THE HEART ANd STROKE FOUNdATION SOUTH AFRICA

THE HEART and STROKE FOUNDATION SOUTH AFRICA
ANNUAL REPORT
2014
THE HEART and STROKE FOUNDATION SOUTH AFRICA
ANNUAL REPORT
2014
Message from the CEO
B
esides
educating our
people on
protecting
themselves
against
heart attacks
and strokes,
the HSF works on
creating an environment
that makes it easier to make the healthier
choice. This, a part of our advocacy work,
has been a key focus for us since 2010.
2
I am therefore delighted to announce
that our efforts have helped towards
two major achievements for this country.
First, South Africa has become the first
country to legislate salt reduction, and
the HSF accepts the mandate to conduct
the national awareness campaign; and
second, the launch of the South African
Non-Communicable Diseases Alliance, of
which the HSF is a founding member, to
Dr Vash Mungal-Singh
lead South Africa’s fight against diseases
of lifestyle.
Each day we hear about young people
having heart attacks and strokes. This is
not surprising considering most of these
are caused by our unhealthy behaviours;
yet these could be easily avoided by
making the right choices. So, it is critical
that we take our health promotion
messages to more people in South Africa.
We were successful in reaching more
people this year, with almost 13,000
people receiving free health screenings,
more than 70,000 visits to our website,
and information dissemination through
the media with an advertising value
equivalent of more than R26 million
reaching millions of South Africans.
The debates surrounding low
carbohydrate diets drew much attention
over this last year. On the positive side,
it is encouraging to see more South
Africans examining their poor dietary
habits, especially as we have such high
overweight and obesity rates. The HSF
maintains moderation and balance
are key, and continues to recommend
a balanced eating pattern such as
the Mediterranean diet as a practical
approach that can be adhered to in the
long term. Whilst considering weight loss
in the short term, it is equally important to
protect against the risk of having a heart
attack or stroke in the near future, and we
encourage the public to keep this in mind
when considering which eating pattern to
adopt. I am hopeful that more people in
South Africa will engage with us on this
topic and about healthy lifestyles.
I am thankful to my team who have
continued to deliver and grow our
programmes, reaching more people
as this report will outline. I am also
thankful to our ambassadors, partners
and sponsors who even in this difficult
economic climate have supported our
work in various ways.
NANETTE CROUSE
I
am pleased to report on the performance
of the Heart and Stroke Foundation for
the year ended 31 March 2014.
The Foundation can look back again at
another successful year in achieving its objectives and helping to make a difference to
our beneficiaries – the South African public
in general.
We achieved this through robustly managing our finances in tough economic times –
times which have forced industry partners to
scale down on their funding and donations
to non-profit organisations (NPOs).
Audited financial figures indicate that the
financial position has improved significantly
with the total comprehensive income for 2014
ending on R10,548,096. Expenses were well
managed and investment was made into various awareness campaigns with special focus
on the Salt Watch campaign.
We showed continuous ongoing growth
in ensuring sustainable financial reserves
Chairperson’s report
year-on-year, with a total reserve amount
of R12,500,041 of which R11,153,269 is
held in a capital preservation fund, a wellmanaged portfolio with FNB Trust Services.
I am also pleased to announce that we
received a clean bill of health with regards
to the audit done by registered auditors
Horwath Zellar Karro, appointed in 2014.
Further details of the Foundation’s financial
performance are to be found in the annual
audited financials for the year.
A key deliverable to the business strategy
was to enter into a partnership arrangement
with the Department of Health (DOH) to create an awareness campaign on salt intake.
The funding of R5 million received from the
DOH has already been implemented and
used in various marketing and advertising
initiatives which will be highlighted further
in the CEO’s and activities report.
We will continue to build and strengthen our
relationships with partners and stakeholders
who contribute to the continuous growth
of the Foundation and who help to create
awareness through various campaigns and
scientific research programmes.
