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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

UFS mourns the death of a great academic
2007-02-27

 

It is with great sadness that the management of the University of the Free State (UFS) heard of the death of Prof. Dawfré Roode.

Prof. Roode (70) was the first Registrar: Academics at the UFS. He retired in July 1997 and was living in Jeffrey’s Bay with his second wife, Daphne, for the past three years.

Prof Roode’s ties with the UFS stretch over more than fifty years. He registered at the UOFS in 1955 as first-year student and was elected as chairperson of the student representative council in 1958. He also represented the university on the cricket field and as Free State nineteen-year old in the Currie Cup. His academic career at the UOFS started in 1963 when he was appointed as lecturer in Sociology and Social Work. After completing his D Phil in 1964, he was promoted to senior lecturer in 1966. He became the first head of the Department of Sociology in 1972 and in 1989 he was appointed as Registrar: Academics and in 1989 Vice-Rector: Staff and Administration.

“Prof Roode brought professionalism to the administration that did not exist. He not only served the academe as registrar, but also established it as an important function within the UOFS. His ‘institutional memory’ about earlier decisions and events at the UOFS is also legendary,” said Prof Frederick Fourie, Rector and Vice-Chancellor at the UFS.

Prof Roode’s father, the late Prof Dawie Roode, was the first head of the Department of Music at the UFS. Prof Dawfré Roode had a love for music and was closely involved with the establishment of the Odeion String Quartet.

In October 2004 the university honoured him with a Centenary Medal for his outstanding leadership and contribution, as Registrar and Vice-Rector, to the development of the UFS by establishing and developing a strong and professional administrative structure at the UFS.

“Prof Roode left deep footprints at the UFS. I am glad that we could honour him for this in 2004 with a Centenary Medal before he passed away. He also attended the launch of the university’s history book earlier in February,” said Prof Fourie.

“Our sympathies go to Ms Trudie Roode (his first wife) and their three children Ms Frelet Roux and Gerda Daffue, and their son, Mr Dawie Roode. Prof Roode has left a gap in the hearts of the people who knew and worked with him at the UFS,” said Prof Fourie.

A memorial service will be held in Jeffrey’s Bay on Wednesday 28 February 2007 at 10:30. A memorial service will also be held in Bloemfontein on Wednesday 7 March 2007. More details will be made available at a later stage.
 

Media release
Issued by: Lacea Loader
Media Representative
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@mail.uovs.ac.za
27 February 2007

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