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First 1 000 Days initiative promotes mother and child healthcare

01 November 2024 | Story André Damons | Photo Supplied

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

Quantity Surveying and Construction Management department aspires to excellence

2017-08-14

From the left: Prof Danie Vermeulen, Dean of the
Faculty of Natural and Agricultural Sciences;
Prof Kahilu Kajimo-Shakantu, Head of the Department
of Quantity Surveying and Construction Management;
Prof Francis Petersen, Rector and Vice-Chancellor
at the UFS; and Dr Franco Geminiani, chairing the
panel from the South African Council for the Project
and Construction Management Professions.
Photo: Leonie Bolleurs

Achieving programme accreditation from the respective professional bodies is the ultimate goal for the Department of Quantity Surveying and Construction Management at the University of the Free State (UFS). This is according to Prof Kahilu Kajimo-Shakantu, the head of this department. This hallmark of quality reflects the university’s aspiration towards excellence.

Construction Management programmes reviewed
The university recently received a visit by a panel, representing the South African Council for the Project and Construction Management Professions (SACPCMP) to re-accredit programmes offered by the Department of Quantity Surveying and Construction Management. During the accreditation visit, the panel evaluated the programmes to determine whether they met the minimum requirements according to a set of pre-determined criteria.

When reviewing the programmes: BSc and BSc Hons Construction Management respectively, as well as the Project Management stream of the Masters programme in Land and Property Development Management (MLPM), the panel looked at programme design and outcomes including curriculum, study material and exam papers, institutional support, student recruitment, admission, development, retention and throughput, staffing recruitment and development, teaching and learning strategies, quality assurance, facilities, infrastructure and resources, professional development, industry and practical exposure and postgraduate policies, procedures and regulations, including research activities.

If the minimum requirements are achieved, the Department of Quantity Surveying and Construction Management at the UFS will receive accreditation for its programmes from 1 April 2017 to 31 March 2022.

It will also mean that we are certified
as producing quality employable
graduates who are well prepared to
enter the industry and make a difference.

Currently, the department has full accreditation by the SACPCMP (until March 2017) and the SACQSP (until December 2017).

Later this month, a panel from the South African Council for Property Valuation Profession (SACPVP) will review the accreditation of the Valuation stream of the MLPM programme. The South African Council for Quantity Surveying Profession responsible for accrediting the Quantity Surveying programmes will visit the university in 2018.

Certified as producing quality students
Prof Kajimo-Shakantu said: “If we maintain our accreditation, it will reflect that the UFS is among the best, with programmes which are recognised by professional bodies that set competence standards for professional registration of students. It will also mean that we are certified as producing quality employable graduates who are well prepared to enter the industry and make a difference. The programmes contribute to the development of the much-needed critical skills in the built environment.”

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