As we step into the New Year, I am honoured to introduce the first issue of SAMHS News for 2025. This edition is packed with inspiring stories and achievements that showcase the dedication and excellence of our community.
We begin by celebrating a remarkable milestone, the 62nd birthday of 3 Military Hospital in the Free State. This iconic institution has been a beacon of hope and healing for generations, and we pay tribute to its rich history and legacy.
We also profile Lt Col (Dr) Qaba Morena Solomon Mafa an outstanding individual who has made a significant impact in the Department of Defence. His remarkable journey, from being a Mildent to receiving a prestigious award as the top student at the Joint Senior Command and Staff Programme, is a testament to his
hard work, perseverance, and commitment to excellence. We also share inspiring stories of overcoming adversity, such as the journey to overcoming alcoholism, and highlight the critical role that SAMHS plays in moulding civilians into skilled soldiers. Our recruitment drive in the Eastern Cape is also featured, showcasing our commitment to developing military skills and nurturing the next generation of leaders.
On a lighter note, we celebrate the union of two loved ones in a beautiful semi-military wedding, and take a look at the various health awareness programmes that we've focused on thus far, that includes hand foot and mouth disease, mental health, HPV and epilepsy.
Furthermore, we explore the emancipation of military nursing through bilateral agreements with South African universities, SANDF students in Cuba attended the Armed Forces Day commemoration where the South African ambassador in Cuba, Mrs Mrs Y.N. Phosa gave keynote address.
We also pay tribute to legacy of the first black SANDF Nursing
Director, whose funeral was poignant reminder of the pioneers who paved a way for the future generations. We honour her memory and celebrate her contribution in our Organisation. In addition, we feature an inspiring story of transformation, as Staff Sargent Makeke shares her journey towards a healthier lifestyle. Her story serves as a motivation to her peers and reminds us of the importance of prioritising our wellbeing.
As we reflect on these stories and achievements, we are reminded of the values that underpin our organisation, looking forward, positive attitude, innovative thinking, individual value, and professional delivery. These values are the foundation upon which we build our work, and we are proud to showcase them in this issue.
I hope you enjoy this edition of SAMHSNews , and I look forward to your feedback and contributions to future issues.
SAMHS members, colleagues and military community, the new year presents new opportunities for growth, development and continued service to our nation. Our mission to serve the military community is a solemn commitment that calls for excellence, compassion and unwavering dedication. In every challenge we face, from the front lines of patient care to the critical support roles that keep our mandate running, your professionalism and resilience shine through. Each day, you exemplify what it means to be dedicated to service, ensuring that quality care is delivered with precision and empathy.
I am pleased to announce the ongoing Military Skills Development System (MSDS) training in Lephalale, which aims to rejuvenate the force, ensuring a robust and prepared force for future challenges. In recent years, MSDS recruits have been absorbed in the system; trained in Emergency Medical Care, Nursing and other various professions and general support once done with MSDS. Your dedication in supporting and mentoring these young minds as they integrate into the system are invaluable.
Surgeon General’s Message
Professional growth remains a corner-stone of our mission readiness. I encourage personnel to actively engage in both promotional and functional courses available. These programmes are designed to enhance your skills and prepare you for greater responsibilities within the SAMHS and SANDF at large. Participation in these courses does not only benefit individual careers but also strengthen our collective capability and capacity as the SAMHS.
The recent opening of Parliament and State of the Nation Address highlighted several key areas involving the SANDF as a whole which include initiatives to strengthen our borders affirming the critical role of the SANDF in safeguarding our sovereignty. Plans and efforts to modernise our equipment are ongoing to maintain operational excellence. SAMHS is working tirelessly to ensure the deployment is bearable with adequate operational equipment. These topics reflect the trust and reliance placed upon us to uphold national security and contribute to global peace.
Operation CORONA remains a vital internal mission, focusing on border safeguarding and prevention of illegal activities. Your commitment to providing operational medical support to the deployed forces is essential to maintaining national security.
The SAMHS role during the repatriation of the SANDF casualties from the Democratic Republic of Congo is commendable; from the medical support
to the crucial psycho-social support provided to both SANDF members and bereaved families. This was applauded by the Military Command; for bringing hope to the heartbroken and physical healing to the injured. We are indeed forging our way “Towards Military Health Excellence”.
The recent additional Institutions of Higher Learning who have signed bilateral agreements with the SAMHS will contribute to the ongoing efforts to provide enhanced nursing training. These are the efforts the SAMHS continues to employ in order to enhance the training of our Healthcare Practitioners. The SAMHS has since signed agreements with various universities to provide Nursing studies to our members and specialised training to the nurses.
Let us remember that in our work, every life matters. It is our shared responsibility to uphold the dignity and well-being of those we serve. Safety, respect and compassion must remain at the forefront of our actions. Together as SAMHS, we continue to transform challenges into opportunities and ensure that our legacy is one of resilience and progress. We will soon embark on the upcoming SANDF corporate events such as; the Rand Easter show and Bloem show. Participation in both events will showcase its capabilities while providing the medical support.
Let us make 2025 a year of productivity and transformation in our organisation. By putting our best foot forward, we will continue to elevate the flag of the South African Military Health Service into even greater heights. Serve with dignity and pride, knowing that your individual contributions are the foundation of a strengthened great Defence Force and our nation at large.
Greetings from the Warrant Officer of the South African Military Health Service. We are in the third month of 2025 and moving towards the end of the Financial Year 2024/25. A lot of activities took place since the start of the year, where the SAMHS was required to support a number of DOD activities in terms of military health. SAMHS members participated in the repatriation of fourteen (14) fallen soldiers from DRC as well, as a number of sick and injured soldiers, and lastly assisted the SA Army in the burial of the fallen heroes in an honourable and dignified manner.
I have recently read an article by the US Army on military leadership and discipline and thought to share it with SAMHS News readers. These are critical elements of the SANDF. They are two aspects that cannot be ignored or managed in isolation as it forms part of each other. Firstly, we need to define both concepts to understand where we as soldiers fit in and how we can effect it.
Warrant Officer of the SAMHS Message
Military leadership: “It is the art of influencing and directing soldiers in such a way as to obtain their military
obedience, confidence, respect and loyal cooperation to accomplish the mission.”
“It is an art and can be learned and taught. It is not inherent, based on the development of traits of the individual’s personality. It can be learned, developed and practiced by anyone who is highly motivated, processing mental, physical ability and moral integrity, expected of a Commissioned or Non-Commissioned Officer. It is a continuous process” the presence and the efficiency of leadership in an organisation can be tested on the status of the following indicators: Leadership.
Morale: State of mind of an individual. The attitude towards everything that affect him.
Discipline: Individual or group’s attitude that ensures prompt obedience to orders and the initiation of appropriate actions in the absence of orders.
EspritdeCorps : Loyalty to, pride in and enthusiasm for a unit shown by its members.
Proficiency: Technical, tactical and physical ability of the individual or the unit members.
Military Discipline is defined as a “state of mind that produces a readiness for willing and intelligent obedience and appropriate conduct. Discipline within a Unit or Formation ensures stability under stress. It is a pre requisite of predictable performance when achieved in a unit, it is an attitude that keeps individuals doing what they are supposed to do and as they are supposed to do it through string inner conviction. Good discipline is
constant and functions whether or not outside pressures or supervision is present.”
It is the result of effective training and intelligent leadership that helps the individual to withstand the shock of battle and face difficult situations without falling. Before a soldier can act resourcefully in the absence of orders, he must have an understanding of what it is to be done and the role to be played by him or her. This requires training, before a soldier can respond willingly, he or she needs confidence in his or her seniors. This requires leadership.
We can evaluate the status of discipline of a unit or organisation by looking at the following:
Attention to detail.
Harmonious relations between individuals and/or Units under command.
Devotion to duty.
Proper senior subordinate relationships.
Proper conduct of individuals on and off duty.
Standard of cleanliness dress and military courtesy.
Promptness in responding to commands and directives.
Adherence to the chain of command.
Ability and willingness to perform effectively with little or no supervision.
