Expert Advice from Bonitas Medical Fund
Bonitas – innovation, life stages and quality care

Stress and the physical effects on your body

It is common knowledge that an overload of stress is not healthy and can have detrimental effects on your mental and physical health. Dr Morgan Mkhatshwa, Clinical Executive at Bonitas Medical Fund, discusses how too much stress interferes with the optimal functioning of your body and mind and results in an alarming number of health issues. What is stress? Stress is a natural human response to challenges and threats in our lives. It usually happens when we are in a situation that we don’t feel we can manage or control. Medically, stress causes chemical changes in the body that can raise your blood pressure, heart rate and blood sugar levels. So, what happens to your body? Your Sympathetic Nervous System (SNS) is a network of nerves that helps your body activate its ‘fight-or-flight’ response. This system’s activity increases when you’re stressed, in danger or physically active. The body shifts its energy resources toward fighting off a perceived life threat or fleeing from an enemy. The SNS signals the adrenal glands to release hormones called adrenalin (epinephrine) and cortisol. The fight response is your body’s way of facing any perceived threat aggressively Flight means your body urges you to run from danger Freeze is your body’s inability to move or act against a threat Research suggests that stress also can bring on or worsen certain symptoms or diseases. What are the most common physical symptoms in reaction to stress The cortisol and adrenaline hormones released during a stressful situation can cause several changes in your body, including: Increased heart rate and blood pressure: The increased level of hormones can cause your heart to beat faster and your blood vessels to constrict, leading to higher blood pressure. Digestive problems: Stress can affect your digestive system and cause symptoms such as stomach pain, bloating, constipation or diarrhoea. Weakened immune system: Chronic stress can suppress your immune system and make you more susceptible to infections and illnesses. Muscle tension and pain: Stress can cause muscle tension and pain, especially in your neck, shoulders and back. Headaches: Stress can trigger tension headaches, migraines as well as muscular spasms in the neck and shoulders. Sleep problems: Stress can interfere with your sleep, causing difficulty falling asleep, staying asleep or waking up too early. Skin problems: Stress can exacerbate skin conditions such as eczema, psoriasis or acne. Endocrine disorders caused by stress include thyroid hormones leading to hyperthyroidism or hypothyroidism, ghrelin and leptin, the hormones that regulate appetite, increasing hunger, melatonin, resulting in restlessness and insomnia, insulin, contributing to Type 2 diabetes. Mental health issues: Chronic stress can also contribute to the development of mental health disorders such as anxiety, depression and burn-out. How do you monitor your stress levels? To monitor your stress, first identify your stress triggers. What makes you feel angry, tense, worried or irritable? Do you often get headaches or an upset stomach with no medical cause? Is it hard to focus or do you have trouble sleeping at night? Overall, chronic stress can contribute to the development or worsening of chronic conditions such as diabetes, obesity, depression and anxiety.  Stress can be a killer. Which is why it’s essential to manage your stress.  Do this through healthy coping mechanisms such as exercise, meditation, deep breathing or seeking professional help, if necessary. And remember, your GP should be your first port of call for all your healthcare needs. We believe there needs to be coordination of care and encourage you to see your GP, who can refer you to a specialist or auxiliary provider as and if the need arises.

Parenting Hub

All you need to know about your newborn

Newborn Hearing Newborns can hear immediately upon birth and are able to distinguish their mother’s voice above all else. If your baby does not seem to react to your voice or does not startle with a loud noise, be sure to tell your paediatrician. Stimulating your baby’s sensesBelieve it or not your baby will learn a lot in their first year of life. One way you can help them learn is to provide stimulation for them in different forms. This can be done in a variety of ways such as stimulating their vision and hearing or through touch and movement. Remember to spend some time every day working to help your baby explore the world around them. Stimulating your baby’s vision Here are a few ways to help stimulate your baby’s vision: Make eye contact with your baby during times when their eyes are open. Look them right in the eye. They recognize faces very early in life, especially yours!This helps them develop their memory. Use a mirror to let your baby stare at his or herself. They will enjoy looking at “another” baby and watching the movements it makes. Stick out your tongue for your baby or make funny faces. Starting at 2 days old newborns can begin to mimic simple facial movements as they begin to develop problem solving skills. Hold up two pictures for your baby to look at. They should be similar, but with some sort of difference between the two – maybe one has a house and the other doesn’t. Even young babies will look back and forth between the two to try and figure out the difference between them. This can help them develop letter recognition and reading skills later. Stimulate your baby with laughing and singing Laughing and singing are great ways to stimulate your baby and have fun at the same time. Here are a few suggestions: Find ways to get your baby laughing. This can be through methods like gentle tickling, blowing on their arms and tummy, or making funny faces. As they get older you can joke around more too. Laughter is great for babies! Sing song to your baby. Learn as many as you can or make up your own words to songs you already know. Play music to your baby. This can be Bach or Mozart or even the Beatles. Learning music rhythms may help them learn math skills later on. Talk away. In other words, have a silly, fun conversation with your baby. Chat away and pause at places where your baby would speak in the conversation. As your baby grows, they will learn   to start chatting to fill in the spaces you leave. Be sure to make eye contact and smile a lot! Play peek-a-boo, it’s great for getting babies to giggle and laugh – it also teaches them that objects can disappear and then come back. Physical activities for your baby As your baby gets older and is more mobile encourage physical activities that can help with motor skills, coordination and problem-solving. Here are a few suggestions: Turn yourself into a playground by lying on the floor and letting your baby crawl all over you. This will help boost their problem-solving skills and coordination. Teach them to move to music. You can teach them to do the twist, twist and shout or even twirl like a ballerina. This helps them develop skills like balance and coordination as well as a sense of rhythm. Create an obstacle course by laying toys, boxes or sofa cushions on the floor and then show your baby how to crawl over and around or under the items. This helps with problem-solving, strength and coordination. Play pick up by allowing them to drop toys or pieces of wadded up paper off their highchair into a bucket or other safe container. This helps them learn and explore the laws of gravity.

Bonitas – innovation, life stages and quality care

YOUR GUIDE TO A HEALTHY PREGNANCY

Looking after your health is important, but even more so when you are an expectant mom.  There are several steps you can take to ensure you have a healthy pregnancy and give your little one the best possible start in life, here are a few tips brought to you by Bonitas Medical Fund. Eating right is vital Eating healthily during pregnancy will help your baby to develop properly.  There’s no need to go on a special diet but, it is important to eat a variety of foods every day to get the right balance of nutrients that you and your baby need. Eating healthily often means just changing the  the foods you eat so that your diet is varied. Staying active is a must Regular exercise will help you control your weight, improve circulation, boost your mood and help you sleep better. Pilates, yoga, swimming and walking are all great activities for pregnant women. Aim for 30 minutes of exercise most days of the week. Listen to your body though and don’t overdo it. Be sure to check with your doctor first, before starting any exercise programme. Approach chores with caution Chores like scrubbing the bathroom or cleaning up after pets can become risky when you are pregnant. Exposure to toxic chemicals, lifting heavy objects or coming into contact with bacteria can be harmful.  So, avoid heavy lifting, climbing on ladders, changing the kitty litter, using harsh chemicals and standing for long periods of time. Take care of your feet Weight gain during pregnancy throws off your centre of gravity, which puts extra pressure on your feet. This can cause painful flattening out of the feet. You may retain fluids too, which can make your feet and ankles swell. To prevent this, wear comfy shoes with good support. Many pregnant moms find they need a larger shoe size even after they give birth, so go a size up if you need to. Benefits for you and your baby Bonitas offers a wide range of maternity benefits as well as benefits for newborns and babies.  These are paid for from Risk so they are in addition to your savings and day-to-day benefits. Some are: Maternity benefits Having children is expensive. That’s why Bonitas pays for your maternity benefits in addition to your savings and day-to-day benefits so you can focus on the things that really matter. Contact The Bonitas Maternity Programme today to see all the benefits when you click here. Bonitas is also in the process of establishing a comprehensive mother and baby support programme which will offer pregnant moms a range of benefits including: 24/7 pregnancy care helpline Dedicated Bonitas care advisors Pregnancy education SMSs and emails Online pregnancy education Bonitas pregnancy events with expert speakers on prenatal and postnatal care The full programme has bee available since March 2020 and will ensure there is sufficient support for moms throughout the pregnancy journey.  Education and information will be provided to allow for healthier pregnancies which in turn could support higher incidences of natural birth. But there will also be management and support for pregnancy complications including miscarriage and gestational diabetes. In addition, your stay in hospital when your baby arrives will also be covered. Please make sure you pre-authorise your hospital stay after your 24th week of pregnancy. Please note: Your maternity benefits will depend on the medical aid option you have selected.   Newborn hearing screening Significant hearing loss is the most common disorder at birth which is why screening all newborns for hearing loss is internationally recommended. We cover two electrophysiological techniques, auditory brainstem responses (ABR) and optoacoustic emissions (OAE) for all babies under 8 weeks old, in or out-of-hospital allowing you to ensure your baby’s hearing is intact or intervene early if necessary. Congenital hypothyroidism screening Cover for TSH tests (to screen for congenital hypothyroidism) is available on all options for children under a month old. Help is just a call away with BabyLine BabyLine (0860 999 121) is the first dedicated children’s health advice line in South Africa. It is available 24 hours a day, 365 days a year. The service is run by paediatric-trained nurses who assist with any queries related to your little one’s health and wellness. The benefit is available to all Bonitas members and is for children under 3 years, it offers: Home care advice Clinic/primary care/GP referral for the same day Clinic/primary care/GP referral for the following day After-hours care within the next six hours Immediate referral to the E

Bonitas – innovation, life stages and quality care

Mental health and pregnancy – Antenatal depression

Your health during and after your pregnancy is important to both you and your baby. Normally when people think health, assume physical, but your mental health is just as important. If you are struggling with anxiety and depression during your pregnancy, this is known as antenatal depression. You’re probably chalking your mood swings and doubts down to pregnancy hormones, but when should you start to be worried about your mental health during pregnancy? What is antenatal depression? Mood swings during pregnancy are fairly normal, as your body is adjusting to changing hormones. Not only are your body’s hormones changing, but the emotional, physical and psychological changes that you are going through during pregnancy can also be overwhelming. Most antenatal care focuses on physical health, meaning depression and anxiety are often overlooked during pregnancy. Postnatal depression is far more commonly addressed than prenatal, and it is important that both are equally acknowledged – your mental health is always important. Antenatal depression is different from mood swings in the way that it is a persistent feeling of sadness or loss. Many of the symptoms of depression are similar to what can normally be experienced during pregnancy, such as fatigue and changes in sleep patterns. However, when you are struggling to function normally day to day, or your symptoms persist for weeks on end, it may be time to find professional help. What can I do if  I think I have antenatal depression? If you are worried that your feelings of frustration or sadness are not just normal pregnancy blues, here is what you can do to help yourself. Talking to a professional is always a good first step as they can guide you in a direction that will work best for you and your baby. You could help yourself feel better by looking after yourself. Eating healthy, exercising and sleeping well are all ways in which you can boost your serotonin levels. Speak to people with similar experiences or open-up to your close friends and family. Building your support network can help you feel less isolated and alone.

Bonitas – innovation, life stages and quality care

YOGA AND PILATES FOR PREGNANT MOMS

Staying active during your pregnancy is another important way of staying healthy. Not only is exercise good for you physically, but it helps relieve stress, improve sleep and boost your mood. However, being pregnant, especially later on in your pregnancy, means that you’ll need to consider what exercise you’re doing. Contact and high-risk sports are a no-no, but if you are looking for a way to stay fit, prenatal yoga and pilates could be your answer. Why yoga and pilates? Prenatal yoga and pilates can help you strengthen your body, stop excess weight gain and help prepare your body for childbirth. Both are low impact and can be adjusted to suit you and your growing baby. During your pregnancy, you may experience backache, aching legs and abdominal pain. Providing nothing serious is wrong, yoga and pilates can help alleviate pain through strengthening your body. Prenatal yoga and pilates classes are specifically tailored to expecting moms, so should be completely safe unless you are recommended otherwise. Getting ready for birth  Not only can these practices help reduce stress and anxiety, but they can also help you during childbirth. The combo of stretching and strengthening your body should mean that your body is more equipped to deal with the stress of labour and birth. Strong core and pelvic will help support your spine and help you during birth. Joining prenatal yoga and pilates classes will help you connect with other expecting moms and, a professional can guide you through which poses are best for you throughout your pregnancy.  Not only can yoga help you physically, but the breathing techniques you’ve learnt can help calm and focus you during labour. Is there anything I should be cautious of or avoid?  Although good for you, there are still certain yoga and pilates poses and exercises that you should avoid during your pregnancy. If you are new to yoga and pilates,  most studios offer prenatal classes for beginners, and, if you are practising already you can probably continue with most of your practice, just let your instructor know you’re expecting – they can help you modify your routine. Things to be cautious of are hot yoga, full inversions (poses on your head), deep twists and exercises that cause you to crunch your abdominal cavity. Your body is in constant flux as your baby develops, meaning some days you’ll feel energised whereas otherwise will leave you feeling drained. Because of this, it’s important that you are aware of how your body is feeling while practising. If you notice anything unusual or painful it’s best to chat with your doctor.

Bonitas – innovation, life stages and quality care

Preterm Labour

Although most moms pregnancies last 40 weeks (your baby will have spent 38 weeks in your uterus) sometimes birth can begin prematurely. If you go into labour anytime between week 20 and 37 is known as preterm labour. A baby delivered before this is known as miscarrige, and anytime after week 37 is considered normal. If you suspect you’re going into labour early it’s critical that you contact your doctor as quickly as possible so that they can assist you. Ideally your baby needs to stay in your uterus until full term, but even if your baby is premature (sometimes called a preemie) they can still go on to lead a healthy life. Here are the signs of preterm labour, how you can try prevent it and what to do if you think that your baby might be coming early. How to decrease your risk of preterm labour  There are some things that increase your risk of going into premature labour – however, that being said, just because your risk factors are low, you aren’t guaranteed not to go into preterm labour. Firstly, throughout your pregnancy staying healthy is critical. Smoking, drinking and recreational drug use are all activities that increase your risk of preterm labour (amongst other things). Good nutrition and prenatal care is a key aspect of a healthy pregnancy and baby. Other risk factors include, having more than one baby in your uterus, short intervals between pregnancies and having had another baby preterm. There are certain infections and chronic conditions that can also contribute to preterm labour. Preeclampsia, gestational diabetes, depression, chronic kidney or heart disease or infections can all lead to preterm labour and birth. Signs and symptoms that you may be experiencing preterm labour Controlling what you can, keeping a healthy pregnancy lifestyle and maintaining good prenatal care are not guarantees for your baby’s timely arrival. However, spotting preterm labour early means that you’ll be able to receive treatment as quickly as possible. Backache and pressure in your lower belly (almost as if your baby is pushing down) as well as bell cramps and contractions are all signs of premature labour. These contractions are different to Braxton Hicks contractions as they are regular. Other signs include a change in your vaginal discharge to watery or bloody, or even experiencing a gush of fluid from your vagina. What happens if I go into preterm labour? If you suspect preterm labour let your doctor know right away. Once you have alerted your doctor they’ll give you medication to stop the birth or slow down your labour. How close you are to your due date will impact on how they decide to treat you. You may be given medication to slow or stop your contractions, as well as medication that will help your babies lungs mature and grow, as if they are born preterm they may not work on their own. If your baby is born preterm it is likely they’ll need special care from the hospital as they are at higher risk of health complications. However, even if your baby is preemie they can still go on to live a healthy life.

