tke end sf truininf e^iMtKf w.c -fro enter one of the rnsst extensively on nephrology to hospital staff, faculty eLr, tkejrfvitne of denting ~witk stkers ' lives members, and students of the University of Cape tkew. M#Ac choices. " Town Medical School. He participated in clinical conferences, made rounds, and in general func- FARHANAH PARUK UNIVERSITY OF NATAL tioned as a member of the hospital staff. MEDICINE V PHOTO: HARVEY LEIFERT Kidney diseases, especially issues of dialysis and transplantation, are handled quite differently in South Africa, Dr. Steinman found, as compared with Boston. While part of the difference is strictly medical (and includes such factors as the influence of tradi- MESAB tional healers on patients), a more serious element is ALUMNI economics. There is simply less equipment available, NOTES... and available funds do not allow treatment of all NAME: ROHINEE RAMA patients who need advanced techniques. Dialysis, for SCHOOL: UNIVERSITY OF THE example, is not offered to patients who are not candi- WITWATERSRAND dates for a kidney transplant. This stark reality affects CLASS: 1994 elderly patients and those suffering from certain COURSE: PHARMACY MESAB SCHOLARSHIP: ailments, such as AIDS. FOUR YEARS Ms. Steinman worked with the industrial relations department of UCT to develop a policy on substance y\J ith 3,000 beds on a sprawling site at abuse by employees. She conducted a number of the entrance to Soweto, Baragwanath Hospital seminars and training sessions for supervisors and is probably the largest in Africa. By its sheer shop stewards. Ms. Steinman also worked with UCT staff on issues of women's rights and equal employ- size and case load and because of severe ment opportunity. As manager of Harvard's Faculty underfunding, it is a daily challenge to all who and Staff Assistance Program, she was able to offer work there. Yet, "Bara" is a true calling for most relevant insights into an area she found just beginning of its dedicated staff. One of them is pharma- to receive serious attention in South Africa. cist Rohinee Rama. In Durban, Ms. Steinman dealt with various Currently, Rohinee is assigned to the Total issues of economics and cultural differences as they Parenteral Unit, where she prepares individual affect medical treatment. Cultural issues included intravenous solutions for patients unable to the role of traditional healers and legal vs. "cultural" marriage. (Those not legally married cannot, for take food by mouth. Typically, she has around example, receive assistance for their families while 15 adult patients at a time, in various buildings in the hospital.) Ms. Steinman found all of South and wards, plus a dozen infants. She visits all African society to be in transition, following the of them every morning. By preparing the IV abolition of apartheid and advent of democracy. solutions themselves, Rohinee and her Like all of the Kovler participants, she found her colleagues save the hospital around $140 per volunteer work in South Africa "an extraordinary patient per day, as compared with commer- learning experience." cially available products. Rohinee says, "I always wanted to be a health professional. I like patient contact and the clinical work. Here, I see my patients every day. I can gain lots of experience at Bara that cannot be matched anywhere else. Pharma- cists do more real chemical work here. We are not just pill dispensers, although we all work in the dispensary on a rotational basis. "My MESAB scholarship was very impor- tant, as I had an elder sister who was also studying pharmacy. Then, in my third year, my father died, which was a big loss to me. To the donors, I say, Thanks. You made it possible."
CAROL STEINMAN Carol Steinman addresses students in Cape Town. 10 October 1996 To MESAB'S supporters: On behalf of President Mandela and the Government of National Unity, I would like to thank you for the role you are playing, through MESAB, in making the dream of a new South Africa a reality. MESAB Nowhere is apartheid's legacy more profoundly disturbing than ALUMNI in our unbalanced education and health system, and these are also among the most difficult and expensive to address. We urgently need NOTES... to train thousands more doctors, dentists, nurses and other health care professionals. Medical education lasts six years in South Africa, NAME: HENRYVARMCKER and due to the nature of the curriculum, tuition fees are the highest SCHOOL: UNIVERSITY OF THE of any course of study. Inevitably, those fees must rise, as the new WESTERN CAPE Government simply does not have the ability to subsidize higher CLASS: 1993 education at the level provided in the past, when it was largely COURSE: PHARMACY reserved for a priviiedged few. MESAB SCHOLARSHIP: Therefore, £ ask you to continue, and even increase, your generous support of MESAB. You have already assisted 2,500 disad- THREE YEARS vantaged youths studying to become doctors and allied professionals. You must be happy to know, as I am, that over 600 of those students have already graduated and are hard at work in the community. y\/ here in South Africa is Henry MESAB is in fact among the most effectively managed scholar- Varnicker? This young pharmacist is not simply ship programs in South Africa. Its staff works closely with universities and technikons to assure that its funds are used wisely, and they working in "the community." In 1996, he worked maintain contact with the students themselves to encourage them in 3 7 medically underserved communities in and provide moral support. You can be sure that your contribution to four provinces, and he dispensed medicine from MESAB makes a genuine difference and helps make the new South Africa a reality. what is arguably the country's narrowest pharmacy.
With best wishes, In short, Henry is the staff pharmacist on Sincerely, South Africa's Health Train, or Phelophepa ("good, clean health"), a rolling clinic that brings ProfSMEBengu high quality health care to the remotest towns of the country, as long as they have an available railway siding. (See Page 9.) When the Phelophepa position was advertised for 1995, Henry applied and won the job. He enjoyed the 3 XM a f/u'rc/jffarJMESS3'3 dentnL tkery>\/ student a work so much, he signed on again for 1996 and a yttenter. -51 few of KS started our own infvr-hial mentor will come back in 1997, for at least one more year on the rails. program, in. tke dental'faculty . They Danger students ail Why does Henry enjoy working on knvw Zf SDH. a. JMES&'B scholarski p 'wider, sv they cvm.e Phelophepa? "I see the country and meet lots of ts me for ail sorts of advice. people from many cultures who I would never JESHIKA MAHARAI learn about otherwise. We hire interpreters at UNIVERSITY OF DURBAN-WESTVILLE each stop, but I have been able to pick up DENTAL THERAPY III PHOTO: HARVEY LEIFERT enough of each local language to have simple conversations with my clients. It is important PUBLIC EDUCATION that they understand how to use the medicines I dispense." MESAB 's mission of helping South Africa achieve quality health care for all of its people "I had a scholarship from MESAB at UWC requires, first of all, that we inform Americans about in 1991,1992, and 1993. It meant a lot to me, as current conditions and efforts to improve them. This both of my parents were pensioners. We had a educational function is achieved through MESAB 's big family, and not everyone was working. But it publications, including the Annual Report, our occa- was not just the money; the mentoring helped sional newsletter, MESAB News, and Trip Reports. We too. My mentor was very important; she helped get me through. also provide information and interviews to news media, in particular such South Africa-oriented "To MESAB, thank you for all of your help publications as Juluka and Main Street South Africa. during my years at UWC. Underprivileged Under our South African Visitors program, we students can survive only with the help of arrange speaking opportunities and media contacts generous sponsors like you." for South African educators and health providers who are in the United States. Phelophepa = Good Clean Health (On Rails)
^Jriielophepa is a coined word, meaning "good, clean health" in a combination of the Sotho and Tswana languages. Phelophepa is also the name of a remarkable train that brings modern health care to remote villages and towns—37 of them this year—thanks to a unique collaborative effort among Transnet [the South African railway company), major universities, and leading corporations. A small permanent staff is augmented on a rotating basis by senior students, including MESAB scholarship holders, in optometry, nursing, and dentistry. Together, they provide medical screening, eyeglasses, basic dental work, and health education in areas where all of these are in short supply.
PHOTOS TOP TO BOTTOM, LEFT TO RIGHT: Lillian Cingo is South Africa's first female train manager. A nurse of 30 years who has won innu- merable awards, she supervises all aspects of the rolling clinic's health care operations. However, she had to attend special classes in railroading to take full charge of Phelo- phepa. Now, she is also adept at overseeing switching operations as she directs the train's movements from town to town.
At Mount Ruth (Eastern Cape), RiazAdam (L) prepares for the day's first patient while Riyaaz Barday consults with a local interpreter. Wfien the weather is good, outdoor examining rooms augment Phelo- phepa's on-board facilities.
Phelophepa parked at Northam station. It spends about a week in each place on its ambitious nine month itinerary.
Phelophepa staff members and community leaders discuss the train's services. The adjoining car contains a classroom for health education courses.
Students at work in Phelo- phepa's dental laboratory.
