M A G A Z I N E
SouthMostAfrica's Inspiring Leader to Know in
HEALTHCARE
Health Equity in South Africa Examining the Socioeconomic Determinants of Healthcare Access
Managing Director MAARS Medical
Niekerk
Strategically Adapting and Managing Risk in Business Evolution
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South African Healthcare Trailblazer
L
uzanne van Niekerk has emerged as a trailblazer in South Africa's healthcare sector, transforming a small, under-resourced company into a major player in the industry. As the Managing Director of Maars Medical, she has shown that leadership is about more than just business acumen—it's about resilience, adaptability, and the courage to challenge the status quo. What sets Luzanne apart is her unconventional entry into the medical field. Coming from a background in data analysis and industrial engineering, she had no prior experience in healthcare. However, her strategic mindset and fresh perspective allowed her to look beyond industry norms and drive innovation where others might have hesitated. Under her leadership, Maars Medical evolved from a small startup into a growing business that now competes with some of the biggest players in the field. Luzanne's success has been built on her ability to integrate technology and data-driven solutions to optimize processes, enhance customer outcomes, and deliver a level of service that surpasses industry expectations.
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Innovation in healthcare is not about fixing broken things, it's about creating something better. - Elizabeth Holmes
Luzanne's leadership style is equally noteworthy. She prioritizes her team's growth and motivation, valuing personal drive and attitude over previous experience. Her focus on continuous learning and empowerment has created a culture of collaboration and ownership at Maars Medical, where employees are encouraged to take on leadership roles and become shareholders in the company. This approach fosters individual growth and ensures that the business remains agile and forward-thinking. Her commitment to quality, trust, and innovation has positioned Maars Medical for continued success. By building strong partnerships with global brands and expanding into African markets, Luzanne is setting the stage for Maars Medical to lead the way in healthcare innovation across the continent. Her story is a powerful reminder that leadership, combined with a passion for change and growth, can reshape industries and inspire others to think differently.
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COVER STORY
06.
Luzanne van Niekerk Strategical ly Adapting and Managing Risk in Business Evolution
FEATURING
18. 30.
Adele Kazilsky Redefining Reproductive Health and Genetic Testing
Marlena Kruger Empowering Through NeuroIntegrative Education
ARTICLES
14. 24.
Health Equity in South Africa Examining the Socioeconomic Determinants of Healthcare Access
South Africa's Health Workforce How Education and Training are Shaping the Future of Healthcare
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The only limit to our realization of tomorrow wil l be our doubts of today. - Franklin D. Roosevelt
Story M A N AG I N G D I R EC TO R
MAARS MEDICAL
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Strategically Adapting and Managing Risk in Business Evolution
The
medical industry
Luzanne van Niekerk, the Managing Director, initially joined to oversee a transition; her role quickly expanded as she took on significant responsibilities, contributing to the company's rapid evolution. Her strategic approach, shaped by her unique expertise, has been crucial in driving the organization's growth and adapting to industry challenges despite her lack of prior medical experience. Maars Medical evolved from a small company with a single agency agreement with one employee into a major player in the medical field. This
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transformation, achieved amidst the challenges of the global pandemic, reflects the company's commitment to innovation and excellence. By forging partnerships with prominent global brands and focusing on strategic growth, Maars Medical continues to advance in local and African markets, demonstrating a clear vision for future expansion and diversification. Navigating Growth and Industry Norms Looking back, Maars Medical grew from a startup to a mature company reaching a point of scaling up at the moment. There was very little in place when Luzanne joined; she initiated most of what is currently in place regarding culture, processes, building a team, and strategy. There are almost no tasks or roles in the company that she did not fulfill at some stage during the past five years.
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is characterized by advancements and high-stakes environments where precision and reliability are paramount. As this field continues to evolve, companies face the challenge of maintaining quality while adapting to new technologies and market demands. Navigating industry norms and regulatory requirements adds to the complexity, demanding both innovation and adherence to stringent standards. The sector's nature requires agility and a forward-thinking approach to stay competitive and address emerging needs effectively.