Advice from the experts
Bonitas – innovation, life stages and quality care

Postpartum recovery – How long does it take and what can you expect?

As a new mom, or a potential new mom, you are probably wondering how long your body will take to recover post birth and pregnancy. The postpartum period is generally regarded as the first six weeks after childbirth. This is an important time for both you and your baby, as you there are lots of emotional and physical adjustments that happen in this period. Recovering from having a baby can be a long process, especially considering that you now have a new baby to look after as well. What can I expect postpartum? Postpartum recovery will differ between moms and pregnancies. If you have opted for a vaginal birth, your vagina will hurt postpartum, and recovery can take 3 to 6 weeks depending on if you had an episiotomy or your perineum tore.  C-section incisions can be painful and you can expect a recovery period of 4 to 6 weeks. Initially you may find moving difficult, but it’s important to move a little bit to avoid blood clots. Some new moms can experience difficulty urinating, perineal discomfort or soreness, vaginal bleeding, contractions, constipation and breast tenderness post birth. During the postpartum period you may also feel irritable, anxious or have sudden mood swings, this is also known as the ‘baby blues’ and is caused by hormonal changes in the first few weeks. However, if this period is extended you could be suffering from postpartum depression, and should speak to your doctor about this. How can I help my postpartum recovery? Be aware of pushing yourself to return to ‘normal’ as soon as possible, even if you have had an easy pregnancy and birth, your body has still been through an ordeal and you will need time to recover. Avoid over exercising (even if it’s tempting to get straight back into it!) and trying to socialise too much with friends and family eager to meet the new baby.  Don’t be afraid to ask people for space and to limit your baby’s visitors.

Bonitas – innovation, life stages and quality care

Covid – how and when might it all end?

Covid-19 has disrupted the world in so many ways, including the uncertainty of what the future holds. The Bonitas Medical Fund clinical and actuarial teams unpack some of the pandemic versus endemic terminology and offer scenarios for the future. Since the start of Covid-19, the word ‘pandemic’ has been on everyone’s the lips. What is a pandemic and what is the difference between an outbreak, an epidemic and a pandemic? According to Harvard Medical School, ‘An outbreak is a sudden increase of an infectious disease in a particular place, an epidemic is a larger outbreak in a restricted country or community, while a pandemic means a global epidemic.’ Do the governments of various countries decide there is a pandemic? It is the World Health Organization (WHO) which declares a global pandemic as was the case on March 11, 2020, when the virus was present in over 110 countries. WHO will also decide the degree of severity and communicate this to the world? The declaration gives governments time to prepare for the pandemic, legislate laws and restrictions – such as travel and trade – and begin emergency procedures to protect their citizens.  What are the criteria for a pandemic? There is no universally agreed definition of when a disease outbreak should be called a pandemic but there are three reasons WHO can declare a pandemic, when: The disease causes death There is persistent transmission between people It spreads in multiple countries The Centre for Disease Control (CDC) explains it as a ‘term most often applied to new influenza strains’ and says it’s used when viruses can infect people easily and spread from person to person in an efficient and sustained way in multiple regions. The declaration refers to the spread of a disease, rather than the severity of the illness it causes. What are examples of other pandemics? Past pandemics, which had a profound effect on the world, were the Plague or Black Death in the 14th Century, the outbreak of flu in 1918 each killing around 50 million people. Both the AIDS pandemic and Covid-19 are more recent. Who keeps a finger on the pulse of the pandemic? During pandemics, epidemiologists work as profilers. They are experts in the branch of medicine which deals with the incidence, distribution and possible control of diseases. Epidemiologists are scientists who: Trace, monitor and predict the movement and behaviour of a pathogen to create a detailed portrait. Key epidemiological questions include: What is the spectrum of disease severity? How transmissible is the virus and who is most likely to spread it?  What are the risk factors for severe illness and death? How does the behaviour of the infection vary by location and does it change over time?  Answers to these questions can determine what public health measures should be implemented and what resources should be allocated. These choices have a profound effect on the outcomes. Who decides that a pandemic is over? The pandemic may be widely considered over when WHO decides the virus is no longer an emergency of international concern. It is generally when the infection is mostly contained and rates of transmission drop significantly throughout the world.   The expert committee reassess every three months and the world are waiting for a decision from WHO regarding the end of the pandemic as we know it. However, they are still anticipating a 5th wave. Despite this the organisation is calling for travel bans to be lifted as they have proved to be ineffective in stopping the spread of the Omicron variant.  Downgrading from pandemic to endemic There is a consensus that Covid-19 will eventually settle into becoming a more predictable virus, like the flu. This means there will be seasonal outbreaks but not the huge numbers the world is experiencing now.  It will transition from a pandemic phase to endemic phase and the world will adapt to living with it.  What is the difference between endemic and pandemic?  Endemic means the disease is still circulating but at a lower, more predictable rate — and with fewer people being admitted to hospital.  Epidemiologists would consider a disease endemic when levels are consistent and predictable – unlike the ‘boom and bust’ waves we have seen so far in the pandemic. That said, just because it’s endemic it doesn’t mean to say it’s not serious. Smallpox, for example, was endemic for thousands of years and a third of the people who were infected, died. Malaria is also endemic and causes around 600 000 deaths a year. What are the hypotheses for the way in which the pandemic will end?  It is difficult to predict when the pandemic will end but three scenarios emerge as the most probable. It is important to note that these will be determined by WHO and governments around the world. 1.Getting through it as quickly as possible This means the government allows people and communities to be exposed as quickly as possible so that most people have been infected or developed immunity. At some point herd immunity will be reached – when the virus cannot find new hosts -and the pandemic slowly peters out. The problem with this is that hospitals reach peak capacity very quickly and millions may die. 2.Slow it down or delay it and vaccinate As happened with most countries’, governments used various methods to slow down the spread. This reduces the number of lives lost but the virus still spreads slowly and many of these measures have a devastating effect on the economy. 3.Co-ordinate globally to crush it This is achieved by introducing travel bans, quarantining, social distancing and restricting travel.  In this scenario the world should co-ordinate efforts to reduce transmission.  In the best-case scenario this could end the pandemic swiftly with low loss of life. The virus will not be eliminated through this means alone but reduced transmission and spread.  Each has its pros and cons but it’s generally accepted that vaccination, assisted by as much global coordination as possible, is the best possible scenario. What is

Parenting Hub

Fruity back to school lunch box ideas for a healthy start to 2022

Make the morning rush a little easier with healthy lunch box recipes that all kids will love. Plums, peaches and nectarines, known collectively as stone fruit, pack a nutritious punch offering generous helpings of vitamins and other essential nutrients to keep budding learners sharp throughout the day. Make sure your children get their share of nature’s juicy summer bounty by including stone fruit as a snack in their lunch boxes or turn them into delicious, nourishing meals and treats. We all know how fussy children can be when it comes to balancing their daily food intake, so here are some nifty ideas to get nutritious stone fruit into their lunch boxes.  Celebrity chef, Jenny Morris, has created two moreish lunch box salads that tick all the right boxes. Her peach and bulgar wheat salad is a super easy and satisfying meal that can be prepared the night before. It is an absolutely yummy and filling alternative to regular school sandwiches, guaranteed to keep hunger pangs at bay.  Jenny’s nectarine and smoked chicken salad is another substantial lunch box meal your children will tuck into with glee. Bursting with colour and flavour, it is quick and easy to whip up.  For something sweet when energy stores start running low, Jenny’s plum jelly treats are the perfect lunchbox filler. These homemade treats are great for on the go snacking. Karen Hart’s peachy whole wheat muffins are a super nutritious lunch box filler. They are easy to make ahead of time and are sure to stay fresh and go the distance. Plums, peaches and nectarines are naturally sweet super fruit with a low glycaemic index (GI). They are high in fibre and abound in health-giving potassium and vitamins A, C and E, all-powerful antioxidants that protect against disease and help to build healthy minds and bodies. To keep children’s lunches fresh all day, Addis, the original and trusted food storage container brand, has the perfect solution. Addis Clip ‘n Seal lunch boxes come in various  sizes and great colours with a high quality, clip closing design that guarantees an airtight and leakproof seal. They are made in South Africa and are BPA free. Visit www.addis.co.za for more information. Feel inspired by following @juicydelicioussa on Instagram or visit www.juicydelicious.co.za for more tempting stone fruit recipes. Peach and Bulgar Wheat Salad     By Jenny Morris  Serves 4-6 Ingredients:  2 cups cooked bulgar wheat ½ red onion finely diced 2 spring onions with tops finely chopped ½ cup chopped mint 2 large cling peaches washed, stoned and finely diced ½ medium cucumber finely diced ½ cup finely diced red pepper 2 red chillies chopped (optional) Salt and pepper to taste Method: Toss all the ingredients together and add the dressing 30 minutes before serving. Dressing:  ½ cup orange juice ¼ cup lemon juice 1 Tbsp honey ¾ tsp salt Pepper to taste 2 cloves finely grated garlic 1 tsp mustard of your choice ½ cup olive or vegetable oil Method: Stir together all the ingredients except the oil, taste and adjust the seasoning, then whisk in the oil. Nectarine and Smoked Chicken Lunch Box By Jenny Morris Serves 4 Ingredients: 1 cup cooked bulgar wheat Zest of 1 yellow lemon 2 Tbsp chopped mint 1 cup cucumber, chopped or thinly sliced 2 large firm nectarines stone removed and chopped 300g chopped smoked chicken breast 30g toasted almonds chopped Salt and pepper to taste Dressing: ¾ cup mayonnaise 1 Tbsp olive oil 1 Tbsp lemon juice Stir together and season to taste. Method: Place all the ingredients together in a bowl, season with salt and pepper and lightly toss together, add the dressing and stir together gently. Divide into 4 portions and pack into lunch boxes. Plum Jelly Treats By Jenny Morris Makes: 24 – 30 (depending on the size of the mould) Ingredients: 15 plums, halved and stoned ½ cup water  ½ cup caster sugar 6 Tbsp gelatin powder Silicone mould of your choice Non-stick cooking spray Method: Place the plums in a small saucepan with the water and simmer until soft.  Place in a blender and process until smooth.  Strain the liquid through a sieve and return to the pot (alternatively, if you have a juicer, simply juice the fruit and place in the saucepan). Add the caster sugar and dissolve over low heat.  Sponge the gelatin in a little water, according to the package instructions.  Once, sponged, place the gelatin in the warm plum liquid and stir to dissolve. Lightly spray your mould with the non-stick spray and place on a baking tray.  Carefully pour the liquid into the mould – using a jug – and place in the fridge for an hour and a half, or until set. Pop out and enjoy! Whole Wheat Peach Muffins By Karen Hart Makes 12 muffins Ingredients:  1 cup whole wheat flour ¼ cup cake flour 1 ½ cup oats  ½ teaspoon bicarbonate of soda 1 ¼ tsp baking powder ¼ tsp salt ¼ tsp nutmeg ½ tsp cinnamon 11/2 cups peeled and diced fresh peaches or nectarines (2 peaches/nectarines) ⅓ cup buttermilk 1 tsp vanilla extract ⅓ cup honey ⅓ cup sunflower or canola oil 1 egg Extra oats to sprinkle on top (optional) Method: In a large mixing bowl, whisk together the flours, oats, baking soda, baking powder, salt, nutmeg and cinnamon. Stir in the peaches. In a separate bowl, combine the buttermilk, vanilla, honey, oil and egg. Add wet ingredients to the dry ingredients and stir until it is just mixed. Spoon the batter into a 12-hole muffin tin, lined with paper liners. Sprinkle a little oats over each muffin (optional). Bake in a preheated oven of 180ºC for 18 – 20 minutes or until cooked through and golden brown. Cool on a wire rack before serving.

Parenting Hub

HAPPY KIDS ARE GOOD KIDS

In the words of Oscar Wilde, “The best way to make children good is to make them happy,” and that’s what the Friends In Your Freezer are intent on achieving through delicious, healthy, fun, and convenient food. Oh, and a chance to win a family holiday worth R50 000 too! Two of the largest brands in the frozen food world are on a mission to create convenient and nutritious mealtime solutions, while bringing fun into the kitchen and onto kids’ plates. Whether their summer holiday was the greatest six weeks of their little lives, or a time spent ranting about having nothing to do, the back-to-school transition is daunting for most children, and more than likely, moms too. Having a stable eating routine with exciting food helps children to look forward to mealtimes, and a nutritious eating routine improves not only their energy levels, but their concentration and mental health too.  McCain and Sea Harvest offer the finest quality frozen fish and vegetables, which are incredibly healthy too. Their produce is harvested at its peak, sustainably sourced and snap frozen within hours to maintain freshness and lock in nutrients, meaning that your little ones not only get to enjoy a delicious meal, but one that’s packed with vitamins and minerals too. “Frozen foods are a convenient and affordable way of incorporating protein and vegetables into your children’s diets. The combination of products that McCain and Sea Harvest offer are sure to satisfy even the most discerning of little palates,” says Jared Patel, the Head of Marketing of the Sea Harvest Group. Get the kids involved in the kitchen and create a fun and fresh (or shall we say, frozen) take on sushi: Fish Finger ‘Sushi’ with Smiles Serves: 4 Prep Time: 30 minutes Cook time: 20 minutes Difficulty: easy Ingredients Fish & Smiles 8 Sea Harvest Fish Fingers 1 x 415 g bag McCain Smiles Sushi 8 slices of brown bread, crusts cut off 40 ml mayonnaise 8 slices of pre-sliced cheddar cheese 1 small cucumber, peeled into ribbons 1 large carrot, peeled and finely grated Dipping Sauce ¼ C (60 ml) mayonnaise 2 Tbsp (30 ml) chutney Method Fish & Smiles Preheat the oven to 200 ºC. Lay frozen Fish Fingers and Smiles onto a baking tray. Place into the oven for 15-20 minutes and cook until golden and crunchy. Alternatively, cook in an air fryer for the recommended time. Allow the fish fingers to cool completely. Sushi Roll each slice of bread with a rolling pin to flatten by half. Dollop roughly a teaspoon of mayonnaise on each slice of bread and spread evenly to all corners. Place a slice of cheese right on the edge of the side of the bread closest to you – this will ensure that there is a margin of bread left on the other side that will stick the sushi roll together. Place a cucumber ribbon on the edge of the cheese that is closest to you followed by a cooked Fish Finger. Top the fish finger with grated carrot, then roll the bread roll away from you to form a neat log shape. Press down on the seam to seal the roll. Trim off the ends off, then slice into 4-5 bite-size pieces of sushi. Repeat the rolling process until you have completed and sliced all of the rolls. Dipping Sauce Mix the mayo and the chutney together and set aside. To Serve Serve fish finger sushi rolls with potato smiles and dipping sauce on the side. Having these Friends In Your Freezer ensures that mealtime planning and creativity in the kitchen isn’t higher grade, so to speak. “Our purpose is to make mom’s lives easier, and kid’s lives happier. The first two months of the year are generally chaotic and there’s no doubt that having frozen meals on hand eliminates the added pressure of meal prep on a busy week night,” says Danielle De Villiers, Senior Brand Manager at McCain.  Purchase any 1 McCain and 1 Sea Harvest product from participating stores and stand a chance to WIN 1 of 4 family holidays valued at R50K each with McCain and Sea Harvest. Competition ends 28 February 2022, T&C’s apply. For more information, visit www.friendsinyourfreezer.co.za, McCain Facebook, McCain Instagram, Sea Harvest Facebook or Sea Harvest Instagram. You can also download this fun activity book filled with puzzles, games and jokes, to keep the kids busy!