UPPER RIGHT: AZEEZAH SMJE OTHER PHOTOS: HARVEY LE1FERT ANNUAL AWARDS DINNER Sisulu and Soros Honored for Human Rights Achievements
"SU \j (jiving come out of institutionalized oppres- As for South Africa's transition to an open soci- sion, we need a radical transformation of our health ety, Mr. Soros said, "One has a sense of things work- system. To reach this objective, education plays a vital ing out, in spite of the difficulties." The transition, he role. We salute MESABfor the enormous contribution said, is already successful, adding, "it is really a joy to they are making in our country to address our health see success." problem." An unexpected highlight of the dinner program for many attendees was the presence of a graduate The speaker was of the MESAB scholarship program, Dr. Mpho Albertina Sisulu, long time Ratshikana.The first physician to establish a practice human rights advocate, in her rural community, Dr. Ratshikana sees 40 to 70 now a Member of patients a day, which brought audible gasps from Parliament, and perhaps some American doctors in the audience. While she the world's most famous hopes to specialize nurse-midwife. She came someday in pathology, to Washington, B.C., to Dr. Ratshikana said she receive the MESAB Award Albertina Sisulu is deferring this dream for Service "for a lifetime "until the health care of determined action at great personal sacrifice in system in South Africa the successful struggle for freedom and equality for is up to a certain stage the people of South Africa" at our Awards Dinner on where we can afford April 18. to have specialists, Ms. Sisulu shared the honors with philanthropist because we will have George Soros, who, in the words of his citation, "devel- Honoree George Soros meets enough general practi- oped a philosophy of open society and created a alumna Dr. Mpho Ratshikana tioners to take care of network of philanthropic foundations that are assist- the local community." ing the transition to democracy in 25 countries, The annual Awards Dinner is MESAB's principal including South Africa." fundraising event and attracts major corporations and foundations, as well as many committed individ- (seepage 9) really wdtcf a. differen.ce m ual donors. The 1997 dinner will take place in Washington on April 8 and will honor Helen Suzman, J>ey>le's tn'tf lyj>la.ci>t£ kenttk ca.re wit/un tkeir reach. for long years the only anti-apartheid voice in the (j,evsry,k>ca.tl:y tvu/ financially). 'We derfvetl afi-eat deal South African Parliament, and Arnold Langbo, CEO of JtersoKO.1 satisfaction jrow. tkisj,nject, and. tkis of the Kellogg Company, which conducts an exten- encouraged > Mr. Soros is MESAB's largest benefactor. His - annual one-for two challenge grant has been both an important resource in itself and an incentive to other donors, whose contributions are magnified by 50 percent through his Open Society Foundation for South Africa. He told the 300 participants in the dinner that he was particularly delighted with the success of the MESAB mentor program (see page 4). "From my own experience, I know that this is some- Dr. Louis Sullivan presents the MESAB Award for Service to thing that is really needed, and it's a very, very good George Soros. concept." PHOTOS: GOODMAN/VAN RIPER PHOTOGRAPHY 1996 MESAB Awards Dinner HONORARY COMMITTEE Honorable Joseph R. Biden, Jr. Honorable Charles B. Rangel John E. Jacob, Ph.D. Honorable Thomas J. Bliley, Jr. Honorable Paul Simon Mae Jemison, M.D. Honorable Bill Bradley Honorable Pete Stark Mr. Vemon E. Jordan, Jr. Honorable Dan Burton Honorable Louis Stokes Ms. Kerry Kennedy-Cuomo Honorable Eva M. Clayton Honorable Edolphus Towns Mr. Peter Kovler Honorable Paul Coverdell Honorable Henry A. Waxman Mathilde Krim, Ph.D. Honorable Bill Emerson Honorable Paul David Wellstone Mr. Mark Mathabane Honorable Anna G. Eshoo John E. Maupin, Jr., D.D.S., M.B.A. Honorable Dianne Feinstein Pauline H. Baker, Ph.D Honorable Donald F. McHenry Honorable Bill Frist, M.D. Honorable Marion Barry, Jr. Floretta Dukes McKenzie, Ed.D. Honorable Lee H. Hamilton Mr. Harry Belafonte Honorable KweisiMfume Honorable Tom Harkin Honorable Julian Bond Mr. Aryeh Neier Honorable Alcee L. Hastings Mrs. Alison Leland Brisco Ms. Constance Berry Newman Honorable Amo Houghton Mr. James E. Burke Herbert W. Nickens, M.D. Honorable Harry A. Johnston, II Honorable Dick Clark Leo J. O'Donovan, S.J. Honorable Nancy Landon Kassebaum Ezra C. Davidson, M.D. June E. Osborn, M.D. Honorable Tom Lantos Mr. Ossie Davis Dr. Benjamin Payton Honorable Frank R. Lautenberg Ms. Ruby Dee General Colin L. Powell (Ret.) Honorable John Lewis Honorable Lawrence S. Eagleburger Right Reverend Hays H. Rockwell Honorable Nita M. Lowey Ms. Marian Wright Edelman Ms. Linda Rockwell Honorable Richard G. Lugar Mr. Christopher Edley, Sr. Honorable Kurt L. Schmoke Honorable Jim McDermott, M.D. Professor Christopher Edley, Jr. Mr. H. Patrick Swygert Honorable Cynthia McKinney Charles H. Epps, Jr., M.D. Maxine Singer, Ph.D. Honorable Barbara A. Mikulski Mr. Abraham H. Foxman Mr. Franklin A. Thomas Honorable Constance A. Morella Ms.Whoopi Goldberg Stephen Joel Trachtenberg, J.D. Honorable Carol Moseley-Braun Justice Richard J. Goldstone Reed VTuckson, M.D. Honorable Eleanor Holmes Norton Father Theodore M. Hesburgh Tracy M. Walton, Jr., M.D. Honorable Donald M. Payne Professor Philip B. Heymann Mr. Eddie Williams Honorable Claiborne Pell Honorable A. Leon Higginbotham, Ir. Ms. Oprah Winfrey Honorable John Edward Porter Reverend Jesse Jackson CO-CHAIRS SPONSORS CONTINUED PATRONS CONTINUED Charles A. Heimbold, Jr. The Prudential Insurance Company Goodman/Van Riper Photography Bristol-Myers Squibb Company of America Alan Gordon, M.D., and Carol Zlotnick Carl Ware Silicon Graphics Inc. Grocery Manufacturers of America Coca-Cola Company Charlotte and Jack J. Spitzer Foundation Allen Herman, M.D., and Times Mirror Deborah M. Smith, M.D. J. F. Smith, Jr. Mr. Andrew Tobias Mathilde Krim, Ph.D. General Motors Corporation Korn/Ferry International Ralph S. Larsen PATRONS William E. Matory, M.D. Johnson & Johnson American Federation of State, County McKinsey & Company, Inc. Arnold G. Langbo & Municipal Employees National Association of Chain Drug Stores Kellogg Company American Medical Association The Right Reverend and Mrs. Hays H. Rockwell LodewijkJJl.deVmk James E. Burke Warner-Lambert Company Cape Classics, Inc. Reebok International, Ltd. Comprehensive Health Services, Inc. Richard and Janice Suzman VICE-CHAIRS Ezra C. Davidson, M.D. Taipei Economic and Cultural Represen- Gary C. Dennis, M.D., and Sharman W. tative Office in the United States Akin, Gump, Strauss, Hauer, and Feld Dennis, M.Ed. The Tolan Foundation Donaldson, Lufkin & Jenrette, Inc. The U.S. Fund for Leadership Ronald B. Woodard Training in Southern Africa The Boeing Company Charles H. Epps, Jr., M.D., and Roselyn E Epps, M.D. Zeneca Inc. William C. Steere, Jr. Federal Express Pfizer Inc William W. McGuire, M.D. United Healthcare Corporation SPONSORS American Association of Health Plans Anheuser-Busch Companies Chrysler Corporation Fund Colgate-Palmolive Company Glaxo Wellcome H.J. Heinz Company Foundation Henry Schein Inc. IBM Corporation Kaiser Foundation Health Plan Levi Strauss & Co. Medtronic, Inc. GOODMAN/VAN RIPEB PHOTOGRAPHY MESAB CONTRIBUTORS Olin Corporation Eugene Baiter and Judith Phillips grateful to the Otis Elevator Company David Baltimore and Alice Huang many corporations, foundations, Pfizer Inc Tom Barber and Marina Grossi The Prudential Insurance Company Donald and Klara Barford organizations, and individuals of America M. Roy and Marysia Batty who provide support to MESAB. Reebok International, Ltd. Martin Bauman Contributions received between Silicon Graphics, Inc. Dorothy J. Becker July 1,1995, and June 30,1996, Times Mirror Amy Benham United Healthcare Corporation are listed here. Joseph B. Beratlo Warner-Lambert Company S. Michael and Francine Berger Zeneca Inc. Leslie F. Bergman Stanley M. and Marion J. Bergman FOUNDATIONS AND ORGANIZATIONS Paul R. Billings CORPORATIONS American Medical Association Frank Bisase Akin, Gump, Strauss, Hauer & Feld, L.L.P. American Association of Health Plans William and Deeda Blair Anheuser-Busch Companies American Federation of State, County & Baruch S. and Jean Blumberg Antrim 1844 Municipal Employees Mary S.D. Blyth Arnold & Porter Anonymous