Championing rural wellness: Jabulile Ndlovu’s journey in Occupational Therapy
By: Palesa Chidi
In the corners of rural KwaZulu-Natal, where resources are scarce and challenges are abundant, Jabulile Ndlovu stands as a beacon of hope and resilience. As the Assistant Director of Occupational Therapy Services at Manguzi Hospital, her dedication to improving mental health in her community is both inspiring and transformative. Jabulile’s journey from a young girl in a rural area to a leading figure in occupational therapy is a testament to her unwavering commitment and passion for making a difference.
Jabulile graduated as an Occupational Therapist (OT) in 1990 from the Medical University of Southern Africa (MEDUNSA). Her journey began in the rural areas, working alongside Dr. Pam Mclaren-Haynes, a pioneer in rural OT services. This early experience set the tone for a vibrant career filled with learning and collaboration. “I never knew much about OT before university, but I knew I wanted to work in a hospital without being a nurse or doctor. I have no regrets about my career choice,” Jabulile shares.
Jabulile’s career is marked by significant achievements. She was one of ten delegates sent to Holland to learn about Psycho-social Rehabilitation in preparation for the deinstitutionalization of Mental Health Care Users (MHCUs). She also became the first Disability & Rehabilitation District Coordinator in UMkhanyakude, overseeing services across five hospitals. “I’ve kept myself updated with knowledge and am currently pursuing a PhD in Public Health,” she adds proudly.
Working in a rural area comes with its unique challenges. From scarce resources to high staff turnover, Jabulile has faced numerous hurdles. “Professionals don’t stay long, and sustaining treatment programs has been tough. Working with higher authorities who often don’t understand our role has also been daunting,” she explains.
Mental health issues manifest differently in rural and urban areas. Jabulile notes that substance abuse, once an urban problem, is now prevalent in rural areas too. “The family structure in rural settings is better placed to deal with these challenges. It’s crucial for health professionals to support the families of MHCUs,” she emphasizes.
Occupational therapy plays a vital role in mental health and well-being in rural areas. Jabulile highlights the importance of identifying support systems for MHCUs and ensuring that OTs are part of the multidisciplinary team. Collaboration with various government departments and NGOs is also key to improving healthcare for MHCUs.
Jabulile advocates for more support for the relatives of MHCUs, who often bear the brunt of care. “It’s time to focus on their mental health and provide the necessary support to alleviate their stress,” she says.
Despite the challenges, Jabulile remains motivated by her love for her work. She dedicates two days a week to psych reviews and three days to community outreach. “Helping even one person gives me great job satisfaction and keeps me sane and happy,” she shares.
Jabulile advises other OTs and healthcare providers to apply the four spheres of life (Personal Management, Work, Social, and Leisure) in every treatment situation. “Do not work in silos. Be part of the multidisciplinary team and show what you do best,” she encourages.
Jabulile hopes her work will promote a harmonious life within families and teach communities to use available resources effectively. “If the community embraces these messages, my work will be well done,” she concludes.