Bonitas – innovation, life stages and quality care

All about Boosters

As the COVID-19 pandemic waxes and wanes around the globe, it is universally accepted that as many people in the world as possible need to be vaccinated to develop immunity. Depending on which vaccine you received, you will either have had one or two initial vaccines doses and then, between 2 and 6 months afterwards are eligible for a booster. Kathy Malherbe speaks to Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, about COVID-19 immunity, vaccines, boosters and the way forward.  What do boosters and vaccines do? They develop immunity against infections. In the case of COVID-19, when we are fully vaccinated, we acquire what is called ‘vaccine-induced immunity’.  However, it has been shown that the immunity created by vaccines may wane over time so an additional dose of the vaccine (full or half strength) – in the form of a booster- is then given to provide the strongest and long-lasting protection possible. What exactly is immunity? Simplified, it is your body’s ability to protect you from becoming ill when you encounter a germ (virus, parasite, fungus, bacteria). It is not a simple process but essentially your body produces cells that try to stop the invading germs. This includes cells which ‘memorise’ a particular infection or germ and then recognise it when it returns and try to destroy it.  Immunity can be natural or vaccine induced Natural immunity is your body’s natural ‘fighting mechanism’ which creates antibodies to fight an infection. If you get a disease mildly (like COVID) you do not develop a powerful natural immunity and your natural immunity, regardless of how strong it is, weakens over time – faster than immunity from a COVID-19 vaccine. For this reason, it is recommended that even if you have natural immunity, you still need a COVID-19 vaccine. Why is a booster necessary when you are fully vaccinated Fully vaccinated people have proved to be well-protected from becoming severely ill or dying from COVID-19. So, you may ask why a booster then? Even though vaccines protect you, their efficacy does lessen over time, regardless of which variant of COVID, especially with people 65 years and older. This is not only in the case if a COVID vaccine. If a vaccine does not contain a live, (weakened) virus, a booster is required in most cases.  The COVID vaccine does not contain any form of live viruses and, like other inactivated vaccines, will need several doses over time to remain effective. The booster is designed to help people maintain their level of immunity for longer. It is important to know that immune responses can differ in people who get COVID-19 and recover from the illness There are many vaccines which require a booster so you’re more than likely going to receive at least one in a lifetime.  When should you have a booster shot? For those who received the double-dose Pfizer vaccine, you’re eligible for a booster shot at least 6 months after the final dose of the vaccine was administered  If you received the Johnson & Johnson vaccine, you should get a booster if you’re 18 or older and got vaccinated two or more months ago Can you have different booster shots from the original vaccine? The South African Health Products Regulatory Authority (SAHRPA) has not licensed mix and match vaccines. However, there is good evidence that mix and match vaccines are just as effective (and sometimes better) at increasing antibody levels. SAHRPA has requested submission of evidence to support this approach, so watch their website for updates.  Do booster shots use the same ingredients as existing vaccines? Yes. COVID-19 booster shots are the same ingredients (formulation) as the current COVID-19 vaccines. Some boosters have the same ingredients but it is not a full dose. J&J and Pfizer boosters are the full dose. Are there side effects from the booster shot? There is a chance you may feel like you have mild flu after your booster shot. This could include a sore and even slightly swollen arm, a temperature, a headache and fatigue for a day or two. These symptoms mean that your immune system is responding to the shots and building up immune protection against the coronavirus. Can I have a booster if I am immune compromised? Yes, but should be referred by your doctor. Persons who are immunocompromised should receive an additional Pfizer or J&J booster at least 28 days after receiving their last vaccination.  Presently, persons who are considered immune-compromised should have the same booster as the initial vaccine dose (or doses).  Even though there is talk that COVID-19 will move from being a pandemic to endemic, there’s no getting away from the fact that this virus will be part of our lives for a long time and we will need to learn to live with it. Which means that in order for the world to develop immunity against the virus, as many people as possible need to be vaccinated and also receive booster shots.  

Bonitas – innovation, life stages and quality care

Health at School

The school year is in full swing and children are as busy as ever with all their activities and homework. By following a few lifestyle tips you can keep your child healthy and cut down on their sick days says Bonitas Medical Fund.

Bonitas – innovation, life stages and quality care

Your pre- hospitalisation check list

Waves of Covid-19 and the emerging variants meant that several elective surgeries were postponed to minimise the use of hospital beds and to avoid unnecessary exposure to the virus.  As the number of infections decrease, surgeons and hospitals are catching up on the backlog of elective surgeries.  So, what exactly is elective surgery? It does not mean, as the name implies, that the surgery is optional but rather that it doesn’t need to be performed immediately. It can be scheduled at the patient’s and surgeon’s convenience.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, says there are pre-hospitalisation requirements for those going in for elective surgeries. Here’s a quick checklist.   Hospital networks Medical schemes negotiate preferential rates with Designated Service Provides (DSPs) who have partnered with them to ensure that members get the best quality services, at the most cost-effective rate so that benefits are optimised. If you use a network hospital, doctor or pharmacy you will not be charged more than the agreed rate. This will help you avoid co-payments and make your medical aid last longer. So, to reduce co-payments and even avoid them altogether, find a healthcare professional on your schemes network.  Pre-authorisation All procedures that take place in a hospital must be pre-authorised. Essentially, it’s an agreement between the medical aid and the hospital, indicating a willingness to pay for costs associated with the visit. But even if you do have pre-authorisation your medical aid is not promising to cover 100% of the costs.  All pre-authorisation requests are evaluated against the different schemes’ rules and clinical funding policies however, you remain responsible for any shortfall, including any co-payments. If you are unsure how to go about the process speak to your broker or your medical aid.  Quotes A quote is not the same as a pre-authorisation. Most medical aid plans have varying hospital benefits, according to the level of cover you have chosen and they also have a ‘rate’ and which they reimburse healthcare providers. This means that even if the payment is 100% of the rate, this is not necessarily what the healthcare provider will charge, they may charge 200% of your medical aid rate. Asking for a quote prior to being admitted to hospital means you will know what your medical aid will pay and what payment you might be responsible for. It gives you an opportunity to negotiate and eliminates any additional ‘surprise’ co-payments required after the procedure. Co-payments Medical practitioners, hospitals and pharmacies often charge more than medical aid scheme rates, which could be between 100% – 300% of the medical aid tariffs. A co-payment refers to the outstanding portion of the account, for which the member is responsible. This co-payment varies from one medical scheme to another and is sometimes not required if members use DSPs or network hospitals.   Day hospitals Consult with your surgeon to see if your surgery can be done in a day hospital. Globally, day surgery hospitals have changed the experience of patients by offering an alternative to acute/conventional hospital surgery. The advantages include: No overnight stay, ideal for children so they don’t have the trauma of overnight stays; there is a lower risk of infection because patients go home on the same day and there is a decreased waiting list.   Step-down facilities Your medical aid will stipulate the number of days you need to stay in hospital and check whether you will need a step-down facility when you are discharged. There are several facilities where patients can be cared for and start rehabilitation in conjunction with other medical professionals, for example physiotherapists.   Home-based care Find out if you are eligible for home-based care after your procedure. Many patients prefer to be discharged from hospital as soon as possible and receive Hospital-Level Care at home. This means good, clinical quality care which translates into a great patient experience and is also more affordable With Hospital-Level Care at Home, nurses, other health providers and caregivers are an essential element of the care continuum and play a critical role in recovery. GAP Cover Gap Cover is an additional insurance cover that complements medical schemes.  It helps to pay the difference in cost between the amount the specialist or hospital charges and the amount paid by a hospital or medical plan. You will be required to pay any shortfalls (co-payments), after which you may claim from your Gap Cover. Keep all documentation related to the surgery and hospitalisation to submit to the Gap Cover provider.  Covid-19 Test For emergency admissions, a Rapid Antigen Test is performed at the hospital but for elective surgery you are required to have a PCR test a maximum of 72 hours before admission. If your test is positive, you will have to delay your surgery by at least 10 days and then re-test. Pre-admission Pre-admission can be done a few days before you are scheduled for surgery and makes the admission process less stressful on the day. Pre-admission involves answering a series of questions and tests to eliminate the possibility of allergic reactions, drug interactions or physical complications before, during and after the surgical process. For administrative purposes the following items are required upon admission: Your identification document or passport Your medical aid card Authorisation number supplied by your medical aid, or the letter of guarantee issued by your insurer X-rays, if applicable Chronic medication, if staying overnight Dr Mkhatshwa says, ‘In addition to these, remember to take any chronic medication you are on to the hospital and make sure the doctor/anaesthetists are aware of what you are taking.  By following this checklist and making sure the surgeon and hospital have all the necessary information, you will eliminate unnecessary stress ahead of your procedure and prevent unpleasant surprises when you are supposed to be recovering.’

Parenting Hub

Healthcare tips with NutriPure

With the wide variety of vitamin options available, it’s easy to get frustrated about what your body really needs to perform optimally on a physical and mental level. NutriPure has made it easy for you to understand your body’s essential needs and has broken down the vitamins your body may need the most and why. Read our quick guide about general health concerns and how you could address them by taking NutriPure’s Gummie Vitamins. Boost your overall health  Taking a Multivitamin daily can help with the following: Increase energy levels We can become weak and lethargic if our bodies don’t meet nutritional standards. Taking a multivitamin regularly can help restore energy. Taking a multivitamin and maintaining a healthy lifestyle can help keep you energized and healthy. Strengthens the immune system Multivitamins contain vitamins C, E, and D and are known to strengthen the immune system. Vitamins C and E are antioxidants that help reduce allergy symptoms. Improve brain function Some vitamins and fatty acids slow or prevent memory loss. Vitamins such as vitamin B12 can help restore brain function. Reduce stress and depression B vitamins stimulate the nervous system to produce stress hormones and relieve stress. Adequate intake of vitamins and minerals improves the function of the brain, which governs mood.   Try NutriPure Multivitamin for kids (From R109.95) and NutriPure Multivitamin for adults (From R134.95) contribute to the function of the immune system and the function of many other systems in the body. Each NutriPure Multivitamin complete contains 11 essential vitamins & minerals: vitamin D, B6, B12, C, biotin, pantothenic acid, and niacin help to increase energy levels and strengthen the immune system.   Support your immune system With the recent pandemic and continuous new viruses being discovered, it is vital to keep our immune systems as healthy as possible. A healthy immune system is essential year-round to prevent infections and illnesses. Eating nutritious foods, leading a healthy lifestyle, getting enough sleep, and exercising are the best ways to boost your immune system. Additionally, research has shown that supplementing with specific vitamins and minerals may improve immune responses and protect against disease. Try NutriPure Immune Support + (From R 109.95) and NutriPure Immune Support for adults (From R134.95) have been carefully formulated with six essential vitamins and minerals: vitamin C, vitamin D, vitamin B6, vitamin B12, zinc, and selenium which all contribute to the maintenance of good health.   Vitamin D is a fat-soluble nutrient essential for the health and function of the immune system. Many people are deficient in this vital vitamin, which can adversely affect immune function. Supplementing with vitamin D can improve your immune response. Try NutriPure Vitamin D for kids (From R109.95) and NutriPure Vitamin D3 for adults (From R 134.95) which are excellent for the immune system and are known to aid in the fight against viruses. NutriPure Vitamin D contributes to the following: The normal function of the immune system. The maintenance of normal bones and teeth. The maintenance of normal muscle function. Normal absorption/utilization of calcium and phosphorus.         Probiotics Your body needs certain bacteria to stay healthy. Bacteria aids digestion, absorbs nutrients, and fights off other disease-causing bacteria. A balanced gut is essential in keeping the body healthy at any age. NutriPure Probiotics for kids (From R 109.95) is formulated with bifidobacterium infantis & lactobacillus rhamnosus, two scientifically tested bacteria strains. Each Nutripure gummy contains 1 billion live cultures to help your child boost their daily culture intake.            Apple Cider Vinegar Apple Cider vinegar has many health benefits, including aiding weight loss, reducing cholesterol, lowering blood sugar levels, and improving the symptoms of diabetes. NutriPure Apple Cider Vinegar (From R 159.95) is a great natural Immune Booster. At last, taking, apple cider vinegar was made easy and great tasting. Nutritional highlights: With 500mg of Apple Cider Vinegar per serving for immune support and metabolism Vitamin C for immune health Vitamin B6 for energy-yielding metabolism Vitamin C & B6 to reduce tiredness & fatigue       Reaching your daily vitamin intake can feel like a chore. The NutriPure range is the perfect way to enhance your daily routine anytime, anywhere. Nutripure has now made it even easier for you with their convenient travel-friendly pouches that contain 14 gummies each (R36.95). The pouches come in five different variants. Three variants for kids: Immune Support+ Vitamin C Multivitamin Two variants for adults: Immune Support Multivitamin Nutripure gummies are tasty for kids and adults and come in an all-natural sweet treat with all the best ingredients for you. NutriPure is vegan-friendly, has no sugar coating, and it is GMO-free. Nutripure can be found at Dis-Chem, Clicks, Takealot, and other major retailers.  For more information go to http://nutripure.co.za/

