|This hospital's infant profile is mostly that of extremely vulnerable infants
due to an increasing number of mothers giving birth here being HIV
positive and suffering from Tuberculosis. These circumstances place
particularly high demands on the availability of donor breastmilk to feed
newborn babies and it is primarily in this area that the Healing Kids funding
was utilized. Due to the installation of a Fuchs Human Breastmilk Bank
at the hospital, increased numbers of orphan newborn infants can now
be catered for. Also, the care-giving facilities and infrastructure were
improved through renovation of the hospital's Kangaroo Mother Unit and
alterations to the Mother Lodger Unit.
|At this beneficiary hospital, the Healing Kids grant mostly focused on
upgrading of facilities. The Kangaroo Mother Unit at the Rahima Moosa
Mother & Child Hospital (formerly known as Coronation Hospital) has
been upgraded and the newly improved conditions for neonates and
their mothers directly translate into improved mortality and morbidity
rates at the hospital. In addition thereto, the Neonatal High Care Nursery
has also been renovated and additional equipment, including oxygen
saturation monitors and oxygen blenders, have been installed.
In the Labour Ward, a new ultrasound machine was acquired and installed. Nursing staff benefited from attending a national neonatal conference, specialized
|The Steve Biko Academic Hospital (formerly known as Pretoria Academic
Hospital) utilized their Healing Kids grant to impact their neonatal
mortality rates through the installation of a Human Breastmilk Bank and
the establishment of a brand new Kangaroo Mother Care Unit. The
Milk Bank is reported to already have facilitated a significant decrease
in Nosocomial Infections in the Newborn Intensive Care Unit of the
The new Kangaroo Mother Care Unit is being established at the Tshwane District Hospital, which is located on the same premises as the Academic Hospital. This new unit will assist with the severe overcrowding of infant patients at the Academic Hospital.
|Pelonomi Hospital's infant profile is mostly that of vulnerable, HIV-exposed
infants. The hospital frequently admits very ill babies from all over the
Northern Cape in addition to all the sick newborns from the smaller Free
State towns surrounding the hospital. Due to its large catchment area, the
neonatal mortality rates for their smaller babies are relatively high.
The hospital's Fuchs NMR Reduction Plan involved the acquisition of lifesaving intensive care equipment, the establishment of a satellite Donor Breastmilk Bank, improving KMC facilities and conducting specialized newborn resuscitation training for intensive care staff. They have purchased 2 "cosy cots" with build-
|Given its academic and tertiary level hospital status, Universitas Intensive
Care Unit babies are often critically ill and tend to have a longer than
average stay in hospital. The Universitas project team aimed to reduce
the neonatal mortality rates and average length of intensive care stay
through a strategy that targets the incidence of Necrotising Enter Colitis
(NEC) – one of the killer infections for small infants. If not fatal, this
condition prolongs intensive care bed occupancy and often bottlenecks
the Intensive Care Unit, consequently denying another critically ill babies
access to an intensive care bed.
The Healing Kids grant was applied to establish a Human Breastmilk Bank (these banks have proven to greatly reduce the incidence of NEC), upgrade their
|The Kimberley Hospital Complex focused on 2 main aspects in order to
reduce their neonatal mortality rates. Firstly, the Intensive Care Unit staff
received training on neuro-developmental supportive care for newborns
and secondly, a Fuchs Breastmilk Bank was installed. The training was
conducted during 2008 and has already improved the quality of service
delivery in the unit. Their Kangaroo Mother Care Unit was also upgraded
during 2009 and ventilation equipment was purchased and installed in
the Neonatal Intensive Care Unit.
The hospital reported significant cost savings and improved neonatal outcomes following the amendment to their nutrition facilities as follows:
|•||No more formula feeds are used for low-birth weight babies in the first 14 days of life|
|•||Decreased incidence of Nosocomial Infections.|
|The Western Cape has the highest percentage of low birth weight infants in the country. Doctors here report a distinctive positive correlation between prematurity, HIV-exposure, coupled with Tuberculosis and substance abuse in their patient profile at Tygerberg Hospital. Their Healing Kids grant was utilized to significantly expand the infrastructure and care-giving facilities in the Neonatal Section of the hospital. This involved the upgrade of a vacant ward in order to cope with the ever increasing number of small babies who remain in hospital after birth. Renovations to the Kangaroo Mother Care Ward started during June 2008 and were completed in record time by October 2008. The new ward has facilities for 30 neonatal beds and for 20 Kangaroo|
|Worcester Hospital caters for the entire Boland Overberg Region
(Worcester plus 9 other towns in the district). A new Paediatric Facility is
being build which should be completed during 2010. Their Healing Kids
grant was mostly used to purchase phototherapy lamps and to install
SIPAP machines. These machines increase their capacity to care for
the smallest of newborns, specifically those weighing less than 1000g
at birth. The new equipment facilitates shorter hospital stay periods for
many infants, also resulting in further cost savings for the unit.
