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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

Discussion on decolonising the UFS draws international speakers
2017-11-07


During an insightful two days (27-28 October 2017), bright young minds and experienced thinkers came together at the University of the Free State (UFS) to engage in deep philosophical talks on the topic of decolonisation.  The event was hosted by the university’s Centre for Africa Studies and the Department of Philosophy.

Heavyweight thinkers
Attendees to this colloquium were treated to the thoughts of renowned academics from various social sciences disciplines, including: Prof Francis B. Nyamnjoh, University of Cape Town; Prof Henning Melber, Dag Hammarskjöld Foundation, Nordic Africa Institute, University of London, University of Pretoria and the UFS; Prof Heidi Hudson, UFS; Prof Sabelo J Ndlovu-Gatsheni, University South Africa; Alida Kok, Unisa; and from the UFS Prof Johann Rossouw, Dr Stephanie Cawood, Dr Christian Williams, and Khanya Motshabi. All the speakers had extensive global experience that allowed them to use practical examples to illustrate theoretical ideas. These ranged from students removing colonial spirits with African rituals, incorporating indigenous knowledge systems in curricula, to the creation of cultural houses on campuses where students can become acquainted with different cultures in a safe space.  

 

 Description: Decolonising colloquium bigger Tags: Decolonising colloquium bigger

Questions from attendees at the recent colloquium on decolonising the university,
hosted by the Centre for Africa Studies and the Departement of Philosophy,
showed a search for solutions to the current decolonising dilemma.
Photo: Charl Devenish


Where to from here?
Questions from attendees showed a search for solutions to the current decolonising dilemma. How will it look? Is it possible? Has it worked anywhere? During the two days, it became clear that colonialism reaches far and deep, rendering decolonisation a complex problem that should be addressed carefully to avoid greater divisions. “Colonisers and colonised are two sides of a coin,” Prof Melber explained. “Essentially it means that we are part of the same coin.” This metaphor illustrated how there is no right or wrong world view, or right or wrong knowledge – there should, however, be an integrated approach suitable for that “one coin”. 

It starts at home
Successful decolonisation starts in the mind, it was agreed. Colonisation robbed us all of a richness of knowledge by offering absolutes, or “the only truths”. Questioning existing colonial knowledge and exploring other bodies of knowledge will ultimately lead to a new world of knowledge. Being mediators between the different worlds of knowledge is what the new generation of academics needs to become.  

 

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