Glenoaks Remedial and Special Needs School

GLENOAKS SPEARHEADS CHANGES TO DISABILITY TAX LAWS

Glenoaks Remedial and Special Needs School has shown once again that our passion to meet the needs of our children is as strong as ever. Glenoaks School made a stand by challenging the changes to the disability tax laws put in place by SARS. In so doing, we sought to protect the rights of learners with special needs (LSEN) in our community. LSEN, and their parents, experience daily societal stigma that exists towards them. As a school, we could not stand back and allow our community to endure more pressure and have a law impede on their abilities as individuals. This would be the likely impact of the amendment to the list of qualifying medical expenses, as it read before our successful challenge thereof.  Section 6B of the Act allows a taxpayer to claim a tax rebate on qualifying medical expenses (expenses incurred in consequence of a disability). The amendment, among other aspects, limited parents in terms of how much they were able to claim back from SARS. The list, as it read in 2012 and until 2020, allowed parents to claim a percentage of school fees on the difference between a private special educational needs (LSEN) school and the closest public school to their home. The 2020 amendment stated, however, that this comparison would now be a percentage of school fees between an LSEN school and the closest fee-paying private school (not specializing in supporting learners with special educational needs). The difference between these two comparisons was, in many instances, profound. What defines an LSEN school? In short, our schools identify each child as an individual, with individual strengths, potentials and areas where they require accommodations and adaptations. This may mean differentiated lessons, adapted work levels, adapted pace, adapted content preparation and presentation, revision, and repetition of tasks in various methods, observing, assessing and reporting – constantly meeting a child at their developmental, emotional, vocational and academic level. This within a small class setting, so that this level of support is possible. Our learners’ developmental ages differ from their chronological ages in certain or all respects. The Learning and Developmental theory of Vygotsky states that as human beings, we learn within a zone of proximal development. Therefore, we need to identify what a learner is currently capable of, and then identify where they need to be. Our role is to find professional strategies to enable a child to reach their potential in a variety of academic and vocational areas. Ultimately, our learners require far more than a basic education. They need to work so much harder than many others do.  As many parents reading this article will know, quality schooling opportunities for learners with remedial and special needs are currently limited within the public schooling system. In the majority of cases, the only option for parents is to place their children in a private school environment that can meet their needs.  With the 2020 list in place, many parents would not have been able to afford private LSEN schools, and the amendment would have put extra pressure on an already struggling public educational system. The result would have been learners who were not placed or are incorrectly placed at schools. Private special needs and remedial schools, like Glenoaks, exist and have existed for years, largely because parents can receive financial assistance from a fair tax rebate. When we became aware of the 2020 list, Glenoaks hosted a parent meeting where an expert in the field discussed the amendment and the implications to follow. With the support of our parent body and school board, our next step was to seek the legal opinion of constitutional law practitioners. This expert opinion confirmed for us that we had to fight for the rights of the LSEN community.  Glenoaks initially collaborated and was involved in many consultative processes; all, over the course of 2 years, proving to be ineffective. We were forced to take our case to the level of litigation. We were so grateful to receive the support of a group of advocates and legal professionals who gave up their valuable time to help Glenoaks stand up for this cause. The Equal Education Law Centre, represented by the Centre for Child Law joined us, and together we forged forward challenging systems that were meant to uphold our children’s rights. Our small group put it all on the line to stand up for the rights of the special needs community. On 29 October 2021, SARS reverted to the previous list. Glenoaks is sincerely grateful for this decision.  Interestingly, this journey has taken Glenoaks back to our roots. Glenoaks School was started by Dr Lorna Swartz, a qualified Psychiatrist. In the 1960’s her daughter started to display extreme impulsivity and distractibility. Nobody at this time could provide her with support or advice. She travelled to America where she sought the assistance of a variety of professionals. Dr Swartz then returned home and started her own school, determined to make a difference in the lives of children with special needs. Dr Swartz is reported, in an interview (https://myinclusivecourse.wordpress.com/2016/07/06/dr-lorna-swartz/) to have chained herself to a government building, demanding that the government make changes to their education system. Eventually, she was able to establish a formalized and registered school. This, being the time of Apartheid, also included Glenoaks opening their doors to a variety of children, from different racial groups, with special needs.  Glenoaks’ hope for the future is to provide further financial support to learners through the help of individuals or businesses who may be able to offer bursaries or donations. In addition, we would like to share our knowledge to empower university students and educators to be able to provide more support to their own learners in all educational streams.  Ultimately, Glenoaks wants to enable the potential of as many children as we possibly can. Glenoaks has proven that we are a school with enough heart, courage and commitment to protect and vindicate the rights of both our children and their parents. GO Glenoaks,

Bonitas – innovation, life stages and quality care

Give your body a leg up – immune boosting

Now more than ever we need to find ways to boost our immune systems as much as possible. And, while there are no medications or immunity-boosting supplements that can cure or prevent the coronavirus, there are some simple lifestyle changes we can make and steps we can take to strengthen our defences. Good nutrition can also reduce developing other health problems including obesity, heart disease, high blood pressure, diabetes, and some types of cancer. Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund says, ‘Eating a healthy diet, high in immune-boosting nutrients, is just as important during this pandemic. What we eat and drink can affect our body’s ability to prevent and fight disease and recover from it. This is one of the ways in which we can improve our health proactively.’   What is the immune system? The immune system is a complex network of cells and proteins that defends the body against infection. It also keeps a record of every germ (microbe) it has ever defeated, so it can recognise and destroy the microbe quickly if it enters the body again. There is no magic pill that will instantly boost your immune system. However, together with a healthy lifestyle, various supplements can boost your immune system and give you a fighting chance.  Together with those people who have not been vaccinated, it is well documented that people with co-morbidities and poorly functioning immune systems are at the highest risk of getting really ill from Covid-19. Although you cannot suddenly reverse a co-morbidity or instantly boost your immune system, now is a good time to make your health and natural defences a priority.  Tips for maintaining a healthy diet: Eat a variety of food, including wholegrains (like maize, oats, rice, and legumes) as well as plenty of fruit and vegetables in your diet Limit salt intake to 5 grams (a teaspoon) a day Eat moderate amounts of fats and oils. Avoid saturated fat (animal fat). Try steaming instead of frying when cooking Limit sugar intake. This includes sweets, fizzy and sugary drinks. Choose fresh fruit over biscuits, cake, and chocolate Drink water. Good hydration is crucial for good health so make sure you drink enough water. There are many foods with high water content – such as cucumbers and celery – add these or lemon and mint, to a glass of water.  ‘Ideally we should try and get all our vitamins from the food we eat. However, that’s not always possible which is why taking vitamin supplements can help bridge the gap,’ says Dr Mkhatshwa. ‘The recommendation for general health is a combination of essential vitamins and minerals to keep your body healthy.’ Vitamin C: Key to fighting infection is to increase white blood cell production, eating foods high in vitamin C – such as grapefruit, oranges, sweet red pepper, broccoli, strawberries, kale, and tomato juice – are thought to help plus Vitamin C has been shown to reduce the duration and severity of upper respiratory tract infections.  Beta-Carotene: Beta-carotene converts into vitamin A, which is an anti-inflammatory vitamin that can help your antibodies respond to toxins, such as a virus. Beta-carotene is found in carrots, spinach, kale, apricots, sweet potato, apricots, and squash.  Vitamin E: Is an essential antioxidant that helps fight cell damage and supporting immune system function. Foods rich in vitamin E include nuts, peanut butter, seeds, avocado and spinach. Antioxidants: Green tea is packed with antioxidants that have been shown to enhance immune system function. It also contains amino acids that may aid in the production of germ-fighting compounds in your T-cells, which reduces inflammation in the body and helps fight infection.  Vitamin D: This vitamin also fights off infections and maintains strong bones. It is found in salmon, canned tuna, egg yolks, milk, cereals, breads, and mushrooms. Alternatively, make sure you expose your body to 13-15 minutes of sunshine three times a week for a natural Vitamin D fix. Studies have shown that Vitamin D can expedite healing and stall inflammation in the respiratory system but there has not been robust clinical evidence to prove its use against Covid-19. Probiotics: Live cultures, known as probiotics, are said to help stimulate the immune system to fight off disease. Yogurt, Kombucha, Sauerkraut, Kimchi, pickles as well certain types of cheese contain live cultures. Vitamin B-6: Is essential in the formation of new and healthy red blood cells and helps maintain the lymphatic system. Chicken, turkey, cold-water fish (salmon and tuna), chickpeas (traditional hummus), bananas, fortified breakfast cereal and nutritional yeast are great options for consuming vitamin B-6. Zinc: Is a mineral that our body doesn’t store or produce, however our Immune system cells need zinc to function as they are intended, it boosts the metabolism along with healing wounds. Red meat, shellfish, poultry, beans/legumes, and nuts/seeds are high zinc foods.  ‘During this global pandemic we need to understand that our actions are not just to protect ourselves but also those around us,’ says Dr Mkhatshwa. ‘The risk of contracting Covid-19 is higher in crowded spaces so, reiterating what the President said, we need to heed the call to make sure you socialise outdoors or have plenty of fresh air flowing through your homes and workplaces. The World Health Organization talks about avoiding the 3Cs: Spaces that are closed, crowded, or involve close contact. ‘We need to work together to contain the spread of Covid-19 especially during the various mutations of the virus. With the 4th wave upon us, we need to vaccinate, wear masks, keep our distance, follow good hygiene protocols, boost our immune systems and get plenty of exercise and fresh air.’

Parenting Hub

SCHOOL CHILDREN AND THEIR CHANGING NUTRITIONAL NEEDS

As our kids enter their school-going years their growth is steady, but slower and somewhat less dramatic when compared to the rapid baby-toddler-to-little-person transformation.  It’s an interesting time nutritionally as school-going children tend to be more open to trying different foods and are developing their foodie likes and dislikes.  They are more able and adept at learning about different foods and their nutritional impact, so you can really start communicating with them about the importance of food and healthy eating.  Many of our lifelong dietary habits are rooted in this young life-stage. According to Zelda Ackerman, a registered dietitian and spokesperson for ADSA (The Association for Dietetics in South Africa) the primary school-going age is an ideal time for parents to help set our children up for a lifetime of healthy eating.  She says, “What happens around food in both the home and school is really important not just to ensure optimal nutrition for growing bodies, but to educate our children about how important daily food choices are to our overall health and our abilities to perform well in life.  For instance, balanced nutrition is vital for developing strong bones, teeth and muscles, as well as supporting our immune system to prevent disease.  However, it impacts too on our abilities to focus and learn in the classroom, and to achieve in sports and other physical activities.” Physical growth demands energy, and children’s energy needs are high.  According to another ADSA spokesperson, Vanessa Clarke, also a Registered Dietitian, “These energy needs increase as children get older and are influenced greatly by a child’s level of exercise. As children move through the various school levels, their energy demands will increase which means they need more carbohydrates, protein and fat to support necessary bodily functions and their growth. Children may also require increasing amounts of certain vitamins and minerals as they get older. Some children going through adolescence who are physically active each day may require more energy in the form of calories than even an adult female or male.  It’s also important to remember that children continue to grow and develop well beyond their tweens and during their teenage years into young adulthood.” During your child’s school-going years, it’s essential to get a good start to the day in the form of a sufficient balanced breakfast, even if it is a breakfast on the go.  A balanced breakfast means that the meal includes high-fibre carbohydrates (wholewheat toast, oats, granola), protein (eggs, cheese, yoghurt) and fat (avocado, nut butters, olive oil), as well as vitamins and minerals (fruit and/or veg).  This sets them off to school with a powered up brain and energy to spend.  It’s typical for school-going children to need to eat four to five times a day – their snacks are really important, so don’t skip or skimp on their lunchboxes. What is an optimal school lunchbox? Depending on their school age and their after-school activities, your child’s lunchbox may be their snack or their midday meal.  For older children participating in late afternoon after school activities, their lunchbox may need to contain their morning snack, lunch and afternoon snack.  You need to adjust the quantities based on the day’s schedule and your child’s level of physical activity. In order to ensure the lunchbox is optimal nutritionally, always strive for a balanced snack or a balanced meal containing all the essential nutrients.  Focus on home-prepared wholefoods rather highly processed snack foods. Vanessa offers this suggestion: Include high-fibre carbohydrates such as wholewheat bread, wholewheat wrap or high fibre crackers such as Provitas. Choosing a high fibre option ensures they stay fuller for longer, and have a more sustained level of energy  Add a fruit like an apple, naartjie, banana or nectarine Pop in a portion of vegetables such as sweet pepper strips, cucumber wedges or carrot sticks  Include a protein portion by making a chicken mayo sandwich with the high-fibre bread, or add chicken drumsticks, meatballs, biltong or cheese  Make sure they have their freshly filled up water bottle to meet their fluid needs. You can add a sprig of mint, a lemon slice or a few blueberries if they prefer flavoured water.  Avoid any sugar-sweetened beverages that contribute towards obesity and tooth decay  If your child will be having a longer school day, add extra portions of fruit and veg and raw nuts, and consider including a yoghurt or smoothie. Older children participating in sports may also need an extra wholewheat sandwich and additional lean protein portions to help preserve lean muscle mass. Dealing with the challenges of food at school School tuck shops can be a source of food for your children, but parents need to be aware of what kinds of foods and drinks are on offer.  There are many convenience and snack foods that, although marketed to children, are nutrient-poor and contribute to rising childhood obesity.  School tuck shops that do not have well-informed, dietitian-led healthy eating policies often offer these types of foods because they are popular with children and drive profits.  Zelda says, “Parents need to stand together and approach school governing bodies to raise their concerns about unhealthy food being offered at school. Of course, children like sweets, chocolates, crisps and sugary drinks – and if they are on offer, that’s what they will choose.  School tuck shops need to be committed to only offering healthy food, snack and drink options. A registered dietitian can help parents with a list of healthy tuck shop food and drink options.” Under-resourced South African schools also face school food challenges with many parents concerned about the nutritional quality of the school’s nutrition programme.  Zelda says, “Sometimes, there are problems around the inadequate supply of food to address child hunger, but a persistent issue is the lack of fresh vegetables and fruit.  Here, parents can help to motivate or get involved in the establishment of school food gardens to supplement school meals. Many nutritious vegetables such as spinach, beetroot, tomatoes, beans and butternuts are easily grown by beginner gardeners.  Schools

Parenting Hub

The best defence is a multi-defence

Shew, the disruption, stress, fear, and grief that Covid-19 has brought into our lives! We have no choice but to keep on doing the best we can to protect ourselves and our loved ones.  Nearly two years into the pandemic there is much scientific evidence about how individuals can ward off the virus, prevent hospitalisation or support recovery. Fortunately, we live in a country with a well-respected medical body which has informed South Africa’s vaccination rollout, and a professional and compassionate healthcare fraternity that goes the extra mile for their patients.  Still, as individuals, we have a huge part to play in our own defence, and as always, the best defence is to adopt a multi defence strategy.  “Face masks combined with other preventive measures, such as getting vaccinated, frequent hand-washing and physical distancing, can help to slow the spread of the virus”  As many of us return to the office and congregate indoors over meals and drinks, we also need to think about ventilation to minimise the indoor spread of Covid-19.  And we can power up our body’s natural immune defences to fight against the onslaught of contagious infections, germs which are everywhere, poor diet, stress and pollution. Things we can control: Eat healthily, which means more vegetables and fruit and cutting back on deep fried and stodgy fast foods. Move regularly. This can add up to big health and fitness benefits, for example, 20 minutes of brisk walking five or more days a week has been shown to boost immunity. Plan fun active get-togethers with family, friends, or colleagues. Think bike rides or walks to collect coffee, start up a backyard cricket or footy game, take a ball or frisbee for play dates. Supplement healthily. Well-respected nutritional supplier, Nativa, has a range of immune boosting nutritional supplements. Check them out on https://www.nativacomplex.co.za/immune-health/#nativa-complex-multi-defence  Look out for new Nativa Complex® Multi-Defence tablets, a health supplement formulated to deliver the benefits of two immune and antioxidant boosting vitamins (Vitamins C and D) and minerals (zinc and selenium) to promote antioxidants and good health. All products are available from Takealot, Dis-Chem, Clicks and selected pharmacies nationwide. WIN! A Philips Air Fryer valued at R1600 from Nativa Complex® Immune Boosting Supplements when you click here