The above leadership and discipline indicators can be used by all to measure the current leadership and discipline status of our Units, Formations and the overall SAMHS environment. Let us move forward TowardsMilitaryHealth Excellence.
TThe Mental Health Challenges of SANDF Personnel in Deployment
he South African National Defence Force (SANDF) is tasked with safeguarding national security, contributing to peacekeeping missions, and responding to crises both domestically and internationally. This demanding role, places immense physical, emotional, and psychological pressure on military personnel. The challenges of deployment ranging from combat exposure and long periods away from family to post-traumatic stress and reintegration difficulties can significantly impact soldiers’ mental health.
Mental health issues such as stress, anxiety, depression, and post-traumatic stress disorder (PTSD) are prevalent among deployed personnel. These conditions often develop due to exposure to combat trauma, the strain of being in high-risk environments, and the
emotional burden of leaving loved ones behind. If not properly managed, these challenges can lead to maladaptive coping mechanisms such as alcohol abuse, substance dependency, and social withdrawal.
Col Simphiwe Sinkoyi, a Clinical Psychologist within the SAMHS, emphasises that psychological resilience varies from soldier to soldier. Those with pre-existing mental health vulnerabilities may find the pressures of deployment overwhelming. Without early intervention and structured psychological support, symptoms can escalate, impacting both the individual and their family.
He further stated that “Deployment does not only affect the soldier; it disrupts the entire family systems. A military household functions like an interdependent unit, and when a key member is absent, the remaining family members must adjust to a new reality”. Parents deployed for
Article by Capt Mamokgele Lekgwareng, Photos from Archives depicting
extended periods may struggle to reconnect with their children upon return, while spouses are forced to take on additional responsibilities, including financial management and emotional support.
This dynamic can cause tension, misunderstanding, and, in some cases, long-term relationship strain. To mitigate these challenges, SANDF incorporates family support programs before, during, and after deployment. Pre-deployment briefings prepare both soldiers and their families for the separation and potential emotional difficulties. During deployment, social workers and psychologists offer counselling services, while postdeployment interventions focus on reintegration and readjustment into civilian or
family life. However, as Col Sinkoyi further points out, “Despite the availability of these services, some soldiers do not seek help due to stigma or lack of self-awareness regarding their mental health needs”.
Mental health support within SANDF is a critical aspect of operational readiness. A soldier’s ability to perform effectively in combat or peacekeeping missions is directly linked to their psychological well-being. Psychological tools such as resilience training, stress management workshops, and trauma counselling can help personnel navigate the emotional demands of military service.
Additionally, SANDF recognises the importance of structured post-deployment reintegration
programs. Reintegration can be as psychologically challenging as deployment itself. Returning personnel may struggle with feelings of detachment, hypervigilance, or difficulty adjusting to civilian life. Without proper debriefing and psychological support, soldiers risk developing chronic mental health conditions that could affect their long-term wellbeing.
By shedding light on these issues, the SAMHS in conjunction with the Psychology and Social Work Directorates aims to foster greater awareness, encourage open discussions on mental health within the military, and advocate for improved support structures for those who dedicate their lives to serving the nation.
In the heart of South Africa's military ranks, soldiers face immense challenges both on and off the battlefield. Amongst them is a story of resilience, redemption, and hope; a tale that stretches far beyond the call of duty. This is the story of Lt Tebang Mooki, a dedicated soldier and a Technical Officer at 1 Aircraft Servicing Unit in the South African National Defence Force (SANDF).
The social construct in many communities often revolves around social drinking, first as a way to unwind, seeking sense of belonging, then as a means of coping with the stress. Early in his life, what began as occasional drinking soon spiralled into something that would impact the young Tebang’s life for a long time. At a
Overcoming Alcoholism Through SAMHS Expertise: Lt Mooki Shares His Story
tender age of 15, he had started drinking due to peer pressure. When he joined the SANDF in 2005, his family was hopeful that being away from the friends will stop the drinking patterns. It was until after Basic Military Training (BMT) that the excessive drinking began as the BMT routine deprived him leisure time for drinking.
“I didn’t realise how much control alcohol had over me until it was too late, I thought I was still in control” the Lt recalls. Lt Mooki shared the time he became conscious of just how much he had lost control; when he was forced to take a hard look at his life. He had visited home in Mahikeng and upon arrival, his mother broke into tears and exclaimed “You look nothing like a Sergeant in the SANDF”. He was
shattered and he knew what she meant as he was not proud of how he looked. His appearance was a true reflection of his broken spirit. He attributed this to the selfish nature of addiction. He said personal hygiene took came second to the overwhelming need to feed the addiction.
Now with fewer friends and overwhelming feelings of remorse following his mother’s confrontation, he continued drinking in his room until one morning he decided to take the first step towards changing his life. He said: “I called an old friend who had since left the Defence Force. He told me he had stopped drinking, and ascribed this to 1 Military Hospital Rehabilitation Programme”.
Lt Mooki woke up one day and reported to Air Force Base Waterkloof Sickbay where a Social Worker attended to him and that was the beginning of his journey to recovery. He was later hospitalised at 1 Military Hospital on 02 June 2014. He shared that the journey to sobriety was not easy, particularly detoxing but having his family with him every step of the way made it possible.
The Lt sought help from the 1 Military Hospital’s support groups, where he found a multi-disciplinary team of Healthcare Practitioners and fellow soldiers who had walked the similar path. He surrounded himself with people who encouraged him to stay on course.
For Lt Mooki, the process involved both physical and mental healing. The SANDF provided the tools and resources, but ultimately, it was his unwavering commitment to change that allowed him to persevere. In an effort to make the most of his spare time, he took up running; eventually completing two Comrades marathons and double Two Oceans marathons.
Determined to stay focussed and avoid past struggles, Lt Mooki advanced his studies ensuring every moment was dedicated to selfhealing and selfdevelopment. His commitment paid-off as he successfully completed a National Diploma and a Bachelor of Technology in Electrical Engineering. Weaving his path towards a more disciplined and fulfilling life, the Lt will be celebrating eleven years of sobriety on 02 June 2025 since he began his journey to recovery.
Lt Mooki embodies the transformative power of a changed mind-set and the resilience of the human spirit. No longer shackled by addiction, he has flourished in both his military career and personal life. He continues to serve in the SANDF, where he now shares his story at various events for public awareness.
“I don’t hide my past. I talk about it openly because I want others to know that recovery is possible. It does not matter how far down you have gone, there is always a way back” he affirms. Substance addiction and depression are real, and they need attention. It is the silence around addiction that perpetuates the stigma and Lt Mooki is determined to lessen the stigma associated with addiction.
He is looking forward to once again tackle the upcoming Two Oceans Marathon and Comrades Marathon. OnhisgraduationdayreceivingaNationalDiplomain ElectricalEngineering.
On 1 February 2025, 3 Military Hospital celebrated 62 years of service excellence. The hospital opened its doors officially in 1963, although it served as an infectious diseases facility during
3 Military Hospital Celebrates 62 Years of Service Excellence
and after the Anglo Boer War in the early 1900s.
The birthday celebrations kicked off on Friday 31 January 2025 with a fun walk in Tempe. Personnel dressed up according to the birthday theme and walked five kilometers, passing some of the SA Army training units, and back to 3 Military Hospital. The purpose of the walk was both to celebrate the unit’s birthday and welcoming the new Officer Commanding, Colonel Ludrish Shikwambani to the unit. Col Shikwambani also joined in the Tempe march.
The amount of personnel who reported for the attendance parade before the Fun Walk was astonishing. All personnel, from the cleaners to the clinical specialists, were in good spirits and showed up in numbers. Walkers showed their creativity and displayed banners in support of the hospital’s birthday.
Chaplain Mario Wentzel from Area Military Health Unit Free State opened the event with scripture reading and prayer, where after Col Shikwambani welcomed all the walkers and thanked them for their dedication and participation in the fun walk. Capt Molwele, 3 Military Hospital PTSR Officer, explained the route around Tempe and the big march began.