Frank and Catherine Borris The Boeing Company Bethesda Friends Meeting Daphne and Basil Bradlow Bristol-Myers Squibb Grocery Manufacturers of America Robert Bradtke and Marsha Barnes Cape Classics, Inc. Catherine Winkler Herman Herbert and Shirley Bridge Chrysler Corporation Fund W.K. Kellogg Foundation William and Mary Ann Broderick Jonathan H. Bronsky Coca-Cola Company National Association of Chain Drug Stores Richard Brown Colgate-Palmolive Company Presiding Bishop's Fund for World Relief Comprehensive Health Services, Inc. Lee-Folia E. Brunt St. Peter's Church in the Great Valley Donaldson, Lufkin & Jenrette, Inc. Edward and Doris Burgess Soros Open Society Foundation James E. Burke Federal Express for South Africa R. Barkley Calkins General Motors Corporation Stanford Memorial Church Glaxo Wellcome, PLC Sylvan and Alice Campbell Starr Foundation Goodman/Van Riper Photography Ronnie Charleston Taipei Economic and Cultural AnthonyT. Chase H.J. Heinz Company Representative Office in the United States Karen Chew Henry Schein Inc. Texas Home Office Life Underwriters IBM Corporation Association Richard and Rhoda Christensen Jonathan and Lorraine Clain J. P. Morgan, Inc. U.S. Fund for Leadership Training in Johnson & Johnson Southern Africa Lenora S. Clark Kaiser Foundation Health Plan Barrieann C. Clifton George and Susan Cohen Denise Cooke . (jrelnkrdal, nearl&rakjsan. 1/Lnder aj>artkeid, 3 had a difficult Aldrage B. and Judith Cooper jeuti/ty (iff. Jvtyerandnwther was Chinese, tny crandfatker black. M/yfather Bruce A. and MaxineW. Cooper Mitchell and Renee Cooper was tkerehre classified as colored, but we did not fit into tke colored Monty Cosnowsky coiiuiwnity where we had to live. 3 suffered a lot of haramnen t as a child, Raymond D. Cotton Lidda R. Courtice bnt now ffjeel comfortable with teveml cultures. Gordon M. and Jacqueline C. Cragg Ralph and Carol Crawshaw 3 work withyouthr on Saturdays and have organized brotraiKjJor children W. Kennedy Cromwell Angelita L. Currie of 13 and 14, to keej, them, occupiedandoffthe streets. S'show them.jil»is or Desmond M. Dall videos in the afternoons, and in the evening, 3 arrange games or lectures. 3 Ezra C. Davidson Affie DeMoss also look into truancy issues. Gary and Sharman Dennis ELTON MELEON MADUPE Avram and Carol Dorman VAAL TRIANGLE TECHNIKON William and Phyllis Dorman BIOMEDICAL TECHNOLOGY I Edwin and Franchelle Dorn PHOTO: VTT Lucius Dorsey Alan Drabkin James and Evan Dresser Kaiser Foundation Health Plan, Mid-Atlantic Region INDIVIDUALS Thomas Drummond Howard Dubowitz Kellogg Company Cyril and Gillian Abrahams Rom/Ferry International Elizabeth Dugan and Daniel Rotrosen Steven and Sandra Amoils Donald and Augusta Easum KPMG Peat Marwick Nicholas and Dana Andrews Levi Strauss William and Donna Edmondson R.W. Apple Daniel and Marina Bin McKinsey & Company, Inc. Fiona A. Armstrong The MEDSTAT Group, Inc. Michael and Suzanne Eliastam Bridgette N. Ariza Keith and Margaret Elkon Medtronic, Inc. Patrick Ayres Network Software Associates, Inc. Charles and Roselyn Epps Adam Bagg Reginald Evans Occasions Caterers Pauline H. Baker Marjorie Ewing Oscar and Evelyn Lurie Alan Sieroty Maurice Fainsinger Alice H. Lusk Joseph and Sheila Silberstein Daniel S. Faulkner LaRue and Rita Lutkins Sabrina Simmons Edith Fierst Richard and Jing Lyman Beryl A. Slome Robert Files Ramotsumi andVelynda Makhene Arsecle D. Smith Basil and Calliope Fine Vernell Mapp Deborah M. Smith and Allen A. Herman Brian P. and Karen First Marshall F. McCallie Helmut and Marjorie Sonnenfeldt John Fisher Charlotte and Stephen Mark Mitchell and Billie Spellman Dielle Fleischrnann Edward B. Marks Alan and Mary Spitzer JohnW. Foley, Jr. Gerald J. Martin Jack J. and Charlotte Spitzer Nancy Gasparini William E. Matory Brenda B. Spriggs Helene D. Gayle James L. McCray James and Mary Ann Statman Erroll and Ruth Ann Ger Steven McDonald and Rene Smit Daniel and Prudence Steiner Godfrey and Millicent Getz Maurice and Margo McGregor Theodore and Carol Steinman Harry and Carole Glauber Lynn and Peter Meltzer Ben and Anne Stephansky Alegro and Fannie Godley M. Alan and Pamela Menter Joseph M. and Clara Stewart Linnie Golightly and Duane Smith Sylvia Meyer Crystal Stevenson Alan Gordon and Carol Zlotnick A. Miller Charles R. Stith and Deborah B. Harold and Mary Grimes Martha Minow Prothrow-Stith Bernard and Marie-Jeanne Gwertzman Charles Mitchell Frank C. and Caroline C. Strasburger Maureen Hack Renee Moise Herman F. Stringer Erroll and Julia Hackner Eddie Lee Moon Louis and Ginger Sullivan Tyronne Hamlin Amirah A. Muhammad Erica Summenson Morella Hansen Inez Murray Arnold and Marge Sundgaard Orval and June Hansen Clay and Liz Myers Stephen R. Sundgaard Adella and David Hansford R.A.M. and Gillian Ann Myers Richard and Janice Suzman David Helfet Woodrow A. and Debra J. Myers Sheila Swartzman and Kenneth Bloom George and Anne Heller Betty Nathan and John Burton Peter and Eleanor Szanton Thelton E. Henderson Robert R. Nathan Bernard and Charline Tabatznik Philip B. and Ann R. Heymann David W. Nelson Lisa Terrell Donna Hill-Cain Richard S. and Carol C. Newman Bezelle Thomas Gregory M. and Kimberly Hiura LinaT. Ng Franklin A. Thomas Karen Hofrnan and Daniel Bradlow Donald R. Norland Inez Thomas William and Theresa Houston Leonie Nowitz Olivia V.Thomas Diane Hurwitz W. Paul O'Neill, Jr. Karl Thompson Aaron Jackson Caroline O'Neill Melvin L. Thompson Greta Jackson Adrienne Oleck W. Mcllwaine and Elsie Wilson Thompson Howard Jacobson Theodore and Sandra Oleck James and Emily Thurber Natalie Jaffe Julian Oliver Daniel and HadassahThursz Walter and Laura Jenkins Clinton and Ethel Olson Andrew Tobias Barabra L. Johnson Selwyn and Laura Oskowitz Michael and Carol Tolan Ronald Jones George C. Paine John and Gillian Trattner Gail Kaiser and Mark Anderton Robie M.H. Palmer Heinz and Nancy Valtin Herbert Kaiser Ellen M. Pechman Lillian M. Vaughan Joy D. Kaiser W. A. and Carol Pemberton DavidS. Vine Paula Kaiser Alvin and Ellen Perlman Ronald Walters Philip and Hannah Kaiser Donald and Julieta Petterson Consuela M. Washington Roslyn Kaiser Lemeul Pierce LeviWatkins Morris and Shirley Karnovsky Vivian Finn Cornelius Weaver Donald and Robin Kennedy Denise Pitchford Josiah and Ruth Wedgwood William Knaus Sol and Kay Polansky Michael Westwood Teena L. Knox Vipin E Popat Eddie L. White Anthony and Lydia Komaroff Dwight and Adele Porter Alan and Janet White Rose and Harold Kramer Thomas 0. Pyle Margie Wilber Karen Kramer and C. L. Rechtschaffen John F. and Ruth N. Reichard William and Wanda Will Wendy Krasner Joyce G. Quinn Alan and Irene Wurtzel Mamie Kresses Alan and Laurie Reinstein Carolyn L.Yancey Norma Kriger Hays and Linda Rockwell Asa G. and Carolyn Yancey Mathilde Krim Mildred Rodstrom Arthur H. and Laurel G. Yancey Helen Ladd Barbara Rogers Joe B. Young Matt L. Lane Timothy Rowe Terrilyn Young Cato and Cynthia Laurencin Jack and Edith Ruina Alan J. and Marilyn Zuckerman LaSalle and Ruth Leffall Martin and Jana Salwen Harvey I. and Claudine B. Leifert Elizabeth M. Saunder CONTRIBUTIONS WERE MADE Demetrius Leverette Samuel Shapiro and Sheila Morse IN MEMORY OF: Dion L. Logan Ronald Shapiro Frederic Burger Paul Vincent and Sally S. LoVoi Livia Ann Shirkey and Ngozi Okafo Doris Cosnowsky Alan and Susan Lukens Robert C. Shumpert Lillian W. Leifert 1996 MESAB SCHOLARS Kubendran Govender, Natal Audrey Makua, Mendusa, Sullivan NAMED SCHOLARSHIPS Magenthran Govender, Natal Tjadi Idah Makulubane, UOFS Lashanathan Govender, Unitra Molotihanyi Benjamin Maloka, UOFS Certain MESAB students were awarded Vic Govender, Natal M.M. Mamabola, UCT special scholarships and are so identi- Ravichandra Chinsamy Govender, Natal Solomon Fhatuwani Managa, UCT fied here. These named scholarships Morganayagi Govender, Natal Simon Umlungisi Mangcwatywa, UCT result from special contributions or Terence Govender, Wits Hansrat Mangray, Natal grants to MESAB or MESAB/South Prashini Govender, Natal Ayesha Abdool Khalek Mansoor, Wits Africa from Adcock Ingram, the Coca- Nhlanhla Marco Gumede, Natal Lorna Maphuthuma, Wits Cola Company, the Kellogg Company, Melvin Charles Harmse, UOFS Carl Nicholas Marais, Mendusa MESAB's Board of Directors (Louis Ndabuko Hamilton Hlatshwayo, Natal, USAID Moseki Obed Marakalla, PU Sullivan Scholarships), and the U.S. Nazreen Jeewa Hussen, Wits Dhesigan Mari, Natal Agency for