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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 valued Member of Council
2015-05-15

Father Patrick Towe

The senior leadership of the University of the Free State (UFS) is deeply saddened by the passing away of Father Patrick Towe on Wednesday 6 May 2015, following a period of illness. Father Towe served as Chairperson of the university’s Campus Ministries Forum (CMF) for several years, and had been its representative on the UFS Council since 2006.

“Father Towe was an extremely valuable member of the UFS Council. His insight into and knowledge of university business always contributed greatly to the spirit in which the deliberations of Council took place. He will be dearly missed. Our deepest condolences go to his family, friends, the students of ACTS, as well as the congregation in Heidedal, which he served,” said Judge Ian van der Merwe, Chairperson of the UFS Council.

“I remember Father Towe fondly for his pastoral availability to staff and students during moments of crisis from the time of the Reitz incident to those times in which we lost precious student lives. He would call us to prayer and consolation, and for these gifts from Father Towe I am deeply, deeply grateful,” said Prof Jonathan Jansen, Vice-Chancellor and Rector of the UFS.

Father Towe, OMI (Missionary Oblates of Mary Immaculate) represented the Association of Catholic Tertiary Students (ACTS) on the Campus Ministries Forum. As Student Chaplain, he served the university student body through the Catholic Christian Ministry, providing spiritual guidance and support. He took up campus ministry in Bloemfontein in November 2002, and developed a quasi-parish within the student communities on campus.

He received his education in the United Kingdom where he was ordained in 1975. Throughout his career, Father Towe had a special involvement with community development and youth work. He worked as the Roman Catholic Chaplain at the University of Southampton from 1996 to 1998, providing pastoral care to both students and staff of the university. He served as Parish Priest of Christ the King in Heidedal, Bloemfontein.

“Father Towe was instrumental in reviving the CMF, and getting many more churches on campus involved. He had a heart for seeing churches with different backgrounds and focuses unite in making a difference at the university. He was a true gentleman, and was willing to listen to and negotiate with people, without compromising his values. He also did great work among the people of Heidedal towards the end of his life, and we will miss his presence on the CMF”, said Pastor Alistair Kingwill, current Chairperson of the CMF.

 

Media Release
Lacea Loader
Director: Communication and Brand Management
Tel: +27(0)51 401 2584
E-mail: news@ufs.ac.za

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