Coming from a data analyst and industrial engineering background, Luzanne had no experience in the medical industry and, therefore, followed fairly unique strategies at the time compared to the industry. It is easier
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when one is a young, dynamic new player in the market, but there were many challenges in dealing with larger corporates. Thus far, it has worked in their favor, looking at opportunities with fresh eyes and not being blinded by industry norms. Innovative Data-Driven Solutions and Continuous Improvement Process optimization is second nature for Luzanne. The company continuously makes changes, tries new approaches, or alters current systems to improve outcomes. One specific focus has been the gathering of data. She has developed a proprietary IT system that integrates data creation with operational task management. While it is not the norm in the industry to collect data beyond financial metrics, this approach has provided significant benefits to clients (surgeons) by supplementing their clinical notes with additional data. There are very few software options available for the industry, and continuously improving software implementations remains a relevant topic and one of her missions. Working smarter is a key objective. From the beginning, all decisions have been based on data, leveraging her background knowledge to extract insights from raw data. Navigating Risk and Cultivating Entrepreneurial Mindset One of the biggest problems or challenges in the business is spreading the risk that the company does not solely rely on one individual for guidance and leadership. Risk management, in general, is a continuous challenge, especially because the company does not always follow industry trends and operates in less predictable environments. Although there is a highly skilled team running the operation, cultivating, coaching, or teaching an entrepreneurial mindset and strategy for further business growth remains difficult. Despite this, it is still considered a luxury problem, as there is such a strong team that operates independently without requiring
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Story
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No one person can outthink or outwit a team working together—surrounding oneself with trustworthy people is essential.
constant leadership in most day-to-day decisions.
Embracing Continuous Change Through Clear Communication
Change at Maars Medical is not a new topic—being a young, dynamic, and fast-growing organization, change is inevitable and a continuous process. Very few team members get nervous about change. Roles, functions, and processes are often re-evaluated, but the key aspect of change management within the team is communicating the reasoning, outcome, and process behind the change. People are not averse to change if they understand the bigger picture. There is typically a clear end vision, but the process is flexible; the company starts with a particular outcome in mind and collaboratively rethinks the approach with every obstacle or challenge. Large changes are rarely made based solely on theoretical plans.
E m p o w e r i n g Te a m s T h r o u g h Flexibility and Motivation Luzanne considers her team to be her biggest asset; it is her responsibility to ensure they have everything needed not only to fulfill their tasks but also to thrive. As a very individualistic leader, Luzanne's focus is on understanding her team's natural abilities and core strengths. She frequently changes roles and reassigns tasks to enable every employee to enjoy their work and feel
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motivated to enhance their strengths. Luzanne values attitude and personal motivation over previous experience, believing that any task can be taught to someone who wants to learn, work, and make a positive impact. Her team, similar to Luzanne, has no previous industry experience. With the right individuals and mindset, effective teamwork is easily achieved. Team members value each other's strengths, acknowledge differences, and work towards a mutual goal. The team's motto is: Do Good – Have Fun – Make Money! Leveraging Agility for Strategic Partnerships and Innovation Maars Medical has the advantage of being dynamic and fast-moving; it can quickly identify and exploit market gaps c o m p a r e d t o l a r g e multinationals—much like a small black ant finding its way through tiny spaces. The company is proactive, forwardthinking, and resilient in its ability to adapt. Immediate financial gain is rarely the primary objective; instead, the focus is on offering technologically advanced and trendsetting solutions, which may not always be immediate best sellers but a r e p a r t o f a l a r g e r s t r a t e g y. Consequently, partnerships with similar suppliers have been established. The company provides excellent service and builds strong alliances within the i n d u s t r y, o f t e n fi n d i n g g r e a t collaborations to create win-win
opportunities. The company often aims for a larger win for a partner as long as both parties benefit from the collaboration. Balancing Quality, Cost, and Trust in a High-Risk Environment Defining a client in the South African industry is complex; the company considers the patient to be a client deserving of the best quality products and services at a cost-effective price. The approach involves obtaining products directly from manufacturers to streamline the value chain, ensuring high quality while remaining costeffective. The surgeon is a decision-maker and the primary client. Operating in a high-risk environment, it is crucial to establish a trusting relationship so that surgeons feel confident with product recommendations and receive continuous exposure and training on new technology. The Maars team member assumes a conductor's role in the operating room, assisting and managing the high level of stress and risk as part of their offering to surgeons. Fostering Ownership and Alignment for Mutual Growth It is essential to genuinely care about the team, as they contribute not only a significant portion of their lives but often a part of themselves. Aligning this dedication with the business strategy and philosophy benefits both the individuals and the company. Maars Medical strives to have all staff eventually become shareholders. Over the past year, the company has taken the first step by empowering team members to become shareholders. The goal is for staff members to become integral to the business, building their own business
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Continuously rethink everything—one can never ask the question 'Why' too many times
rather than merely working for the company. Essential Lessons for Successful Entrepreneurship Luzanne has been an entrepreneur since a young age, starting her first business at 15 and winning a national prize in Rio de Janeiro as a top school entrepreneur. Maars Medical is her fourth startup, and she has gathered several lessons over time: •
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It requires a lot of hard work—if one wants an 8-5 job, owning a business is not the right path. It is a 24/7 commitment that demands a deep passion for the work. One cannot save oneself rich; spending money is necessary to make money. Cash flow is crucial—many startups have brilliant ideas and execution but fail due to poor cash flow management. The concept of win-win is often misunderstood in business; it is rarely 50/50. Achieving a 10% win with minimal effort because the other party wins 90% can lead to the other party putting in most of the effort. No one person can outthink or outwit a team working together—surrounding oneself with trustworthy people is essential. Continuously rethink everything—one can never ask the question "Why" too many times. Mistakes are inevitable, but one does not need to make all the
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mistakes personally—learn from others, visit experts, and travel to gather knowledge that cannot be acquired alone. It is acceptable to "fire" a supplier or client if they are not beneficial to the business. It is impossible to be an expert in everything—surround oneself with experts in their respective fields.