International Development Sujay Ishwarlall, Natal Evelyn Christene Marimuthu, Wits (USAID). Moegamat Samier Jacobs, UCT Dorothy Nonvuyo Martin, UCT Nazeem Jacobs, UCT Mlindeli Antony Masango, Natal Jonabelle Amalia Jansen, US Mduduzi John Mashabane, Wits N.E Jansen, UCT Khomotso Mashilane, Natal, Sullivan MEDICINE 255 Prashant Ganpafram Jeram, UCT, USAID Conrad Daniel Mashiloane, Natal Suleman Aboobaker, Mendusa Jolene John, Natal, USAID David Tshidiso Masupe, Natal Johan Christopher Abrahams, US Sujeeth Jeewan Jooravan, Mendusa Shaheed Mathee, UCT Zaahir Abrahams, Natal Julie David JnJies, US Maropeng Matswiki, Wits Valentine Zane Alley, Natal Vemon Jacques Julius, US Madeleine Maria Martha Mayer, Unitra Tasneem Ameer, Natal Dhanesh Juta, Mendusa Bongani Mazibuko, Pta, Coca-Cola PreianathanArmogam, Wits Nadir Omar Kana, Mendusa Mbogeni Mbalana, Natal, Coca-Cola Lashika Athmaram, Natal Harisha Karpath, Natal Mduduzi Benedict Mbeje, UCF Viren Sukhra] Kasipersad, Natal, USAID Thamsanqa Emanuel Mbele, Unitra Litha Mboyana, Unitra Zandile Lulama Mbuyisa, Natal JMy JMES&'S fclwteirjkip kaj HKclimbteiltyjsrffYcn fa /it ajsowerfxl life-line Ziefred Desmond McConney, US wksck, ktufired. >nc vjitk brimful of maffyettien and CKtfutf/asw. fs jtwly kurd Gerald Nhlanhla Molalose, Mendusa, USAID Ntombozuko Mehlomakulu, Unitra Mid. consistently to n'n.tKa.lly serve my csmnutn/'fy. C/ ska.lt be eternally Steven Meyer, US Hamza Mima, Natal grateful to >ity hcn.efa.ctor, JMES&'B, aj well us )ny a.l>nx. mater, Madoda Colin Mkhize, Natal S.B. Mkhize, UCT RTTESH MANILAL SINGH Bongani Joseph Mkutshulwa, UCT MEDUNSA Daphney Rebone Mmude, Mendusa MEDICINE IV David Vusi Mndebele, Mendusa PHOTO: MEDUNSA Nkanyezi Ronny Mnisi, Mendusa Xolani Osborne Mnyandu, Natal Nikki Sue Baatjes, UCT Palesa Nomusa Mogane, Pta, Coca-Cola Pakamisa Nicholus Badela, Mendusa Lynelle Anne Kenneth, Natal, USAID Samuel Selatudi Mogashane, Wits Raksha Balbadhur, UCT KA. Kgomo, UCT Placid Thabo Mokotong, UCT, Sullivan Yakesh Baldeo, Unitra L.T. Khalo, UCT ItumelengJacobethMolefe, UCT Zohra Bibi Banoo, Wits, Coca-Cola Sumaiya Ebrahim Khan, Natal Sabashlni Moodley, Mendusa Gloria Jacqueline Behr, US Ighsaan Mahmood Khan, Wits Kogilam Lisa Moodley, Wits Shalesh Bhana, Wits Setswakae Dorah Khoele, Natal Deshinee Moodley, Natal Yhandwa Basil Biyela, Natal K.D. Khonke, Wits, Adcock Ingram Surendhren Moodliar, Natal Ashton Richard Boggenpoel, UCT Melanie Kirsten Kleinschmidt, UCT Zuber Moola, Natal Sayeuri Buddu, Natal Ameesha Kuarpersad, Wits, Coca-Cola Zakaria Moolia, Unitra Catherine Nomaliza Bulana, US Simlatha Lachman, Natal Denrick Gershwin Moos, US Sithokozile Lindiwe Buthelezi, Natal Pravesh Maganlall Lakha, Natal Matlagold Mosa Moshabela, Natal Gerald Cyril Butsile, UOFS Naresh Lalslngh, Natal Lehlohonolo Benedict Mosiroe, Natal Joleen Patricia Carincross, US Mogu Godrey Lamola, Natal G.M. Motala, Natal, USAID Ashley Deon Chengadoo, Wits Cahirty Lorato Langa, UCT Millicent Nanikie Motau, Mendusa Shadrack Chesiwe, Mendusa Carmen Abriette Lategan, US Sooraj Ramith Motilall, Mendusa Vaneshri Chetty, Mendusa Wesaal Latief, UCT Gaolatlhoe Victor Motlhale, Mendusa Nivesh Ashok Chotey, Natal L.P. Ledimo, UOFS, Adcock Ingram Magdeline Motshelabola, Wits, Coca-Cola Bevan Merrick Choudree, Natal Afaaf Liberty, US M.J. Mphahlele, UCT Manesh Mohanlal Chunilal, Wits Quonita Losper, UCT Grace Ntombikayise Msimanga, Mendusa Saajida Dawood, UCT Genevieve Valencia Loitering, C7S Xolisa Msutu, Unitra Vivesh Dehal, Wits Bubele Stanley Lungiso, UCT Luvuyo Reginald Mtongana, Natal Namasivayan Dharmalingam, Mendusa Primrose Mabale, UCT Thomas Mtshali, Wits Shabnum Dhooma, Mendusa Refllwe Glenda Madi, Natal David Sanyana Mtsweni, PU Zolani Cyprian Diko, Unitra Thamsanqa Madliwa, Mendusa, Sullivan Samantha Naidoo, Natal Fransisca Xolisile Dladla, Natal Zoleka Mafuyan, Unitra Oshadhesa Naidoo, Natal Princess Nokuphilia Dladla, Natal Nokwazi Ethel Magaqa, Natal J. Naidoo, Mendusa, Adcock Ingram Imraan Essack, Natal Reshmi Maharaj, Natal Richard Nandagopalan, Natal Kelebogile Lorraine Finger, UOFS Roshen Chathram Mahara], Wits Rosie Ndlovu, Natal Pelisa Ford, UCT, Sullivan Jan Jubulani Mahlangu, Pta, Coca-Cola Lindiwe Pretty Ndlovu, Pta, Coca-Cola Ntombikayise Faith Fort, Mendusa Luthando Mahleza, Natal, Coca-Cola Nozibongo Ndzamela, Unitra Rebecca Leony Fourie, Pta, Coca-Cola Mubin Mahomed, Natal Maxwell Solomuzi Ngcobo, Mendusa, Sullivan Aloysia Paula Galo, Unitra Jessica Maistry, Natal Mzwakhe Phineas Nhlapo, Transkei Vukani Petros Gambushe, Natal Makata Gedion Makakase, Mendusa Yandiswa Nkalane, Unitra Clement Wesley George, US Topolio Sentebaleng Makate, Wits Sebolelo Jane Nkhebenyane, UOFS Nompumelelo Ethel Gogo, UCT Thema Oscar Makhubele, Natal Paul Corlet Mohanoe Nkhobo, UOFS N. Goolam-Nahyoodeen, Natal, Adcock Goodman Mduduzi Makitini, Natal S. M. Nkosi, UCT Ingram Phuti Titus Makokga, Natal Sydney Bongani Nkosi, Natal, Coca-Cola ABBREVIATIONS UNIVERSITIES University of Cape Town UCT Sbongile Nkuna, Mendusa Nozuko Edith Binjana, Unitra University of Durban-Westville UDW Lulamile Elone Nkuna, Wits Thandeka Nicholin Bodlo, UFH University of Fort Hare UFH Rochelle Fredelene Noble, US Sindisiwe Faith Buthelezi, Natal Medical University of Lwazi Knowledge Nongogo, Unitra Rangani Donald Chauke, Mendusa Southern Africa Mendusa Bukiwe Nqeketo, Unitra Yvonne Ntombenhle Chiliza, Natal University of Natal Natal Bongani Burns Nqini, Mendusa Wasfie Cupido, UWC University of the North Unin Pauarone Nzubeko Ntombela, Natal Cikizwa Davashe, UFH University of the Northwest UNW Xolani Charles Ntshangase, Natal Chuene Monica Dinyake, Unin, USAID University of the Serati Enock Ntsimane, Wits Cynthia Ntombizonke Dubula, Unitra Orange Free State UOFS Lindani Wilson Nyawose, Natal Beatrice Nomabaca Gcolotela, Unitra University of Port Elizabeth UPE Nirvana Panday, Natal, USAID T. J. Gezane, Unin, USAID Potchefstroom University PU Lameze Parker, UCT Nyansio Ezra Goje, UWC University of Pretoria Pta Farhanah Paruk, Natal Keshine Gopal, Natal Rand Afrikaans University RAU Sonal Chimanlal Patel, Wits Sierra Nikwayo Gqangeni, UFH Rhodes University Rhodes Maya Nathu Patel, UCT Josephine Nombini Guma, Unitra University of Stellenbosch US LeonYaseen Perumal, Mendusa, USAID Pakama Bulelwa Gwe, Unitra University of the Transkei Unitra Komala Pillay, Natal, USAID Zimasa Gxagxisa, UFH University of the Western Cape UWC Maletjane Sylvia Pitswane, UCT Nqabomzi Harry Gxaleka, UFH University of the Witwatersrand Wits Mamoswera Pooe, Natal Patience Sabani Fflongwa, Natal Kashmira Purbhoo, Wits Gadieja Jappie, UPE TECHNIKONS Vuledzani Charles Ramaremisa, Mendusa Roseline Marilyn Jones, UWC CapeTechnikon CT Sheena Ramdhani, Wits Matshediso Juda, Wits Mangosuthu Technikon MT Shiven RamMssoon, Natal Zonzwane Andrew Kgagodi, Wits ML Sultan Technikon MLST Nivana R. Ramlachan, Mendusa Glorious Nompumelelo Khanyile, Natal Technikon Natal TN Veena Ramson, Natal Lindiwe Khola, Natal Technikon Northern Transvaal TNT Alwyn Phutiane Rapatsa, UCT Sizakhele Lucia Khoza, Wits, USAID Technikon Orange Free State TOPS Malisha Edward Ratsomana, Natal Zanele Angeline Khumalo, Natal Peninsula Technikon PT Jenendhiran Reddy, Mendusa Constance Ipopeng Kimane, UNW Vaal Triangle Technikon VTT Visvakumaran Reddy, Natal Welheminah Mmaksobane Kolokoto, Mendusa Technikon Witwatersrand TWR Anushka Reddy, Wits Xolelwa Koncoshe, UFH, USAID Sugania Reddy, Wits Nyameka Julia Krwala, UFH Megan Amelia Rensburg, US Glenrose Mbali Kumalo, Wits Allistair Donavan Saayman, US Agnes Masetunku Lephuthing, UWC Cornelius Wiseman Nxumalo, Natal T.S. Salanyane, Pta, USAID Sepalo Rose Leputu, Mendusa Melanie Lucil Oliphant, UWC Munira Fakir Saleh, Wits Duduzile Luthuli, Natal Helena Magrieta Pienaar, UWC Edwin Ryan Sampler, Pta, USAID Pumla Grace Mabovula, Natal Loyiso Brian Qomfo, UFH, USAID Farzana Sayed, Wits Lawrence Tsangwakulala Mabunda, Wits Malefu Gertrude Ramasodi, Wits Elisha Melony Seale, US Maseterata Martha Mabusela, Mendusa Vuyiswa Hazel Rashe, Unitra Edwin Oupa Senamela, Pta Thokozani Jeffrey Madonsela, Wits Odette Agatha Satram, UCT, USAID Raniel Seolall, Wits Nontsikelelo Majuba, Natal Jerome Schippers, UWC Sudesh Sewmungal, Natal Nomlindo Benedicta Malinga, UFH, USAID Molemoeng Martha Shebi, UWC Llindelani Godslove Shezi, Natal Sylvia Manganye, UNW Gugu Cresentia Shozi, Natal, Coca-Cola Paulos Memezi