Bonitas – innovation, life stages and quality care

Vaccinations proving to be the best defence

As the fourth wave of Covid spreads, South Africa is seeing a considerable increase in positive cases. Just as the Delta variant became part of our daily vocabulary, the Omicron or BI.I.529 strain has too. Omicron has more than 30 mutations (double those carried by Delta) that may have an impact on how it behaves. This includes how easily it spreads and the severity of the illness it causes. The Omicron variant was found in 74% of the 249 Covid-19 samples that were gene-sequenced in November in SA. It appears with more than double the mutations carried by Delta, Omicron is virulent enough to take over from Delta. Current international data shows that there are far more positive cases, meaning that Omicron appears to be highly transmissible. However, although more people are testing positive, they are presenting with mild symptoms with fewer hospital admissions. Medical professionals believe this is a direct result of the immunity acquired through vaccinations. The first wave of Covid-19 took the world by surprise but globally everyone is better prepared for this new wave. This includes a sustained effort to vaccinate as many people as possible. What the World Health Organization (WHO), the National Institute for Communicable Diseases (NICD) and most people involved in the healthcare sector agree on unanimously, is that the best form of protection from serious disease is vaccination.  Lee Callakoppen, Principal Officer, Bonitas Medical Fund says, “We have been proactive in urging our members and the public to be vaccinated. Our statistics show that, of our members over 60, there are 90% fewer admissions to hospital after full vaccination and 56% fewer after one vaccination. Research across the public healthcare environment has shown the same results. With this information freely available it is disturbing that only 16 944 413 people living in SA have been vaccinated. This is only 35.5% of adults and 23.7% of the total population. ‘The cost of hospital admissions too, especially ICU, are very high. Our figures show that up to November 22, the Bonitas Covid-19 costs totalled R1.75 billion. 80% of this (R1 399 181 922) was hospital costs, while only 4.9% (R85 669 068) was for vaccinations.  ‘The average cost of admission to ICU, per patient, was R533 969. There is no doubt that vaccinations not only save lives but also reduce the burden on the public healthcare system, as well as save the country billions in costs related to treating Covid. Vaccinations are a fraction of the cost of treating Covid.’ Both in the public and private sector, the unvaccinated are filling our hospitals. Dr Waasila Jassat, from NICD, announced at the end of November that ‘unvaccinated patients suffered more severe symptoms than vaccinated ones and were most likely to face hospitalisation if infected by the new Covid-19 variant.’  She said that 90% of patients admitted to hospital in Pretoria (one of the current hotspots) are unvaccinated. ‘Not only is there a higher incidence of hospital admissions but also that the chances of death amongst unvaccinated are considerably higher.’ Callakoppen says there is enough clinical evidence to show that the vaccination reduces the severity of Covid and he encourages everyone to be vaccinated. He urges those who have been vaccinated to encourage others to do the same. However, this doesn’t mean you can forgo following the Covid protocols: Wearing a mask; sanitising your hands, maintaining social distancing; staying in well ventilated spaces; coughing or sneezing into your elbow or a tissue. Bonitas has reported the following Covid related figures for 2021 as of 22 November. Total lives older than 18 estimated to have received at least 1 jab 66.4% Total tests performed:  441 929 Total Covid-19 hospital admissions: 20 376. (12 264 during 2021) Bonitas lives currently in hospital: 0.3% Admission rate: 25% ICU Admission Rate: 22% Total Covid deaths: 3 515 (2 292 in 2021)  Total Bonitas membership vaccinated: 70% Highest number of people vaccinated is in the 35-49 age group followed by the over 60s ‘I must reiterate that our best defence against Covid-19 is to be vaccinated,’ says Callakoppen. ‘It won’t necessarily stop you from getting the coronavirus but it will reduce the severity of the disease. I contracted Covid in September but thankfully because I was fully vaccinated, my symptoms were mild which meant I was able to heal and recover at home. My experience is not unique.’   Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund answers some common questions around Omicron What is it? It’s a new, heavily mutated Covid variant known as BI.I.529. When was Omicron first detected? The earliest sample was detected on 11 November in Botswana. Is it more transmissible? Circumstantial evidence indicates it is. Within two weeks of its detection, it has outpaced Delta to become the main strain in Gauteng. Will vaccines work against it? Yes, most likely. A crucial objective remains to increase vaccination rates. Current vaccines remain critical to reducing severe disease, hospitalisation and death. Should updated vaccines be developed, they will be rolled out globally and used as guided by WHO. Will prior infection provide me with immunity? Preliminary evidence suggests there may be an increased risk of reinfection with Omicron but information is limited. More information on this will become available in the coming days and weeks. What about treatment? Currently Oxygen and Dexamethasone have been saving lives. There is however very exciting data coming from two antivirals. What about the current tests? The widely used PCR tests continue to be the global standard to detect infection including Omicron. Studies are ongoing to determine whether there is any impact on other types of tests including rapid antigen tests.

Parenting Hub

Juicy Summer Salads for all Occasions

Summer is here which means more family time spent outdoors braaiing. Eating good food is high on everyone’s agenda, so why not make sure you have a juicy repertoire of salads on the menu to wow the whole family. Whether it’s as a side, a main, or accompanied by a juicy salad dressing, savour the goodness of summer days with these six delicious salad recipes using convenient Rhodes Quality beans, corn, chickpeas, gherkins, beetroot and more. Perfect at home, at work or just kicking back in the sun with your loved ones. Go with Goodness this summer, go with the right food choices for your family, go with Rhodes Quality. Add this grape juice salad dressing to any leafy salad for a sweet and juicy twist. Ingredients: 250 ml (1 cup) Rhodes Quality 100% Red Grape Juice 65 ml red wine vinegar 65 ml honey 65 ml olive oil salt and freshly cracked black pepper Method: In a small bowl, whisk together Rhodes Quality 100% Red Grape Juice, vinegar, honey, and olive oil. Whisk well. Season to taste. Stir before serving. Broccoli and bacon salad with curried mango dressing: a crunchy summer salad with a flavourful dressing. Ingredients: Serves 4 250 ml (1 cup) Rhodes Quality Mango & Orange 100% Fruit Juice 5 ml (1 tsp) Pakco Medium Curry Powder 10 ml (2tsp) Rhodes Quality Apricot Jam 15 ml (1 Tbsp) Dijon Mustard 30 ml (2 Tbsp) apple cider vinegar 15 ml (1 Tbsp) olive oil 15 ml (1 Tbsp) water 1 garlic clove, crushed salt and freshly cracked black pepper Salad 300 g broccoli, washed and chopped 125 ml (½ cup) red onion, finely chopped 125 g (1 packet) streaky bacon, crispy fried and chopped 1 x avocado, seeded and peeled and chopped Method: Place the Rhodes Quality Mango & Orange juice, Pakco Medium Curry Powder and Rhodes Quality Apricot Jam into a blender along with the remaining dressing ingredients. Process until smooth and well blended. Season to taste. Mix all the salad ingredients in a large bowl. Pour over the desired amount of dressing. Toss lightly to mix. Chill until serving. Mixed bean salad with tangy dressing: you can prepare this simple mixed bean salad in just a few minutes. Enjoy as a great braai side or as a nutritious protein-rich lunch. Ingredients: 1 x 400 g can Rhodes Quality Three Bean Mix 1 x 410 g Rhodes Quality Green Beans 30 ml (2 T) lemon juice 5 ml (1 t) Dijon Mustard 80 ml olive oil 1 clove garlic, finely crushed 5 ml (1 t) sugar salt and freshly ground pepper Method: Whisk all the dressing ingredients together until well blended. Season the dressing to taste with the salt and freshly ground black pepper and set aside. Pour the Rhodes Quality Three Bean Mix and the Rhodes Quality Green Beans into a large bowl. Add the red onion, red pepper and chopped coriander, and toss to mix. Pour the dressing over the bean salad and stir gently to coat. Crumble the feta cheese into the salad and stir to combine. Season to taste with salt and black pepper. Serve well chilled. Mexican salad with black beans and pepper: A colourful and crunchy Mexican-style braai salad. Give the dressing a chilli kick or leave it plain – it’s completely up to you. Ingredients: 2 x 400 g cans of Rhodes Quality Black Beans 1 red pepper, cut into small dice 1 yellow pepper, cut into small dice red onion, cut into small dice Method: Pour the Rhodes Quality Black Beans out into a colander. Rinse well with cold water until the water runs clear. Leave to stand until the beans are well drained. In a large bowl, gently combine the beans, chopped peppers and onion. To make the dressing, measure out all the ingredients into a medium bowl. Whisk until well blended. Season the dressing to taste. Add enough of the dressing to coat the beans. Season to taste. Stir in the chopped coriander leaves and refrigerate until serving. Beetroot salad with yoghurt dressing: Simple to prepare yoghurt dressing over Rhodes Quality Beetroot slices, a tangy braai salad. Ingredients: 1 x 780 g jar Rhodes Quality Sliced Beetroot 125 ml (½ cup) plain thick yogurt 1 garlic clove, crushed 65 ml (¼ cup) flat-leaf parsley, chopped 65 ml (¼ cup) fresh dill, chopped salt and freshly cracked black pepper Method: Drain the Rhodes Quality Sliced Beetroot, rinse and drain well in a colander. Place the yoghurt, garlic and herbs into a bowl and stir to mix. Season to taste. Place the Beetroot into a bowl, add the dressing and toss to mix. Serve chilled. Black bean and corn Buddha bowl: Packed full of colour and fresh flavour, Buddha Bowls are filling, nutritious and quick to prepare. Ingredients: 1 x 400 g can Rhodes Quality Whole Kernel Corn, drained 1 x 400 g can Rhodes Quality Black Beans, drained and rinsed 1 red onion 2 whole tomatoes Salt and freshly cracked black pepper 30 ml (2 Tbsp.) chopped coriander leaves 500 ml (2 cups) cooked brown rice 1 avocado, peeled and chopped 375 ml (1 cups) grated cheddar cheese 3 spring onions, chopped To serve: Fresh coriander leaves, croutons and herb salad dressing Method: Finely chop the red onion and the tomatoes and mix. Season with salt and pepper and stir in 30 ml (2 Tbsp.) coriander and set aside. Create 4 Buddha Bowls by dividing the rice between four bowls. Add equal amounts of the Rhodes Quality Kernel Corn and Rhodes Quality Black Beans to each bowl. Divide the tomato salsa, chopped avocado between the bowls. Add the cheese. Sprinkle the bowls with the spring onions, coriander leaves and croutons. Serve with the herb salad dressing. For more inspiration packed with wholesome goodness and to find out how to win visit: www.rhodesquality.co.za or on Instagram and Facebook #GoWithG

Parenting Hub

BIG NEWS FOR LITTLE ONES

UCOOK has teamed up with Kath Megaw, one of South Africa’s leading Paediatric Dieticians, to create a range of frozen kids’ meals. The new UCOOK Frozen Kids range launches with six meals and two pizza options with more to come, each boasting the promise of No-Nonsense Goodness to ensure that children get the required quantities of essential vitamins and minerals from a large quantity of hidden vegetables in every dish. The meals are suitable for children from the toddler to pre-teen years. South Africa’s favourite meal-kit delivery company moved into the frozen meals category in October 2020 with a range of UCOOK Craft Meals, aimed at offering convenience to time-pressed customers. With this new expansion into the frozen kids category, UCOOK plans to make their customers’ lives easier than ever before. Kath Megaw says that as the mother of an ex-fussy eater, she inherently understands the concerns that parents of picky or fussy eaters face. “Making sure that your child eats a balanced diet and consumes the required amount of fruits, vegetables, vitamins and minerals can be difficult and lead to stressful mealtimes,” says Megaw. “Now you can rest assured that your child is eating a healthy balanced meal, which means saving time on dinner-time battles and having to prepare a number of different options.” No-Nonsense Goodness is UCOOK’s promise to parents that their kids will get the benefits of nutritious ingredients crucial for development without compromising on the flavour they love. The UCOOK range has no added preservatives, sugars, sweeteners, artificial colourants or flavours and no added MSG. Each meal has a specially crafted blend of hidden vegetables, with some meals consisting of up to 74% fruits and vegetables. Each meal has an added bespoke Vitamin B pre-mix (B1, B2, B3, B6, B12 and Folic Acid) to boost the vitamin content.  Sarah Hewitt, head of new product development at UCOOK, says that nutrition and immunity are directly related, and in a climate where both topics are particularly high on the consumer agenda, healthy eating is an imperative for all family members. “Following the launch of our range of baby foods, and then the UCOOK Frozen Craft Meals range, it occurred to us that to best serve the needs of our primary consumer, we needed to provide a solution for family members of all ages.”  “We’re thrilled to work alongside Kath once again and bring these delicious meals to life as part of the UCOOK range of products,” says Hewitt. Megaw says that she’s often asked about the freezing process and how it affects meals. “Blast freezing preserves all the nutrients in the meal until such time as you choose to heat it up. Following the correct reheating instructions on the pack will ensure that there is no mineral loss or diminishing of the delicious flavours.” The new UCOOK Kids Frozen range launches with the following meals:  UCOOK Kids Mac & Cheese UCOOK Kids Beef Lasagne UCOOK Kids Beef Rump Bites & Root Veg Mash UCOOK Kids Chicken & Broccoli Bake UCOOK Kids Mushroom Bites & Root Veggie Mash UCOOK Kids Spaghetti Bolognese UCOOK Kids Double Cheese Mini Pizzas UCOOK Kids Bacon and Cheese Mini Pizzas To explore the range and order your first taste, visit www.ucook.co.za.

