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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

Two honorary doctorates part of highlights at UFS graduations
2017-11-30


  Description: Dec gradspeakers Tags: Graduation Ceremonies, Prof Paul Holloway, Marius Botha, Joyene Isaacs, Likeleli Monyamane, Leah Molatseli, Dr Imtiaz Sooliman

  Leah Molatseli (left), Dr Imtiaz Sooliman, and Likeleli Monyamane will be
  the guest speakers during the End-of-year Graduation Ceremonies
  at the University of the Free State.
  Photos: Supplied, www.mudboots.co.za

Roads and entrance closed due to roadworks on the Bloemfontein Campus

Graduation Livestream

Two honorary doctorates and a Chancellor’s medal will be some of the highlights during the End-of-year Graduation Ceremonies at the University of the Free State (UFS).

The Callie Human Centre on the Bloemfontein Campus will once again welcome graduates, their parents, friends, and relatives for the celebrations on 6 and 7 December 2017. A total number of 1226 qualifications, including diplomas, certificates, and degrees, will be conferred during the two days.

Altogether 40 doctorates and 109 master’s degrees will be awarded. Most doctorates (19) will be awarded in the Faculty of Natural and Agricultural Sciences, while most of the master’s degrees (27) are in the same faculty.

Prof Holloway, Botha, and Isaacs honoured
Prof Paul Holloway (Natural and Agricultural Sciences) and Marius Botha (Law) will receive honorary doctorates during the afternoon ceremony on 7 December 2017, while Joyene Isaacs (Natural and Agricultural Sciences) will be honoured with a Chancellor’s Medal.

Prof Holloway is an internationally acclaimed expert in the science and technology of surfaces, thin films, and nanoparticles, and Botha has played a significant role in financial planning in South Africa. Isaacs is the Head of Department of the Western Cape Department of Agriculture, and her department has been nominated by the South African Institute of Government Auditors as the best government department. 

Young leader, young alumnus, and humanitarian

Likeleli Monyamane, Leah Molatseli, and Dr Imtiaz Sooliman will be the guest speakers at the ceremonies.

Monyamane, a UFS Council member, will address graduates on 6 December 2017 during the morning ceremony. She is one of 15 young leaders selected to represent Lesotho as participants in the Mandela Washington Fellowship in the United States. In 2016, Molatseli, the speaker during the afternoon session on 6 December 2017, launched South Africa’s first legal ecommerce website, Lenoma Legal, and is the university’s most recent Young Alumnus of the Year.

Dr Sooliman, the speaker at both ceremonies on 7 December 2017, is the founder and Director of the Gift of the Givers Foundation. He has received more than 100 national and international awards, citations, commendations, and special recognition for his humanitarian work.

Date: 6 December 2017
Time: 09:00: All qualifications up to Honours degrees in the Faculty of Economic and Management Sciences (including the Business School) and the Faculty of Natural and Agricultural Sciences
14:30: All qualifications up to Honours degrees in the Faculties of Education, Law, the Humanities, and Theology

Date: 7 December 2017

Time: 09:00: All qualifications up to Honours degrees in the Faculty of Health Sciences and Educational qualifications in Open Distance Learning – South Campus
14:30: Master’s and Doctoral degrees in all faculties

For information about the ceremonies, click here to visit the graduation home page.

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