After the march, Col Shikwambani and his team walked through the hospital where each department, section, ward and clinic welcomed and celebrated with him, showcasing their birthday decorations. Personnel walked the extra mile to decorate their work place.
At the ‘Bring-and-Braai’ function in the afternoon, Col Shikwambani presented trophies to the first, second and third place
winners for workplace decorations. The third place winners was Radiography, second place Hospital Kitchen and the winners was the Specialist Clinic including Dietetics, Speech Therapy and Audiology; Ear Nose and Throat, Surgery and Urology.
During his address to the unit, Col Shikwambani said that “the personnel demonstrated that they can work together as a team, and was appreciative of all the work that they put in”
He also stated that all participants showed good ownership. Despite
the challenges, personnel face every day, they went out of their way to make the birthday celebrations a success. He concluded by saying that the way 3 Military Hospital personnel supported each other and him as the Officer Commanding specifically, was much appreciated.
Congratulations 3 Military Hospital!
Towards the next 62 years of Military Health Excellence!
Col(Dr)LudrishShikwambani,OfficerCommanding3
1Military Hospital held Glaucoma Awareness Campaign from 10 to 13 March 2025. This initiative aimed to raise awareness about glaucoma, a condition that can cause irreversible damage to vision if not diagnosed and treated early. Glaucoma Week took place in the foyer of the hospital, where free screenings was offered to patients, visitors, and hospital personnel. This event is part of the ongoing effort to promote eye health and ensure that no one is left unaware of potential vision problems.
Throughout the week, the Eye Clinic, under the leadership of Dr. Andre Haarhoff, the Department Head has been actively involved in running educational exhibitions and screenings. Doctors, nurses, and eye health professionals from the clinic provided information and performed the crucial tests that can help detect glaucoma before symptoms even appear.
Dr. Haarhoff emphasised the importance of early detection and
A Commitment to Eye Health: 1 Military Hospital Raises Awareness on Glaucoma
said: “Glaucoma is one of the leading causes of blindness, but with early detection and proper management, it can be controlled. At 1 Military Hospital, we are committed to raising awareness and providing screenings to ensure that no one is left unaware of their eye health. Your vision is invaluable, and it's essential to take action before it's too late."
Glaucoma is often called the "silent thief of sight" because it typically progresses without noticeable symptoms until significant damage
has occurred. This makes it crucial to regularly monitor eye health, especially for those at higher risk, such as individuals over the age of 40, those with a family history of glaucoma, or individuals with certain health conditions such as diabetes. Eye Clinic believes that prevention is key.
Early detection is the best defence against vision loss and requires both the Eye Health Professional and the patients to make a difference in preventing blindness due to glaucoma.
The Services Golf Club in Thaba Tshwane was abuzz with joy and celebration on 22 February 2025, as Capt Ishmael Mukwevho and L Cpl Christine Jagers exchanged vows in a beautiful semi-military wedding ceremony. The couple's love story is a testimony to the power of true love and commitment. Their union is a beautiful reminder that love knows
no boundaries, not even those of military ranks.
The South African National Defence Force (SANDF) is known for its bravery, loyalty, and dedication to duty. The union of Capt Mukwevho and L Cpl Jagers is an evidence to the values of the SANDF and a reminder that love and commitment can thrive even in the most challenging environments. Despite the demands and challenges of military life, the couple has navigated the ups and downs of their relationship with courage, patience, and understanding. Their love has been the anchor that has held them together, and their 10 years union is a testimony to the power of true love.
The ceremony was officiated by Col (Rev) Thobile Kleinbooi of the South African Military Health Service and attended by family, friends, and fellow soldiers. The presence of military regalia added a touch of elegance and tradition to the ceremony.
The ceremony was a beautiful blend of military tradition and personal touches. The couple's personal vows and the exchange of rings were particularly emotional moments, filled with honesty. As they exchanged their vows, the love birds promised to love and cherish each other, through thick and thin, in sickness and in health. They vowed to support each other's dreams, to be each other's rock, and to build a life together that is filled with love, laughter, and adventure.
The reception that followed was a lively and joyous celebration of the couple's love, with food, drinks, and music that reflected their personalities and style.
WO Mothusi Tau played an important role in ensuring that execution of the semi-military wedding ceremony is seamless .He oversaw the proceedings, ensuring that the military protocols were adhered to. His expertise and guidance ensured that the ceremony was dignified, befitting the esteemed traditions of the SANDF. His efforts were truly commendable.
Col (Rev) Kleinbooi’s words of wisdom and blessings added a touch of personal element to the ceremony. He said “As we celebrate the union of Capt Mukwevho and L Cpl Jagers, we are reminded that the importance
two people from different backgrounds.
Mr Mukwevho, the proud father of the groom beamed with joy as he witnessed his son exchanged vows with the love of his life. He said with
member, Shimmy and Christine’s love is a beautiful thing and I am grateful to see my son so happy. This union is a blessing and I look forward to seeing wonderful things that they will accomplished together”.
As Mr and Mrs Mukwevho begin their new life together, they do so with the love and support of family, friends, and fellow comrades. Their love story continues to inspire and stand the test of time.
As the couple looks to the future, they do so with a deep understanding of the challenges and opportunities that lie ahead. They are committed to building a life together that is filled with love, laughter, and adventure, and to supporting each other's dreams and aspirations.
Following two decades of a distinguished career within the South African Military Health Service (SAMHS), Colonel Ruth Modisha is retiring, leaving a legacy of loyalty and commitment. Today, as we bid farewell to this remarkable individual, we honour her unwavering dedication to her profession and the people whom she has served. Throughout her career, she has inspired and motivated people to pursue success by showcasing her extraordinary leadership abilities. At the Tertiary Military Health Formation (TMHF), she has gained the respect and admiration of her colleagues by serving with honour, dignity, and pride. She leaves a lasting impression at the Formation and the organisation with her integrity, kindness, and compassion.
As she starts this new chapter, Col Modisha recalls challenging moments in the Defence Force when she thought she had nothing more to contribute but her faith kept her rooted. According to her, God has been her stronghold during all the challenges she faced while serving in the Defence Force. She expressed gratitude to the Defence Force for
Celebrating a Legacy of Integrity and Dedication: Col Ruth Modisha Retires
the military training, courses, and every opportunity she has had to serve as a haven for others to learn from, as well as for the knowledge that has expanded her worldview as she embarks on her new chapter. She also conveyed her appreciation to the Tertiary Formation for all the support and empowerment.
Col Modisha reminded us to welcome change and transitions by concluding the note with the lovely words, "I am not retiring, I am transitioning to something new and different, and I am still committed to developing the youth, communities, and the nation at large.”
Colleagues shared their memories and the funny experiences of working with her. Amongst several, the General Officer Commanding (GOC) of TMHF, Brig Gen
Libako Fosa remarks: “Col Modisha has been an inspiration to us all. Her professionalism, insight, ethics, leadership, and selflessness have had a long-lasting effect on our organization as well as the Tertiary Formation. According to Brig Gen Fosa, Col Modisha is a model of excellence that resembles the discipline of the South African military. She ended her address by saying, "We will miss her very much, but we are also excited to see the next chapter of her journey unfolds perfectly, with God in the centre”.
Col Modisha's new adventure serves as a reminder that retirement is an opportunity to transition and change, rather than an end. It is a moment to embrace the promise of tomorrow while also taking account of yesterday's victories. Life develops in phases, each of which is a distinct pattern of experience and knowledge, much like the seasons. As Col Modisha embarks on this new chapter, we pay tribute to her incredible journey and wish her luck on all her
Understanding Hand, Foot and Mouth Disease in Children: Col (Dr) Thabo Mnisi Gives
Hand, Foot, and Mouth Disease (HFMD) is a common viral infection that primarily affects children. Although usually mild, it can be uncomfortable for little ones and concerning for parents. To help families better understand this condition, Col (Dr). Thabo Mnisi, Head of GOPD Casualty 1 Military Hospital explained its causes, symptoms, how it spreads and what parents can do to help their children recover quickly.