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Balancing Entrepreneurial Spirit with Strategic Growth Going ahead, the challenge will be to stay true to the philosophies that initially m a d e M a a r s M e d i c a l successful—maintaining an entrepreneurial mindset during the scale-up phase. Maars Medical has partnered with fantastic global brands, including Mavera Medical, Claronav, Maxmore Spine, Spectra, and Ilumark. With these brands in the company's corner, Maars Medical can position itself as a major player in the local and African markets. The vision is to expand Maars Medical's product offering to be more diversified. While there is a clear direction, the exact path will always remain somewhat of a mystery.
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Examining the Socioeconomic
DETERMINANTS of Healthcare Access
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outh Africa's healthcare system is shaped by numerous factors, with socioeconomic conditions playing a pivotal role in determining the quality and accessibility of care for its population. Despite a relatively advanced healthcare infrastructure, South Africa faces stark health inequities that disproportionately affect marginalized communities. These inequities are deeply rooted in historical inequalities and are perpetuated by economic, social, and political factors. Addressing the socioeconomic determinants of healthcare access is crucial to improving health outcomes and achieving more equitable healthcare for all South Africans.
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Africa, the divide between public and private healthcare further exacerbates this issue.
Socioeconomic Status and Healthcare Access
Private healthcare in South Africa is generally of high quality, with wellequipped hospitals, shorter waiting times, and a larger pool of healthcare professionals. However, this system is largely accessible only to those who can afford it, which means that a significant portion of the population—particularly low-income households—must rely on the public healthcare system. The public system, though offering services at minimal or no cost, is often overburdened, understaffed, and underfunded. The result is that those who need healthcare the most frequently face long wait times, limited resources, and overcrowded facilities.
Socioeconomic status (SES) is one of the most significant predictors of healthcare access in South Africa. Individuals with higher income levels and education tend to have better access to healthcare services, while those from lower-income backgrounds often face numerous barriers. In South
For example, a person from a wealthier background might be able to pay for private insurance or out-of-pocket expenses, giving them quick access to medical specialists and advanced treatments. In contrast, individuals from poorer communities may struggle to access even basic healthcare
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Health Equity in South Africa
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services due to long distances to the nearest clinics, lack of transportation, or inadequate facilities. In many cases, the costs of traveling to healthcare centers, coupled with the loss of income from missing work, act as significant barriers to accessing care.
make up the majority of the population, continue to experience disproportionate barriers to healthcare compared to their white counterparts. These inequalities are closely tied to historical land dispossession, economic exclusion, and social discrimination.
Geographic Barriers and Rural Healthcare
Studies show that black South Africans, especially those living in informal settlements or rural areas, are more likely to experience poorer health outcomes due to a lack of access to quality care. Additionally, there is a strong correlation between race and income levels, meaning that wealthier individuals—predominantly white South Africans—are more likely to access private healthcare, while poorer individuals rely on the public sector.
South Africa's healthcare system also reflects stark geographic disparities. Rural areas, where poverty levels tend to be higher, suffer from a lack of adequate healthcare infrastructure. Most major hospitals and medical facilities are concentrated in urban centers, leaving rural populations with limited access to quality healthcare. Even if rural individuals can access a health facility, these centers often face severe staff shortages, insufficient medical supplies, and outdated equipment. The geographic divide in healthcare access is a result of years of policy decisions during apartheid, which restricted healthcare infrastructure and services for non-white communities, particularly in rural areas. Though the post-apartheid government has made strides to improve healthcare in these regions, the gap remains significant. For instance, rural areas may have a single clinic serving a vast population, and the absence of specialists in many rural regions forces residents to travel to urban centers for advanced care, adding to the financial burden. Racial and Ethnic Inequalities in Healthcare In South Africa, racial and ethnic disparities continue to influence healthcare access despite the end of apartheid. The legacy of apartheid policies, which deliberately restricted healthcare access for non-white populations, has left a lasting impact. Today, black South Africans, who
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Furthermore, cultural and language barriers can affect access to healthcare for ethnic minorities, especially in areas where healthcare workers may not speak the local languages or understand cultural practices. This cultural disconnect can lead to misunderstandings, poor patientprovider relationships, and reluctance to seek medical care. Conclusion In South Africa, the socioeconomic determinants of healthcare access are deeply interwoven with historical inequalities, economic factors, and geographic barriers. While strides have been made to improve healthcare infrastructure and policy, significant challenges remain in achieving health equity for all South Africans. To ensure that everyone has access to quality healthcare, it is essential to address the structural inequalities that continue to divide the population along socioeconomic lines. By prioritizing education, employment, and targeted healthcare reforms, South Africa can work toward a more equitable healthcare system that serves the needs of all its citizens.
