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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

NBC tells Wayde’s story
2015-11-02

   

The film crew from NBC Olympics
filming Wayde van Niekerk (centre, in grey clothes)
during a practice session at Pellies Park on the
Bloemfontein Campus of the UFS.
On the left is Ans Botha, Van Niekerk’s coach.
Photo: Charl Devenish

The Kovsie star Wayde van Niekerk stands an excellent chance of shining at the 2016 Olympics and has a remarkable story behind his success.

This is why NBC Olympics, a division of the American broadcasting network NBC, selected the athlete from the University of the Free State (UFS) to do a special insert for the Olympics in Rio de Janeiro.

A film crew from NBC visited the City of Roses and the Bloemfontein Campus of the UFS on Monday 26 and Tuesday 27 October 2015 to film the insert. The feature will be screened on NBC Olympics’ platforms during and leading up to the Olympics next year.

One of four stars


Van Niekerk was one of four athletes used by the crew to film inserts on. The others were the South African swimmer Chad le Clos, the Kenyan 800 m athlete David Rudisha, and Ethiopian middle- and long-distance athlete Genzebe Dibaba.

The crew interviewed Van Niekerk and his coach Ans Botha, and also paid a visit to Pellies Park during one of his training sessions.

According to Tom Davidson, feature producer at NBC Olympics, the piece about Van Niekerk will be about three minutes long.

“We do a pretty good job of picking good stories, but it is up to the athletes to get there,” Davidson said.

“We think Wayde has a good shot at being in the finals of the 400 m at the Olympics.”

Van Niekerk won a gold medal in a time of 43.48 s at the World Championships in Beijing during August 2015 and set a new South African record for a third time and a new African record for a second time this year in the process.

Beijing success propels Wayde onto NBC radar


“Wayde’s performance in Beijing certainly propelled him onto our radar,” said Davidson.

 “He beat former World and Olympic champions like Kirani James and LaShawn Merritt.”

He feels that Van Niekerk is also very young and still at university.

And Botha makes his story even more interesting.

“It is not every day that you see a 74-year old great-grandmother coaching a world champion.”



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