8th South African Child Health

Priorities
Conference 2017


University of Pretoria, Conference Centre,
Sanlam Auditorium, Pretoria

30 November - 02 December 2017



Kindly sponsored by:
 Invited Speakers 2017
Speakers in order of time slot on the programme
Tshepo Motsepe is a medical doctor. Her Masters in Public Health Dr Tshepo Motsepe
is in Maternal Child Health and Aging. She completed a Socal
Entrepeneurship Certificate Program.
Her service includes:
Worked in both private practice and in hospitals in South Africa and
Zimbabwe
Non-executive director Wits Health Consortium and Wits Hospice
Patron South African Civil Society for Womens, Adolescents and
Childrens Health (SACSoWACH)
Patron Students Sponsorship Program (SSP)
Served as Chairman of Gauteng Health Departments Accreditation
Committee
Former board member Vall Reefs Disaster Trust
Former board member Kids Haven Foundation
Membership National Medical and Dental Association
She is guided by the belief that economic and social development is a pre-requisite for communities to lead
socially and economically productive lives as sated in the Alma Ata Declaration of 1978.


Prof. M Mawela (Dini)
Head: Paediatrics and Child Health, Sefako Makgatho Health
Sciences

Registered Neonatologist responsible for the Neonatal services at
DGMAH/SMU. She is an academic and Senior lecturer at SMU
responsible for both undergraduate and postgraduate teaching
and development. Her research focus is within Neonatology,
Paediatric HIV and PMTCT. She serves on several national
committees, NaPeMMCo and the Working Group of the Childrens
Sector (SANAC).


Neil McKerrow
Head: Paediatrics & Child Health, KwaZulu-Natal (Provincial
Paediatrician)
Honorary lecturer Departments of Paediatrics and Child Health - UCT &
UKZN
Chair Ministerial Committee on Morbidity and Mortality in Children
under-5 years (CoMMiC). Interest Community and social paediatrics
and Health systems. Worked in Namibia, Eastern Cape, Western Cape
and KwaZulu-Natal
Member of South African Paediatric Association (SAPA) & Child Health
Priorities Association (CHPA) executive committees
Consultant to African Society of Forensic Medicine (on Child Abuse)
Member, WHO Guideline Development Group, Childhood Sexual Abuse
Member, Board of Trustees, CHIVA Africa and the KwaZulu-Natal
Childrens Hospital Trust.
69 publications
 Dr Lesley Bamford

Technical specialist: Child and Youth Health
Directorate, National Department of Health

Her work focuses on improving the survival
and health of mothers and children through
strengthening delivery of maternal, newborn
and child health services at community,
primary health care and district hospital
levels. She is a paediatrician, and holds post-
graduate degrees in African studies and public
health.


Prof Sithembiso Velaphi
Associate Professor and Head: Paediatrics, Chris Hani
Baragwanath Academic Hospital.
Neonatologist at Chris Hani Baragwanath Academic Hospital,
which is one of hospitals affiliated with the University of the
Witwatersrand. He serves in the committee that organises annual
national conferences on Priorities in Perinatal Care in South Africa.
He also serves in one of the Ministerial committees called
National Perinatal Morbidity and Mortality Committee
(NaPeMMCo) which has been tasked to audit perinatal and
neonatal deaths in South Africa. He is a member of the
International Liaison Committee on Resuscitation (ILCOR), which
reviews literature on evidence on resuscitation and produces
international guidelines on neonatal resuscitation.