The Worcester Kangaroo Mother Care facilities are now being upgraded as part of the completion of the new Paediatric Facility.
|This Port Elizabeth-based hospital employed a holistic strategy in
applying the grant from the Fuchs Foundation to decrease their neonatal
mortality rates. Their approach focussed on staff training for both
nursing and medical personnel. It also involved improving the quality of
care rendered in the delivery room, improved transport to the neonatal
wards and various management systems in these wards. Here the
project elements included expanded Kangaroo Mother Care, ventilation
equipment (CPAP), promoting exclusive breastfeeding and baby-friendly
principles, as well as involving mothers in the care of their babies.
As a result of their Healing Kids intervention, the following areas of care were impacted most positively:
|•||training on resuscitation of newborns|
|•||improved transport of ill neonatal patients|
|•||improved quality of monitoring of sick newborns|
|•||improved care in Kangaroo Mother Care.|
|The Greys Hospital Complex (a Pietermaritzburg-based hospital) and 5
"feeding" hospitals benefited from the Healing Kids-funded programme
in KwaZulu-Natal. These included Edendale, Ladysmith, Christ the King,
Madadeni and Newcastle Hospitals. During the project, new bilirubinometers,
infusion pumps and syringe pumps were acquired for the Neonatal
Intensive Care Units. In addition thereto, Kangaroo Mother Care
pouches were produced for the units and the equipment was deployed
in all 6 hospitals.
Specialized neonatal intensive care training and the adoption of neurodevelopmental care have resulted in shorter periods of hospital stay, leading to more cost-effective use of resources and a greater
|KwaZulu-Natal as a province caters for the largest paediatric population
in South Africa. An aggressive Neonatal Mortality Reduction Plan was
funded by the Healing Kids grant at this Durban-based hospital. The
programme revolved around three major interventions:
Firstly, an outreach programme for "flash-heating" of HIV-infected mothers' own breastmilk enjoyed huge success. Individual mothers were initially trained, who then in turn trained others in the community. Their "certificates of training competence" bears the Fuchs name and logo.
Secondly, Kangaroo Mother Care programmes were promoted at the hospital. One of the existing
|The Witbank Hospital reported significant progress with an average
decrease of 34 deaths per 1000 live births during the course of the project.
Key components of their Mortality Reduction Plan involved amendments
to the hospital's nutrition policy and facilities through the installation of
a Fuchs-funded Human Breastmilk Bank. Extensive training in neurodevelopmental
care was introduced to the Neonatal Intensive Care
Unit. The project team also involved the Obstetrics Department in a
programme aimed at improved quality of care for newborns, specifically
aimed at a reduction of Intra-partum Asphyxia.
Three cardio-techograph machines, pulse
|The Walter Sisulu Paediatric Cardiac Centre for Africa is an autonomous, philanthropic non-profit organization based at Sunninghill Hospital. It also is the largest paediatric cardiac unit on the African continent, not only providing lifesaving heart surgery to local children, but also training surgeons into Africa in order to provide their much needed services. As part of a grant agreement and funding partnership between the Centre and the Foundation, our grants are being used to perform life-saving cardio-thoracic surgery, specifically on underprivileged South African children.|
|Surgikids was initiated at Chris Hani Baragwanath and Johannesburg General Hospitals by Professor Peter Beale, Head of Paediatric Surgery at the University of the Witwatersrand. Their aim is to meet the ever-increasing demands of delivering state-ofthe- art surgical services to disadvantaged children in Gauteng. As part of the Healing Kids project, Surgikids received funding which has assisted the unit with acquiring surgical instrumentation for the Baragwanath Paediatric Theatres, where neonates often wait up to 7 days to have a birth defect surgically corrected. Such surgical instruments|