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Adele Kazilsky Rede ning Reproductive Health and Genetic Testing
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At the helm of this company is Adele Kazilsky, whose journey to leadership began during her university years. With a background in biochemistry and genetics, Adele's expertise and passion for advancing reproductive genetics have been instrumental in leading the establishment of a groundbreaking laboratory in Johannesburg, South Africa. Through her dedication and vision, she has navigated challenges and pioneered advancements in the field, culminating in the official opening of FutureGen Labs. Under Adele's leadership, FutureGen Labs has quickly emerged as a local
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he field of reproductive genetics encompasses a wide array of services and technologies aimed at assisting individuals and couples in achieving their family planning goals. From preimplantation genetic testing to carrier screening, these advancements play a crucial role in addressing genetic disorders and enhancing reproductive outcomes. Amidst this landscape, there exists a genetics company that stands at the forefront of innovation and accessibility, offering cutting-edge solutions to individuals seeking to build healthy families.
Having a genuine interest and excitement about one's pursuits serves as a driving force towards success
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leader in reproductive genetic testing, offering a comprehensive range of services to individuals and couples across South Africa and beyond. With a commitment to excellence and a focus on expanding access to reproductive genetic health services, FutureGen Labs is poised to make a significant impact in the realm of reproductive genetics, ensuring that individuals have the tools and support they need to achieve their family planning goals. Let's delve in to learn more: Navigating Challenges to Lead in Laboratory Establishment Adele's journey into the position of CEO at FutureGen Labs began during her university years, where she pursued a degree in biochemistry and genetics. Following her undergraduate studies, she prioritized marriage and its associated responsibilities due to financial constraints, which prevented her from pursuing further education through honors and master's programs. Consequently, she focused on family life and teaching, eventually becoming involved in her husband's business, which specialized in accounting and
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Adele Kazilsky CEO FutureGen Labs
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Contributing to the world in your own special and unique way is how you become a great human being
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administration. Leveraging her expertise in biochemistry and genetics, particularly in applied mathematics, she seamlessly integrated into this role, dedicating nearly three decades to it while staying abreast of advancements in her original field of study.
expertise in human molecular biology, which he gained through his Master of Science degree. Together, they navigated the complexities of setting up the laboratory, culminating in the official opening of FutureGen Labs on August 4, 2020.
In November 2019, an opportunity arose when the Kingfisher Medical Group, where Adele held an administrative role, sought a leader for a laboratory operation. One of the directors of the Kingfisher Medical Company underwent a personal infertility journey, which inspired the initiative to introduce reproductive genetic testing locally and affordably in South Africa. Historically, much of this testing had been outsourced abroad, resulting in prolonged and costly processes for South Africans. Motivated by this experience, the director conducted thorough research to determine the necessary steps and resources needed to make these services accessible and cost-effective for the local population in South Africa.
Exploring the Potential of NextGeneration Sequencing
Recognizing the alignment of this opportunity with her background, she eagerly accepted the challenge. She embarked on a learning journey about laboratory operations, traveling to Israel and Spain to engage with experts in pre-implantation genetics, particularly within the in vitro fertilization (IVF) domain. Upon her return, Adele spearheaded the construction of the laboratory from scratch despite the onset of the COVID-19 pandemic. Despite the challenges posed by the pandemic, she persevered, overseeing the construction while simultaneously recruiting staff and acquiring necessary equipment. During this period, she recruited Quintin Goodyear as the Medical Director, who brought valuable experience from the National Health Laboratory Services (NHLS) and his
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Traditional sequencing methods provided limited and targeted information, exemplified by the Human Genome Project, which required extensive collaboration and years of effort to assemble a functional genome. However, the introduction of Next-Generation Sequencing (NGS) has revolutionized this process, significantly streamlining it. Tasks that once demanded extensive time and collaboration can now be completed within hours. In agriculture, NGS finds applications in assessing biodiversity and establishing pedigrees in animal breeding programs, including those for dogs and cattle. By genotyping individuals, breeders can pinpoint desirable traits and preserve genetic diversity within populations. Similarly, in biodiversity conservation, NGS plays a pivotal role in managing endangered species such as cheetahs. Through genetic analysis, conservationists can mitigate the risks associated with inbreeding and ensure the health and sustainability of populations. NGS technology offers extensive applications in genomics, enabling researchers to unravel complex genetic information at an unprecedented pace. However, as technology advances, there must also be a corresponding advancement in understanding. With the current adoption of sequencing methods like NGS, data generation in the medical field exceeds the capacity for comprehension.
