Thought Bank - 14/03/2024

14.03.2024

Today I thought I could run and do something good for myself

I just had this random thought that I love my students the way I apply myself being used by the grace of God in class not in my strength obviously. Caring about them when they are stressing not sleeping well pushing too hard not to be excluded in the education system. Kickstarting themselves I noticed that I care about my God given students borrowing them textbooks. Empathy when they go through loss. Inspiring them to reach for the stars. I love my students thank you Lord for giving me the love for the students in Jesus name Amen.

JUNK THOUGHTS TO RELEASE FROM MIND

14.03.2024 Nkhens & remaining leadership at FOAL destroying the old FOAL church.........I am releasing this thought because I had no control over what happened. I think I did all that I could to prevent the fatality but it proceeded anyway..........I release and for this as it is okay to fail..........Love is patient....Mama, her family and the whole leadership will go on their personal journey of coming back to God.

I REPLACE THIS THOUGHT WITH GOOD TIMES AT FOAL OF SERVING WITH PA & MA, BRETHEREN, TEACHINGS, SUPPORT AND TRAVELS TO DURBAN.

14.03.2024 Tumi and the son who died by suicide. I was replaying our conversation with Sis Thembshie. Honestly that incident was painful and bad. I need to release. There is nothing that can be done about it now.

I REPLACE THIS THOUGHT WITH GOOD TIMES WE HAD AS YOUNG ADULTS KWA MAM EDUTH AND THE WARMTH KA TUMI AND HER FETCHING HER LIFE.

16.03.2024 The vision of the world covered with water (anxiety & depression) and humanity being helpless and dead. I am letting go because it is a delusion or was an indirect vision. God loves humanity however I will take seriously climate change as we can change our behaviour towards the future generation.

RANDOM THOUGHTS/VOICES OF SUICIDE. I AM NOT LONGER SCARED CHRIST GAVE ME BOLDNESS AND FAITH TO FIGHT AND RESIST THOSE THOUGHTS. THEY DO NOT SCARE ME ANYMORE

I replace with the good thoughts "I will not forget that I am left with enjoying my God given daily in complete to the love of God"

My father wants me to enjoy this life and I recieve it daily

He is my Father. I can run to him

My father constantly defers my judgement with a view towards repentance

What is the meaning of Qavah?

Qavah is a Hebrew word meaning 'binding together, eagerly waiting, hoping for, expecting'. This term captures a sense of optimism and hop...28 Nov 2021

It seems as if that God wants me to excel in life and thrive. He just doesn't want to survive but thrive

My Father has been with me all along

The birth of Fefe

Born at 1.5kg's and gave a stool to 800 grams or so. Rejected by my then husband.

South Africa is committed to reducing under-5 mortality rates in line with the Sustainable Development Goal (SDG) targets. Policymakers and healthcare service managers require accurate and complete data on the number and causes of child deaths to plan and monitor healthcare service delivery and health outcomes. This study aimed to review nationally representative data on under-5 mortality and the cause of deaths among children under 5 years of age. We also reviewed systems that are currently used for generating these data. Child mortality has declined substantially in the past decade. Under-5 mortality in 2015 is estimated at 37 - 40 deaths per 1 000 live births, with an estimated infant mortality rate of 27 - 33 deaths per 1 000 live births. Approximately one-third of under-5 deaths occur during the newborn period, while diarrhoea, pneumonia and HIV infection remain the most important causes of death outside of the newborn period. The proportion of deaths owing to non-natural causes, congenital disorders and non-communicable diseases has increased. However, many discrepancies in data collected through different systems are noted, especially at the sub-national level. There is a need to improve the completeness and accuracy of existing data systems and to strengthen reconciliation and triangulation of data.

Adverse pregnancy outcomes (APOs) are very common, with estimates that globally 12–22% of pregnancies end in miscarriage (García-Enguídanos et al 2002) and the rate of stillbirth is expected to be 12 per 1000 births by 2030 (Blencowe et al. 2016). The Sub-Saharan African region has among the highest incidences of both miscarriage and stillbirth, contributing a quarter of the total global burden with a substantial impact on both women’s and child’s health (Blencowe et al. 2016). The loss of a pregnancy and a stillborn baby has a substantial lasting impact on both the physical and mental health of women and their families. The health burden is considered higher in regions where such losses are underreported which is often driven by stigma which hampers access to care and support (de Bernis et al. 2016; Garcia-Moreno & Amin 2016). Clinical causes of APOs are well described in the literature (García-Enguídanos et al 2002) and the common biological risk factors for miscarriage include infections, chromosomal abnormalities, hypertension and risk behaviour such as smoking, alcohol use and obesity (Pineles et al. 2014; Ghimire et al. 2020).