Sibiya, PU Doris Lesego Mannathoko, UNW Sindiswa Valencia Sibindlana, Unitra Ritesh Manilal Singh, Mendusa Mashao Maropeng, Wits Thomas Sihlangu, Natal Khamini Singh, Mendusa Johanna J. Mathe, Mendusa, USAID Sibongile Sithole, Natal Saveena Singh, Natal Suzan Mosadiotsile Mathole, UNW Pearl Siwela, Natal Nonhlanhla Catherine Sishaba, Mendusa Lauretta Mammfolo Marjie, UNW Jolene Elizabeth Slavers, UWC Thobile Sithole, Unitra Motlokwa Maria Matshe, UNW Gugulethu Pearl Sokhela, Natal, Coca-Cola Rudolph Tsietsi Sithole, Natal Calebi Mongesi Mawonga, Natal Stella Sikelelwa Stali, UFH Thabo Christopher Sizani, Mendusa Makhosonke Mark Mbalulu, UPE Sabelo Robert Tango, Wits Thawen Piet Skosana, Mendusa Zakheleni Vincent Mbambo, Natal Julia Namisile Thusi, Natal Peter Petros Skosana, Pta, Coca-Cola Khayalethu Livingstone Mbatyazwa, UPE Helen Jo-anne Van Graan, US Charlotte Sriruttan, Wits Maxwell Mbele, Natal Pearl Christine Van Niekerk, UWC, USAID Nommso Nelisa Stubbs, UCT Ivy Lindiwe Mbulawa, Unitra Gugu Aretha Vinkumbo, UFH Theresia Mathoto Talane, Mendusa Felicity Mmashadi Mejelo, Wits AudreDeidreWessels, US Byron TembaTheron, UCT Vuyiswa Octavia Melk, UNW Sheila Margaret Williams, UWC NasheetaTheunissen, UCT Victoria Thabsile Mhlongo, Natal Josephine Williams, UWC Justice Sebastian Thomas, Unitra Vamisile Florine Mhlungu, Natal Sibongile Rose Zulu, Wits Thobile Thabiso Thusi, Natal NonhlanhJa Mkhize, Natal Nokuthula Sentokuhle Zungu, UC7~, USAID Farzana Timol, Pta, Coca-Cola Precious Mkhize, Natal Thapelo JohnTuoane, Natal, Coca-Cola Daphne Zizo Mlota, Unitra PHARMACY 65 Tina Timothy Twetwa, Mendusa Dorcas Mapaseka Ginah Modimogale, UNW Yogendra Ankiah, Rhodes, Coca-Cola FatimaVally, Pta, Coca-Cola Shadrack Tshwenyana Mogoru, Mendusa Ahmed Atiya, Rhodes, Coca-Cola Cornel Peter van West, UCT Portia Gaadirelwe Mokgobinyane, UNW Twinkle Bagwanth, UDW TrushaVanmali, Mendusa Nthabiseng Eugenia Mokoena, Natal B.N. Buna, UPE, Adcock Ingram Irvin Richard Vereen, UOFS Mohale Joseph Moloi, Natal Aadil Sayed Abdool Kader Camroo, Rhodes KwaneleVuza, Unitra G. Judith Mookaneng, Natal Fadeela Dangor, PU Terence Ralston Warries, Pta, Coca-Cola Seibopo Francinah Morake, UNW Hoosen Yunus Dawood, Rhodes, Coca-Cola Gaenor Catherine Weilbach, US Modipadi Motedi, Natal Avinash Dhaniraj, Wits Nathaniel William Wilson, US Mokgadi Athah'a Mphasha, Unin Boitumelo Nelly Dichabe, PU Thembisile Ephraim Mtati, UFH P.T.E Dlamini, UWC, Adcock Ingram NURSING ill Mduduzi Aubrey Mzimela, UWC, USAID Andre Fielies, UWC V.K. Aphane, Unin, USAID Priscila Balungile Mzolo, Natal, Coca-Cola Nkosisiphile Siphesile Gumede, UDW Noceba Antonia-Mary Baba, Unitra Nicholine Siphiwo Ndiovu, Natal Naeema Haffejee, PU Michelle Barthasarthy, Natal Constance Conny Ndobe, Mendusa Afzal Ismail, Rhodes, Coca-Cola Shaistha Bashir, Wits, USAID Pini Andries Ngwenya, Mendusa Ameen Ahmed Hassen Jeebhay, UWC Edwina Phillipine Basson, UWC Daphne Nomtandazo Ngxenge, Unitra Leverne Renay Jonas, UPE Lugelwa Dephney Bika, UFH L. Nsibanyoni, Unin, USAID Heena Kanji, PU Kamani Kisten, Rhodes 1996 MESAB SCHOLARS CONTINUED PHARMACY (CONT.) DENTISTRY 46 PHYSICAL THERAPY 41 Petunia Nthabiseng Leseka, UWC Mogamat Sedick Adams, UWC, USAID Nureesah Abdurahman, UWC, Coca-Cola Dewet Sekaloka Lesenya, Wits Yunus Akhalwaya, US MadigahBakardien, UCT, USAID Moeketsi Samuel Letlala, PU NadiaArmien, US Naomi Genevieve Cupido, UWC, Coca-Cola Tebogo Joyce Mabeleng, Wits Riyaaz Ahmed Barday, UWC Madoda Lulamile Dayi, UWC Fanelesibonge D. Madela, UDW Carla Merle Bruyns, UWC Shantal Kashal Desaraj, Wits Faith Cebisiie Madi, Wits Sahide Ahmed Choonara, Wits, Coca-Cola Thuso Eric Dikgole, Wits, USAID Phethogo Madisna, UDW Glynis Amanda Denicker, UWC Shanaaz Essop, UDW Mzwabantu Mahola, UWC Hafiza Ebrahim, US MogamadAchmat Isaacs, UWC, Coca-Cola Nthule Abel Mahudu, Unin Ntombenhle Gwyneth Gobhozi, Wits Dumelang Ben Lekoko, Mendusa, USAID E.N. Makhanya, UPE, Adcock Ingram Carmen Tracey Gordon, UWC Malose Moses Lelaka, Wits K. Markus, UWC, Adcock Ingrain Mohamed Nayim Hassen, Wits Pamela Nonzwakazi Links, UWC Maleko Johannes Mashiane, PU Yusuf Jadwat, Mendusa, USAID Elda Delissa Lubbe, US, USAID Bertha Matlhole, Wits Frances Arleen Joseph, US L.H. Macikama, UWC, USAID Kidwel] Matshotyana, UPE Lisle Eugene Lewis, US Sibonisile Precious Makhathini, UWC Robert VelaphiMnisi, UDW Michelle Dionne Lyners, US Mashalaba Joel Makhwangeni, UWC Nontsikelelo Constance Moeketse, UWC Earl Ari Mac Kriel, US Deliwe Ethel Malgas, UWC Alfred Moloko Mokoditoa, Unin Phumudzo Stephen Machaka, Mendusa Asheka Mangera, UWC, USAID Miriam Mokoka, Wits Shuaib Rasheed Mahomed Akbar, Wits Matome Moses Mashao, Wits D.M. Mosehla, Unin, Adcock Ingram Motshidi James Mailula, Wits Ashley Charles Matthews, UWC, Coca-Cola Maureen Dudu Mthembu, UDW Mduduzi John Mashabane, Wits, Coca-Cola Theminkosi Christopher Mengu, Mendusa Vishnu Munien, UPE Ntokozo Masilela, Wits, Coca-Cola Zimasa Mkokeli, UCT Colin Naidoo, Rhodes, Coca-Cola Lebakang Mataboge, Wits T.K. Mofokeng, UWC, USAID Vaneshyeri Moodley, Mendusa Raveena Moonasur, UDW Moshe Nicolus Motau, Mendusa & ean-Jrotti JvtpmtiaUnea 'Province and do volunteer work in what O Nondwe Bongokazi Mtwana, UWC would call career guidance. 3 hclpj>oint kish school students toward Yanam Naidoo, UDW Amanda Naidu, UWC appropriate careers, fill out scholarship applications, and 3 organize visits I. Ndlovu, UWC, USAID Thandeka Nozipho Ndlovu, UWC, USAID tv the Itniversity of'Pretoria tv see the faculty ofJvtedicine. The Bornaventure Khonangenkosi Nyawo, UDW Shane Ontong, UWC, Coca-Cola j-acutty nemJiers are very su^Drtive. 'Prof. ^Jacobs, a guidance counselor, Anju Patel, UWC, Coca-Cola irwided 3Z-1,800 [$400] for the bus from. JvitrUJtiatanza; participating, Hayley Candice Pillay, UDW Avisha Ramaloo, UDW students paid nothing. The faculty provided snacks for the one-day visit. Tshegofatso Rampou, UC? Jostina Moshabi Sithole, UDW Mbuyiselo Daniel Tasana, UWC, USAID $£Vt other yttedicat students to help as well. Actually, ff am. keLpins, Ronel Nerine Terhoven, UWC, Coca-Cola hieh school students toward vario us careers and schools, net Just medicine M.D. Tshabalala, UCT L.T. WilUams, UWC, USAID and. 'Pretoria. 3 an career oriented and am working toward establishing OCCUPATIONAL THERAPY 31 open days at universities and. tecknikjonsfor ruralyouths. Colandy Megan Arends, UWC, USAID Tanya Lizette Davids, UWC PETER PETROS SKOSANA Gerarad Charl Fillies, UWC, Coca-Cola UNIVERSITY OF PRETORIA MEDICINE n Jolene Jeromia Hartman, UWC PHOTO: HARVEY LEIFERT C.R. Jehoma, UCT, USAID Nadira Khan, UWC Sherleen Khedun, UDW, USAID Neevashnee Maharaj, UDW Ncumisa Cleopatra MaMta-Kita, UWC Bogani Mathews Ngobese, UWC Busiswe Felicity Mathibela, UWC Lefuno Kenneth Mbedzi, Mendusa Mlungiseleli Peter, UPE Sizeka Robert Maweya, Pta Charlyn Gladys Minnie, US Mamohau Eunice Phajane, PU Pitso Fairbridge Mogoregi, Mendusa Nomonde Mjoli, UWC Masipa Peter Puka, Unin Maria Monyebodl, Mendusa Success N. Moagi, Mendusa, USAID Bina Rama, Wits Kesenogilenyana Motshelabola, Wits Modise Johnson Mogotsi, UCT Shanil Ramdhany, Wits Owen Louis Msimango, Wits Zukiswa Msengana, UWC S. Ramith, Rhodes, Adcock Ingrain Sibusiso Rockfort Mtetwa, Wits Jeremiah Muizenhetmer, UWC Veethendra Rajmohan Rampath, Wits Militsoe Alice Paulina Ntilane, Mendusa Leighann Naidoo, UDW Natasha Ramraj, UPE Neelandhri Padayachee, Wits, Coca-Cola Munyadziwa Victor Nnetshiendeulu, UCT Portia Moloko Rangata, Wits Zaheer Parker, US Petrosia Nontsindiso Ntlahla, UWC Nohere David Rasebotsa, Unin Shireen Parker, UWC Lorraine Ntshona, UWC Rahendhree Reddy, UPE Vinayagie Premviyasa, Wits Solomon Sonae Nyathi, UDW, USAID Anita Rohith, Rhodes, Coca-Cola Mashadi Rosemary Radebe, Wits Manoranjie Odayar, UCT S.A. Serage, Unin, Adcock Ingram Nishana Rajbaran, UWC, USAID Ulrica Lizette Oliver, UWC Seeletsi Sinah, Wits Azeezah Salie, UWC, USAID Zerina Parker, UWC Adhir Mohan Singh, Wits Noorodien Salie, UWC S.D. Sebone, UC7", USAID Pratibha Sobrun, UDW Lavern Samuels, Wits Lizahn Gracia Smith, UWC Theodora Ntombebhongo Sondiyazi, Wits Mosimane Peter Silas Sethusa, Mendusa Celeste Deirdre Maria Taylor, UWC Arifa Suleman, UDW Delisa Johan Sibeko, Mendusa BabalwaTshaka, UWC Altaaf Suleman, UDW Yuvraj Singh, Wits Sylvia FezekaWakashe, UWC Micheli Jenene Thomas, Rhodes, Coca-Cola Gladys Ditokologo Tladi, Mendusa Christopher LuvuyoWana, UWC Brenton