Achieving ISO 15189 Accreditation In terms of compliance, FutureGen Labs holds accreditation under ISO 15189, an international standard of exceptional healthcare that outlines criteria for quality and competence within a medical laboratory. Expanding Reproductive Testing Options Initially, FutureGen Labs focused on providing Pre-implantation Genetic Testing for Aneuploidy (PGT-A), which involves screening embryos before implantation to identify significant genetic defects that could impact live birth rates or increase the risk of birth defects. Subsequently, the company expanded its offerings to include Preimplantation Genetic Testing for Monogenic Disorders (PGT-M), catering to families seeking to reduce the chances of transmitting specific genetic conditions to future generations. Additionally, FutureGen Labs provides Products of Conception (POC) testing, aiding in determining whether a miscarriage occurred as a result of a genetic abnormality. This diagnostic service offers insights into future management options, as approximately 50% of miscarriages are associated with chromosomal abnormalities. In the realm of reproductive testing, FutureGen Labs offers Endometrial Receptivity Testing (ER-T), which identifies the optimal window for embryo implantation based on gene expression profile. This test offers improved accuracy, especially in cases where hormone markers may not reliably predict the ideal implantation window, which occurs in approximately 10% of cases.
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Select something of value and stick to it. Do not diversify and get distracted too quickly.
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Lastly, the company offers carrier screening, a targeted test that facilitates informed family planning by identifying certain critical genetic conditions within families to reduce the risk of passing them on to future generations. Optimizing Reproductive Success FutureGen Labs' solutions have significantly impacted the reproductive domain by working together with professional and reputable IVF centers in South Africa, thereby enhancing the prospects of success while ensuring a seamless experience for individuals. A notable reproductive challenge arises from individuals typically commencing family planning in their early thirties after achieving financial stability. Often, they spend several months to a year attempting natural conception before seeking specialized medical intervention. This delay can result in couples reaching their mid-thirties without success, prompting them to consult IVF specialists. However, this initial delay places them at heightened risk for aneuploidy due to decreased fertility and aging eggs. FutureGen Labs' tests, such as PGT-A, serve to address these challenges and, together with IVF centers, improve outcomes in such cases. Expanding Access Operating locally and offering affordable services to South Africans, FutureGen Labs envisions broader accessibility to ensure more of the populace can benefit from these services. This accessibility is poised to enhance health outcomes for individuals seeking to build healthy families. At FutureGen Labs, the belief is that reproductive genetic health services should not be exclusive to a privileged few in society due to financial limitations. The focus is on alleviating the burden of disease.
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While control over communicable diseases may be limited, addressing inherited diseases remains within reach. Staying Current in Healthcare Regulations FutureGen Labs remains updated by closely monitoring current trends in legislation and regulations, particularly those pertaining to treatments and genetics. As registered members of the Health Professions Council of South Africa, they adhere to a system designed to ensure practitioners maintain currency in their respective fields. This system, known as Continuing Professional Development (CPD), mandates the acquisition of points through participation in conferences or congresses focused on specific topics where new techniques and advancements are deliberated. An accumulation of these points is crucial for maintaining validity and registration within the South African healthcare system. Furthermore, FutureGen Labs actively engages with special interest groups that are relevant to their areas of expertise. These groups, such as the Preimplantation Genetic Diagnosis (PGDIS) group, provide updated recommendations and guidelines that are regularly disseminated among members, including FutureGen Labs.
technology. Looking ahead, their goal for the next decade is to expand their repertoire to include a broader range of prenatal and postnatal tests, further establishing themselves as the primary authority in reproductive genetics, not only in Southern Africa but across the entire continent. Harnessing Passion for Success Adele imparts a singular piece of advice that she shares with her children and anyone willing to listen: "Passion is key to achieving success. Having a genuine interest in and excitement about one's pursuits serves as a driving force towards success. It instills a sense of purpose, motivating individuals to wake up each morning eager to share their knowledge and skills with the world." Additionally, she emphasizes the importance of staying focused on a goal. By selecting something of value and remaining committed to it, individuals avoid diversions and distractions that may hinder progress. Adele underscores the significance of specialization, cautioning against spreading oneself too thin. She believes that contributing to the world in a unique and meaningful way is the hallmark of greatness.
