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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

New name and format for UFS Rag
2017-11-02

Description: Rag new format  Tags: Rag new format  

The community garden project will help individual student communities
to begin and maintain their own vegetable gardens to address food insecurity
within their own environment.
Photo: Pixabay

Get ready for celebrating with a cause at the University of the Free State (UFS). After an external review and internal consultation process, our “giving back” will get a fresh new look. Our RAG, as you know it, will have a new name and format going forward. 

Innovative thinking will align the UFS Student Affairs, RAG Community Services (RCS), Community Engagement (CE), and Services Learning (SL) to deliver suitable contributions for current community needs. We will guide the alignment process with an integrated framework for learning and developmental outcomes. If the RCS, CE, SL, and Student Affairs align their specific programmes and activities to achieve the same developmental outcomes, we believe that the collective effect will be enhanced. You get further if you pull in the same direction, rather than various good-intentioned movements on different routes. 
 
Stronger together An Institutional Committee for Civic and Social Responsibility (CSR) will act as the overarching structure for accountability, alignment, and advice to the RCS, CE and SL divisions. In a collective effort, four exciting programmes will take flight.

1 Schools project for first-year students Mentored by senior students, groups of first-year students will be assigned to, and participate in local school projects. Students will learn to solve problems and work together in small groups as they collaborate on a specific community project involving primary or secondary schools in the Mangaung region. 

2 Community gardens This project will help individual student communities to begin and maintain their own vegetable gardens to address food insecurity within their own environment.

3 Eco-vehicle project for senior students The aim of the eco-vehicle project is to create an interdisciplinary experience. Undergraduate senior students from a Student Life College (SLC) can work together to build an eco-vehicle from waste material. The track day, along with creative pit stops, will take place on 16 February 2018, preceding the Community celebration of 17 February 2018.

4 Community celebration To foster good relationships between the UFS and the community, we aim to host an annual celebration that will be open to the broader Mangaung community. The celebrations will kick off on the morning of 17 February 2018 with a business relay and a showcase of the eco-vehicles. The festive day will conclude with an evening music concert. 

We have yet to rename “RAG”, and while this creative process is brewing, you can look forward to paying it forward with value! Any suggestions with regard to a new name for our new process can be forwarded to scheepersk@ufs.ac.za 

Name suggestions will be accepted until 30 November 2017.

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