Dr Mnisi described HFMD as a highly contagious viral illness that mostly affects infants and young children. It is categorised by painful sores in the mouth, a rash on the hands and feet, fever and other flulike symptoms. The virus spreads easily through direct contact with an infected person’s saliva, mucus, human faeces, or respiratory droplets from coughing and sneezing. Young children in day-care centres or schools are especially at risk due to frequent interaction with others. It can also spread by poor hygiene, touching contaminated surfaces or through diaper changes.
Symptoms usually develop between three and six days after exposure and may include fever, sore throat, painful mouth sores, rashes on the hand, feet and sometimes the buttocks. Loss of appetite, irritability, especially in infants and toddlers also present as symptoms.
The Head of Department advises parents that if your child develops HFMD, focus on keeping them comfortable and hydrated and recommends home care tools such as maintaining good
hygiene to prevent spreading the virus, serve soft foods to avoid irritating mouth sores, use pain relievers like acetaminophen for fever and discomfort. He further advises that parents should encourage rest and keep children away from school or day-care.
Most children recover within 7 to 10 days without complications. However, parents should seek medical attention if their child experiences signs of dehydration (dry mouth, fewer wet diapers), high fever lasting more than three days and difficulty swallowing or breathing.
Article by Capt Vuyokazi Yoko Photo
Images
Doctors typically diagnose HFMD based on symptoms, especially mouth sores and rashes.
In rare cases, a throat swab or stool sample may be tested to confirm the virus.
Since prevention is always better than cure, Dr Mnisi encourages parents to teach children simple daily hygiene habits to reduce the risk of infection.
Parents should also ensure that frequently touched surfaces, such as toys and door knobs, are disinfected regularly.
Avoiding close contact with infected individuals can help minimise exposure and teaching children to cover their mouths when coughing or sneezing further reduces the spread of germs.
Currently, there is no universal vaccine for HFMD but some countries offer vaccines for Enterovirus 71, which can cause more severe cases. A strong immune system can help prevent infections by boosting immunity through diet. The Doctor recommends a balanced diet which includes Vitamin C rich fruits, yogurt or probiotics for gut health, protein rich foods and plenty of fluids to keep hydrated.
HFMD is a common but manageable childhood illness. Most HFMD causes resolve on their own. By taking simple precautions, families can reduce the risks of infection and keep their little ones happy and healthy.
Medal Parade Honours Decade of Dedication at 1 Military Hospital
presented to members who have completed 10 years of service in the military. This medal is a testament to the recipients' dedication, perseverance, and loyalty to the SANDF.
Members who were deployed to Mozambique were also recognised for their
1Military Hospital hosted a momentous medal parade on Friday, 14 March 2025 to celebrate the unwavering commitment and service of its members. The event recognised individuals who have dedicated 10 years of their careers to the South African National Defence Force (SANDF) and those who were deployed in Mozambique, awarding them medals for their loyalty and excellence.
General Officer Commanding (GOC) of 1 Military Hospital Brigadier David Ramaswe was the guest of honour, and commended the awardees for their commitment to serving their country. He furthermore emphasised the significance of the medals as symbols of not just service, but also the sacrifices and challenges endured by the recipients in support of the SANDF's mission.
The Long Service Medal was
bravery and selflessness, these members were praised for their exceptional service, which has contributed to the success of the SANDF's peacekeeping efforts. With unwavering dedication, Capt Johanna Mashaya has devoted 19 years of her life to serving in the Department of Defence (DoD). Her journey began in 2006 when she joined the DoD through the Military Skills Development System (MSDS).
She completed her Basic Military Training in Lohathla before embarking on a twoyear nursing course at the Bloemfontein Satellite Nursing College. In 2008, she qualified as a Pupil Enrolled Nurse, marking the start of a fulfilling career in military healthcare. That same year, she joined 1 Military Hospital and was promoted to the rank of Corporal. Driven by an insatiable thirst for knowledge, Capt Mashaya pursued further studies while balancing her demanding career. In 2011, she took on the challenge of enrolling in a Bachelor of Laws (LLB) degree through UNISA. The journey was far from easy, but in 2016, she proudly graduated, an achievement that underscored her resilience and commitment to personal and professional growth.
Her legal aspirations culminated in a major milestone in 2019 when she was admitted as an Advocate of the High Court, a remarkable accomplishment that broadened her career horizons. That same year, she transitioned into a new role as an Acting Adjutant, embracing leadership responsibilities within the military healthcare sector.
Recognising the importance of continuous development, Capt Mashaya further honed her leadership skills by completing her Officers’ Formative Training in Lephalale from 2021 to 2022. Today, she serves as an Adjutant at 1 Military Hospital, a role that allows her to contribute meaningfully to the organisation.
Over the course of her career, Capt Mashaya has received numerous accolades, including a service medal for a decade of dedication to the DoD. Reflecting on her journey, she takes immense pride in the challenges she has overcome and the achievements that have shaped her into the leader she is today. Her story is one of perseverance, growth, and an unwavering commitment to serving both her country and its people.
Another medal recipient is a dedicated Medical Officer at 1 Military Hospital, Capt Robert van Rensburg who plays a crucial role in the field of anaesthesia. With specialised training in flight and submarine medicine, his expertise extends beyond the hospital walls, often placing him on the front lines of critical military operations.
One such deployment took him to Mozambique, where he served as the Aeromedical Evacuation Team (AMET) doctor.
Working alongside a nurse and an operations medic, his team was responsible for casualty evacuations (casevacs), medical evacuations (medivacs), and repatriation efforts. The Team’s mission was not limited to South African troops; they provided essential medical support to multinational forces, including those from Lesotho and Tanzania.
Oryx and A109 helicopters, ensuring swift and efficient medical responses. The deployment lasted several months, during which they provided life-saving medical care in high-risk environments. For Capt van Rensburg, serving as a military doctor is more than just a profession, it is a calling.
and participation in Operation VIKELA. The ceremony was a fitting tribute to the men and women who have dedicated their lives to serving the country, and will be remembered as a highlight in the history of 1 Military Hospital and South African Military Health Service (SAMHS). As the SANDF continues to play a vital role in maintaining regional peace and
Whether at 1 Military Hospital or in operational deployments, he takes immense pride in his role, knowing that his efforts directly contribute to the wellbeing of his fellow soldiers.
Operating in challenging conditions, Capt van Rensburg and his team collaborated closely with the pilots and crew of the
In recognition of his dedication and service, Capt van Rensburg was recently awarded a medal for his contributions
stability, the bravery and selflessness of its members will remain a source of inspiration to the nation.
A warm and heartfelt congratulations to all the medal recipients for reaching this extraordinary milestone in their service.
Armed Forces Day is held annually on 21 February in commemoration of the World War I naval tragedy in which 616 black South African troops died when the SS Mendi steamship sank on its way to France.
Armed Forces Day honours women and men who have lost their lives in the course of their patriotic duty in the country or on international missions.
On 28 February 2025, the Honourable South African Ambassador Mrs Yvonne Phosa, in collaboration with the Acting Defence Attache’ s office managed by Col Thembisile. Mpisane, hosted a successful Armed Forces Day at the National Hotel in Commemoration of the sinking of the SS Mendi steamship.
The event was embraced by
Republic of Cuba Commemorates Armed
Forces Day 2025
the attendance of High Command of the Revolutionary Armed Forces, Maj Gen Miro and the entourage of other high-ranking Officers who are the Directors of the schools where the SANDF students are studying, the Ambassadors of Countries accredited to Cuba. Members of the NEC of the Communist Party of Cuba, the Deputy
President of ICAP and the Military Veterans struggle stalwart of Cuba Commandant Dreke and his wife were in attendance to mark this historic event.
Other dignitaries present were the Defence Attachés accredited to the Republic of Cuba.
Ambassador Phosa officiated the annual Armed Force Day programme and delivered the key note address.