Striving for Excellence Since the inception of FutureGen Labs, the focus has been on achieving excellence in their field. Over the past four years, they have solidified their position as the leading reproductive genetic specialists in South Africa. Specializing in reproductive genetics has been their niche, leveraging both human resources employed in their laboratories and cutting-edge
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How Education and Training are Shaping the Future of
Healthcare S
outh Africa's healthcare system, like many others, faces a growing demand for skilled professionals to meet the needs of a diverse and expanding population. The country's health workforce is central to the delivery of quality healthcare services. A key factor in shaping the future of healthcare in South Africa lies in the education and training of healthcare professionals. The path to addressing both the quantity and quality of healthcare workers is rooted in strategic investments in education, professional development, and healthcare infrastructure. These investments have the potential to address ongoing health disparities, improve service delivery, and enhance overall health outcomes for South Africans. The Current State of South Africa's Health Workforce South Africa's health workforce is a blend of highly skilled professionals, including doctors, nurses, allied health workers, and specialists, as well as a large number of support staff. However, the country faces notable challenges in terms of workforce distribution, shortages in certain specialties, and unequal access to
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healthcare professionals across urban and rural areas. A key issue is the insufficient number of healthcare workers relative to the population's needs. South Africa has one of the lowest doctor-to-patient ratios in the world, and while the nurse-to-patient ratio is better, it still falls short of the World Health Organization's recommended standard. Additionally, there is a significant shortage of specialists, particularly in rural areas, where access to advanced medical care remains limited. The South African government has prioritized improving the education and training of healthcare workers to meet these demands. By addressing education gaps and aligning curricula with the needs of the population, the country aims to ensure a skilled, welldistributed healthcare workforce capable of delivering high-quality care to all South Africans. Medical Education and the Role of Universities Universities in South Africa play a critical role in shaping the healthcare workforce by providing the formal education required to enter the
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South Africa's Health Workforce
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profession. Medical and nursing schools across the country are producing a steady stream of graduates who go on to become doctors, nurses, and other healthcare professionals. However, the capacity of these institutions to meet the growing demand for trained healthcare workers is limited by financial constraints, outdated infrastructure, and a shortage of qualified teaching staff. In response to these challenges, many South African universities have modernized their curricula to include practical, hands-on training, community-based education, and a stronger focus on primary healthcare. These updates are designed to better prepare students for real-world scenarios, particularly in rural or underserved areas where they are needed most. The country also has a number of partnerships between universities and international institutions aimed at improving the quality of medical education. These collaborations help ensure that South African healthcare professionals are exposed to the latest advances in medical science and best practices, keeping the curriculum upto-date and competitive on the global stage. Addressing Rural and Urban Disparities in Healthcare Workforce Distribution One of the most pressing issues facing South Africa's health workforce is the unequal distribution of healthcare professionals between urban and rural areas. Most skilled workers prefer to practice in urban centers, where there are better facilities, higher salaries, and more opportunities for career advancement. As a result, rural communities are often underserved, with few healthcare professionals available to meet the needs of these populations.
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To address this imbalance, South Africa has implemented a number of policies aimed at encouraging healthcare professionals to work in rural areas. The government has introduced incentives such as bursaries, grants, and student loan forgiveness programs for those who agree to work in rural and underserved regions after completing their training. These policies aim to increase the number of healthcare professionals in rural areas and reduce the dependency on urban centers for basic and specialized healthcare. Furthermore, medical schools are expanding their outreach to rural communities, offering students opportunities to gain practical experience in these areas. This ensures that new graduates are familiar with the unique challenges faced by rural healthcare facilities and are more likely to work in these settings after they complete their training. Conclusion The education and training of South Africa's healthcare workforce play a fundamental role in shaping the country's healthcare system. As the nation works toward addressing healthcare disparities and improving access to quality services, investing in education and professional development will remain essential. By expanding training opportunities, ensuring continued professional development, and incentivizing healthcare workers to serve in underserved areas, South Africa can begin to address the significant gaps in its healthcare workforce. With strategic investments and policies, the country can build a skilled, well-distributed healthcare workforce capable of providing quality care to all South Africans, ultimately improving health outcomes across the nation.