Bonitas – innovation, life stages and quality care

Medical aids can’t bear the brunt of hospital increases

Hospital admissions are one of the biggest cost drivers for any private medical scheme which is why the tariffs are under review and negotiated annually by Bonitas Medical Fund. If no agreement is reached, medical aid members will bear the brunt of high co-payments. According to Lee Callakoppen, Principal Officer of Bonitas Medical Fund, hospital admissions account for half of the Scheme’s annual claims cost. ‘Last year due to the pandemic, hospital admissions and the utilisation of other medical aid benefits fell to record lows. However, the 2021 claims’ experience has shown that a lot of services, particularly the day-to-day benefits and several hospital admission categories, are already close to 2019 levels.  Since the start of the pandemic Bonitas has spent more than R2,7bn on COVID-19 related costs, of which R1,73bn pertain to 2021 year-to-date. More than 80% of these COVID-19 costs relate to hospitalisation. Non-COVID utilisation patterns are almost back to typical levels and, since June this year, overall claim ratios have returned to pre-COVID levels. Schemes are therefore not generating the same level of short-term surpluses in 2021 as was seen in 2020. ‘We anticipate that during 2022, utilisation is going to go back to where it was in 2019 or even higher. Which is why it is critical that schemes, such as Bonitas and hospital groups, through an annual negotiation process agree fair and equitable tariff charges, to ensure the lowest possible increases in the interest of members. This will not only help keep costs down but also ensure quality and affordable healthcare for current and future members, while maintaining the sustainability of schemes. We must acknowledge that over the last three years concerted efforts have been made by hospital groups to support and keep tariffs low. However, there are still significant opportunities to drive healthcare cost down. ‘We know that all sectors had been hard hit by the pandemic and the poor economic outlook in this country. Healthcare and medical schemes are no exception. However, we need to remain mindful that key to the survival of the private medical aid industry is its members. If hospital costs balloon above CPI, so will membership premiums, which will result in medical aid becoming unaffordable. We are appealing to all our service providers, including hospital groups, not to pass their costs on to schemes and, by extension, to members.  The pandemic saw healthcare facilities and healthcare providers intensify their efforts to ensure that South Africans received the appropriate care for Covid-19 as far as possible. And while their efforts have been lauded, consumers have had to contend with tough conditions as well.  Moving into 2022 There are major concerns about 2022 utilisation levels, notably due to the risk of an increased burden of disease due to gaps in care that may have arisen during the pandemic, which is no fault of any party. We anticipate an elective procedure claims catch-up after so many were cancelled in 2020 and 2021 during national lockdowns. Other areas of concern include the unknown impact of long-haul COVID as well as new or more expensive COVID-19 treatment costs, including booster vaccines, which may emerge,  All stakeholders in the healthcare value chain need to be prudent in managing their costs of doing business. The intention of negotiated hospital tariffs is to reach an agreement that supports sustainability of the healthcare ecosystem and, ultimately, members. The issue comes when there is no agreement reached and members may have to pay in the difference between what the hospitals charge versus what the scheme is able to pay. We try to avoid such a situation so as not to have a negative member impact, but if parties are unreasonable in their demands, this situation may arise.’ To assist our members and reduce the effect of significant contribution increases for 2022, Bonitas used R600m of its reserves to keep increases as low as possible. Contribution increases were kept below 5% for both 2021 and 2022 despite underlying claims expenditure increasing by a significantly higher margin. Bonitas’ medium-term objective is to sustain solvency levels above the statutory minimum of 25% and to make strategic decisions about current reserves in the interests of its members. This while facing significant uncertainty, especially in terms of the cost and prolonged impact of COVID-19, non-COVID-19 utilisation and roll-out of vaccines. All non-healthcare costs are capped below CPI for 2022.  However, if healthcare providers and hospital groups do not negotiate favourable tariffs for the year ahead, it results in higher increases in the long run, for all patients and unnecessary out of pocket costs.  The benefits of negotiations Negotiations resulted in a 3.1% saving in 2021 terms – these savings could exceed R200 million in 2021 – while in 2020 strategic purchasing yielded hospital negotiation savings of R346 million. These savings contribute to a lower contribution increase. The impact of failed negotiations However, when the costs of doing business is passed on to schemes and, by extension, customers – or medical aid members – things become complicated, especially where tariff increases agreements cannot be reached.  In these instances, there are two possible scenarios: A scheme pays what it deems to be a reasonable rate and the hospital bills its rate. This means the member would be required to pay in the shortfall on the account unless the hospital decides to override the difference A scheme excludes the hospital from on its network and actively discourages a member from using this hospital. The member may need to pay a deductible or co-payment if they choose to be admitted at this facility unless the hospital decides to override the difference. ‘Neither of these situations is a favourable outcome,’ says Callakoppen. ‘Which is why reaching a workable middle ground on hospital cost/tariffs is imperative.’

Parenting Hub

Sixty SA schools to get sustainable food gardens from Rhodes Quality

Rhodes Quality has launched a new initiative in partnership with social enterprise, Reel Gardening called Grow with Goodness, with the aim of growing sustainable food gardens for sixty South African schools. Each time you buy a Rhodes Quality 100% fruit juice over the summer period, you will be helping Rhodes Quality feed local vulnerable communities and most specifically hungry children. “We are very excited to kick-off the summer with such a meaningful initiative and that’s why we’ve partnered with Reel Gardening to help us grow school gardens filled with goodness this summer,”  says Tamara Patel, Brand Manager for Rhodes Quality at RFG. “ The future of South Africa depends on the seeds we sow and the kindness we show today.” “A portion of this summer’s juice sales will be funding the growth of community gardens at sixty schools around the country,” she explains. “We’re working hard to assist vulnerable communities and feed hungry children and we’re asking all South Africans to join us as we plant gardens around South Africa.” “South Africa’s deteriorating food security issues have been exacerbated by the Covid-19 pandemic, roughly 11% of our population are suffering from hunger,” Patel says. “With this initiative we are hoping to grow South Africa with goodness.” “Our new summer brand campaign is centred around ‘go with goodness’ which effectively means that we want to provide fresh, wholesome nutrition to as many schools as possible,” she explains. “Our 100% fruit juices make it easier for you and your family to go with goodness everyday while helping our local communities grow with goodness too.”  Patel explains that it’s really easy to get involved, “Add any one litre Rhodes Quality 100% fruit juice to your shopping cart in stores around South Africa and our team will do the rest.” “Good food is imperative for children’s growth, nourishing their tummies and minds is so important to make sure the children of South Africa grow up strong by eating good, wholesome food,” she says. “What’s more with our partnership with Reel gardens the children will also learn about planting and growing produce in an accessible, sustainable and fun way.” “We couldn’t have asked for a better partner to help us bring this initiative to life, a business started by Claire Reid at age of 16 has grown into an innovative, award-winning social enterprise that delivers a real planting revolution with a focus on getting people grounded,” Patel says. “Since their inception they have reached almost 3,000 schools and communities, and we look forward to our journey with them.” “Growing food not only impacts a person’s ability to take control of their food security,” says Reel Gardening founder, Claire Reid. “It has a myriad of other benefits, including instilling a connection to nature, responsibility, patience, relaxation and problem solving. Whether a few pots on your windowsill or a whole veggie patch in the garden, the process of growing food will improve your quality of life.”             “Our delicious range of 100% fruit juices aren’t the only source of goodness,” she adds. “Goodness is also found in the hearts of communities that work together to keep tummies full, join us to help communities continue to grow.” How it works: It all starts with you buying any 1L Rhodes Quality 100% fruit juice. Reel Gardens then visit 60 schools around the country and deliver everything needed to start a wholesome vegetable garden. Volunteers and teachers are trained to care for the garden. From planting to harvest, school children can get involved in and excited about the process Schools are now ready to tend their gardens, watch goodness grow and reap the nutritious rewards! For more information visit the website: https://rhodesquality.com/growwithgoodness/ or Facebook and Instagram #GROWWITHGOODNESS

Wingu Academy

Eating Disorders – Food for thought

Eating disorders is one subject that is very important to address, especially since it usually has its onset during the teenage years but can even develop at a younger age and continue well into the adolescent years. Eating disorders can cause a lot of conflict, stress and even death in families and thus it’s important to understand the types, causes and treatment. Types There are various types of eating disorders. The most common ones according to the South African College of Applied Psychology include binge eating disorder, where the sufferer overeats; anorexia nervosa, where the sufferer eats too little; bulimia nervosa, where the sufferer attempts to rid themselves of food they’ve consumed; and even rumination disorders where the sufferer regurgitates food.  “The most common factors that come into play are that the person is anxious about their physical appearance, and how it appears to others around them. This also includes that the image that they have of their own bodies, are distorted. Subsequently, they also have eating behaviours that are maladaptive. Research has further shown that eating disorders affect both genders, although they occur more frequently among females,” says Dr Serahni Symington, Child and Adolescent Play Therapist. Causes Dr Symington says that the causes of eating disorders must be understood from an integrative model, because there is not a single causal factor that leads to the development of it. Multiple factors could lead to the development of an eating disorder and is often also accompanied by other diseases like manic depression, anxiety, possessive compulsiveness disorder and substance abuse. According to reports by psychologytoday.com, researchers have long been probing the underlying causes and nature of eating disorders. Unlike a neurological disorder, which generally can be pinpointed to a specific lesion on the brain, an eating disorder likely involves abnormal activity distributed across multiple neural systems. Eating disorders appear to run in families, and there is ongoing research on genetic contributions to the conditions. Other factors—psychological, interpersonal, and social—can play a role in eating disorders. Among identified psychological factors are low self-esteem, feelings of inadequacy and lack of control in life, depression, anxiety, anger, and loneliness. Interpersonal factors include troubled family and personal relationships, difficulty expressing emotions and feelings, a history of being teased or ridiculed based on size and weight, or a history of physical or sexual abuse. Social factors that can contribute include cultural pressures that glorify thinness and place value on obtaining the “perfect” body, narrow societal definitions of beauty that include only those people of specific body weights and shapes, or cultural norms that value people on the basis of physical appearance and not inner qualities and strengths. People with anorexia nervosa see themselves as overweight even though they may be dangerously thin. In bulimia nervosa, despite usually weighing within the normal range for their age and height, sufferers, like individuals with anorexia, may fear gaining weight, desire to lose weight, and feel intensely dissatisfied with their bodies. Many with binge-eating disorders are overweight for their age and height. Feelings of self-disgust and shame associated can lead to bingeing again, creating a cycle of binge-eating. Treatment Because of their complexity, eating disorders require a comprehensive treatment plan involving medical care and monitoring, professional interventions, nutritional counselling, psychotherapy, and, when appropriate, medication management. Treatment for eating disorders lies in recognizing and overcoming underlying triggers. Depending on the type of eating disorder and its associated underlying triggers; medications can be used to ease symptoms of co-occurring disorders such as depression and anxiety. Selective serotonin reuptake inhibitors (SSRI) are known to help reduce binging and purging and is specifically used in some cases of bulimia nervosa. The first-line treatment for all eating disorders is psychotherapy, which encompasses a broad range of therapy approaches such as cognitive behavioural therapy (CBT) and dialectal behavioural therapy (DBT) which aim to recognize and reduce the harmful thoughts and emotions associated with the eating disorder and works to develop productive coping mechanisms and tools to help the individual engage in positive thoughts, emotions, and behaviours in order to overcome their past traumas and low self-esteem. Other skills and tools learned in therapy include mindfulness, relapse prevention skills, meditation, nutrition counselling, art therapy, and relationship building. The good news Eating disorders can be treated, and a healthy weight can be restored. The sooner an eating disorder is diagnosed and treated, the better the outcome is likely to be.  Wingu Wellness Hub Parents who have any concerns about eating disorders and wellbeing of their children can contact the Wingu Wellness Hub to assist with guidance to get the help they need. Sources:  https://www.psychologytoday.com/za/conditions/eating-disorders, https://www.psychologytoday.com/za/blog/happiness-is-state-mind/201703/eating-disorders-it-s-not-all-about-food

Parenting Hub

Walking the road to wellness

Being healthy and living a full life is what we all want, for ourselves and our family.  An important part of life’s wellness journey is about having the right people to support you – physically, emotionally, mentally and even financially – when it matters most. The latest television ad by Bonitas Medical Fund underpins this ‘holistic’ healthcare message in a simple, real and compelling way. It addresses the fact that medical aid is a necessity but expands on the message to show how the Scheme acts in the best interests of its members and ‘has a plan’ for everyone.  The story is one of perseverance and tenacity as a father tackles his tough wellness journey with the support of his family, friends – and medical aid – in order to walk his daughter down the aisle. ‘The story is about protecting our loved ones and making sure they have the best care possible,’ says Lee Callakoppen, Principal Officer of Bonitas. Produced by Joe Public and shot over three days in various locations, the advert reinforces the Bonitas’ brand strategy of being the ‘Medical Aid for South Africa’ while it introduces a campaign takeout referencing affordable and accessible quality healthcare and better benefits that don’t impact your savings. ‘We are a unique medical scheme,’ explains Callakoppen. ‘In that we offer medical aid solutions for all sectors of the market and the South African population. Our advertising needs to be slightly disruptive and set us apart, which is why we chose to portray a real life family dealing with a healthcare situation that was impacting their lives and future.  ‘We’re always taking strides to see how we can provide our members with more value – and connect with them more strongly. Be it through competitive plan design, the introduction of new benefits that add meaning to their lives or innovation in the way we communicate and engage with them.’ There are several versions of the ad including a 60s, 30s and three 10s which will be flighted across a range of DStv channels as well as Business Day TV, ENCA, eTV and SABC. Supporting the campaign will be radio, print and digital adverts. ‘We are passionate about ensuring South Africans make informed decisions about their healthcare and that they have the cover they need, when they need it. Our hope is that this TV advert will resonate well with viewers and get them thinking about the future of their health.  We believe ‘when I becomes we, illness becomes wellness’ and would like to be the medical aid that takes the wellness journey with them.’ Click here to view the latest Bonitas Medical Fund TV advert

Bonitas – innovation, life stages and quality care

Keeping kids healthy throughout the year

Parents are often very good about getting their children off to a healthy start at the beginning of the year with medical check-ups and healthier schools lunches but it’s equally important to maintain a healthy lifestyle throughout the year. So, here are some tips on what you should be doing to maintain your child’s health.

