Fetal Alcohol Syndrome Epidemiological Research-South Africa (FASER-SA) Project
Trajectory of FASD across the Life Span: New Understandings and Interventions
Project Overview
The Fetal Alcohol Syndrome (FAS) Research Study was established as a collaborative endeavour of the University of North Carolina (UNC, USA), the University of New Mexico (UNM, USA), the Faculty of Medicine and Health Sciences of Stellenbosch University (SU), and the Medical Research Council of South Africa (MRC). The research is funded by a grant from the USA National Institute on Alcohol Abuse and Alcoholism (NIAAA).
The Group’s mission is to contribute to a better life for all by reducing the prevalence of FASD through ethically and socially acceptable comprehensive prevention activities with local communities through collaborative research.
The study communities are Wellington, Robertson, and Ashton. (BRAM area). The group uses several aims components to assess health knowledge and alcohol and drug use patterns, including:
- Initiate early intervention/remediation research, via random assignment, case control studies, on development through nutritional and cognitive/behavioural enhancement techniques for children with FASD from 24 months of age forward, including: physical and behavioural markers at various ages (6 weeks, 9, 18, 42, and 60 months).
- Continue, and initiate with a new cohort, a detailed longitudinal study of the physical and cognitive/behavioural developmental trajectory of children from the newborn period to seven years of age.
- Initiate an efficacy study of biomarkers for alcohol consumption: EtG (ethyl glucuronide), FAEE (fatty acid ethyl esters), will be matched to detailed information on alcohol consumption (by quantity, frequency, timing, and variability) provided by women via face-to-face interviews for cross-validation. This aim will be facilitated by continuing selected (secondary) prevention of FASD in antenatal clinics.
- Initiate new methodology to study the nutrition of women while pregnant via a survey of multiple nutrients (including all major vitamins, minerals, and micronutrients key to prenatal development) through 24-hour dietary recall with the NDSR and blood sample analysis. This aim will be facilitated in the new study by continuing tertiary prevention trials via the treble approach in case management and evaluating its efficacy. The treble approach involves utilising the principles of social work and principles from Motivational Interviewing.
- Complete all IOM prevention activity and rigorously evaluate the impact of nine years of IOM-recommended comprehensive prevention efforts on the broader community with:
- A third survey of the community on Knowledge, Attitudes, Beliefs, and Behaviours (KABB) and
- Repetition of in-school studies of the prevalence and characteristics of FASD to compare with baseline.
FASER-SA Team Staff
| Stellenbosch University Prof Soraya Seedat, [email protected] Prof Charles Parry, [email protected] Anna-Susan Marais, Programme Manager, [email protected] Marlene de Vries, Project Coordinator, [email protected] | University of New Mexico, USA Prof Phillip May Wendy Kalberg |
| Wellington Team Marise Cloete (Senior Project Officer) Tel: +27 21 873 2933 | Howard University, USA Dr Cudore Snell |
| BRAM Team (based in Robertson) Carisa Siemens, Senior Project Officer Tel: +27 23 626 5669 Andrea Engelbrecht, Administrator Tel: +27 21 938 9345 Email: [email protected] | |
For more information, contact the programme manager:
Anna-Susan Marais, at:
Telephone direct: +27 21 938 9393; Office/Messages: +27 21 938 9345
Email: [email protected]
Or
Prof Soraya Seedat
Email: [email protected]