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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

Faculty of Theology hosts annual meeting of Society for Practical Theology
2015-01-30

From the left are: Prof Yolanda Dreyer (Chairperson of SPTSA, University of Pretoria), Prof Johann Rossouw (UFS), Prof Hussein Solomon (UFS) and Prof Johan Cilliers (Stellenbosch University).
Photo: Michelle Nothling

The privilege of hosting the annual meeting of the Society for Practical Theology in South Africa (SPTSA) fell to the University of the Free State (UFS) this year. Delegates from across the country recently convened on the Bloemfontein Campus to attend the event from 21 – 23 January 2015.

The three-day congress saw several high-profile keynote speakers discussing the topic of ‘Power of religion and religions of power’.

Dr Johann Rossouw from the UFS Department of Philosophy presented a paper on ‘Power, the state and the church in South Africa’. Dr Rossouw regards the cooperation between theologians and philosophers as integral to help us understand the time we live in. Twenty years since the dawn of South Africa’s democracy, “the gap between the country we were promised and the country we received is bigger than ever,” Dr Rossouw said. “A South-African Church … cannot but make her voice heard regarding this gap.”

Expert on conflict resolution and fundamentalism, Prof Hussein Solomon from the UFS Department of Political Studies and Governance scrutinised the compatibility of Islam with democracy. He warned, though, against “the labelling of a conflict as religious on the mere basis of its religious overtones.” Prof Solomon’s paper, ‘Political Islam: trends, trajectory and future prospects,’ not only advocated tolerance and political pluralism, but also pointed to the fact that it is “in the common good of all humanity” to avert a “Clash of Civilizations”.

‘God in granite?’ – Prof Johan Cilliers’ paper – investigated the phenomenon of the monumentalization of religion. Prof Cilliers from Stellenbosch University explained that monuments often have “spiritual character and iconic value, in the sense that it offers a space for the formation or discovery of meaning.” In his presentation he showed, though, that monuments – even those connected to religious motifs – “seldom escape the lure of power”.

The event was organised by the University of the Free State’s Faculty of Theology, Department of Practical Theology.

  

For more information or enquiries contact news@ufs.ac.za .

 

 

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