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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 to host one the most prestigious seminars in leadership
2004-09-28

The Business School of the University of the Free State (UFS) will be hosting the Central Region’s screening of the largest global satellite broadcast of the 2004 Living Leadership: Delivering Results the Right Way event.

The event, which will take place on 21 October 2004 from 09:00-16:30 at the Albert Wessels Auditorium on campus, will be up linked from Atlanta, Georgia, USA, and will be broadcasted via satellite to 95 cities in two countries.

“This is a once in a lifetime opportunity for leaders in the Central Region to gain exposure to the pioneers in the international leadership field,” said Prof Helena van Zyl, Director of the UFS’s School of Management.

The global satellite simulcast will bring together a powerful diverse group of the world’s leading business authorities. This includes Mr Donald Trump, chairman of The Trump Organisation; Mr Mikhail Gorbachev, Nobel Peace Prize Winner and former president of the Soviet Union; Mr Jim Collins, speaking on his recent best-seller, Good To Great; Mr Peter Drucker, father of management and author of The Effective Executive; Ms Rosabeth Moss Kanter, professor at Harvard Business School; Mr Ken Blanchard, best-selling author of The One Minute Manager; Mr John C Maxwell, best-selling author of The 21 Irrefutable Laws of Leadership and acclaimed speaker; Mr Russell Simmons, entrepreneur and co-founder of Def Jam Records and Mr Larry Bossidy, co-author of the best-seller, Execution: The Discipline of Getting Things Done.

According to Prof Van Zyl the Living Leadership global satellite broadcast will give attendants exclusive access to the Financial Mail’s Executive Panel. It will also give local executives and renowned leaders the opportunity to share their interpretation of leadership in practical, relevant terms.

Mr Jack Welch’s executive assistant and author of Managing Up, Ms Rosanne Badowski and Ms Caroline Kepcher, an executive vice president to Mr Donald Trump and a lead role on NBC’s hit show, The Apprentice, will join the panel with a special session.

Each of the cutting-edge insights shared by this gathering of world-class leadership authorities will deliver effective benchmarks which teams will use to shape their business outcomes.

The cost is R950,00 per person (group discount is also available) – this includes the receipt of two free issues of the Financial Mail. Tickets are available at Computicket.

For more information on this seminar visit www.livingleadership.co.za or contact Ms Isa Boshoff at 051-4012874 / boshofia.ekw@mail.uovs.ac.za .

Media release
Issued by: Lacea Loader
Media Representative
Tel: (051) 401-2584
Cell: 083 645 2454
E-mail: loaderl.stg@mail.uovs.ac.za
28 September 2004
 

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