The relationships and partnerships with these
scientific groups, stakeholders, universities
and research councils have been spearheaded by the likes of Dr Vash Munghal
Singh (CEO) and Professor Krisella Steyn
(Vice-chairperson).
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Below are highlights of a number of these
partnerships:
• An advisory group was created to
guide research and evaluation needs
of the Salt Watch campaign which will
be funded by the research fund set up
within our capital reserve funds.
• On a national footprint, various campaigns, debates and conferences with
healthcare professionals have been set
up to discuss the Salt Watch awareness
campaign.
• We have also been invited by the DOH
to contribute towards the future plans to
address obesity in South Africa.
• The Foundation was represented by
our CEO, Dr Vash Munghal-Singh,
when she was invited to participate as
a panellist on the Global NCD Alliance
for the United Nations, at a meeting
held in New York earlier this year. The
discussions focussed on the NCD Sustainable Development Goals for 2015.
4
From the above it is clear that the
Foundation has become a well-respected
and recognised body within the sphere of
combating NCD, heart disease and strokes
and promoting healthy lifestyle, including
campaigns for salt awareness and obesity
management.
each of whom brings skills and expertise
to the Foundation. The board members
include healthcare academics and business
executives with vast experience who are
able to support and steer the Foundation
in a direction of growth and visibility
throughout South Africa.
During the year, the board, being mindful
of expenses and good governance,
decided to capitalise on its positive
accumulated resources by utilising funds to
purchase property for the Foundation. The
new office is situated in the heart of Cape
Town and is viewed as a good investment
by the board, based on sound financial
feasibility studies.
The board will continue to conduct its
business in accordance with the principles
of King III, which includes exercising
discipline, independence, responsibility,
fairness, social responsibility, transparency
and the accountability of directors to all
stakeholders.
The board
In 2010 our board was limited, consisting
of only three members. We have since
developed to a board of seven members,
The board remains ultimately accountable
for the performance of the Foundation,
and oversees processes which ensure that
the Foundation is responsible for acting
in accordance with sound governance
principles.
Looking ahead
The Foundation will continue to focus on
diversifying the range of campaigns and
services it offers, as well as expanding its
footprint, both organically and acquisitively,
i.e. by acquiring new business opportunities
through the Heart Mark and various related
projects.
The national salt awareness campaign,
known as ‘Salt Watch’, will be a prime focus area for the next few years. Salt Watch
is a national public awareness and education campaign to encourage South Africans
to reduce their salt intake.
In this regard the Foundation is expecting
to benefit in particular from its advertising
and the Heart Mark brand through radio,
television and print media campaigns.
The Foundation will also continue to create
awareness within our communities on heart
disease and stroke, salt intake and adopting a healthy lifestyle. This will ensure that
we live up to our mission to empower people
in South Africa to adopt
healthy
lifestyles,
make
healthy choices easier and seek
appropriate care to reduce the burden of
cardiovascular disease.
We have shown resilience in tough economic times and as a board we have full
confidence in our CEO and her team to
continue to steer the Foundation to meet its
strategic objectives.
I thank the board of directors, the CEO,
the management team and employees
for their contribution to the Foundation’s
performance. I also want to extend our appreciation to business partners, suppliers,
customers and stakeholders for their ongoing support.
Thank you.
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6
Who are we?
The Heart and Stroke Foundation
South Africa plays a leading role
in the fight against preventable
heart disease and stroke, with
the aim of reducing unnecessary
deaths and diseases in young
South Africans.
The Heart and Stroke
Foundation, established in 1980,
is a non-governmental non-profit
organisation with NPO and
Section 21 status.