Violence against women (VAW) is a pervasive public health and human rights problem affecting one in three women globally, and intimate partner violence (IPV) is the most common form of violence women experience, impacting both morbidity and mortality (Sardinha et al. 2022). The inclusion of a sustainable development goal (SDG) to address gender inequality and empower women (SDG5) through specific targets to eliminate all forms of violence and harmful practices bears testament to the recognition of the impact of VAW on developmental outcomes (Garcia-Moreno & Amin 2016). An extant body of research has shown the impact of such violence on women’s reproductive health with a focus on intimate partner violence (IPV) during pregnancy (Devries et al. 2010; Shamu et al. 2011). An increasing number of reviews, which include studies from low and middle income countries (LMIC), has described the association of IPV and both maternal and neonatal health outcomes (Pallitto et al. 2005, Sarkar 2008, Han and Stewart 2014, Donovan et al. 2016, Hill et al. 2016, Ghazanfarpour et al. 2018, Ahinkorah et al. 2020, Pastor-Moreno et al. 2020) including unintended pregnancies and termination of pregnancies (Pallitto et al. 2013; Hall et al. 2014; Ahinkorah et al. 2020). These studies are largely based on cross-sectional data from Demographic Health Surveys (DHS) or other population-based surveys. Furthermore, these studies are based on self-reported pregnancies and exclude biological assessments such as hypertension, HIV, diabetes and obesity which are well-described risk factors for APO. A review of perinatal health outcomes associated with IPV found these most commonly included fatalities, in the form of perinatal and neonatal deaths and stillbirths, as well as preterm birth and low birth weight (LBW) (Pastor-Moreno et al. 2020). The research has been conducted in different global regions, but there are few papers from Sub-Saharan Africa. A study from Zimbabwe explored both maternal (unplanned pregnancy, late or never booking for antenatal care (ANC), history of miscarriage) and newborn outcomes (neonatal death) and reported associations with IPV experienced in a women’s lifetime, 12 months before pregnancy and during pregnancy (Shamu et al. 2018). In South Africa, an analysis of birth outcomes associated with IPV was conducted using data from a birth cohort in the Western Cape. The first report (n = 263) showed an association between past year physical IPV and LBW (Koen et al. 2014); however, a subsequent analysis (n = 1137) (Zar et al 2019) did not find any associations between IPV and maternal and child health outcomes rather, food insecurity, smoking and alcohol use during pregnancy were associated with LBW. Such apparent contradictions can occur in analyses in this field as the experience of violence against women intersects with poverty, mental health and alcohol and tobacco use, which are all risk factors for maternal and neonatal health, and these risk factors all intersect with each other (Myers et al. 2018). A study with women in India reported no associations between IPV and APO for the poorest women (Dhar et al. 2018) and the authors note the intersectionality between poverty and reproductive health may play a bigger role in determining the risks for the poorest women in India.

In order to deepen our understanding of the relationship between trauma exposure, particularly violence against women and childhood trauma, recognised risk factors and APOs, we draw on data from the Rape Impact Cohort Evaluation (RICE). We hypothesized that APOs would be influenced by recognised risk factors including hypertension, BMI, smoking and alcohol consumption, as well as prior APOs. However, we additionally hypothesized that these risk factors would be themselves impacted by recognised drivers of these risk factors including poverty, mental health (depression) and prior experiences of trauma. The aim of this paper is to test the hypothesis that trauma experiences and mental health consequences are also drivers of APO (miscarriage, abortion and stillbirths).

While heartwarming, cases like this are also sadly rare, and babies born too soon have a lower survival rate.

• At 22 weeks about 10% of babies survive

• At 23 weeks 50% to 66% of babies survive

• At 24 weeks 66% to 80% of babies survive

• At 25 weeks 75% to 85% of babies survive

• At 26 weeks more than 90% of babies survive

27 - 30 - 5% negative thoughts

03/04/2024 - 2.5% the shot to 30% because I was testing Stani

04/04/2024 - Negative thoughts dropped to 1%