Brig Gen Nompumelelo
Cynthia MadlalaMsimango, a retired former Director Nursing with an extensive journey through nursing, political and social activism has been hailed as a distinguished figure, not just in the military but the broader fight for justice and equality. These are the sentiments echoed by those who knew and had worked with the late General during the memorial and funeral services held on 27 and 28 February 2025 respectively.
First African Director Nursing Laid to Rest in a Semi-military Funeral
Her children and grandchildren of Gen Madlala-Msimango were comforted by the speakers. The Surgeon General’s eulogy delivered by Brig Gen Makumbane acknowledged their loss and heartache: “To the bereaved family, do not lose yourselves in the sorrow of loss, but rather find comfort in the memories you shared. The late
Brig Gen Madlala-Msimango was a stern advocate for justice, equality, and human rights”. Brig Gen Makumbane consoled the mourners.
During the funeral service, she was described by neighbours and family as a fierce and liberal woman at home who embodied a unique blend of strength, conviction, and empathy. At work and in social interactions, she challenged the status quo with confidence, pushing for inclusivity, fairness, and progressive change. She advocated for equal opportunities during the apartheid South Africa and when the country was transitioning into a democratic dispensation. Her approach was bold, never shying away from difficult conversations or standing up for what she believed in, even when it was unpopular. This is the period of her life various speakers quoted as the time that solidified her identity as a political and social activist.
Before she donned the military uniform, Madlala-Msimango’s roots were firmly planted in nursing. Her deep commitment to healthcare began early in her life, when she recognised the vital role nurses play in the health and well-being of communities. Numerous speakers emphasised her dedication to healthcare led her to serving in various capacities,
Article by Lt Col Siphokazi Dlakamela
Photos by Capt Ruan Megit
including directing nursing services, where she worked to improve the standard of care and access to health services, especially in marginalised communities.
times. Her leadership went beyond tactics and strategy; it was rooted in a genuine concern for the welfare of her people.
Brig Gen Madlala-Msimango’s entry into the military was another testament to her exceptional leadership and commitment to service. As a member of the South African National Defence Force (SANDF), she rose through the ranks until she was appointed Director Nursing as a Brigadier General, a position that allowed her to further extend her influence.
Brig Gen Makumbane, who served as a Major under the leadership of the late Director Nursing recalled how the late former Director Nursing demanded independence, self-expression and self confidence amongst her subordinates. While she delivered the Surgeon General’s eulogy, Brig Gen Makumbane asserted: “As a General, she led with strength, discipline, and vision, guiding those under her command through difficult and uncertain
She was a protector, a guide, and a symbol of resilience; inspiring countless men and women to serve with honour and integrity”.
The late General used her influence within the health sector to push for
greater awareness of social determinants of health such as education, poverty, and inequality. She understood that political change was intricately connected to social welfare.
Brig Gen (Ret) M.V. Luke, while addressing mourners said: “As we close the eyes of the dead, they open the eyes of the living”. He elaborated that this is through the lessons and teachings the departed leave behind. The Surgeon General’s eulogy underscored this remark as it highlighted the legacy of the late General; “Let us honour the many facets of her life. Let us carry forward the lessons she taught us; to lead with courage, to serve with compassion, and to fight for what is right.” Brig Gen (Ret) Madlala-Msimango was the first black Director of Nursing and during her tenure achieved to organise and host the International Nurses’ Conference in South Africa.
As part of the South African Military Health Service’s efforts to educate and raise health awareness, an Independent Medical Practitioner working under Area Military Health Unit Gauteng (AMHU GT), Major (Dr) Sibongile Sokweni discusses Human Papillomavirus (HPV), a highly contagious virus that can cause a range of health problems, from genital warts to cervical cancer, at Defence Headquarters Sickbay on February, 21, 2025.
WhatisHPV? Andhowcommon isit?
Human papillomavirus (HPV) is a group of viruses, plus minus 200 viruses with different strains. It is quite common and most of us through our lifetime, we will get some form of HPV infection with no symptoms and the body will be able to deal with it and clear it by itself.
Maj (Dr) Sibongile Sokweni Talks Humanpapilloma Virus
HowisHPVtransmitted,andwho isatrisk?
HPV is a sexually transmitted infection, and sexually active people are the ones at risk of getting HPV. It is common in females but that doesn’t mean males cannot get it as well. It is quite common; even with pregnant ladies, it is a requirement to go through HPV screening.
WhatarethesymptomsofHPV, andhowisitdiagnosed?
You don’t actually present with symptoms especially most of the times, but what we normally do, we do a screening and we do a pap smear in most of the patients. We look at cervical, because with Pap smear we look at abnormal cells which are precancerous cells that can turn in to cancerous cells. You can do an HPV screen specifically, to be able to check if a patient has HPV or any abnormal cells that calls for concern, most of the time the body is able to clear it, unless if a patient have any immune suppressive, for example; people that are HIV, if have any underlying conditions that might compromise your immune system.
In terms of the short term, if you have HPV infection, most of the time it doesn’t show, if it does show, we hope that your immune system is on
par and the body is able to clear it. If it happens that the HPV remains for a long time and your body is not able to clear it, because of different circumstances, such as HIV, any cancer, diabetes or anything that suppresses your immune system. You have the risk of developing precancerous cells that might pre dispose you to developing cancer in the long run
Currently in terms of prevention, there is a vaccine for HPV, we normally target girls that are not sexually active, children actually, like I said it does not necessarily affect girls only. So we normally vaccinate children between the age group 1112 years old, as they are are not yet sexually active but the World Health Organisation (WHO) proposed age is from the age of 14-16 years.
We need to understand how a vaccine works, remember when giving a vaccine, you are giving a vaccine for your body to be able to mount an immune response, but it only helps in cases where you actually don’t have the infection. So it doesn’t mean if you have an underlying HPV, the vaccine will actually clear it, but for someone who has never been exposed to the HPV, it plays an important role in that regard because it will be able to
prevent the person getting HPV and the consequences thereafter.
Like any other vaccine there are very mild side effects, for an example when you get an injection, you will get a small reaction around the area that of which you got the injection, maybe redness, a little bit swelling and itching. Some patients developed a little bit of dizziness; some have complained with headaches and body pains which we call Myalgia. In very rare cases, you do get severe allergic reaction which will require an in-hospital treatment.
Screening! And Screening! And Screening! And Screening! It is quite important to go for screening. Over and above, condomising. To ensure that if you engage in sexual intercourse, you do protect yourself in a form of using condoms, and you go for regular Pap smear so that you can be able to pick up if you have underlying HPV infection. If you are someone who that has, for an example immune suppressive states like diabetes, HIV and etc., then in terms of screening, it has to be more frequent than any other person.
Most of the people, 90 percent of the cases that are diagnosed with HPV, the body is able to clear it in a period of about 5-10 years, If the body is not able to clear it, then that person will have to come in for a regular pap smear. We do Pap smear for about 2-5 years
depending on your risk profile, so we will be able to see if the HPV actually progresses to precancerous cells and be able to detect it at an early stage therefore be able to deal with whatever consequence that we have.
Sexual health is important, in terms of ensuring the use of condoms when engaging in sexual intercourse, and not with multiple partners. It will protect you from contracting other infections, not necessarily HPV itself, so it is important to condomise. Nutrition is very important. We need to ensure that we eat a balanced diet with a combination of balanced proteins, carbohydrates and also vegetables. We advise everyone to go for screening, and females to book for Pap smear. Those services are available in our sickbays. It is a quick and
painless procedure, but it can give us great result. We can be able to deal with any abnormalities much quicker before you develop complications such as cancerous cells.
Any closing remarks regarding HPV?
It is very important for us to go for screening and to vaccinate our little kids before they become sexually active. There is a need to raise more awareness within our military and civilian community and let people know that there are actually vaccines. We have different types; a live attenuated and a non-live attenuated, so the HPV vaccine is not the actual virus therefore it doesn’t cause a lot of side effect. It is vital for people to get vaccinated especially those who are sexually active, there are different variety of cancers that you can develop from HPV.
