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01 November 2024 | Story André Damons | Photo Supplied
Dr Nomakhuwa Tabane
Dr Nomakhuwa Tabane is the Head of the Department of Paediatrics and Child Health at the University of the Free State.

The first 1 000 days of a baby’s life, from conception to the age of two, constitute a critical period during which children’s brains form as many as 1 000 neural connections every second – a pace that will not be repeated in their lifetime.

These connections are the building blocks of every child’s future, which makes the role of a campaign like the First 1 000 Days vitally important. It highlights the importance of stimulation and learning from the earliest possible moments, good nutrition for expectant mothers, prevention of malnutrition of children, and early diagnosis of chronic, life-threatening illnesses and developmental disorders.

This is according to Dr Nomakhuwa Tabane, Head of the Department of Paediatrics and Child Health at the University of the Free State (UFS). The campaign was promoted by Dr Tabane’s department in partnership with the Mother and Child Academic Hospital (MACAH) Foundation.  The annual campaign kicks off on 1 November each year.

“There are certain factors that can interfere with this process and result in irreversible damage to children’s brain development, poor growth, and compromised immunity. Those conditions include prematurity, ischaemic brain damage, and infections. These are also the top contributors to the neonatal mortality.

“In the one-month to 49-month-old period, the causes of mortality and morbidity that affect brain development and growth include respiratory illnesses like pneumonia, diarrhoeal diseases, and malnutrition,” says Dr Tabane. 

Aims of the campaign

The First 1 000 Days initiative promotes excellent mother, infant, and child healthcare by supporting community-based programmes that drive the message of the importance of the first 1 000 days of life to teenagers, young adults, healthcare workers, and the public. This initiative aims to bring about interventions that can address the Under-5 Mortality Rates (U5MR), including Neonatal Mortality Rates (NMR), Infant Mortality Rates (IMR), and Perinatal Mortality Rates (PMR).

“The campaign also aims to improve the growth and development of children in their first 1 000 days of life from conception until they are two years old. It also aims to improve expectant mothers’ health and prevent and decrease maternal mortality in the Free State, as well as to prevent unwanted pregnancies, focusing on decreasing teenage pregnancies.”

According to Dr Tabane, the 2020 South African UN Inter-agency Group for Child Mortality Estimation (UNIGME) estimate for U5MR was 32 deaths per 1 000 live births, NMR of 11 per 1 000 live births, and infant mortality rate (IMR) of 26 per 1 000 live births as compared to the Medical Research Council (MRC) estimate of U5MR of 28 per 1 000 live births, NMR of 12 per 1 000 live births and IMR of 21 per 1 000 live births (15).

South Africa behind other BRICS countries

Based on the 2020 UNIGME report, says Dr Tabane, South Africa has achieved the Sustainable Development Goals (SDG) goals of NMR and the U5MR. South Africa’s indicators were much better than the UNIGME and the MRC 2020 estimates, but it still falls behind other BRICS countries.

“In contrast to other BRICS countries (Brazil, Russia, India, China, and South Africa), UNIGME reports that in the same reporting period of 2020, China’s U5MR was seven per 1 000 live births, Brazil's 15 per 1 000 live births, and Russia's five per 1 000 live births (16). In 2020, the South African national in-hospital neonatal mortality rate (NMR) based on DHIS data was 12,0 per 1 000 live births; the infant mortality rate (IMR) was 15.1 per 1 000 live births, and the under-5 mortality (U5 MR) rate was 16.9 per 1 000 live births, with differences amongst provinces,” says Dr Tabane.

The first 1 000 days campaign’s interventions include education to prevent illnesses and deaths and promote good health, growth, and development. While many training programmes on child survival strategies have been rolled out (e.g., MSSN, HBB, ETAT, AANC, ESMOE, and IMCI), in-service training still has significant gaps.

Other interventions include preventing unwanted and unplanned pregnancies, providing healthcare support for therapeutic and interventional care, strengthening the implementation of the existing strategies developed by the Department of Health to reduce Maternal and Child Mortalities, and monitoring and evaluating the interventions.

News Archive

First-year wellbeing a top priority at Harmony residence
2017-06-07

Description:First-year wellbeing a top priority at Harmony residence Tags: First-year wellbeing a top priority at Harmony residence

Ladies from the House Harmony, a unique residence
that focuses on first-years’ experience.
Photo: Supplied

A unique residence that focuses on first-years’ experience, is exactly what Harmony sets out to provide for all first-year students at the University of the Free State.

A residence focusing on mentoring

Entering the adult world can be a daunting experience, but Harmony, unlike other residences on campus, focuses on mentoring. Harmony came to life in 2014 and has assisted many first-years in adapting to the university environment.

According to Pulane Malefane, Residence Head of House Harmony, they have witnessed a significant change in the pass rate of first-year students. “We have realised that first-years gain confidence much quicker than in other residences where they still need to find their way around seniors,” she says.

Adapting to the varsity environment

Harmony makes use of a Residence Assistants (RA) system, not Residence Committees (RC). The RA stay in corridors with their mentees in order to have close contact with them. An RA’s primary role is to be a mentor to first-years and also expose them to different co-curriculum activities on campus. They assist them in adapting to the varsity environment quicker, so as to be able to focus and concentrate on their academics.

Nicole Rabe, RA First-years, says the Harmony belles never cease to amaze her. “Watching these first-years grow from the high school girls that arrived at the start of this year, to the independent women they are now, has truly been a blessing.”

Malefane mentions that they intentionally try to place students from one faculty in the same corridor. In that way, mentors and residence assistants are in close proximity to them. “We have study rooms in each and every corridor of Harmony, making it easy for students to study close to their rooms at any time,” she says.

Phathutshodzo Nekhavanmbe, a first-year LLB student, says she could not have asked for a better house to be placed in. “The Harmony experience has been great so far, as the people living there are approachable and eager to lend a helping hand.”

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