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Opportunities don't happen. You create them. - Chris Grosser
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I
n today's digital age, the intersection of neuro-education and digital well-being has emerged as a critical frontier in addressing the challenges posed by technology on human development. This industry focuses on integrating neurological principles with educational practices to optimize learning outcomes and promote holistic well-being in individuals of all ages.
and communities in managing technology's impact on learning and well-being. Through initiatives like the TechnoLife Wise Foundation, Marlena Kruger continues to spearhead efforts that promote responsible digital citizenship and enhance the quality of educational experiences globally.
Leading this transformative initiative is CEO and Founder Marlena Kruger, a visionary in the field with a background rooted in radiography and a doctoral degree in Neuro-education. Her pioneering work emphasizes holistic development through innovative neuro-integrative therapies, advocating for a balanced approach to digital engagement that prioritizes mental, cognitive, physical, and spiritual health.
Marlena originally qualified as a radiographer at the University of Pretoria. She worked for a short while in private practice before accepting a lecturer's post to start the National Diploma in Radiography at the Tshwane University of Technology in collaboration with private practices. She furthered her studies in education and received her doctoral degree in Neuro-education from the University of Johannesburg more than 25 years ago.
Under Marlena Kruger's leadership, MINDUNIQUE EDUCATION has established itself as a trailblazer in fostering healthy digital habits among students. Founded in 2015, the institute aims to empower parents, educators,
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Pioneering Neuro-Education and Digital Well-being
Marlena loves people and is passionate about the optimal, happy, and healthy development of children (and people). She always focuses on whole-brain learning and whole-person
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development, emphasizing that human health and well-being include mental, cognitive, physical, and spiritual health. Marlena strives to educate and dispel myths around limited viewpoints on the unlimited development of human brains and bodies. She prefers noninvasive and drug-free neurointegrative moves and therapies, overdiagnosing neurological and learning disorders ("neurodiversity"), and prescribing medication. She started MindUnique Education in 2015 after realizing that students struggle to manage technology effectively. When students receive mobile devices like tablets and smartphones intended to support their learning, they often become more distracted and interrupted, and many become easily addicted. Despite older students having more mature brains with better executive functioning, concentration, focus, and decisionmaking, they still need help managing these wireless mobile devices purposefully and wisely. Recognizing the issue with students, Marlena understood it would be even worse for teenagers and younger children using screens in classrooms and at younger ages when their parents use these digital devices as babysitters. To address this, she founded the TechnoLife Wise Foundation, a ministry, in 2017. This foundation aims to reach out to schools and help educate parents, educators, and children on implementing strict boundaries when managing children's screen time. These boundaries are crucial for ensuring children's happy and healthybalanced development, enabling them to become thriving individuals who contribute to others' lives and their communities. In 2022, the Wait Until Grade 8 and No Phones at Schools
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campaigns were launched, followed by the establishment of the Association of Digital Well-being and NeuroEducation (ADWAN) in February 2024. Worldwide research publications confirm that generations are being degraded as happy, healthy, balanced humans when real-life learning and interactions with people and nature are substituted with flat-screen interactions. These interactions are linked to the underdevelopment and integration of their senses, brains, and bodies. Marlena is excited that the 2023 Global Education Monitoring report highlighted these challenges and recommended that learners not use digital technologies in classrooms due to their negative impact on academic performance and holistic development, health, and well-being. In November 2023, the United Nations in New York received the International Declaration for Children's Rights in our Digital Age. It confirmed that children need to be free from: •
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Addictive platforms such as video games, the internet, and social media; Non-native, unnatural EMF radiation from cell phones, cell phone towers, Wi-Fi routers, and other wireless devices; Exploitation of their private information for purposes such as human trafficking, sexual grooming, and pornography.