Parenting Hub

Herbal extracts and how they can help overcome common women’s health issues

These days supplements, which include vitamins, minerals and herbal extracts, are easily available and more accessible. Fortunately, science and technology has also come a long way in recent years and we have made impressive strides with vitamins, minerals and herbal extracts in particular when it comes to studying and knowing the mechanism of action and how it relates to the body’s physiology and thereby, how it helps keep you healthy or how it can help treat ailments. The Salome range, launched by South African pharmaceutical company 3Sixty Biomedicine, addresses common women’s health issues using herbal extracts as a key ingredient. The current product range offers over the counter treatment options to help manage heavy menstrual bleeding, menstrual pain, Polycystic Ovary Syndrome (PCOS) and infertility linked to PCOS.  3Sixty Biomedicine locally manufactures their products and because they are based on herbal extracts the added benefit for consumers is that they are safe to use and have limited side effects. Being a biotechnology company, the efficacy of these ingredients included in their products is backed by science and medical studies, which is why their products are recognized and reimbursed by certain medical aids. Common women’s health conditions that moms can do without – period! Primary dysmenorrhea, the technical term for period pain without the presence of other conditions such as endometriosis, is the most common gynaecologic problem in women of all ages and races with the menstrual cramping being severe enough to interfere with daily activities, according to the American Academy of Family Physicians. Salome Menstrual Pain is based on herbal extracts of yarrow (Achillea millefolium) which has antispasmodic, anti-inflammatory & analgesic effects, which may provide relief for spasm associated with menstrual periods known as dysmenorrhoea. What is great about Salome Menstrual Pain is because it contains natural ingredients, females from as young as 13 years old who suffer from menstrual pain can use it to manage painful menstrual cramping without worrying about unwanted side-effects. Another common problem experienced by women is menorrhagia (heavy menstrual flow and prolonged bleeding). 3Sixty Biomedicine created their Salome Heavy Menstrual Bleeding product to help alleviate this problem. The product also draws on herbal extracts from Capsella Bursa-Pastoris, a medicinal plant also known as Shepherd’s purse, as an active ingredient to assist with the reduction of heavy menstrual bleeding in women with regular menstrual cycles. The medicinal benefits of this plant have been scientifically proven to have smooth muscle stimulant effects. As an added bonus Capsella has antioxidant features that improve uterine tone, meaning that it will facilitate the regulation of menstrual blood flow. It also has anti-inflammatory properties that can have a positive impact on the management of heavy menstrual bleeding (HMB). Understanding the basics of PCOS Salome Polycos assists with the management of symptoms commonly associated with PCOS by helping to decrease testosterone levels, increasing progesterone levels in women with irregular or absent periods and thus regulating the menstrual cycle, as well as reducing blood pressure levels. It also plays a role in increasing insulin activity in women diagnosed with PCOS, as many suffer from insulin resistance. Due to these hormonal imbalances women living with PCOS often battle with acne, irregular periods, male pattern hair loss or experience excessive body hair growth (hirsutism). Salome Polycos’s main active ingredient is D-chiro-inositol (DCI) which is a natural extract obtained from the carob tree. In cases where infertility can be linked back to the hormonal imbalances caused by PCOS, patients who make use of products like Salome Fertility that contain Myo-inositol and D-Chiro-inositol have seen an increase in their ovulation, a reduction in their hyperandrogenism and in the oxidative stress in their follicular fluid. The efficacy of the product lies in it containing the correct ratio of Myo-inositol and D-Chiro-inositol that have been extracted from the pod of the Carob bean tree. Clinical studies have shown that these natural extracts are instrumental in helping manage the regulation of ovarian function in PCOS patients. There is a solution! The full Salome range that contains natural herbal extracts is available online at Takealot.com and www.3Sixtybiomedicine.co.za, as well as over the counter at most pharmacies nationwide. The products are recognised and can also be reimbursed by medical aids.  We believe #YourJourneyMatters so follow the Salome range on their social media pages to hear from Salome experts who are committed to educating and normalizing conversations about common women’s health conditions.  Facebook: SalomeRange Twitter: SalomeRange Instagram: SalomeRange

Bonitas – innovation, life stages and quality care

Keep your kids moving

Winter is here and with it comes colder weather, making getting outside to play and exercise more of a challenge. But it’s still important. Bonitas Medical Fund suggests you try and keep your child active throughout the year and provides some suggestions to get them moving, exercising and having fun.

Parenting Hub

Survey shows parents more worried about child consent than Covid-19 vaccine itself

The announcement by the South African government that children aged 12-18 are now eligible for Covid-19 vaccination has brought with it intense discussion around consent and the rights of minors. While this is so far a theoretical concern, given that most children in that age group will need their parents’ help to register for and receive a vaccination shot, a recent survey shows that the efficacy of the jab itself is no longer a sticking point. When gig technology company, M4Jam ran a survey asking adults if they were willing to be vaccinated in late 2020, 32% of the 3000 respondents said they would. 17% believed their community medical facilities could cope with the patient load, and 58% of respondents wanted to wait and see what happened to others who took the jab before deciding for themselves. In August 2021, a follow-up survey found that 56% of South Africans believed medical facilities would cope and 69% said they would happily be vaccinated. In both surveys, leading causes of mistrust and hesitancy were a lack of confidence in both possible side effects and the government’s ability to ensure that the vaccine’s contents were safe and effective. By the end of October 2021, a new dynamic has emerged in the vaccination drive, with parents now able to decide whether their kids should receive a single dose. In a new M4Jam survey, 2498 South Africans answered questions about children and the vaccine, revealing some positive trend shifts from previous surveys. A total of 1886 (76%) of the respondents are parents, which 80% of them said they would get their children vaccinated.. 47% strongly agreed with the statement. 52% of respondents said they had no concerns about children receiving the vaccine, but 74% were concerned that children do not require parental consent to get vaccinated.  64% of the parents said all that mattered to them was how effective the vaccine was in children, although 56% were still worried about possible short and long-term side effects from the vaccine.  “The results show an evolution of opinions in line with widening vaccination rollout and proven effectiveness,” says M4Jam CEO Georgie Midgley. “The more people who are vaccinated or know people who are, and the more those vaccinated people that have steered clear of Covid-19, the more positivity around the use of the vaccine will grow. However, people are still sceptical of the long-term safety of the vaccine as only time can resolve.” 83% of respondents felt children aged 12-18 are too young to make such a decision for themselves. “Again, because this is new ground for the vaccination programme, parents are understandably cautious about any potential differences in effects on children versus what adults experience,” says Midgley. When asked which sources of information parents trusted in deciding to get their children vaccinated: “What was very interesting and encouraging was that only 5% of respondents said they trusted what they read on social media completely. Co-workers and classmates received a similarly low complete trust rating at 9%. The vaccination messaging campaign seems to have made significant headway so that any residual concerns and fears are mostly legitimate by this stage. Parents are more worried about the ability of their children to make important decisions than they are about the vaccine itself,” says Midgley. 

Parenting Hub

Review: Organic Aromas Nebulizing Diffuser

Organic diffusers are an affordable, versatile, and convenient way to improve your health and quality of life. The organic Aromas Nebulizing Diffuser is a beautiful atmospheric essential that works through the simple process of oil diffusion, which uses differential in air-pressure to turn oil into a vapour that is then spread around a living space. This innovative Nebulizing Diffuser releases a mist of beautiful fragrance of pure essential oils and works together with one of the product’s main features to produce an LED mood lighting that creates a calm and gentle atmosphere.  And… it is truly beautiful to look at making it the perfect accessory to any home or office. The organic Aromas Nebulizing Diffuser uses the Bernoulli’s Principle. It blows pressurised air through a glass pipe and has a convenient knob to adjust the volume of fragrance coming through the nebulizer. The diffuser is quiet and doesn’t require a lot of effort to setup.  Everything is included in the box and we had the unit up and running quickly. Once you load the essential oil into the glass reservoir using the supplied dropper, you can switch the unit on. It is quick to release the fragrance and silent as well as beautiful and mesmerising to look at. Using the turning knob we had the unit on the lowest setting and our home was filled with a beautiful fragrance in no time. Not only is this product beneficial for you, it creates cleaner air. Indoor air quality is another proven benefit and makes room for more health improvement. The essential oils are able to help prevent all that you don’t want around you, including bacteria and fungus that needs to be exterminated.  With the dust and bacteria decrease you are able to breathe with ease, especially during allergy season. Organic Aromas offer a wide variety of essential oils for you to choose. They are concentrated and you do not need to add water to the unit, so a little… certainly does go a long way. The Organic Aromas website have essential oil sets or you can purchase individual oils to your individual preference. As accidents do happen and the glass is rather thin, if ever your unit does break, you could easily replace the glass reservoir, adapter or cleaning pipes. Certainly one of the better features is that the unit automatically switches off after two hours. We do recommend the usage of the diffuser within a well-circulated or open area. The Organic Aromas Magnificent – Nebulizing Diffuser is a fantastic device. It has added great value. All I need is this one nebulizer to fragrance my home or office. The benefits of diffusers are many and can safely be used every day to: Help you relax Promote feeling of serenity Improve focus and clarity Enhance your mood Help clear airways for easier breathing Promote healthy sleep patterns Relief of pain and cramping Visit the Organic Aromas website to purchase your unit today 

Good Night Baby

Let’s Talk about PND

In the weeks leading up to the birth of my daughter, I remember waking multiple times a night due to being uncomfortable and all those bathroom breaks! I was thinking this was my body’s way of preparing me for waking through the night to care for my baby— and would get filled with a sense of excitement and also dread. Although my little one was premature, she was a good sleeper (by newborn standards), I still however never got more than a few hours of sleep at a time. I was physically exhausted, but the emotional roller-coaster was worse. I was constantly anxious, having panic attacks, I was distraught because I felt like my life had been unequivocally changed and that I’d never get it back. I cried every day, but could rarely explain why. I was not the mother she needed, I was not coping, I was failing her, myself and my husband. Why could I not rejoice and marvel at the child I had always longed for? At the time I put this down to the baby blues that I knew was very common after having a baby. But weeks turned into months and the feelings stayed and so did my desperation, I was lost and I did not think I would ever find my way back. I had to reach rock bottom before I realized that I needed help that this was not “normal”. My baby blues had turned into full-blown depression, I knew I had to do something!  So I got help, and it was not easy finding my way back. During my journey, there were a few things that helped me find myself again. Get help: Any kind of depression should be seen like any other illness, for example: diabetes.  No one will ever tell you to just sort yourself out if you were a diabetic and it is the same with depression.  It needs intervention from medical professionals South African Depression and Anxiety Group (sadag.org). Make time for yourself:  relax and take a break from your little one. Do something that makes you feel good. Share what you are feeling:  Having someone just listen to how you are feeling can help you work through how you feel in a safe place. Have a support system:  support will play a big part in recovery make sure they know how you’d like to be supported. Very often it is our instinct to take on everything. Allowing others to help can reduce your stress. Make time for friends and family. Spending time with those you love increases your “feel good” brain chemicals. Make meals a priority. The foods you eat can affect your mood. Keep blood sugars stable and ensure you continue to take your postnatal vitamins. Get out and about: going outside in the fresh air and slowly introducing some exercise. It can give you some perspective and time for your body and brain to have a breather. Join a group for mothers. Chatting to others who are experiencing similar struggles can be reassuring and it is also a good social outlet. Get some sleep: A good night’s sleep. This was one of the biggest factors for me. When I started sleeping more, I notice a huge difference in not only my mood but in my child. At the time I did not realize how sleep and your mood are extremely closely related and mounting evidence suggests that the fewer hours sleep you get, the more likely you are to have a mood disorder like postpartum depression. A recent study shows that only 10% of parents get an average of 7 or more hours of sleep a night! This suggests we are at risk of creating an issue not only for us but for our children who need more sleep than we do! If you suspect how you are feeling is more than just crazy post-baby hormones, please reach out for help, you do not have to continue to struggle in silence, you are not alone and there is help available! By Ohara Kydd – Good Night Consultant

Bonitas – innovation, life stages and quality care

Home-based care – there is no place like home

The shift towards home-based care was accelerated by the Covid pandemic. Although not necessarily always possible for Covid patients, the benefits of home-based care vs hospitalisation have been highlighted for both patients and their families for several procedures and illnesses.  Dr Morgan Mkhatshwa, Head of Operations at Bonitas Medical Fund, says the Scheme has a renewed focus on home-based as an alternative to in-hospital care, without compromising the health of its members.  What is home-based care? It’s defined as the provision of health services, by healthcare practitioners and formal and informal caregivers, in the home. Home-based care is to promote, restore and maintain a patient’s maximum level of comfort, function and health, including care towards a dignified death. It can be classified into preventive, promotive, therapeutic, rehabilitative, long-term maintenance and palliative care categories. When is home-based care appropriate? Post-operative care – after a surgery or procedure so that you gain your independence and become as self-sufficient as possible Generalised illness – when you are ill enough to be admitted to hospital but can be treated at home by healthcare practitioners Palliative care – when you have life-limiting illnesses and the focus is on the relief of symptoms, pain and stress. Some patients may also receive therapeutic treatment.  The primary benefit of home care is that you are in a space which is familiar and usually surrounded by loved ones. This is beneficial not only for those recovering from a disease or needing palliative care but especially those who have cognitive diseases such as dementia.   The alternative to hospital strategy (ATH) Dr Mkhatshwa says, ‘Hospital-at-home enables some patients who need acute-level care to receive care in their homes, rather than in a hospital. This care delivery model has shown to reduce costs, improve outcomes and enhance the patient experience. The need for home-based care is not only because of the cost of hospital care but a shortage of beds, nursing staff and other healthcare professionals, particularly in the public sector.’   ‘Bonitas is constantly looking for ways in which to minimise contributions and add value for members.  It is common knowledge that hospitalisation costs are the main cost driver for all medical schemes. Even with 24-hour professional care at home the costs are far less. Most medical aids will pay for nursing care at home For this reason, Bonitas’ partnered with Quro Medical, an innovative South African digital health company, to provide patients with active treatment by healthcare practitioners at home. The technology-enabled hospital-at-home service brings all the essential elements of in-hospital care to the patients’ home, without moving away from evidence-based protocols and state-of-the-art vital sign monitoring. Patients are monitored wirelessly, automatically and continuously to enable early identification of significant clinical change or deterioration. In fact, research has shown that, ‘patients admitted in the home programme were less likely to return to the hospital within 30 days of their discharge’. ‘The partnership also offers earlier and safer relocation to the home,’ says Dr Mkhatshwa’ home-based care is offered to all members, subject to pre-authorisation and Managed Care protocols. ‘It’s important to note that the treating doctor remains at the centre of the patient’s care. While patients who are medically stable may qualify for home-based care, each and every one is different and their response to hospitalisation and/or surgery differs. This means each request has to be reviewed carefully to ensure we provide quality care to deliver the best possible health outcome for the patient.’ The advantages of home-based care Health care at home, in a comfortable environment, improves patient participation in treatment. Having family members and loved ones participating in the care of a loved one – such as helping with bathing, feeding – makes a significant difference in the outcome.  Personal attention Hospitals, out of necessity, have strict rules so instead of the patient adjusting to these, they can be at home, amongst family and in familiar surroundings.  Nursing sisters or carers come to the home for a few hours a day, full time or when the need arises There are no visiting hours and the patient is the primary focus of the caregiver, so needs are met faster and more time is spent with patients.   This also means a faster recovery and the chances of picking up an infection, which can happen in hospital when they are exposed to germs, is reduced. Independence and companionship Losing independence is always a huge concern for those chronically ill or the elderly.  Having home-based care means they have more control and can decide when they want to eat, drink, socialise and sleep.   Companionship A caregiver provides your loved one with a familiar face, friendly conversation and a meaningful human connection, all of which can have a big impact on overall health and well-being. Family involvement Home care enables the family to play a larger part in their loved one’s care plan, this includes a direct line of communication with the caregiver and a care manager providing frequent updates regarding care. Pets It is common knowledge that pets are beneficial to those who are vulnerable and home-based care means pets can stay with their owners. They help calm dementia patients, reducing heart disease and stress related conditions and generally make patients happier.  What about home-based care for COVID-19 For patients with mild disease, home management may be possible, provided they are not at high risk of deterioration (i.e., older than 65 years or presence of co-morbidities). Dr Mkhatshwa says, ‘It must be stressed that while hospital care is indispensable for patients in critical condition, home health care is equally right for thousands of people. This personal approach to treatment gives patients the confidence they need to lead independent, full lives. We have no doubt that this is going to play a key role in the future of healthcare.’