GLt Col (Dr) Mafa on Resilience: Overcoming Challenges and Embracing Success
with a dream to a medical professional and soldier. He therefore ventured into specialising in Chemical Biological and Radiological Defence (CBRD) and has become an expert in a highly specialised field of military medicine. His journey did not stop there, as a way to challenge himself he also earned his airborne qualification further solidifying his role as both a doctor and a soldier.
Col Mafa’s unwavering discipline and dedication to self-improvement has been the foundation of his leadership journey. By successfully completing most of his developmental courses within the SAMHS, he demonstrated a commitment to excellence. His pursuit of advanced military knowledge took him beyond national boarders, allowing him to gain invaluable skills and techniques from countries such as Kenya, Switzerland, and several others. These experiences played a crucial
rowing up in the township called Botshabelo, Lt Col (Dr) Qaba Mafa faced many transformation from a determined young boy
Article by Pte Lehlohonolo Stoffel Photos by Maj Vincent Mabusela
role in shaping him into a highly skilled and strategic leader.
In 2024, his exceptional performance earned him a nomination for the prestigious Joint Senior Command and Staff Programme, an advanced military course designed to develop leaders into operational commanders in joint military operations. His participation in the programme was not just about leadership development but also about combining knowledge and wisdom to create a meaningful impact. As a medical professional, his role was particularly demanding, as he was also responsible for assisting with casualties during the course, resulting to putting more effort to work, more hours and less time to rest in order to catch up with his studies. Through perseverance, demonstrating remarkable resilience and hard work. His ability to overcome obstacles during this critical period is a testament to his strength and commitment to both his profession and the military. Through determination and sacrifice, he emerged as a true leader, ready to contribute
significantly to joint military operations.
He stated that a catalyst that kept him motivated throughout the course, was ‘You need enough time to play, in order to enjoy what you are doing’, and take your tasks very serious , do it right, the first time because you cannot afford to miss opportunities’. He later stated that ‘The world is huge to be good at one thing so be versatile’ and take full accountability for your actions’.
In the book of Galatians it says, “You shall reap what you sow” and that is the exact outcome for what Col Mafa has invested in his tasks and himself and it has paid off fruitfully as he won two awards during the course; the first one is The Best SAMHS Commanders Brief and secondly, the overall award which is called General
Nkonyeni Award. He made success a habit not an achievement because he was not worried that he will succeed, he was worried that he will not fail from time to time.
Failure is an inevitable part of any journey, and he too, will encounter setbacks along the way. However, it is those who rise above their failures, learn from them and continue striving forward who truly transform the world. These individuals are the true game changers, the ones we should admire and draw inspiration from as they pave the way for meaningful change in our lives.
His story is a testament to perseverance, dedication, and the power of believing in one’s dream.
To be the best, you must always learn best practices from other people is what Brig Gen Azwihangwisi Makumbane said while detailing the
Agreements with South African Universities
strides the South African Military Health Service (SAMHS) has made to expand its Nursing intake training programmes.
Nursing is arguably the biggest professional grouping amongst clinicians and is one of the Statutory Directorates that are part of the Surgeon General’s strategic tools in Health Force Preparation. In recent years, military nursing has evolved beyond its traditional role of providing care on the frontlines. With advancements in healthcare and South
African National Defence Force (SANDF) operational commitments and evolving challenges in global security, military nurses are now required to be highly specialised professionals.
The SAMHS is increasingly entering into bilateral agreements with South African Institutions of Higher Learning to ensure nurses are equipped to meet demanding military commitments in Military Operations. These specialist skills include combat trauma, advanced critical care, mental health and infectious disease management. The partnerships are designed to develop training programmes and foster a new generation of specialist nurses who can deliver exceptional care in the SANDF.
Brig Gen Azwihangwisi Makumbane, Director Nursing detailed the ongoing engagements with South African Universities and said: “Currently, we are in collaboration with the University of Venda and University of Johannesburg; and our nursing students have started their academic journey with these institutions for the 2025 academic year”. She further informed that engagements are ongoing with other Institutions, one being Sefako Makgatho Health Sciences University in order to deliver on their mandate. She credits her predecessors who put together the strategy to train nurses for degree courses.
To address the need for specialised training, the SAMHS is joining forces
Research Institutions. This cooperation brings together the expertise of academic institutions with the practical experience of military nursing, resulting in innovative, tailored programmes to enhance the nursing profession.
The growth of military nursing has led to a shift in focus towards specialised training, particularly in the combat casualty care. Brig Gen Makumbane explains the specialisation training the Directorate seeks to amass, including intensive care, trauma, emergency and ophthalmology nursing. This training is crucial for a well-trained nurse that can contribute towards military health excellence. The SAMHS, particularly Directorate Nursing has enjoyed the support of Stellenbosch University,
Western Cape Nursing Colleges and the University of Free State for the longest time.
As the SAMHS remains a recognised Arm of Service in the SANDF as compared to many African militaries that integrate health functions within the larger framework of their military, many countries pursue benchmarking opportunities with Military Nursing. This has resulted on a Student and Lecturer Exchange Programme with Lesotho and Zambian Defence Forces. Director Nursing remarked: “It is the first of its kind to have a formalised Student and Lecturer Exchange Programme since the establishment of Directorate Nursing”.
Moulding Civilians Into Skilled Soldiers
The South African Military Health Service (SAMHS) welcomed 150 Recruits of the Military Skills Development System (MSDS) from all nine provinces on 11 January 2025 at Military Health Training Formation. The Recruits arrived with resoluteness and motivation. Upon arrival, the SAMHS Human Resource Acquisition began the process of integrating the recruits into the organisation. As tradition, safety protocols were adhered to where Military Police inspected their personal belongings. The recruits received an official address from Director Military Health Human Resources (D MH HR) Brig Gen Shiela Senokwanyane and the Second-in-Command (2IC) Military Health Training Formation, Col Kedibone Macheke- Fitzpatrick. The General and the 2IC congratulated the recruits on taking this significant step and offered words of encouragement as they embark on their new journey.
The Director handed over the Recruits to Col Richard Mphashi, the Officer Commanding SAMHS Training Centre Lephalale, a key facility where the Recruits will undergo Basic Military Training (BMT) and receive all the necessary skills and knowledge to excel in their aspiring military careers.
The Recruits were well received at SAMHS Training Centre Lephalale and were handed dignity packs, and SAMHS Tracksuits. This gesture is to ensure all the recruits regardless of their diverse backgrounds have an equal start while promoting equality and dignity for all.
By providing tracksuits and dignity packs, the training program promotes a culture of equality, inclusivity and teamwork, values that are essential to the Military ethos and go beyond mere functionality.
The new Recruits recently achieved a notable milestone, by receiving their uniform for the first time, officially marking the commencement of their basic military training journey.
The uniform issuance not only signalled the start of training but also represented a symbolic initiation, sparking a deep sense of identity, unity, and belonging within the organisation. The distinctive camouflage and other standard issue clothing are not just a physical change but a reminder of the commitment and responsibilities they are about to undertake in service to the country.
On 27 January 2025, the SAMHS Training Centre Lephalale held their first fitness test. The first fitness evaluation serves as a baseline assessment to gauge the recruit’s current fitness levels, providing a snapshot of their physical readiness before the rigorous and demanding training program begins.
While passing the fitness is necessary for advancement, it serves as a benchmark for future physical training.
The pressure mounted for the MSDS Recruits on 28 January 2025 as they faced the scrutiny of their instructors for the first time. The initial inspection sets the tone for the rigorous standards of the military, highlighting the importance of meticulous attention to detail and unwavering discipline, which are the core values of military culture. The recruits were hopeful and excited about this new venture and look forward to their future military careers.
In a proactive effort to empower and
AMHU Eastern Cape takes MSDS Recruitment to the Community
applicants, aimed to bring opportunities to the doorsteps of young individuals who may not be aware of the resources available to them.
The area is predominantly known for numerous social challenges amongst teenagers and young adults which increase the risks of peer pressure and finding wrong alternative coping mechanisms. In
was a resounding success with a total of four hundred and sixty application forms submitted. The overwhelming response from the community members is a testament to the enthusiasm and eagerness of the young to seize opportunities and build a better future for themselves.