After qualifying as a professional nurse, Dr Elizabeth Meyer
Dr Elizabeth C Meyer completed a MBChB, MPharmMed (Cum Laude), MMed
(Family Medicine) and MPhil(Medical Law and Ethics)(Cum
Laude) at the University of Pretoria, South Africa, receiving
the class prize for the best dissertation. She is also a
Foundation Fellow of the Faculty Forensic Legal Medicine,
London. She has had extensive experience in a large solus
general practice, senior lectureships in Pharmacology and
Family Medicine at the University of Pretoria, and as an expert
witness before the Health Professions Council and the High
Court. She is author or co-author of numerous scientific papers
and has presented at international conferences. She co-
ordinated the University of Pretoria's Continued Professional
Development programme for doctors in private practice, as
well as risk management strategies for a private hospital
network until 2005. During the period 1998 2012, she was
one of two Medical-legal Consultants in South Africa for the
Medical Protection Society, a British-based membership
organisation providing professional indemnity cover, advice
and assistance to healthcare professionals. She now acts as
part-time lecturer in the Department of Medical Law, UNISA.
Since August 2016 she has been contracted to Constantia
Insurance Company Ltd as a Medical Legal Adviser for the
newly launched EthiQal Medical Indemnity product.
Professor of Physiology and Deputy HOD in the Department of
Medical Bioscience at the University of the Western Cape since
2014. Previously worked in the field of Nutrition at the University
of Pretoria and the Nutrition Intervention Unit of the Medical
Research Council. Studied at the Universities of Stellenbosch, Prof Andre Oelofse (PhD)
North West and Wageningen (PhD).
Research focus: Nutrition in vulnerable populations, especially
maternal and child nutrition, and possible ways to improve
nutritional status. Played an important role as nutrition
researcher in large projects looking at the potential of
indigenous food crops in human nutrition. Among these were
the nutritional value and water use of indigenous African
Green leafy vegetables and the potential of bio-fortification of
sorghum to increase protein and Zinc availability. More
recently working on the effects of in-utero growth restriction
on birth outcome and risk for disease in later life. Have had
the privilege to work in many different developing countries on
a variety of Nutrition research projects.

Published more than 40 papers in peer reviewed journals and attended and organized numerous national


and international conferences. Many MSc and PhD students completed their studies under his supervision.

Dr Kebashni Thandrayen
Medical specialist (Paediatric Endocrinologist), Senior
lecturer and Postdoctoral Researcher. I am currently working
in the Department of Paediatrics at Chris Hani Baragwanath
Academic hospital.
Further research in endocrinology aspects of paediatrics in
its entirety is a fascinating aspect of health sciences that I am
very keen to pursue. But my research interests currently
pertain mainly to metabolic bone disorders in children and
bone health. I completed my doctorate research on
fractures and bone mass in urban South African children
from the Birth to Twenty cohort. I have published articles
mainly on rickets, fractures and bone mass.

Dr Shuaib Kauchali


Specialist Advisor: Newborn, Child Health and Nutrition, National
Department of Health.

Paediatrician and epidemiologist with special interest in
implementation science to improve quality of care and outcomes
of the mothers and children. He works closely with the programme
managers at national and provincial levels to translate what we
know works into how these interventions yield results and
impact.



Dr Alison Feeley

Joined UNICEF South Africa in 2015. She previously
worked as a senior scientist at the MRC/Wits
Developmental Pathways for Health Research Unit,
on early life factors and their relationship with
obesity risk in adolescence. More recently, she
consulted on IYCF projects, including working with
the Hellen Keller International team who provided
supporting evidence for the recent WHO Guidance
on Ending the Inappropriate Promotion of Foods for
Infants and Young Children. Alison has a PhD in
Nutrition Epidemiology and an MSc in PHN (LSHTM),
is an active researcher with numerous publications
to her name.


Ameena Goga


Ameena Goga is a researcher at the South African
Medical Research Council, and an member of the
Department of Paediatrics, University of Pretoria. She
is a paediatrician with a Masters degree in Mother and
Child Health, a Masters degree in Epidemiology, a
Certificate in Integrative Medicine, a PhD in
Paediatrics, and a Certificate in Paediatric
Pulmonology. She has worked at the National
Department of Health in policy and programmes. Her
research focuses on improving mother and child health
in the context of HIV.




Prof Gayle Sherman

Professor: School of Clinical Medicine, University
of the Witwatersrand and Centre for HIV & STIs,
National Institute for Communicable Diseases

Her interest in Paediatric HIV focuses on
Diagnostics and near real-time Surveillance of the
national program and she has acted as a
technical advisor in the field locally and
internationally.


Associate professor: Speech-Language Pathology and Audiology, Prof Alta Kritzinger
University of Pretoria
Her teaching and research interests include language
development and early communication intervention, in
particular neonatal communication intervention, community-
based interventions, caregiver training, the role of speech-
language therapists in Kangaroo Mother Care, low birth weight
and preterm birth, autism, cleft lip and palate and Down
syndrome. She manages the Clinic for High-Risk Babies (CHRIB)
with colleagues, an early communication intervention clinic,
operating since 1990. She supervises postgraduate research,
publishes research with colleagues and acts as reviewer for
journals. She wrote the South African Guidelines for Early
Communication Intervention for the South African Speech-
Language-Hearing Association, updated in 2017.


