While at university, Ramphele became increasingly involved in student politics and anti-apartheid activism, becoming one of the founders of the
Black Consciousness Movement (BCM), where she met
Steve Biko, with whom she had a relationship. As a member of the BCM, she was crucially involved in organising and working with community development programmes. Biko and Ramphele had two children during their affair; Lerato Biko, born in 1974, and Hlumelo Biko, born in 1978. Lerato contracted fatal pneumonia when she was two months old. Their son
Hlumelo Biko was born after Biko's death. Ramphele and her son would eventually work together in the Circle Group holding company for their family investments. Ramphele worked with the
South African Students' Organisation (SASO), a breakaway from the
National Union of South African Students (NUSAS) that operated on English-speaking white campuses. NUSAS had black and white students as members. SASO was formed in 1969 under the leadership of Steve Biko. From 1970 onwards Ramphele became increasingly drawn into political activism with Biko,
Barney Pityana and other student activists at the Medical School. She was elected the chairperson of the local SASO branch. Ramphele received her qualification in medicine in 1972. She began her medical internship at Durban’s King Edward VIII Hospital, later transferring to Livingstone Hospital in Port Elizabeth. In 1974, Ramphele was charged under the Suppression of Communism Act for being in possession of banned literature. In 1975, she founded the
Zanempilo Community Health Care Centre in Zinyoka, a village outside
King William’s Town. It was one of the first primary healthcare initiatives outside the public sector in South Africa. During this time she was also the manager of the Eastern Cape branch of the Black Community Health Programme. She travelled extensively in the Eastern Cape, organising people to be drawn into community projects. In addition to her medical duties, Ramphele also became the director of the Black Community Programmes (BCP) in the Eastern Cape when Biko was banned. In August 1976, Ramphele was detained under Section 10 of the Terrorism Act, one of the first persons to be detained under this newly promulgated law. In April 1977, Ramphele was issued with banning orders and banished to
Tzaneen,
Northern Transvaal, where she remained until 1984. A member of the local church arranged for her to live with two African nuns in a local village, Tickeyline. She later established a home for herself in
Lenyenye township near Tzaneen, although she remained under police surveillance. During her stay in Tzaneen, Ramphele established the Isutheng Community Health Program, with monetary aid from the BCP. This foundation was used to empower local women and aid them in growing vegetable gardens, amongst other initiatives. During her stay in Tzaneen, Ramphele enjoyed occasional illicit outings to escape everyday life, as well as visits from
Helen Suzman, MP of the Progressive Party. Suzman assisted Ramphele in securing a passport when Ramphele travelled abroad. Ramphele also enjoyed visits from Father Timothy Stanton; an Anglican priest who visited her and celebrated Eucharist with her. In 1983, she completed her BComm degree through UNISA (the University of South Africa), which she had registered for in 1975. She also completed a Postgraduate Diploma in Tropical Hygiene and a Diploma in Public Health at the University of Witwatersrand. This required that Ramphele apply for a special dispensation to travel to Johannesburg where she had to report at the John Vorster Square Police Station upon her arrival and departure. Ramphele left Lenyenye in 1984 to go to Port Elizabeth where she was offered a job at Livingstone Hospital. However, she left to take up an appointment at the University of Cape Town (UCT) that Francis Wilson, a Professor of Economics, had arranged. She was to work with him at the South African Labour and Development Research Unit (SALDRU) as a research fellow. == Career ==