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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

Right to Learn cyclists still solid on the pedals
2017-11-29


  Description: Right to Learn cyclists Tags: UFS Right to Learn, Given and Gain, Cape Town, Prof Nicky Morgan, Asive Dlanjwa, students, cycling, Qwaqwa, Bloemfontein

Asive Dlanjwa, Bloemfontein Campus SRC President, on the
morning of their departure from Bloemfontein.
Photo: Nhlanhla Modzanane


It is a new day and the Right to Learn cycling team continues to make its way to Cape Town.The team arrived at their first stop in Luckhoff on day one, after cycling for 182 kilometres in five hours and five minutes. They left Luckhoff at 05:00 in the morning on day two, heading towards Britstown via De Aar and arrived at midday. On day three, the team will rest in Britstown and will continue cycling on day four, 30 November 2017, to Victoria West for 133 kilometres via Merriman.

Looking forward to another day
Asive Dlanjwa, Bloemfontein Campus SRC President, felt confident about day two despite the strong winds that they experienced along the way. “I’m feeling strong, I actually thought after day one that I’ll be feeling a bit weak, but I just don’t know how we are going to make it in this wind,” he says. Dlanjwa and his fellow cyclists cycled for 213 kilometres to Britstown, where they ended their race for day two. 

Kovsies fully behind cycling team

The tour began on 27 November 2017 in Bloemfontein, when they were sent off by Prof Nicky Morgan, former Vice-Rector: Operations, Pura Mgolombane, Dean of Student Affairs, and their Kovsie peers. Prof Morgan encouraged the team to have a wonderful and enjoyable journey, acknowledging that the journey will not be an easy one. “I want you to know that you have the support of everyone here at the UFS,” he said.
 
Messages of support continue to pour in for the team on the UFS social media platforms. The Qwaqwa Campus SRC President, Hlalele Masopha, also sent his best wishes to his mate, saying, “I wish the President with his crew a quantity of good fortune and extremely good success.” He says, “This is for the betterment of the students and the institution.”  

There have been no reports of any injuries or medical defects incurred by the cyclists nor the supporting team who are travelling with them. The team is expected to arrive in Cape Town on 4 December 2017.  

You can make a donation as follows: 

Give-n-gain page

 

EFT transaction:
Please use the following bank details:
Bank: ABSA Bank
Account Number: 1570850721
Branch Code: 632005
Account Type: Cheque
Reference: R2L: Right to Learn
Send the proof of payment Rinda Duraan: duraanmj@ufs.ac.za

Debit order: Download the form and email it to Rinda Duraan

All donations are tax deductible in terms of South African income tax legislation.  


Related article:

27 November: Kovsies SRC President cycles to raise money for registration


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