Prof. Izelle Smuts Head: Paediatric Neurology Unit, Steve Biko Academic Hospital.
Registered paediatric neurologist employed in the Department of
Paediatrics and Child Health, Steve Biko Academic Hospital, and
University of Pretoria. She is head of the Paediatric Neurology Unit,
accredited with the HPCSA as a training unit for paediatric
neurologists. She is also involved in pre- and post-graduate training of
medical students in Paediatrics.
As clinician she and her team manage the entire spectrum of
paediatric neurology and neurodevelopmental disorders including
cerebral palsy. They have on average 7000 patient contacts per
annum. She is involved in outreach programmes in Mpumalanga and
Limpopo.
Although her research focus is on mitochondrial disorders she has
been involved in a variety of other projects.

She obtained her PhD in biochemistry on the clinical and biochemical
approach to mitochondrial disorders in the South African context.


Christinah Mahlangu

Christina is a physiotherapist at Steve Biko Academic Hospital in pediatrics
with most interest in Paeds neurology. She is very passionate about child
health/development but mostly disability.
She was a founder of Ntuthuko Stimulation Centre, opened in May 2013.
The reason behind this Centre was limited services that were identified
while working with the children/parents in clinics.
Currently the Ntuthuko Stimulation Centre is a day centre but her dream is
to transform it into a hostel within the next 3 years.
The Centre is highly recognised by media, and received an award from social
development with NDA(national development agency) as the best ECD
program for babies and children with disabilities.


 Jannie Hugo
He is leading the academic development and implementation of
Community Oriented Primary Care (COPC) and the AITA Health
mobile data system in particular. He is also leading the
implementation of a Community Oriented Substance Use
Programme (COSUP) in collaboration with the City of Tshwane
and Gauteng DOH. Jannie takes part in the NHI (National Health
Insurance) development in SA and in particular the design of the
basic primary care service delivery model within an Integrated
Primary Health Platform. Jannie was trained at the University of
the Free State, and practiced primary care in Qwa-Qwa in the
Free State Province from 1984 to 1988, before moving to
Medunsa, and subsequently UP. He is leading the academic
development and implementation of Community Oriented
Primary Care (COPC) and the AITA Health mobile data system in particular. He is also leading the
implementation of a Community Oriented Substance Use Programme (COSUP) in collaboration with the City
of Tshwane and Gauteng DOH. Jannie takes part in the NHI (National Health Insurance) development in SA
and in particular the design of the basic primary care service delivery model within an Integrated Primary
Health Platform. Jannie was trained at the University of the Free State, and practiced primary care in Qwa-
Qwa in the Free State Province from 1984 to 1988, before moving to Medunsa, and subsequently UP.
Tony Westwood


Assoc Prof Tony Westwood, School of Child and
Adolescent Health
Faculty of Health Sciences, University of Cape Town

Tony Westwood is a childrens doctor. He works for
the Western Cape Department of Health and the
University of Cape Town. The main hospital he works
in is New Somerset Hospital in Cape Town.

Director: Centre for Child Law and a Law Professor, University of Pretoria Prof. Ann Skelton
Worked as a childrens rights lawyer in South Africa for over 25 years.
She played a leading role in child law reform through her involvement
with the committees of the South African Law Reform Commission that
drafted the Child Justice Act and the Childrens Act. Ann is currently the
Director of the Centre for Child Law and a Law Professor at the
University of Pretoria, where she also holds the UNESCO chair for
Education Law in Africa. She is an advocate who often appears in the
superior courts arguing childrens rights issues in strategic public interest
law matters. She is an internationally recognised researcher and has
published widely. In 2012 she received the Honourary Worlds Childrens
Prize, presented by the Queen of Sweden. In December 2016 she was
awarded the Juvenile Justice Without Borders award presented by the
International Observatory on Juvenile Justice. Ann is currently a member
of the UN Committee on the Rights of the Child, her term of office
started in 2017.

