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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

Education bursaries awarded to 180 UFS students
2007-08-24

 

At the awarding ceremony were, from the left: Prof. Steve Niemann (Head: School of Education at the UFS), Kaizer Mosupeng (first-year student in Education), Prof. Frederick Fourie (Rector and Vice-Chancellor of the UFS), Mr Enver Surty (Deputy Minister of Education), Danielle Nel (third-year Education student) and Mr Tebogo Lioma (Deputy Director General of the Free State Department of Education).
Photo: Leonie Bolleurs

Education bursaries awarded to 180 UFS students

The Department of Education awarded 180 Fundza Lushaka Bursaries to students in education at the University of the Free State (UFS).

The bursaries were handed to the students today by the Deputy Minister of Education, Mr Enver Surty during a function held on the Main Campus in Bloemfontein.

The Fundza Lushaka Bursary Programme is a multi-year programme that promotes teaching in public schools. The bursaries, valued at R40 000 each, enable students to complete a full teaching qualification in an area of national priority. The recipients are required to teach at a school or provincial education department for the same number of years that they receive the bursary.

“The programme was implemented in recognition and acknowledgement of the educators in South Africa. All of you sitting here today should regard yourselves as nation builders as you will be helping to build communities and a caring society. Therefore it is imperative that you must be committed to teaching and have an interest in working with young people when taking up this bursary,” said Mr Surty.

Mr Surty said the skills required for teachers of today are much different than in the past. “You would be teaching in an environment with mixed cultures and language and must be able to adapt and be willing to contribute to a multi-cultural, multi-lingual and diverse South African society,” said Mr Surty.

According to Mr Surty, the national priority areas include among others African languages, English, Mathematics, Natural Sciences and Information and Computer Application Technology. Although the bursary programme is non-racial, special attention was given to the awarding of the bursaries to women. At the UFS 58% of the bursars are female students, while 58% are black and 42% white students.

Prof. Frederick Fourie, Rector and Vice-Chancellor of the UFS, said the institution was worried about the small number of students who showed interest in the field of education a while ago. “Since the implementation of the bursary programme we have seen a turn-around in the registration of students in education, which is an extremely positive sign,” said Prof. Fourie.

Media Release
Issued by: Lacea Loader
Assistant Director: Media Liaison
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@ufs.ac.za
24 August 2007
 

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