Ian VanVrede, Rhodes, Coca-Cola Yatin Balwantrai Manilal Vassanjee, Wits MandlenkosiYoyo, UWC D. Vengadejellum, Rhodes, Adcock Ingram Ntombizonke Josephine Zibi, Mendusa Grant Williams, UWC, Coca-Cola Jonathan Denis Ziegler, UWC Fernando Ruan Williams, UWC OPTOMETRY 30 Lebogang Francis Mogongoa, TOPS Jennifer Geraldine Cloete, PT Magdeline Mary Mokogotho, TNT Lynette Damonse, PT Anoosha Baruth, UDW Thokokzile Esther Mshabi, TNT Lizette Angela Du Plooy, PT Janah Hleziphi Buthelezi, RAU Nomakhosi Regina Mtsweni, TAT Sindiswa Princess Gabu, TWR Xolani Predencious Dlangalala, UDW Virginia Takalani Mudali, TNT Bonginkosi Hlongwa, TWR Amod Enver Ismail, UDW lindiwe Portia Mvelase, TN Ronell Josephs, PT Mbulelo Pedro Kawa, UDW Daniel Moretele Rakhothule, TNT Michelle Lombard, PT Naeem Kazi, UDW Marcia Johanna Rhode, PT Liau David Mahloko, PT Elexandra Takane Kgope, Unin Florah Makhanana Shibambo, TNT Erwain Thysie Meyer, PT Eckson Miringo Mabasa, Unin Senzo Siyabonga Sibiya, MLST Thamsanqa Hamilton Mlotshwa, 77V Sajida Bibi Mahomed, UDW Guglethu Princess Sithole, TN Norman Khutsafalo Nkau, OFST Valerie Marine, RAU Estelle Marlize Steyn, PT Xolani Christopher Skiti, 77V Godisaone Edwin Matsietsa, UDW BoitsholoJullierteTlhomelang, VTT Obakeng David Tau, TOES Bonga Mdlungu, RAU Ephraim Aobakwe Tsikang, PT Johannes Titimane, PT Nonoceko Britannia Mgilane, UDW GcobisaXayimpi, PT Thabile Daphney Zwane, PT Shirley Nancy Raesibe Mmowa, Unin Karel Mokgatlhane, RAU ENVIRONMENTAL HEAJLTH 25 RADIOTHERAPY 10 Sophie Dikeledi Mokwena, RAU Magalela Andile Mtshali, UDW Lanie Magdalene Bartlett, PT Fatima Bhyat, TWR Rendani Eugenia Netshivhuyu, UDW Nonhlanhla Perserverance Cele, MT Vanessa Veronica Green, TWR Sibongile Desiree Nkutha, RAU Jabulile Gasa, 77V Adelina Diketso Kometse, TWR Jayshree Father, UDW Lindiwe Hlongwane, 77V Francina Madou Mathole, TWR Pregashni Pillay, UDW Virendra Hurdeen, MLST Sesana Mbatha, TWR Morgni Pillay, UDW Nontsikelelo Juqula, MT Manpebe Adelaine Mmapli, TWR Charmaine PiUay, UDW Yasmeen Khan, TWR Padidi Louisa More, TWR Suloshini Pillay, UDW Bhekisisa Bright Khumalo, MT Nandisha Isabella Ngubevana, TWR Adrira Ramharry, UDW Josephine Masebelo Koape, TAT Sharon Fiona Richardson, TWR Magamad Sigaj Salie, UDW Sibongile Mabaso, CT Thembisa Veronica Tyala, TWR Siphodi Conference Serumula, Unin Philimon Musa Mahlatji, 77VT Niravana Singh, UDW Salamina Queen Mahlatsi, PT HEALTH EDUCATION 8 Reshanee Devi Singh, UDW Moses Moshe Mareko, TOPS TozamaKula, Unitra Diane Beverly Wallace, UDW Granville Lindon May, TWR Mooketsi Humphrey Maluleke, Unitra Zamozuko Mbane, TOPS Nomvuyiseko Maqokolo, Unitra BIOMEDICAL TECHNOLOGY 29 Nkanyiso Bernard Mbatha, MT Kuselwa Nake, Unitra Renay Jean McPherson, PT Christian Achmat, PT Nobuntu Ncita, Unitra Paul Moonsamy, MIST Wayne Louellyn Alexander, PT Hilda Noludwe Nonkeneza, Unitra Aurah N. Msani, TN Sheila Mavis Digoro, NT Yvonne Nokwanda Ntantala, Unitra Silindile Louisa Ndlela, MIST Audrey Gail Isaacs, PT Lovemore Sigqibo Tilcilili, Unitra Mawaka Godslove Phakathi, MT LiandaThobeka Sindiswa Madondo, PT Tshediso Anthony Rahlao, TOPS Elton Meleon Madupe, VTT DIET AND NUTRITION 4 Kajal Karamraj Seevaparsaid, 77V Netty Octavia Malatsi, TWR Sifiso Raymond Shangase, MT Lindiwe Eunice Dlamini, Mendusa Thulile Goodness Malinga, TN Fimdisiwe Patience Sigubudu, MT Mmatlhako Ruth Khonothi, Mendusa, Kellogg S. Manichander, TN Baleseng Mokoena, Mendusa Anthony Bongani Manyoni, TN RADIOGRAPHY 18 Vivian Motlagomang Moremi, Mendusa Mosidi Calphurnia Maraba, VTT Sihle Nkosinathi Mdluli, 77V Rodaybah Adams, PT SPEECH AND HEARING THERAPY 4 Samuel Masilo Mmusi, TNT Azalea Lucasta Africander, PT Ruth Mohlouwane Moepadira, CT Evelyn Diane Beukes, PT Kanthi Devi Dukhan, UDW Naseema Banu Kader, UDW Jeanette Hluphi Khumalo, UDW 1996 Students By Discipline Kamini Naidu, UDW DENTAL THERAPY 3 37% MEDICHSIE Jeshika Maharaj, UDW 16% Lungile Mahloba, UDW NURSING, NikiweWinnifredMpambane, UDW 11% PHYSICAL, PUBLIC HEALTH 3 OCCUPATIONAL, SPEECH AND Yoliswa Loretta Booysen, PT HEARING THERAPIES lanine Michelle Botha, PT Constance Nikiwe Mbombi, PT 9% PHARMACY COMMUNITY NURSING 2 7% DENTISTRY Cecilia Elizabeth Betha, PT Marjorie Lulekwa Mtshiselwa, PT 7% BIOMEDICAL AND DENTAL LABORATORY DENTAL TECHNOLOGY 2 TECHNOLOGIES 6% Shamia von Doorze, PT ENVIRONMENTAL Leonore Williams, PT AND PUBLIC HEALTH AMBULANCE AND EMERGENCY CARE i OPTOMETHY Kasenthiren Moonsamy, 77V 3% OTHER HEALTH ORAL HYGIENE i PROFESSIONS Xoliswa Cynthia Baleni, UWC FINANCIAL STATEMENTS INDEPENDENT AUDITORS' REPORT The Board of Directors Medical Education for South African Blacks, Inc.: We have audited the accompanying statement of financial position of Medical Education for Soutii African Blacks, Inc. (MESAB) as of June 30,1996, and the related statements of activities and cash flows for the year then ended. These financial statements are the responsibility of MESAB's management. Our responsibility is to express an opinion on these financial statements based on our audit We conducted our audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of MESAB at June 30, 1996, and the changes in its net assets and its cash flows for the year then ended in conformity with generally accepted accounting principles. As discussed in note 2 to the financial statements, in 1996, MESAB adopted the provisions of Statement of Financial Accounting Standards (SFAS) No. 116, Accounting for Contributions Received and Contributions Made, SFAS No. 117, Financial Statements of Not-for-Profit Organizations; and SFAS No. 124, Accounting for Certain Investments Held by Not-far-Profit Organizations. KPMG Peat Marwick LLP October 4,1996 Mentor 60,128 STATEMENT OF FINANCIAL POSITION Public Education 59,818 Year ended June 30, 1996 South African Visitors 11,835 ASSETS Kovler 11,217 Cash and cash equivalents $ 295,887 Other Programs 2,822 Investments (note 3) 486,997 Total program expenses 802,227 Accrued interest (note 5) 36,030 Supporting service expenses: Pledges receivable (note 4) 346,602 General and administrative 130,454 Furniture and equipment, net of Fundraising 123,088 accumulated depreciation of $42,764 18,113 Total supporting service expenses 253,542 $ 1,183,629 Total expenses 1,055,769 LIABILITIES AND NET ASSETS Increase in unrestricted net assets 38,289 Liabilities: Changes in temporarily restricted net assets: Accounts payable $ 2,306 Contributions (note 6) 225,181 Accrued liabilities 6,253 Net assets released from restrictions (151,819) Due to MESAB-SA (note 5) 362,304 Increase in temporarily restricted net assets 73,362 370,863 Total increase in net assets 111,651 Net assets: Net assets, beginning of year, as restated, (note 2) 701,115 Unrestricted: Net assets, end of year $ 812,766 Designated - scholarships 445,707 See accompanying notes to financial statements. Undesignated 49,631 Temporarily restricted (note 9} 317,428 Total net assets 812,766 STATEMENT OF CASH FLOWS $ 1,183,629 Year ended June 30,1996 See accompanying notes to financial statements. CASH FLOWS FROM OPERATING ACTIVITIES: Increase in net assets $ 111,651 Adjustments to reconcile increase in net assets STATEMENT OF ACTIVITIES to cash provided by operating activities: Year ended June 30,1996 Depreciation 6,073 CHANGES IN UNRESTRICTED NET ASSETS: Unrealized loss on investments 1,933 Revenue: Foreign currency exchange loss 37,041 Contributions (note 6) $ 584,236 Changes in operating assets: Contributed services and facilities (note 7) 43,542 Increase in pledges receivable (75,760) Special event revenue Increase in accrued interest (36,030) (benefit dinner - net of costs of Increase in accounts payable 919 direct benefit to donors of $77,33S) (note 7) 226,955 Increase in accrued liabilities 2,359 Interest income (note 5) 89,439 Increase in due to MESAB-SA 362,304 Unrealized loss on investments (1,933) Net cash provided by operating activities 410,490 Cashflow suse d in investing activities - Total unrestricted revenue 942,239 purchase of investments (407,143) Net assets released from restrictions 151,819 Net increase in cash and cash equivalents 3,347 Total revenue and other support 1,094,058 Cash and cash equivalents, beginning of year 292,540 Expenses: Cash and cash equivalents, end of year $ 295,887 Program expenses See accompanying notes to financial statements. Scholarships 656,407 MESAB did not have any unrelated business activities during 