The recruitment drive has become an annual event to ensure that young people in the area are afforded the same equal opportunities and not left wanting due to lack of resources or
The official opening of the Social Work Supervision Course took place on 24 February 2024 at the Military Health Training Formation. The course was attended by 20 Social Workers from various provinces
The Official Opening of the Social Work Supervision Course
across South Africa who participated in the theoretical phase from 24 to 28 February 2025.
The Course coordinated by Maj Dora Mokgothu marks another milestone for the South African Military Health Service (SAMHS) Social Work department.
It aims to enhance Social Workers supervision skills and knowledge, develop effective supervision practices, improve service delivery and client outcomes, and foster a
supportive and reflective supervision environment. Additionally, it provided participants with valuable tools for professional growth and development.
Col Kedibone Macheke-Fitzpatrick welcomed the Social Workers to the Military Health Training Formation and extended best wishes for their learning journey. The course was officially opened by Brig Gen (Dr) Andre Pretorius [PhD], Director Social Work, who encouraged participants to actively engage, ask questions and share experiences. He emphasised that the best learning often comes from exchanging ideas among passionate professionals dedicated to making a difference. With each day offering a new learning experience, the course is setup to equip Social Workers with essential skills to enhance their professional impact.
Military personnel have the responsibility and duty to adapt to the operational demands of the South African National Defence Force (SANDF) working environment. Therefore, maintaining a healthy lifestyle is crucial for the SANDF personnel and in ensuring optimal
JPTSR at the Forefront of Living a Healthy Lifestyle
fitness and health as part of the SANDF’s mandate and responsibility.
Military personnel are confronted with intense physical and mental demands in their working environments.
Overall mission readiness, physical performance and mental resilience are essential to the core functioning of the SANDF. The Joint Physical Training Sports and Recreation (JPTSR) at Military Health Training Formation (MHTF) offers a variety of physical training courses designed for the entire SANDF. These include:
Physical Training Instructors Course
Basic Sport Administration
Basic Water Orientation
Lifeguard Course
Swimming Instructor Course
Buda Jigga (Aerobics)
The purpose of the course is to equip soldiers with the knowledge and practical skills needed in adopting a healthy lifestyle encompassing proper nutrition, regular physical activity and mental well-being which all contribute to an improved quality of life.
Capt Walter Maphobela, a Physical Training Instructor and course coordinator for the Physical Training Instructors Course at JPTSR, emphasises that the significance of adopting a healthy lifestyle is a way of living that promotes an individual’s positive habits and behaviors. “It is about making conscious choices that positively impact your life,” he says. “A healthy lifestyle improves your quality of life, increases your energy levels, boosts your mood and help manage chronic diseases such as cancer, heart disease and diabetes.”
Maintaining a balanced diet, practicing portion control and making
MembersofJPTSRduringa physicaltraining.
Article by Pte Boitumelo Marule,
MembersofJPTSRpartakingonaCombatPhysicalTraining.
mindful food choices is essential for overall health. Equally important is
Through structured training and education, JPTSR aims to equip
while fostering long-term health and resilience. By investing in your health, you cultivate the best version of yourself, enhancing both personal
S Sgt Promise Makeke’s Healthy Lifestyle Transformation
February is recognised as a healthy lifestyle month. During this month individuals are encouraged to focus on adopting and maintaining healthy habits, such as regular exercises, a balanced nutrition and mental health.
In the demanding world of Military, maintaining a healthy lifestyle can be a significant challenge but for S Sgt Promise Makeke, a healthy lifestyle journey began, with a simple goal of wanting to lose weight. Little did she know that this initiative would spark a transformation journey for her.
SSgt Promise Makeke is a dedicated member of the South African Military Health Service, working in Area Military Health Unit Limpopo. She was born on the 29th August 1987 in a small village called Mbaula in Giyani, Limpopo. She joined the South African National Defence Force in January 2009. She is a mother of two and a wife to Mr Patrick Makeke.
Like most women, post maternal is a
difficult period. S Sgt Makeke gained weight that brought laziness and exhaustion. She wanted to have more energy and feel good about herself. She then knew that she has to do something about her weight. She then started by making small changes to her daily routine, by taking short walks while she was on Junior Non Commission Officers Course in Lohatlha and gradually introduced a healthier meal options into her diet. After the small changes she made, she then noticed huge improvement in her overall health and wellbeing.
Encouraged by her progress, a sight on more ambitious goals was set by gym going to the gym more often. She started running in 2023, beginning with short distances and gradually extended her range. Before long she had worked up to running 5km, 10km and eventually took longer races. She has already conquered several prestigious races, including the Kaapsenoop, Makgobaskloof plunge race, Johnson crane 4in1 marathon. She is currently training and gearing up for next challenges namely, the Total Sport Two Oceans Marathon in April and the Comrades Marathon in June. She will be representing the SANDF in
these esteemed events.
“A sense of accomplishment that I felt after completing the small races was indescribable” said S Sgt Makeke. After a feeling of satisfaction, she realised that she was capable of doing anything she likes. Promise's transformation has not gone unnoticed. Her peers and colleagues have been inspired by her dedication and perseverance. As a role model in the military, Promise's healthy lifestyle has had a ripple effect, encouraging others to prioritise their well-being.
Today, Staff Sergeant Promise is a proficient marathon runner, a testimony to the power of transformation. Her journey serves as a reminder that a healthy lifestyle is within reach, regardless of one's starting point. As Promise continues to inspire others through her remarkable story, one thing is clear that with dedication and perseverance, anything is possible.
Dr van Rensburg Marks the National Epilepsy Week
Epilepsy is a neurological disorder is characterised by recurrent, unprovoked seizures due to abnormal electrical activity in the brain.
Causes of epilepsy include:
Genetic factors, structural brain abnormalities, strokes, traumatic brain injuries, tumours, or infections, idiopathic causes. However, in many cases, the cause is unknown.
How common is epilepsy, and who is most at risk?
elderly individuals usually structural or idiopathic). Previous brain injuries or infections, family history of epilepsy and neurodevelopmental disorders (e.g. autism and cerebral palsy).
Are there different types of epilepsy, and how do they differ?
Yes, epilepsy can be classified as either focal, generalised, or syndromic.
Focal epilepsy: Seizures originate from one hemisphere.
What are the different types of seizures, and how do they present?
Seizures can manifest in various ways. Awareness is either intact or impaired. Seizures are either motor or non-motor. Motor symptoms include convulsions (jerking, stiffening movements), automatism (repetitive behaviours), and sudden loss of muscle tone (atonic seizures). Non-motor symptoms include brief staring spells (absence seizures), unusual sensations or emotions (auras, focal seizures), temporary confusion or altered awareness.
How is epilepsy diagnosed?
It remains a clinical diagnosis and the clinical history remains paramount, EEG Identifies abnormal electrical activity. MRI/CT scans detect structural brain abnormalities. Genetic and metabolic testing (if indicated).
Epilepsy is the 3rd most common neurological condition affecting 50 million people worldwide.
Risk factors include:
Age extremes (infants - genetic and
Generalised epilepsy: Seizures affect both hemispheres simultaneously. Epilepsy syndromes present as specific seizure types, in combination with additional neurological symptoms and electroencephalogram (EEG) findings.
What should one do if they suspect they have epilepsy?
Seek medical attention promptly for evaluation. Maintain a seizure diary to track episodes and triggers. Avoid driving or hazardous activities until diagnosis is confirmed. It is sometimes helpful to show your
Stay calm and time the seizure. Turn the person on their side to prevent choking and protect from injury (move nearby objects, cushion the head). Do NOT put anything in their mouth. Call emergency services if seizure lasts more than five minutes or when a second seizure follows immediately or the person is injured or has trouble breathing. Arethereanycommon misconceptionsaboutseizuresthat peopleshouldbeawareof?
"You should put something in their mouth" – False, this can cause choking.
"Seizures are always convulsive" –False, absence seizures appear as brief staring spells.
