Without passion there is no road to greatness!
Natisha Dukhi:唯有保持研究熱情才能走出康莊大道
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          Dr. Natisha Dukhi receives the 2018 Gro Brundtland Week of Women in Sustainable Development from Dr. Gro Harlem Brundtland, Tang Prize Foundation and NCUK President Huey-Jen Jenny Su at NCKU, April 3rd.

          Endorsed by Dr. Gro Harlem Brundtland, granted by Tang Prize Foundation and organized by NCKU, the Gro Brundtland Week of Women in Sustainable Development commits to engage the outstanding female researchers for public health and sustainable development. It empowers an international platform for collaboration and partnership of female researchers in Taiwan and developing countries.

          Dr. Dukhi is a Research Specialist at the Human Sciences Research Council in the Department of Population Health, Health Systems and Innovation of South Africa with expertise in Maternal, Adolescent and Child Health in South Africa and globally.

          “This award gives me and my research a chance to be recognized at a local, national and international level,” says Dr. Dukhi. With gratitude to many people in her life and career, she particularly appreciates the support given by her mother. “My mother always made time for me and how I achieved my successes in my career. She has always made time to learn of my work and how to get me to achieve my goals. She is still to this day that pillar of strength that is continuously motivating and encouraging me to brace my science career, every day.”

          Dr. Dukhi has spent over 12 years of experience in academia, lecturing Anatomy, Physiology, Pharmacology and Pathophysiology at the University of KwaZulu-Natal, Durban University of Technology and Rhodes University. She is also currently an Executive Board of Directors for the Public Health Association of South Africa (PHASA), a Board member for the “World Academy of Science, Engineering and Technology: Scientific and Technical Committee & Editorial Review”, and a member of the Organization for Women in Science for the Developing World, and International Union for Health Promotion and Education (IUHPE).

          Her research topic is “the effectiveness of diet and physical activity interventions conducted in schools in preventing overweight and obesity in children and adolescents: the iLembe School Physical Activity and Nutrition (i-SPAN) study”. The study began in 2017 with stakeholder meetings with members of the Departments of Health, Basic Education and Sports & Recreation. A steering committee was also established. In the first phase, an elicitation research will be conducted to ascertain the extent of health promotion within the school environment, followed by the next phase of nutrition and physical activity intervention.

          Children overweight and obesity in South African children is in a critical condition of 13% national prevalence, compared to 6.1% as the global average. This study has the potential to expand to more districts in KwaZulu-Natal province, to become part of the Departments of Health and Education Health Promoting Programme and contribute to the community and district/national policies regarding childhood obesity.

          As South Africa expands its health focus from infection diseases to lifestyle related conditions, such as overweight and obesity, Dr. Dukhi expects more health surveys will be conducted at regional and national level, to facilitate science researches and increase public awareness.

          She is also involved in the Teen MomConnect Program which was initiated in 2016, to contribute to reduce the risk factor prevalence in pregnant teenagers and their maternal mortality rate from the four leading conditions, including hypertension, non-pregnancy related infections (e.g. HIV/AIDS related, TB or pneumonia), obstetric haemorrhage and medical and surgical disorders). The elicitation research findings will be used to inform the design of Motivational Interviewing (MI) intervention content and structure as well as enhance the original MomConnect messages to be more cognitively and culturally appropriate for teenage pregnant girls.

          The study is a collaborative partnership for the Human Sciences Research Council (HSRC) with Praekelt Foundation (JHB, SA), Michigan University (USA), and National and Provincial Department of Health (WC). “Working within a research environment such as HSRC, affords me the opportunity to be involved at the grass root level of community research that can inform policy, says Dr. Dukhi. However, she points out that South Africa follows a two-tier healthcare system, which is not accessible or equitable to majority of the population, but also observes the government is responding to the restructure and revitalization of the healthcare system.

          Having overcome many challenges in her science career, Dr. Dukhi says, “I believe you always encounter situations, frustrations, and setbacks irrespective of where you can be situated. But, having lived and trained in South Africa, I have to say that women researchers are still short changed in the workplace and the outside environment. I have encountered racism, lack of support, on my journey to becoming a doctor but I have always overcome them.”