 Khomotso Masemola Ms Sebotse Ngake

Head of Neonatology, Deputy Director:
Kalafong Academic Hospital Child, Youth and School Health
University of Pretoria National Department of Health
Nursing
MPH, Wits






Welcome to all conference attendees on behalf of the:



Local organizing committee: National Child Health
Ameena Goga Priorities Committee:
Izelle Smuts Anthony Westwood
Joyce Mothabeng Chantell Witten
Mphele Mulaudzi Elmarie Malek
Siyazi Mda Haroon Salojee
Theunis Avenant Jenny Nash
Ute Feucht Mary Morgan
Minette Coetzee
Neil Mckerrow

Wiedaad Slemming









Thursday 30 November 2017

Registration 08:30-10:00

Welcome Mphele Mulaudzi 10:00-10:10
Opening Address Tshepo Motsepe 10:10-10:40

Session 1: What should the priorities in child health be in South
Chair: Jenny Nash 10:40-12:00
Africa over the next 5 years?
What do we need to prioritize in the next 5 years in newborn
Dini Mawela 10:40-11:10
care?
What do we need to prioritize in the next 5 years in child health? Neil McKerrow 11:10-11:40
The role of the health system in promoting early childhood
Patricia Martin 11:40-12:00
development

Lunch 12:00-13:00

Session 2: Reducing neonatal mortality and long term problems
Chair: Mary Morgan 13:00-15:00
originating during the perinatal period
Post natal care package and "Mom Connect" Lesley Bamford 13:00-13:20
The essential intervention for newborn care. Are these
Sithembiso Velaphi 13:20-13:40
interventions adequate for South Africa to reach the SDG targets?
Questions and Discussion 13:40-14:10
Documenting the clinical condition of a baby at birth: a legal
Liz Meyer 14:10-14:20
perspective
Abstracts
The Use of therapeutic hypothermia in neonates with perinatal
asphyxia at Charlotte Maxeke Johannesburg Academic Nkgosana Sebetseba 14:20-14:30
Hospital
Uptake of antenatal care in high prevalence setting: results from
Duduzile Nsibande 14:30-14:50
three population-based surveys, South Africa
Poster
Indigenous knowledge system methods on healing of infant
Richard Rikhotso 14:50-14:55
illnesses: rigoni as an exemplar
Factors associated with good adherence to post-exposure
prophylactic nevirapine for infants of HIV infected mothers, in a Dellina Manzini 14:55-15:00
peri-urban Community Health centre in Laudium

Tea 15:00-15:30

Session 3: The dual burden of undernutrition and obesity Chair: Siyazi Mda 15:30-17:30
Bio-fortified indigenous and African grains and leafy vegetables
Andre Oelofse 15:30-16:00
(availability of healthy nutritious food with climate change)
Burden of obesity and accessible interventions Kebashni Thandrayen 16:00-16:30
Challenges with implementing Severe Acute Malnutrition(SAM)
Shuaib Kauchali 16:30-17:00
intervention strategy in South Africa

 Thursday 30 November 2017 - continue
Abstracts
Capacity development for the early detection of acute
malnutrition is critical for primary health care nurses and
Sue Jones 17:00-17:10
community health workers in Capricon district and Thabo
Mofutsanyane
The microbiota and HMO content of human breast milk collected
from HIV-infected mother's and HIV uninfected mothers in Elloise du Toit 17:10-17:20
Western Cape, South Africa
Posters
Severe Acute Malnutrition identification in Early Childhood
Development (ECD) centres in children under-5yrs in Thabo Rosalyn Ford 17:20-17:25
Mofutsanyane and Capricon district.
Postgraduate diploma in community and general paediatrics Anthony Westwood 17:25-17:30

Friday 01 December 2017 - World AIDS Day
Session 4: HIV and PMTCT policy and Implementation issues Chair: Ute Feucht 08:30-10:30
HIV and infant feeding guidelines 2016: an update Alison Feeley 08:30-09:00
PMTCT case studies: a discussion of challenges and next steps Ameena Goga 09:00-09:30
Infant HIV diagnostic challenges in the era of effective PMTCT Gayle Sherman 09:30-10:00
Infrastructural and human resource factors associated with

turnaround time for early infant diagnosis of HIV. A situational
Nobuntu Noveve 10:00-10:10
assessment of South African public health facilities, 2010

Tea 10:10-10:30

Session 5: Children with disabilities - are they forgotten in the
Chair: Wiedaad Slemming 10:30-12:30
policy developments?
Clinical implications of early identification and
communication intervention for children with a low Alta Kritzinger 10:30-11:00
birthweight and preterm birth
CP diagnostics and litigation Izelle Smuts 11:00-11:30
Model of community care of children with disabilities. Nthuthuko
Christina Mahlangu 11:30-12:00
stimulation centre, Soshanguve
Abstracts
The use of the "Strength and Difficulties Questionnaire (SDQ)" for
mental health problems in South African children and Maylene Shung-King 12:00-12:10
adolescents: Lessons from a comprehensive scoping review
A longitudinal study of deaf children under the age of 6 years old
in South Africa: newborn hearing screening, maternal suspicion Claudine Storbeck 12:10-12:20
and age identification