1996, no provision for NOTES TO FINANCIAL STATEMENTS income taxes has been made in the accompanying statements. June 30,1996 Assets Held in Foreign Countries (1) Organization In the normal course of business, MESAB holds cash and investments denomi- nated in South African Rands. For reporting purposes, the assets are converted to Medical Education for Soudi African Blacks, Inc. (MESAB) is a nonprofit organiza- the United States dollar equivalent using the year-end exchange rate. At June 30, tion whose programs grant scholarships for training in South Africa for South 1996, MESAB held foreign currencies and investments in the amount of $154,258 African black health professionals; support educational programs for South African and $362,304, respectively. black students desiring to enter the health profession; and support training programs in South Africa in nursing, nutrition, family medicine, mother and child Fluctuations in the exchange rate are recognized as a gain or loss on foreign care, and community health care. currency in the period the fluctuation occurs. For the year ended June 30, 1996, MESAB recognized exchange losses of $37,041. This amount has been allocated to MESAB grants scholarships to South African blacks with the advisory aid of an affil- scholarship expenses in the accompanying statement of activities. iated organization located in South Africa - Medical Education for South African Blacks - South Africa (MESAB-SA). MESAB-SA identifies possible scholarship Use of Estimates candidates and makes recommendations to MESAB. Upon review and board The preparation of financial statements in conformity with generally accepted approval, MESAB provides funds to MESAB-SA to be given to approved students as accounting principles requires management to make estimates and assumptions university scholarsliips. that affect the reported amounts of assets and liabilities. Estimates and assump- (2) Summary of Significant Accounting PoIiciesAccounting Changes tions may also affect disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the In 1996, MESAB adopted the provisions of Statement of Financial Accounting reporting period. Actual results could differ from those estimates. Standards [SEAS) No. 116, Accounting for Contributions Received and Contributions Made, SEAS No. 117, Financial Statements of Not-far-Profit Organizations, and SEAS (3) Investments No. 124, Accounting for Certain Investments Held by Not-for-Profit Organizations. Investments consist of the following at June 30,1996: The accompanying financial statements reflect retroactive application of the provi- sions of these statements as of June 30,1995. Cost Fair The provisions of SFAS No. 116 affect the timing of recognition and classification of Certificate of deposit $ 362,304 362,304 contributions received or made by MESAB. Under the provisions of SFAS No. 117, Mutual funds 125,858 124,693 net assets and revenues, expenses, gains and losses are classified based on the exis- $488,162 486,997 tence or absence of donor-imposed restrictions as follows: Unrestricted net assets - Net assets that are not subject to donor- (4) Pledges Receivable imposed stipulations. At June 30, 1996, MESAB had received unconditional promises to give from donors (pledges) totaling $379,631. All pledges are considered fully collectible. Accordingly, Temporarily restricted net assets - Net assets subject to donor-imposed no allowance for uncollectible pledges has been recorded. Pledges due beyond one stipulations that may be met either by actions of MESAB and/or the year have been recorded at the present value of their estimatedfuture cash flows. passage of time. Expected future cash flows to be received on pledges receivable are as follows: Permanently restricted net assets -Net assets subject to donor-imposed stipulations that they be maintained permanently by MESAB. There To be received were no permanently restricted net assets at June 30,1996. In less than 1 year $ 175.993 The costs of providing various programs and other activities have been summa- Between 1-5 years 203,638 rized on a functional basis in die accompanying statement of activities. Certain Total 379,63 1 general and administrative costs have been allocated among the programs and Unamortized discount (33,029) supporting services benefited based on the amount of time employees spent on the program or service. Pledges receivable at June 30,1996 S 346,602 Under the provisions of SFAS No. 124, equity securities with readily determinable (5) Related-Party Transaction fair values, and all debt securities, are recorded at fair value in the statement of During 1991, MESAB contributed monies to MESAB-SA, which MESAB-SA placed financial position. Formerly, such investments were recorded at the lower of cost or in interest bearing bank accounts. The principal cash held in the bank accounts is market. Gains and losses on investments, including changes in market value, are the property of MESAB-SA and is to be used for program expenses. reported in the statement of activity as increases or decreases in unrestricted net assets unless their use is temporarily or permanently restricted by donor stipula- During 1996, the bank account was closed and balance transferred to a MESAB tion. bank account and used to purchase a one year certificate of deposit. The principal balance will be returned to MESAB-SA when the certificate of deposit matures. The financial statements reflect retroactive application of the provisions of SFAS Interest earned on the funds, at a rate of 15.05% at June 30,1996, is recognized by Nos. 116, 117 and 124, by restating beginning net assets as follows: MESAB, which is consistent with the original contribution terms. Total interest from these funds for the year ended June 30, 1996 was approximately $53,000, of Temporarily which $36,030 is receivable at June 30, 1996. The balance due to MESAB-SA is Unrestricted Restricted Total presented as a liability in the accompanying statement of financial position. Fund balance, as previously reported at June 30,1995 3456,281 456,281 (6) Contributions Recognition of pledges receivable 244,066 244,066 Contributions for the year ended June 30, 1996, consist of the following: Adjustment of investments Cash contributions: to fair value 768 768 Corporations $ 132,650 Foundations 627,931 Beginning net assets, restated Individuals 48,836 at June 30,1995 $ 457,049 244,066 701,115 $809,417 Contributions Contributions and grants received, which include unconditional promises to give Of die total contributions detailed above, $584,236 and $225,181 are classified as (pledges), are unrestricted revenue in the period they are receivea unless their use unrestricted and temporarily restricted, respectively, in the statement of activities. is restricted by donor stipulation. Expirations of temporarily restricted net assets A significant amount of foundation contributions are received from an annually {i.e., the donor-stipulated purpose has been fulfilled and/or the stipulated time renewed single source - foundations funded by George Soros - which contributed period has elapsed) are reported as reclassifications oetween the applicable classes $1 for every $2 of contributions raised by MESAB, up to $400,000. Total contribu- of net assets. tions from Soros-funded foundations were $400,000 for the year ended June 30, MESAB has adopted a policy of recording as unrestricted donor-restricted contri- 1996. butions whose restrictions are met in the same reporting period. (7) Contributed Services and Facilities Contributed Services and Facilities Contributed services and facilities for the year ended June 30, 1996, consist of the Contributed services are reported in the financial statements for voluntary dona- following: tions of services when those services (1) create or enhance non-financial assets or Accounting $ 15,500 (2) require specialized skills provided by individuals possessing those skills and are Legal 423 services which would be typically purchased if not provided by donation. Use of office facilities 18,840 Contributed services and facilities are recorded at their estimated fair value at the Computer services 4,938 date of contribution. Printing 2,291 Cash and Cash Equivalents Periodicals 1,550 For purposes of the statement of cash flows, cash equivalents consist of money $ 43,542 market accounts and totaled $128,893 