"Epilepsy is contagious" – False, it is a neurological disorder, not an infection.
Whataretheavailabletreatment optionsforepilepsy?
Medications such as Antiepileptic drugs (AEDs), Surgery: If seizures are refractory and have a surgically resectable focus. Deep brain stimulation (DBS) and Neurostimulation: Vagus nerve stimulation (VNS) or responsive neurostimulation (RNS). Lifestyle modifications: Avoiding triggers (sleep deprivation, alcohol and stress).
Canepilepsybecured,orisita lifelongcondition?
Some childhood epilepsies (e.g., benign rolandic epilepsy) remit with age. Many forms require lifelong management, but up to 70% of
patients achieve seizure control with medications. Remission of epilepsy is defined as being seizure free for more than 10 years of treatment. Howcanlifestylechangeshelp manageepilepsy?
Adequate sleep, avoiding alcohol and recreational drugs, managing stress through relaxation techniques and regular medication adherence. Whatroledoesdietplayin managingepilepsy?
Ketogenic diet (high-fat, low-carb) can reduce seizures in drug-resistant cases.
Yes, with proper management, many individuals live full lives, yet caution must always be exercised in epileptics to avoid any situation where they can suffer harm to themselves or others if they have a seizure. Driving is a major consideration and regulations vary; most countries require a seizure-free period (6–12 months).
“Flashing lights trigger all seizures”. This is only true for photosensitive epilepsy. “People with epilepsy cannot have children” – False, but pregnancy should be planned with medical supervision. “Seizures are a sign of mental illness”– False, epilepsy is a neurological disorder. Howcancommunitiesand workplacesbemoreinclusiveand supportiveofpeoplewithepilepsy?
Educate employees and students about epilepsy to improve knowledge and eradicate stigma. Have seizure action plans in schools and workplaces. Avail support options such as counselling, epilepsy support groups, psychiatric care.
Gene therapy is under investigation to manage syndromic epilepsy. New AEDs are being developed to be more selective with fewer side effects. Examples include Cenobamate, Fenfluramine released in 2019 and 2020. Soteclestat (a cholesterol 24 hydroxylase inhibitor) and BMB-101 (a SSRI) are currently under investigation as novel agents for refractory epilepsy.
Whatmessagewouldyouliketo sharewiththepublicforEpilepsy Week?Epilepsy is more than seizures; it is about inclusion, understanding, and support. Let us work together to break the stigma and empower those affected to live their best lives!
Can people with epilepsy live normal lives, including working and driving?
Yes, with proper management, many individuals live full lives, yet caution
must always be exercised in epileptics to avoid any situation where they can suffer harm to themselves or others if they have a seizure. Driving is a major consideration and regulations vary; most countries require a seizure-free period (6–12 months).
How does epilepsy affect mental health, and what support is available?
Increased risk of anxiety, depression, and social isolation.
What challenges do children with epilepsy face in school?
Learning difficulties due to medication side effects or seizurerelated brain changes, bullying and social stigma.
What are some common myths about epilepsy that need to be debunked?
“Flashing lights trigger all seizures”. This is only true for photosensitive epilepsy. “People with epilepsy cannot have children” – False, but pregnancy should be planned with medical supervision. “Seizures are a sign of mental illness”– False, epilepsy is a neurological disorder.
How can communities and workplaces be more inclusive and supportive of people with epilepsy?
Educate employees and students about epilepsy to improve knowledge and eradicate stigma. Have seizure action plans in schools and workplaces. Avail support options such as counselling, epilepsy support groups, psychiatric care.
Are there any new treatments or research developments for epilepsy?
Gene therapy is under investigation to manage syndromic epilepsy. New AEDs are being developed to be more selective with fewer side effects. Examples include Cenobamate, Fenfluramine released in 2019 and 2020. Soteclestat (a cholesterol 24 hydroxylase inhibitor) and BMB-101 (a SSRI) are currently under investigation as novel agents for refractory epilepsy.
What message would you like to share with the public for Epilepsy Week?
Epilepsy is more than seizures; it is about inclusion, understanding, and support. Let us work together to break the stigma and empower those affected to live their best.
Customs and traditions are the main distinctive features of the nations which inhabit the Earth. Every nation has traditions, which are either similar in some ways to the traditions of other countries or unique. Ramadhān is a unique Islamic tradition, which takes place on the ninth month of the Islamic calendar and lasts for a month (29 or 30 days). Ramadhān is the most sacred period in all Islamic communities and the most significant event in the life of every Muslim.
Spiritual significance of Ramadhān
For Muslims, the holy month of Ramadhān represents a time of reflection, selflessness and self-discipline. During the whole month, acts of worship like regular prayers, recitation of the Holy Qur’ān become a routine. Even those who do not regularly pray five times a day, start praying in mosques to show their devotion to their faith. Mosques are occupied by devotees because of voluntary prayers at night. The Qur’ān says: “Itwasthemonthof RamadhāninwhichtheQur’ānwas revealedfromonhighasaguidancefor humanityandself-evidentproofofthat guidance,andasstandardbywhichto discernthetruefromthefalse”[Chapter 2: 185].
From The Chaplain’s Corner: Chaplain (Sheik) Abdul Abrahams on Ramadhān-An Islamic Sacred event
Ramadhān is a time to purify souls
We indulge ourselves in worldly matters to such an extent that sometimes we forget what’s ethical and what’s not. A sin is an act of self-oppression that involves forcing one’s soul into a state that rebels against obeying the Creator. When a soul persist in sin, it becomes a slave it its own lower desires, a prisoner of its own passions (see Chapter 25:43). However, if we become aware of the significance of Ramadhān, we will surely focus more on purifying our souls with acts of worship, by avoiding personal conflicts, improving relations, maintaining a clean diet, paying zakat(charity), and balancing worldly matters.
Ramadhān is a time to learn patience
One spiritual significance of Ramadhān is to develop “patience” and “self-control’ in our daily lives. In the Qur’ān, The Almighty commands patience at over sixteen times and uses the word “sabr”, which means “patience” more than seventy times. By abstaining from food, drinks, and other bodily desires between the hours of dawn and dusk, one can develop self-control and tolerance.
Fasting teaches us to be patient and less reactive, which is extremely important in Islām because “Allāhlovesthepatient” [Qur’ān 3:146].
Islāmholds patience as one of its highest virtues and whoever remains patient, Allāh The Almighty will make him patient. The Prophet Muhammad (P.B.U.H) SAID: “Nobodycanbegivenablessingbetter andgreaterthanpatience”.
Fasting is one of the best ways to learn to be patient. We also learn perseverance, gratitude and contentment through fasting, which enhances our faith and belief in the
Almighty Allāhmore than any other act of worship.
A time to learn personal discipline
We count our blessings and become thankful to The Almighty Allāhfor allowing us to witness yet another Ramadhān in our lives. It reflects in our actions, like how we control our anger, try to speak the truth all day, donating in Ramadhānand spread kindness all around. It shows how much we value the significance of Ramadhān,which enriches our moral character and personal integrity. It makes us more resilient and less impulsive, enhancing our capacity for self-control and fostering our compassion for those who are less fortunate due to economic hardships.
Fasting serves a lager spiritual purpose by reducing the body’s influence over the mind and spirit. Controlling our bodily desires allows us to concentrate on our spiritual side while also strengthening our character and moral values.
A time for self-reflection
The spiritual significance of Ramadhān is to learn to control our inner and worldly desires for the sake of The Almighty Allāh. It is a great time to reflect and improve our spiritual knowledge about Islam to bring discipline and balance into our lives. It is the best time to purify our souls, bodies, and minds. The Prophet Muhammad (P.B.U.H) considered self-reflection so crucial that he had said that one hour of contemplation is better than 70 years of worship.
Conclusion
The Prophet Muhammad (P.B.U.H): “Reflect andkeepofyourdeeds(goodandbad) beforeyouaccountforit”. This month of Ramadhān is the perfect time for accountability and reflection before that Day you appear in the Court of The Almighty Allāh.when you will be kept responsible for your actions.
