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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

KovsieTennis wins gold at USSA – again
2014-12-10

The annual University Sport South Africa (USSA) tournament was hosted by the KovsieTennis Club from 1 – 5 December 2014 in Bloemfontein.

This year was the first time that KovsieTennis entered two teams in the tournament. Our first team played in section A, while our second team competed in section B. Both sections were divided into two pools with round robin matches during the first three days. Thursday presented the cross-over with the finals taking place on that Friday.

During the round robin phase, our first team beat Rhodes University, University of Witwatersrand and University of Pretoria. On the Thursday, they met North West University (Pukke) in the semi-final and beat them 8-5 in matches. The last match was not played, since Kovsies already won the semi-final. For the third year in a row, Kovsies faced Stellenbosch University (Maties) in the final. After some brilliant tennis in sweltering heat, Kovsies found themselves 7-5 down in matches with the last two mixed doubles still to be played.

Janine Erasmus and Duke Munro, as number one couple, and Arne Nel and Heidi Murray, as number two couple, played outstanding mix doubles to win both matches, tying the score on 7-7. Due to the fact that Kovsies lost three of their matches in three sets they were crowned champions, winning with 17-14 on sets.

It is the eighth year in a row that the Kovsie club managed to win gold during USSA. We are also the only team that has won the tournament since the format changed to combined teams from 2010.

After the tournament Arne Nel, Duke Munro and Christi Potgieter were included in the squad from which a team will be selected, should tennis feature at the World Student Games in Korea during July 2015. Janine de Kock , KovsieTennis manager, was also appointed as manager of the SA Student team and Marnus Kleinhans from Kovsies will be their coach.

The second team beat Tshwane University of Technology, University of Kwa-Zulu- Natal and University of Cape Town during the round robin and in the semi-finals they won against University of Pretoria. Unfortunately they lost in the final against the North West University, but the club is extremely proud of the players since it was the first time all of them played in a USSA tournament. They gained a lot of experience that will greatly contribute to the value they will add to the team next year.

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