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27 December 2021 | Story André Damons | Photo Supplied
Prof Stephen Brown, Principal Specialist in the Department of Paediatrics and Child Health in the Faculty of Health Sciences at the University of the Free State (UFS), and his team are taking life-saving medical care to young patients in the rural parts of the Free State.

Paediatric heart specialists hope that an outreach initiative started back in 2016, allowing them to travel to rural areas in the Free State to diagnose heart defects in babies early, would grow and expand to other rural areas and provinces. 

Every year, more than 40 babies in the rural areas of South Africa may die as a result of an undiagnosed heart lesion, because everyone assumes that they have respiratory problems when they actually have critical congenital heart disease – up to 85% of which is curable, says Prof Stephen Brown, Principal Specialist and Head of the Division of Paediatric Cardiology  in the Department of Paediatrics and Child Health in the Faculty of Health Sciences at the University of the Free State (UFS).

Prof Brown, who is also a paediatric cardiologist at the Universitas Academic Hospital, says a life-saving collaboration initiative between the UFS, the Mother and Child Academic Hospital (MACAH) Foundation, and the Discovery Fund started five years ago to help curb the death of young patients due to congenital heart disease, and to make services more accessible to rural communities.

Hundreds of patients seen annually  

“We initiated an outreach programme due to the fact that some patients found it difficult to get transport to our central hospital. Since the Free State is considered rural, there are long distances to travel. Our concept was that we should take the service to grass-roots level to make it more convenient for the parents and caretakers.

“We partnered with MACAH, and since early detection of congenital heart disease makes a big difference, it fits in nicely with MACAH’s first 1 000 days drive. Due to the hard work of Tertia de Bruyn, we were given the opportunity to come into contact with Discovery. Dr Daniel Buys (UFS Department of Paediatrics and Child Health) and Rudolph Pretorius (echocardiography technician) did a lot of the initial paperwork and motivation,” says Prof Brown.  

According to him, a mobile echocardiography apparatus was donated by the Discovery Foundation via MACAH, which is crucial for doing this outreach work. The machine looks like a laptop and can be transported in a carry case.  

“We see between 170 and 250 patients on an annual basis. The service is obviously confined to secondary hospitals, and we started doing the Mofumahadi Manapo Mopeli Hospital in Qwaqwa and the Bongani Regional Hospital in Welkom. It has since expanded to the Dihlabeng Regional Hospital (Bethlehem) and the Pelonomi Secondary Hospital in Bloemfontein. Since initiation in 2020, Pelonomi has seen on average 40 children per month receiving a heart sonar. COVID-19 has had a major impact on our work,” says Prof Brown. 

First 1 000 days in any child’s life determine their trajectory for life

Prof André Venter, Chairman of the MACAH Foundation, says one of the main commitments of the MACAH Foundation in central South Africa is their passionate belief that the first 1 000 days in any child’s life determine their trajectory for life. Says Prof Venter: “We should do everything in our power to ensure that this 1 000-day journey is as optimal for each child, including conception, pregnancy, birth, and health during the first two years of life.”

“As Chairman of the MACAH Foundation, I am sincerely grateful to pioneers such as Prof Brown and his team in Paediatric Cardiology for their excellent outreach initiative, but also to the Discovery Fund who shared our vision and that of Prof Brown’s team and was willing to make this very generous donation. I am so proud of and so grateful to all of you,” says Prof Venter.

According to him, this has not only helped to make infant cardiac screening in the rural areas a reality, but also to make it a world-class service.   

The importance of the partnership for rural areas  

Prof Brown says in his experience, this initiative is greatly appreciated, as he and Dr Buys do the clinics and heart sonars personally. “The families find this fantastic, since they can have direct interaction with their cardiologist, which allows for better communication and adds a personal touch. When they come to Bloemfontein for further assessment – their faces light up when seeing a familiar face.”  

“It also helps with treatment and management at their local institution. I also find that the doctors in the hospitals appreciate it tremendously – they find it easier to phone and ask for advice. It brings the ‘fancy tertiary physicians’ to a human level with whom they can interact. It also alleviates a lot of stress for the physicians, and they can show/ask advice re difficult cases,” says Prof Brown.  

By doing outreach, Prof Brown concludes, they have learned so much about the communities and the importance of being accessible, as patients appreciate having direct interaction with the professor. The doctors and staff have also been enthusiastic and supported them tremendously at all the hospitals. The students from Cuba have joined Prof Brown and his team when visiting their hospitals, and they can spend some dedicated clinical teaching time together.

News Archive

UFS celebrates Kovsie Week
2009-08-21

The University of the Free State (UFS) will be celebrating Kovsie Week from 31 August to 4 September 2009. The week affords friends, colleagues and former colleagues of the UFS the opportunity to enjoy one another’s company and to experience what the university offers.

The programme is as follows:

On Monday, 31 August 2009, a star-gazing programme and lecture entitled “400 Years of Astronomy after Galileo” are presented by Prof. Matie Hoffman at the Boyden Observatory at 17:30 for 18:00. Attendance is free and bus transport will be available from the UFS Main Campus for the first 70 guests that respond. Reserved parking has been arranged with a security guard to look after the cars that are left on the campus.

On Tuesday, 1 September 2009, guests can attend the production by Pieter Venter entitled “Impi” for free in the Wynand Mouton Theatre at 14:30 for 15:00.

On Wednesday, 2 September 2009, an enjoyable morning in the company of Mr Derek de Bruyn from the National Museum is presented at the Centenary Complex of the UFS at 09:30 for 10:00. He will talk about the social life of Bloemfontein during the early 1900s and guests will be entertained by the Boere Orkes of Grey College Primary School under the direction of Santjie Louw. Attendance of this event is free.

On Thursday, 3 September 2009, at 19:00 for 19:30, a candle-light, sherry and soup evening with romantic piano music is presented at the UFS Centenary Complex by Prof. Nicol Viljoen from the UFS’s Department of Music. The programme includes, amongst others, 10 Lieder ohne worte (Felix Mendelssohn), as well as Ballade No. 1 (Fryderyk Chopin). Attendance of this event is also free.

The week will end with the Kovsie-Alumni Award Gala Dinner that will take place in the UFS Centenary Complex on Friday, 4 September 2009, at 18:30 for 19:00.
The cost per person for the dinner is R120. The Kovsie of the Year Award for alumni, the Cum Laude Award, and the Alumni Award for Exceptional Service at the UFS will be awarded at this occasion.

Transport can be arranged to all the functions and parking will be available as close as possible to the venue where the functions take place. Persons interested to attend any of the functions can contact Annanda Calitz at 051 401 3382 or ficka.stg@ufs.ac.za, or Ms Kathy Verwey at 051 401 9343 or verweyke.stg@ufs.ac.za.

Media Release
Issued by: Lacea Loader
Deputy Director: Media Liaison
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@ufs.ac.za  
21 August 2009

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