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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

South Campus delivers out-of-the-box solutions
2017-11-07

 Description: ' AIO all in one device Tags: AIO all in one device

The AIO device as deployed in an IBP school.
Photo: Elrieka van Dalen

The IDEAS Lab on our South Campus supports learners in 83 schools by means of academic videos transmitted via the Internet Broadcast Project (IBP) and its own custom-built All-in-One (AIO) device. The project is a collaboration between UFS and the Department of Education in the Free State. It includes support for Mathematics, Physical Science, Life Science, Economics, Accounting, and Geography.

The AIO was purpose-built by the team at IDEAS Lab to facilitate the delivery of video lectures from highly-qualified teachers to identified schools. It comprises a projector, speakers, and a computer, which are housed in a custom-made, hard-wearing frame. The AIO is then set up at each school to which lessons are broadcast.

On-the-job training for educators

Educators have not been overlooked, either. UFS was the very first university to provide an Advanced Certificate in Teaching in a fully digital format, the ACT Online programme. It is designed for practicing teachers to upskill themselves in order to better address the needs in the classroom, not only advancing their career, but strengthening their knowledge, competencies, and subject specialisation as well. Ultimately, this leads to an improved quality of education, which has a profound impact on multitudes of students around South Africa.

CSIR joint initiative

Coupled with these projects is a new joint initiative termed ICT For Education. This project sees the CSIR collaborating with the national Department of Education, the Department of Rural Development and Land Reform, and the UFS. For this project, 24 primary and secondary schools in South Africa were identified to promote technological advancement in the education sector. Tablet computers have been allocated and already deployed at these schools, to learners as well as nearly 400 teachers.

South Campus is involved in the training of the teachers and learners in the use of the tablets in the classroom and other educational opportunities. In addition, training for 48 unemployed young people who will be providing first-line support began in March at a school in Thaba Nchu. The course on IT support is structured in such a way that anyone in the community can take it, starting out with topics such as My role in the community.

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