South African Child Health Priorities Association annual general
SACHPA 12:20-12:40
meeting


 Friday 01 December 2017 - Continue
Poster session 12:40-13:00
Health Care Workers as visual leaners: Illustrating IMCI guideline Deirdre Pansegrouw 12:40-12:45
Inspiratory muscle training in severe spinal muscular atrophy: a
Anri Human 12:45-12:50
case study
I care for mine-care journal Ren Stone 12:50-12:55
An exploration of the socio-cultural factors influencing condom Raylene Titus
12:55-13:00
use intentions and behaviours of migrant youth in South Africa (Withdrawn)

Lunch 13:00-14:00

Session 6: Break away sessions (parallel) 14:00-15:00

SACSoWACH: South African Civil Society for Women's
Adolescence's and Children's Health. CSO consultation 14:00-15:00
workshop: strengthening advocacy in child health (parallel 1)
Welcome and introduction Yolanda Moyo (PATH) 14:00-14:05
Sue Jones (Save the
The role of SACSoWACH in child health and "Beyond survival" 14:05-14:20
Children)
Open discussion on key issues, Engagement with SA government
and other stakeholders and the role of Civil society in advocacy Wiedaad Slemming (WITS) 14:20-14:45
for child health issues and beyond survival
Outline of SACSoWACH membership Yolanda Moyo (PATH) 14:45-14:55
Sue Jones (Save the
Vote of thanks 14:55-15:00
Children)

Early childhood development: the role of the Child Health
Directorate in the broader context of ECD national policy.
(Parallel 2) 14:00-15:00
Open panel discussion:
Panelists: Patricia Martin, Wiedaad Slemming & NDOH

Tea 15:00-15:30

Session 7: Health system strengthening Chair: Neil McKerrow 15:30-17:30
Integrated community child health care : Tshwane case study Jannie Hugo 15:30-15:50
Experience of the 3 feet approach in health system strengthening
Nadiema van der Bergh 15:50-16:10
in Nelson Mandela Bay Metro.
New Road to Health Booklet Sebotse Ngake 16:10-16:30
Abstracts
Childrens nurse training: What is the current situation in South
Maylene Shung King 16:30-16:40
Africa? Results of a national survey.
Gerhard Janse van
Access to hospital care for migrant children in Tshwane 16:40-16:50
Rensburg
Housekeeping 16:50-17:00

 Saturday 02 December 2017
Session 8: Ethics, human rights and law in child health Chair: Maylene Shung King 08:30-10:00
Informed consent to medical treatment and surgery: children and
Ann Skelton 08:30-09:00
parents
Customary law practices of circumcision and ukuthwala and child
protection. What are the gaps and current legal developments to Prinslean Mahery 09:00-09:30
improve child protection?
Translating children's right into a child friendly service Vanessa Comley 09:30-10:00

Tea 10:00-10:30

Session 9: Adolescents access to health care Chair: Chantel Witten 10:30-12:30
Inpatient care for adolescents: Who, What and Where?" Anthony Westwood 10:30-11:00
A mother who is herself a child (Neonatology case report) Khomotso Masemola 11:00-11:20
Survey of sexual activity among grade 10-12 learners in one
Peter Farrant 11:20-11:30
Waterberg school (Abstract)
Adolescent sexual health and contraceptives access, a panel
SACSoWACH 11:30-12:30
discussion
Topics Panelists
Clare Mawisa, Priscilla
Teenage pregnancy as portrayed by the media
Reddy, PUPA
Sara Chitambo, Deevia
Teenage pregnancy and education Bhana, Florina Hlongwane,
SAPWA
Lindelwa Ngidi, Deborah
Constant, Andrea
Unsafe termination of pregnancy
Thompson, Nomsa Mafrika,
Fit for life
Bongeka Cutshwa,
Maureen Mtimkulu,
Kgomotso matsunyane,
Condom use and taboos of sexual pleasure
Sanke Nyamathe, Bongiwe
Zulu, Pholoso and Clapham
School

Close of Conference Chair: Haroon Saloojee 12:30-13:00

Closing remarks by UNICEF Yin Yin Aung 12:30-12:40
Closing remarks: Chair of the South African Child Health Priorities
Jenny Nash 12:40-13:00
Association

Lunch




SAMRC-UP MATERNAL AND INFANT HEALTH

CARE STRATEGIES RESEARCH UNIT