Marlena believes that passivity and minimal action constitute neglect and abuse of children. Without radical and drastic actions to combat screen
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overuse and addiction, we contribute to the exponential increase in Virtual Autism, Electronic Screen Syndrome, and the ADHD pandemic. She is passionate about helping and empowering parents and children to navigate and make wise decisions regarding screen use and technology. This ensures children's optimal, happy, healthy-balanced, unique development and the health and well-being of families in the digital age. Marlena advocates for a cautious approach to embracing more technologies, given the adverse effects of problematic screen use on health and well-being. The average IQ of the human race, the strength of children's muscles, and the healthy development of human capabilities are declining. Despite the opportunities in the digital world, significant daily challenges and responsibilities also exist. Marlena uses assessment questionnaires, full-body quantum scanning, biofeedback tracking reports, Rife and other natural energy frequencies, ozone therapy, Life Wave technology (phototherapy), and natural therapies to enhance clients' overall health and well-being. Additionally, she develops and sells WoWe® EMF protective products to safeguard people against harmful, unnatural EMFs from cell phones, cell phone towers, Wi-Fi routers, and other wireless devices, including Bluetooth and Fitbit watches. Balancing Techno-Life and Real-Life Interactions Nowadays, real lives are entangled with many more digital technologies than a decade or two ago. Previously, finding a work-life balance to prevent burnout was hard. Marlena also experienced burnout in 2011 and was off from formal work for
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a year. Because so many digital technologies are integrated into reallife environments, it is essential to be critical and mindful of why, when, and how much time is spent in front of screens. This is often referred to as techno-life. One of the enormous challenges is minimizing screen time to ensure that real-life interactions are not replaced with unnecessary screen time that steals time for social interactions and physical development outdoors and in nature. More "green" time, ideally barefoot to ground oneself in nature, is crucial and is part of healing therapies to ensure thriving in the digital age. Due to the integration of technology into everyday lives, it is now an even bigger struggle to find the techno-life balance between living with and without digital screens and devices. Navigating the Human-Technology Tipping Point Marlena mainly focused on the key elements contributing to the scary concept of the human-technology tipping point, where humans risk becoming the robots of this world, replaced, managed, and manipulated by digital computers and screens in the cloud. It has been more than five years since her TEDx presentation, and this phenomenon is already becoming evident with the expansion of software programs' capabilities, including artificial intelligence (AI) functionalities. Without sufficient critical thinking about the negative impact of these innovations on human learning, healthy development, and well-being, more digital technologies are being embraced, bringing more associated wireless devices and an exponential increase in electro-pollution. This
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contributes to the rise in conditions such as Electro-Hypersensitivity (EHS), certain types of cancers in children and others, auto-immune diseases, screen addiction, and slower development of language, social, and physical skills. These issues contribute to the increased diagnosis of Virtual Autism (VA), Electronic Screen Syndrome (ESS), ADHD, Digital Dementia, and other symptoms. Doctors and therapists can easily misdiagnose these disorders without considering the negative impact and contributions of excessive screen time. In many cases, people degrade themselves by becoming dumb and numb, as flat as screens in their reallife interactions and relationships. In some instances, they are content to just press another button, becoming too lazy to live as human beings who enjoy, celebrate, and explore everyday mercies and wonderful real-life experiences and opportunities. Empowering Families Through Neuro-Integrative Education Marlena's passion for helping others motivated her to launch the Institute. The primary objectives are to assist and empower educators, parents, and families through workshops, seminars, webinars, courses, and coaching. These interventions in learning aim to create lifelong opportunities in various formats, ensuring optimal, happy, and healthy-balanced development for babies, toddlers, and children in today's digital-driven world. The Institute implements several initiatives to combat screen addiction and other learning and neurological disorders, including Functional Disconnection Syndrome (FDS) resulting from problematic screen use. All courses are grounded in neurointegrative principles and promote holistic development, happiness, and health.
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Through coaching programs and HAPPY NEURO HEROES courses, the Institute helps reset and integrate children's brains and bodies. This involves replacing screen time with real-life sensory experiences, neurointegrative moves, natural therapies, nutrition, and mindfulness practices. Inspiring Change in Digital Wellbeing Marlena does not seek accolades or rewards, yet she received a South Africa Leader's Award in April 2024. Working in the challenging space of advocating for changes in digital screen behaviors and replacing them with healthier real-life activities is not always easy. Marlena appreciates it immensely when her efforts in this integrative health and digital wellbeing field are acknowledged by people and organizations. Such recognition motivates her to continue sowing seeds despite opposition and sometimes hostile environments.
embedding positive habits. According to Marlena, significant improvements in personal and familial well-being become noticeable only after consistently adhering to these changes for at least three to six weeks. Marlena acknowledges the difficulties encountered when trying to maintain these changes amidst societal pressures. She notes the influence of friends and family who may not support or understand these efforts, potentially discouraging individuals from pursuing personal growth in a digitally-driven world. She criticizes the pervasive advertising strategies of telecommunications companies that promote excessive data consumption and constant internet access as essential for happiness and health despite often delivering on superficial promises. Marlena remains committed to empowering individuals and families to navigate these challenges effectively, fostering lasting positive transformations in their lives.
She firmly believes that transforming many negative digital behaviors can positively impact and potentially save lives, supporting the natural learning, development, and interactions of toddlers, children, teenagers, and families. Marlena attributes her successes to the empowerment she receives from the Almighty God, who enables her to fulfill her purpose of glorifying His name and making disciples for eternity by opening doors at the right time. Establishing Lasting Change in a Digital Age Marlena emphasizes the challenge individuals face in implementing lasting behavioral changes. She highlights the importance of sustained effort over a period of 21 to 60 days to establish new neural pathways in the brain, which are essential for
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