on June 30, 1996. These contributions do not include certain other contributed services received for Fair Value of Financial Instruments MESAB's benefit dinner, which is presented separately in the statement of activities The following methods and assumptions were used by MESAB in estimating fair as special event revenue. Banquet, beverage, and photography services of $10,500, value disclosures for financial instruments: $1,157, and $750, respectively, were contributed toward MESAB's 1996 benefit dinner. Investments - Fair values of investments are determined by reference to quoted market prices. (8) Pension Plan MESAB has a contributory employee retirement savings plan covering all Pledges receivable - Fair values of pledges receivable are determined by discounting employees. the expected future cash flows using MESAB's borrowing rate of 7 percent MESAB contributes to the plan annually at a rate of 5 percent of each participant's Other assets and liabilities - Fair values of all other financial instruments approxi- salary. In addition, MESAB provides a 100 percent matching contribution up to 4 mate their reported value due to the immediate or short-term maturity of these percent of each participant's annual salary. Contributions to the plan vest immedi- financial instruments. ately. The cost of the retirement plan was $19,672 in 1996. Furniture and Equipment (9) Temporarily Restricted Net Assets Furniture and equipment are stated at cost, if purchased, and fair value at the date Temporarily restricted net assets at June 30,1996 are available to fund the following of transfer, if donated. Depreciation is calculated using the straight-line method programs in future years: over a 5-year period. Scholarships $ 168,317 Federal Income Taxes Mentor program 149,111 MESAB is recognized as exempt from federal income taxes, except for unrelated business income, if any, under Section 501(c)(3) of the Internal Revenue Code. As $317,428 MESAB in South Africa 1996 . • Potchefstroom Vanderbijlparky Sebokeng : London/Ret Road/ itsane/Mount Ruth uth African institutions and places, mentioned in this Annual Report, at which MESAB programs have taken place in 1996 BELLVILLE KEIROAD Peninsula Technikon Phelophepa train stop University of the Western Cape MAFIKENG BLOEMFONTEIN University of the North West Technikon Orange Free State University of the Orange Free State MDANTSANE University of Fort Hare (Nursing program) CAPE TOWN Cape Technikon MOUNT RUTH Conradie Hospital (Alumni Notes: Visser) Phelophepa train stop Kovler program (Shapiro, Steinman) University of Cape Town NORTHAM University of Stellenbosch Medical Faculty Alumni Notes: Varnicker Phelophepa train stop DURBAN PRETORIA Kovler program (Shapiro, Steinman) Mangosuthu Technikon Kovler program (Shapiro) M.L. Sultan Technikon University of Pretoria Technikon Natal POTCHEFSTROOM University of Durban-Westville University of Natal University of Potchefstroom EAST LONDON SEBOKENG Sebokeng Clinic (PEP program) Frere Hospital (PEP program) SOVENGA GA-RANKUWA University of the North Medical University of Southern Africa SOWETO GRAHAMSTOWN Baragwanath Hospital (Alumni Notes: Rama) Rhodes University UMTATA JOHANNESBURG University of the Transkei Kovler program (Shapiro, Steinman) Rand Afrikaans University VANDERBIJLPARK/SEBOKENG Technikon Witwatersrand Sebokeng Clinic (PEP program) University of the Witwatersrand Vaal Triangle Technikon BOARD OF DIRECTORS & ADVISORY COUNCIL (AS OF DECEMBER i, 1996) MESAB Board of Directors OFFICERS DIRECTORS CONTINUED CONSULTANTS CONTINUED Louis W. Sullivan, M.D., Chairman Alice Lusk Dr. John Marcum President, Morehouse School of Medicine; Senior Vice President, NCR University of California System Former Secretary of Health and Human Services Woodrow A. Myers, Jr., M.D. Steven McDonald Jack J. Spitzer, Vice Chairman Director, Health Care Management, African-American Institute President, Memorial Foundation for Jewish Culture; Ford Motor Company Honorary President, B'naiB'rith International Maurice McGregor, M.D. Thomas O. Pyle McGill University School of Medicine Vincent LoVoi, Treasurer and Secretary Senior Advisor, Boston Consulting Croup David Ndaba, M.D. Vice President, Warner-Lambert Company The Honorable Paul Simon University of South Florida Harvey I. Leifert, President U.S. Senate Barbara Scott Preiskel, Esq. Mitchell W. Spellman, M.D. Attorney-at-Law HONORARY DIRECTORS Dean Emeritus, Harvard Medical School Deborah B. Prothrow-Stith, M.D. Herbert Kaiser, Founding President Joseph M. Stewart Harvard School of Public Health Joy D. Kaiser, Founding Vice President Senior Vice President, Kellogg Company Reverend Christopher R. Sherrill DIRECTORS Reverend Frank C. Strasburger Trinity Church, Princeton, N.J. Episcopal Chaplain, Princeton University Aldrage B. Cooper, Jr. Bezelle Thomas, M.D. Vice President, Community Relations, Carl Ware President, Africa Group, Coca-Cola International James A. Vohs, M.D. Johnson & Johnson Kaiser Foundation Health Plan (Retired) Yona Ann Goldberg Consuela Washington Minority Counsel, House Committee on Commerce Ann Marie Wilkins, Esq. Trustee, United Jewish Appeal Wilkins Management Alexine Clement Jackson National President, YWCA of the U.SA. CONSULTANTS STAFF Dr. Donald Kennedy, Chairman Emeritus Ronald R. Morris, Chief Consultant Johnson & Johnson (Retired) Jonathan H. Bronsky, President Emeritus and Professor, Program Officer; Secretary to the Board Stanford University Dr. Roberta Abruzzese LaSalle D. Leffall, Jr., M.D. Adelphi University Alfle DeMoss, Office Manager Drew Professor of Surgery, Howard University Daniel Hays, M.D. Adrienne L. Oleck, Executive Assistant Hospital; Immediate Past President, American University of Southern California College of Surgeons; Honorary Fellow, College Lillian M. Vaughan, Volunteer of Surgeons of South Africa MESAB/South Africa Advisory Council TRUSTEES MEMBERS CONTINUED MEMBERS CONTINUED Nthato Motlana, M.D., Chairman E.L. Karlsson, M.D. Hannah-Reeve Sanders, M.D. Chairman, New African Investments, Ltd. Independent Development Trust Vice President for Africa, (Nail), and Metropolitan Life Gilbert Lawrence, M.D. Medical Women's International Association Victor Makenna, M.D., Vice Chairman Western Cape Regional Services Council Professor MA Seedat, M.D. General practitioner, Eersterust Department of Pharmacy, Dr. Nosisa Matsiliza Irene Menell, Treasurer Assistant Dean, University ofDurban-Westville President, READ University of Cape Town Medical School K.J. Seseane, M.D. Maurice Goodman, M.D. J.M. Mbere, M.D. General practitioner, Johannesburg Senior Manager, Andersen Consulting Gynecologist, Johannesburg Professor Ahmed Simjee A.J. Kgomo, M.D. Head, Gastrointestinal Unit, Professor RA Mogotlane University of Natal Medical Faculty General practitioner, Soweto Department of Anatomy, Medical University of Southern Africa MEMBERS Professor E.T. Mokgokong STAFF Professor Trevor Arendorf Vice-Chancellor and Principal, M. Yusuf Dinath, Executive Director Medical University of Southern Africa Faculty of Dentistry, George Bell, Administrative Coordinator University of the Western Cape Professor William Pick Anita Hofmaenner, Administrative Assistant Roger Crawford Head, Department of Community Health, Director of Human Resources, University of the Witwatersrand Medical School Frances Munro, Secretary Johnson & Johnson Professional Products Solomon Rataemane, M.D. Professor Cassim Dangor University of the Witwatersrand BACK COVER PHOTOS: HAHVEV LEIFEJT Department of Pharmacy, Professor Barbara Robertson PRINTED ON RECYCLED PAPER University ofDurban-Westville Head, Nursing Education, R.W. Green-Thompson, M.D. University of the Witwatersrand Medical School Secretary of Health, Sam Ross, M.D. KwaZulu-Natal Province University of Natal Medical Faculty Professor Rachel V Gumbi National Department of Health \J~our of this year's 689 MESAB scholarship students at 26 South African universities and technikons TOP ROW SENZO SIYABONGA SIBIYA BIOMEDICAL TECHNOLOGY M.L. SULTAN TECHN1KON JANAH HLEZIPHI BUTHELEZI OPTOMETRY RAND AFRIKAANS UNIVERSITY BOTTOM ROW JANINE MICHELLE BOTHA PUBLIC HEALTH PENINSULA TECHNIKON PRASHANT GANPATRAM JERAM MEDICINE UNIVERSITY OF CAPE TOWN MEDICAL EDUCATION FOR SOUTH AFRICAN BLACKS 2101 EAST JEFFERSON STREET Boxeeil ROCKVILLE, MARYLAND 20849-6611 TELEPHONE: 301 816 6320 FAX 301 816 7473 E-MAIL: [email protected]