          “I think there is no fixed and fast way to overcoming shortfalls. You have to deal with situations head on, remembering to maintain class and decorum, not just as a woman but also as a human being. Sometimes silence is golden and at other moments you have to have a voice that needs to be heard.”

          “South Africa is still undergoing transition in various aspects, and so as an Indian female researcher, I have to constantly prove my worth and that of my research or face being compared to other race groups or being told I am too young. I have dealt with this by letting my research speak for itself, motivating others where I can, sharing the knowledge I possess and simply enjoying what I do,” concludes Dr. Dukhi.

          2018年Gro Brundtland Award得主,來自南非的Natisha Dukhi博士,目前在南非人類發展委員會族群健康、健康照護系統及創新部門擔任研究專員,她的研究著重於全球與南非地區的孕產婦、青少年與兒童健康。現正執行預防兒童和青少年過重與肥胖的健康生活研究計畫,要將健康促進引入校園,推動健康體適能與均衡飲食,預防南非兒童過重與肥胖問題。

          過去20年來,兒童肥胖已經成為發展中國家和開發國家的共同問題,在南非孩童過重與肥胖也是一大問題,南非兒童的過胖率為13%,較全球平均水準6.1%高出2倍。

          Dr. Dukhi2017年於南非夸祖魯-納塔爾(KZN)省的iLembe區,執行一項在學校預防兒童和青少年過重與肥胖方面的健康生活研究(i-SPAN),該研究由衛生部、基礎教育、體育等部門成立委員會來支持,是一項新的綜合混合方法/隨機對照試驗設計,包括飲食、體身活動、學校與家庭介入措施。要透過家長、學校教師一起來推動孩童飲食均衡等健康生活,以預防兒童及青少年肥胖。該計畫已獲得肯定,未來將擴大到其他地區實行,做為KZN兒童肥胖預防和管理的一部份,甚至進而成為衛生和教育衛生部門健康促進計畫的一部份,對社區、國家兒童肥胖政策產生貢獻。

          另外,Dr. Dukhi也參與了執行中的Teen Mom Connect研究,是南非第一個對青少女懷孕的相關研究,該項研究將科技與手機結合,針對參與研究的懷孕青少女,發布相關的醫療、衛生等訊息以及問卷測試,以強化懷孕少女以及兒童的健康照護,目標在降低高血壓,非妊娠相關感染,愛滋病毒與愛滋病相關的結核病或肺炎、產科出血以及內外科疾病等。研究結果若能證明有效,將有助於降低懷孕青少女的罹病危險因素和孕婦死亡率。

          獲得Gro Brundtland Award,Dr. Dukhi深以為榮。她欣喜的說,得獎不僅僅是榮譽,更重要的是傳遞出對女性研究員的尊重與讚賞。「這個獎項,讓我和我的研究,得到國內外的注意與認同」。回首來時路,Dr. Dukhi指出,自己能有今天的成績,最要感謝的是媽媽,「雖然媽媽不曾受過教育,但她卻教我積極面對人生、擁抱事業,總是花時間盡量去了解我的工作,也不斷激勵和鼓勵我向前邁進,是我最大的支柱,幫助我實現目標。」

          Dr. Dukhi接受高等教育,擁有博士學位,但她也不諱言,一路走來有不少挫折、沮喪,甚至不受尊重的待遇,「目前來說,南非女性研究人員不論在工作場所和其他的環境,仍受到不公平對待,她也一直在克服,這是必需面對的現狀,俗話說『沈默是金』,但有時候必須積極發聲,讓別人聽到自己的意見。」

          Dr. Dukhi表示,長期以來,她得不斷去證明自己以及研究上的價值,即使常被告知太年輕,或是與其他種族相比較,但她總是以研究成績來為自己說話或證明,並盡可能以自身的經驗去鼓勵他人,與他人分享自己的研究成績。

          對於有心投入科學領域的女性,Dr. Dukhi以「勇往直前」這句話來給予鼓勵!「我認為,成功達成目標是沒有極限的,女孩們,努力工作,享受付出,但也別忘了享受生活。」