Parenting Hub

Keto And Zuri Learn About COVID-19

Roche and the Kolisi Foundation today launched a children’s book, Keto and Zuri Learn about COVID-19, that will help parents and caregivers across Africa explain COVID-19 to children by sharing scientific facts in age-appropriate language. The book is available to download for free on both the Kolisi Foundation and Roche’s websites, and a limited run of free printed copies will be distributed throughout Africa in seven languages. “We recognize the confusion and concern that children may be facing as a result of the pandemic and the changed behaviors of those around them. Similarly, we know the difficulties many parents and caregivers share in explaining scientific facts and public health policies to their children,” said Bart Vanhauwere, Area Head Africa, Roche. “This book aims to present the realities of COVID-19 in an easily digestible, approachable manner to help children and adults alike understand the changes caused by the pandemic and continue taking action to stay healthy.” “We often notice that the families we meet need information in addition to more practical support. This is why the Kolisi Foundation is proud to partner on the creation of this book. It helps children understand COVID-19 and emphasizes the importance of health and safety behaviours, to protect themselves and their family members and friends. The full-colour illustration is visually appealing and the book is published in multiple languages,” said Valerie Anderson, Kolisi Foundation Operations and Programmes Manager. In South Africa, Transnet, a 25-year partner of Roche, will be handing out a limited printed supply of the books through the Phelophepa trains. These two trains, of which Roche is the main external sponsor, are free, mobile healthcare clinics that are now dedicated to COVID-19 screening, testing and awareness for people living in rural communities. The One by One Target Covid Campaign is also a partner of Keto and Zuri Learn about COVID-19. The Campaign is proudly supporting the distribution of the new children’s book in Uganda, Zambia and the Democratic Republic of Congo. To help spread further awareness, they announced the creation of the book to their AfricaCovidChampions, who they brought together in an effort to spread reliable information about COVID-19. AfricaCovidChampions is a new initiative that includes some of the most prominent African celebrities, media personalities, journalists, and influencers from the sports, entertainment, business, cultural and faith communities. Among many others, these prominent figures include Heritier Wanabe (Musician), Simon Mwewa Lane (TV Show Host), Joseph Kusaga (Media Owner), Jeff Koinange (Journalist/Talk Show Host) and Gift Ali (Ugandan Football player / Sports Personality). These influencers have committed to serve as powerful public health advocates and will help the Africa Centres for Disease Control and Prevention (CDC) reach people with the essential information needed to fight the COVID-19 pandemic. Digital copies of the children’s book can be downloaded here. It is available in multiple languages, including English, Afrikaans, Zulu, Xhosa Setswana, Portuguese, French:https://www.roche.com/sustainability/philanthropy/covid-19-childrens-book.htm About Roche Roche is a global pioneer in pharmaceuticals and diagnostics focused on advancing science to improve people’s lives. The combined strengths of pharmaceuticals and diagnostics under one roof have made Roche the leader in personalised healthcare – a strategy that aims to fit the right treatment to each patient in the best way possible. Roche is the world’s largest biotech company, with truly differentiated medicines in oncology, immunology, infectious diseases, ophthalmology and diseases of the central nervous system. Roche is also the world leader in in vitro diagnostics and tissue-based cancer diagnostics, and a frontrunner in diabetes management. Founded in 1896, Roche continues to search for better ways to prevent, diagnose and treat diseases and make a sustainable contribution to society. The company also aims to improve patient access to medical innovations by working with all relevant stakeholders. More than thirty medicines developed by Roche are included in the World Health Organization Model Lists of Essential Medicines, among them life-saving antibiotics, antimalarials and cancer medicines. Moreover, for the twelfth consecutive year, Roche has been recognised as one of the most sustainable companies in the Pharmaceuticals Industry by the Dow Jones Sustainability Indices (DJSI). The Roche Group, headquartered in Basel, Switzerland, is active in over 100 countries and in 2020 employed more than 100,000 people worldwide. In 2020, Roche invested CHF 12.2 billion in R&D and posted sales of CHF 58.3 billion. Genentech, in the United States, is a wholly owned member of the Roche Group. Roche is the majority shareholder in Chugai Pharmaceutical, Japan. For more information, please visitwww.roche.com. About the Kolisi Foundation Founded by Siya and Rachel Kolisi, the Kolisi Foundation has the vision to change the narratives of inequality in South Africa. Seeking to support people living in under-resourced communities in South Africa by providing relief resources, facilitating capacity-building and horizontal learning exchanges, and mobilizing and advocating for systemic change. Driven by their motto to ‘remember the one, one by one’, the Kolisi Foundation is invested in researching, piloting and developing projects centred around three programmatic areas: Food Security, Gender-Based Violence, and Education and Sports Development.   For more information, please visit www.kolisifoundation.org.

Parenting Hub

WEANING 101: HOW TO START SOLIDS

It’s something to celebrate when your tiny tot tastes something other than formula or breast milk for the first time. But often, the overload of information makes parents fearful of starting solids. Go with your gut and take your cues from your kiddie. If they’re old enough and face-planting into your plate to try to share your lunch, it’s usually a sign they’re ready! Here are some simple tips for a solid start to solids. Nadia Jansen van Rensburg, co-founder of Rooted Natural and a clinical dietitian with a special interest in paediatric nutrition, says, “We started Rooted Natural because we wanted children to have a healthy relationship with food right from the get-go. It’s natural for parents to be preoccupied with whether their little ones are eating well. But it can become an unhealthy obsession very easily, which means missing out on the joy of the experience.  “The best advice is to be relaxed and let your baby lead the process. Repeated exposure of as many tastes, textures, smells and colours as possible. We eat with all our senses!” Here are van Rensburg answers parents’ most pressing questions when it comes to solids: When should I start solids? It’s different for every child. From four to six months, infants are developmentally and emotionally ready to start exploring a new method of feeding – and new foods, flavours and textures. Their nutritional needs increase and the introduction of solids helps to optimise growth and brain development. Plus, more energy from food supports their increasingly active bodies as they begin to sit, play and crawl. It’s a wide window period, so take your cues from your little one. They need to be able to sit with minimum support and have good head and neck control. Children often show you when they’re ready by grabbing at food, and sucking their lips or opening their mouths when morsels are nearby.   How do I set the scene for success? It’s a great idea to get into regular feeding rhythms right from the start. Sit your little one at the table in a chair or in a chair with a clip-on tray and make sure their feet are supported. Avoid screens and any distractions. Try to get them excited about the food – its taste, textures, colours and smells! Positively talking about food is an important part of the process.  Allow them to play! Play is a pivotal part of children’s learning process so let them have fun with their food. That’s how they’ll learn to eat by themselves.  Time it well. Your baby should be rested, hungry and interested; not overly hungry, overtired, stimulated or fed. Importantly, you need to be relaxed as well. Go with a single flavour at first. Think about starting with vegetables, then progressing to fruit, grains and protein combinations.  Should I do the puree or baby-led weaning approach?  That’s up to you! The more traditional take is for first foods to be smooth, soft purees, then there’s a progression to textured purees and, eventually, whole meals. The latest trends and research are seeing parents include the baby in the meal – e.g., if they reach for a whole broccoli stem, let them try it. There’s no right or wrong! We recommend combining the two methods. This way, you ensure adequacy, but baby also gets to play, participate and explore, which fuels tactile development. Remember, the bigger the mess, the higher the success!  Van Rensburg concludes, “Our Rooted Natural brand was designed to bring fun to the feeding process, with wholesome, sugar-, salt- and preservative- free foods that let children play with new tastes and textures. Healthy kids are happy kids. I’m a dietitian and my co-founder, Kirby, is a professional chef. We combined our love of food to create a range of organic, earth-friendly baby and toddler food that takes the stress out of solids.  “We encourage you to relax and enjoy this new chapter. It’s a beautiful, exciting one. Most importantly, you’ve got this. You’re a brilliant parent. Go with your gut and learn with your little one.”  For more information on Rooted Natural, visit RootedNatural.co.za or follow on Instagram and Facebook.

TJ Training Solutions

Emotional Intelligence: The most important gift you can give your child in this post-pandemic world

EQ.  Two simple letters that wield such a determining influence in our children’s lives.  Emotional Intelligence (or EQ as it’s more commonly known) is not a novel concept. For years the importance of developing children’s EQ and IQ in tandem, has been discussed and promoted in scholarly articles and mainstream media alike. The question being asked now (and louder than it’s ever been asked before) is – were we paying attention? The COVID-19 pandemic has forced the calling upon of resilience, empathy, confidence, adaptability to unpredictability, embracing of change and countless other skills that the emotionally intelligent child possesses. And in doing so, it has shone a spotlight on the vast difference in the coping capacity of the high-EQ child versus the not-so-high.  But does this matter? Yes. Yes it does.  It matters because the pandemic has demonstrated that being emotionally intelligent is an outlook, an approach to life and a determinant of success that will be more important than ever in the aftermath of multiple levels of lockdown and the severe restrictions that were and still are being placed on our children’s complex socialisation needs.  The socio-emotional consequences of 2020’s school closures and mandatory isolation are manifesting fast and furiously. Increased cases of childhood anxiety, depression, peer-related issues and behavioural challenges are presenting at schools and in homes…And it’s only through increased efforts in EQ Education that we can hope to offset these consequences for our children in the long-run.  But where do we even begin? At the very beginning, ofcourse. Much like learning the basics of reading and writing requires first learning the alphabet – children should be taught emotional awareness and expression (the basic principles of EQ) by first being taught to identify their feelings accurately. Too few children are able to differentiate their feelings and the feelings of others beyond “happy”, “sad”, “scared” or “angry”. But “sad” is not the same as “guilty” and “angry” is not the same as “rejected”.  Storybooks like those in the “Game Ranger Grace & The Big 5 Feelings” series have been specifically created to expand the emotional vocabulary of young children. To expand a child’s emotional vocabulary is to help them take their first step on the road to emotional intelligence, because the ability to accurately identify an emotion directly impacts the ability to effectively regulate and express it.  And the good news is that the younger the child when EQ Education efforts start, the greater the long-term benefits will be. So start at the very beginning…it’s a very good place to start!  Visit www.tjtrainingsolutions.co.za to order copies of the first book in the “Game Ranger Grace & The Big 5 Feelings” series or email info@tjtrainingsolutions.co.za to query available EQ resources and workshops. 

Bonitas – innovation, life stages and quality care

Hospital pre-authorisation vs quotes – what you need to know

Due to the different waves of Covid-19 and the emerging variants, a number of elective surgeries were postponed to help minimise the take up of hospital beds and to avoid unnecessary exposure to the virus.  However, surgeries are now getting back on track, – even if it’s only a window during which the backlog of elective surgeries can be tackled. It is the perfect time to talk about the issue of pre-authorisation and quotes and why you should know the difference.  Lee Callakoppen, Principal Officer of Bonitas Medical Aid, says pre-authorisation, ahead of any medical procedure or hospital admission, is always required. He also stresses the importance of asking for a quote to submit to your medical aid. This will ensure you know exactly what is covered and whether you should plan for any out-of-pocket expenses. Does pre-authorisation mean payment, in full, is guaranteed? Not necessarily.  Let’s take you through the process and T&Cs.  What is pre-authorisation? All procedures that take place in a hospital must be pre-authorised.  Essentially, it’s an agreement between the medical aid and the hospital, indicating a willingness to pay for costs associated with the visit. But even if you do have pre-authorisation your medical aid is not promising to cover 100% of the costs.   All pre-authorisation requests are evaluated against the different schemes’ rules and clinical funding policies however, you remain responsible for any shortfall, including any co-payments. If you are unsure how to go about the process speak to your broker or your medical aid.  When do I need to pre-authorise? You must apply for a Pre-Authorisation Reference number (PAR) as soon as a visit or admission to a hospital is planned. This applies for a CT scan, MRI scan or radio-isotope study. Do this as early as possible in case you are required to submit additional documentation or a motivation from your healthcare provider.  You also need pre-authorisation for: Renal clinic admissions for dialysis Procedures in doctor’s rooms or day clinics, instead of hospital Physical rehabilitation care in rehabilitation facilities Drug and alcohol rehabilitation care in specific facilities Hospice admissions Oxygen therapy at home All specialised radiology What information is needed? Name and surname of the person having the procedure Membership number and dependent code The date of admission or procedure The diagnosis All proposed surgical procedures, diagnostic procedures or specialised radiology codes available (ICD-10, CPT, NRPL codes) The name of the facility where the procedure will take place The names and practice numbers of the healthcare professionals (doctor, surgeon, specialist etc)  Once your pre-authorisation has been approved you will receive a confirmation letter. Read this carefully and check that the information is correct. If you are any queries speak to your doctor or your medical scheme.  What about emergency admissions? In the event of emergency treatment or admission to hospital, you – or a family member or the hospital – must contact your medial aid on the first working day after the incident to obtain authorisation.  Did you know? Your doctor or the facility you are being admitted to, can do the authorisation on your behalf. Despite this, it remains your responsibility to ensure that the authorisation is completed and correct.  What happens if you don’t pre-authorise?   You will either be liable for a co-payment, or your procedure will not be covered. Does pre-authorising ensure payment of the procedure? No, unfortunately not.  Most medical aid plans have varying hospital benefits according to the level of cover you have chosen and they also have a ‘rate’ and which they reimburse healthcare providers. This means that even if the payment is 100% of the rate, this is not necessarily what the healthcare provider will charge, they may charge 200% of your medical aid rate. This means you are responsible for any shortfall in the form of a co-payment.  Co-payments differ from one medical scheme to another and are often higher than anticipated, mostly due to medical practitioners and hospitals charging higher than the medical aid rate. ‘We mitigate this as much as possible,’ says Callakoppen, ‘by negotiating with hospitals and service providers who are on our network, to place a ceiling on the costs of the procedures.’ For this reason, it is best to find a healthcare provider on your scheme’s network Quotes vs pre-authorisation for procedures Callakoppen advises private medical aid members to not only obtain pre-authorisation but to also ask for a detailed quote from the hospital and medical practitioner prior to being admitted to hospital.  ‘This gives you an opportunity to negotiate and eliminates any additional ‘surprise’ payments required after the procedure. ‘The most important thing’, says Callakoppen, ‘is to find out, prior to being admitted, what your medical aid will pay and what payment you might be responsible for. The last thing you want to deal with is a surprise large co-payment and the stress related to that when you are recovering from a procedure.’ 

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