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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

Centre for Human Rights at UFS geared to make impact in the region
2017-03-02

Description: Centre for Human Rights  Tags: Centre for Human Rights

SAHRC situated in the Mabaleng building,
Bloemfontein Campus
Photo: Hannes Pieterse

After approval by the Rectorate, Senate and Council of the University of the Free State (UFS), the Free State Centre for Human Rights (FSCHR) began operations on 1 January 2016 on the Bloemfontein Campus, under the leadership of Prof Leon Wessels, founding member of the South African Human Rights Commission (SAHRC) as the Acting Director of the centre.

Human rights remain, undoubtedly, the dominant moral and political language of our times and thus demands multi-layered scholarly engagement as it influences national and international relations, and sets standards for political and democratic practice.

Establishment of centre fulfilment of court order
Top on the centre’s agenda will be to resolve the debate with the SAHRC relating to the February 2011 post-Reitz agreement of the UFS, which was subsequently made an order of the Equality Court. This order compelled the UFS to establish such a centre. The FSCHR presents new opportunities for cooperation between the FSCHR, the SAHRC and other stakeholders to the benefit of the UFS and the broader community.

Three divisions of the centre to achieve its mandate
The centre consists of three inter-related divisions with the potential to stimulate critical scholarship in the field of human rights through its postgraduate and research division. This is reflected in the centre’s mission to deepen the study of human rights and further its praxes by developing novel methodologies in which traditional human rights issues can be complemented by interdisciplinary and multi-disciplinary approaches.

The Advocacy division of the centre will promote human rights among UFS staff and students, and the surrounding community. The aim is to establish a vibrant human rights culture in and across all campuses in which rights of all are respected and protected.

The Legal Services division will provide trustworthy legal services to individuals and groups whose fundamental rights have been abused, to improve the professional capacity of paralegals, students, counsellors, social workers, candidate attorneys and attorneys, equipping them to deal with cases of infringement of constitutional and human rights and to increase access to justice to rural and indigent communities in the Free State.

Centre key in positioning UFS as a regional leader in human rights issues
The centre, with its inter- and multi-disciplinary approach, has the potential to become one of the flagship projects of the UFS, and will strengthen both the Academic and Human Projects. A UFS human rights centre not only makes sound scholarly and practical sense, it also has limitless symbolic value. The location of one of UFS’s campuses within the city of Bloemfontein (the judicial capital of South Africa) and having partnered with the National University of Lesotho (NUL), is historically and geographically significant. This has a great impact on the UFS, the Free State province as a whole, and the Kingdom of Lesotho.  

The FSCHR will be officially launched on 14 March 2017 with Professor Bongani Majola, newly elected chairperson of the SAHRC, as guest speaker.

For further information on the work of the centre, please contact FSCHR@ufs.ac.za / +27 51 401 7216.

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