OUR
VISION
OUR
MISSION
WE ARE
MEMBERS
of
To reduce the cardiovascular burden
in South Africa
To empower people in South Africa to adopt
healthy lifestyles, make healthy choices
easier, and seek appropriate care
World Heart Federation, African Heart Network,
World Stroke Organisation, South African NCD
Alliance, South African Heart Association, South
African Hypertension Society, WASH (World
Action on Salt and Health)
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Our Objectives
1
Advocate for a healthenabling environment
2
Create awareness and
provide evidence-based
information for the benefit
of the public and people
affected by CVD
3
8
8
Support research to improve CVD prevention and
patient care
Key messages
Heart disease and stroke are the
second leading causes of death
in South Africa.
Up to 80% of these deaths can be
avoided by making lifestyle changes
like eating a healthy diet, regular
physical activity, avoidance of tobacco
use and no or moderate alcohol use.
• 10 people will suffer a stroke
and five people will have a
heart attack every hour in
South Africa
• Hypertension affects 1 in 3
adults 15 years or older
• 49% of women and 74% of
men are unaware that they
have hypertension
• 2 in 3 women, 1 in 3 men
and about ¼ of all children
are overweight or obese
• Nearly 1 in 4 people have
high cholesterol levels
• Diabetes is also prevalent in
10% of the population
The South African Context
G
lobally, cardiovascular disease (CVD)
kills more people than TB, HIV and
malaria combined. However, CVD
isn’t only a global concern; it is also a major
South African concern. In fact, more South
Africans die of CVD than of all cancers
combined, and heart disease and strokes
are the second biggest killers in South
Africa after HIV/AIDS. CVD rates continue
to rise in developing countries, like South
Africa, that are undergoing transition.
Due to increased urbanisation, South Africans have adopted a more ‘westernised’
diet high in fat, sugar and salt. There is
also more disposable income, so we are
consuming more fast foods and processed
foods. Up to 70% of our women, 30% of
men and about a quarter of all children are
overweight or obese.
The origin of CVD lies in childhood and risk
factors are seen even in young people. One
in three South African adolescents eats fast
food two to three times a week and one in
four watches more than three hours of TV a
day. We know that inactivity in childhood
makes inactivity in adulthood more likely.
The statistics are alarming. However, statistics alone aren’t enough to encourage
South Africans to change their attitudes towards their health. At the Heart and Stroke
Foundation (HSF), encouraging the public
to change their behaviour is a challenge
we are faced with every day.
In South Africa, we also need to take into
account our political, social, cultural and
economic context. In the South African
context weight loss is often associated with
negative connotations such as being infected with HIV/AIDS, while being overweight
is perceived as a sign of affluence and
wealth. Poor dietary patterns, high alcohol
consumption and tobacco use in South
Africa are also driven by socio-economic
factors.
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OBJECTIVE 1
Advocate for a
health-enabling
environment
1. Salt reduction in South Africa
O
ur role as a stakeholder advocating for salt reduction has been strengthened even further.
In 2013 we announced the launch of the Salt Watch (SW) campaign. SW is driven
by a multisectoral coalition, supported by the national Department of Health, and is
a member of World Action on Salt and Health. The HSF will run the SW national public
awareness and education campaign to encourage South Africans to reduce their salt intake.
The SW campaign will help advance legislation passed in 2013 to make salt reduction in
certain foods mandatory, helping to achieve the government’s target to reduce salt intake
in South Africa by 2020. This makes us the first country globally to legislate salt levels in a
group of foods.
A high salt diet is a key contributor to high blood pressure, which is one of the leading causes
of heart disease or stroke in this country. Keeping this in mind, South Africans consume more
than double the recommended amount of salt (6 – 11 g per day), and one in three South
Africans over the age of 15 suffer from high blood pressure. These statistics alone highlight
the dire need for salt reduction in South Africa.
Salt Watch members
Geoff Penny – South African Chamber of Baking; Edelweiss Wentzel-Viljoen – North-West University; Vash Mungal-Singh –
HSF; Christelle Crickmore – HSF; Krisela Steyn – Chronic Disease Initiative for Africa ; Claire Julsing-Strydom – Association
for Dietetics in South Africa; Carin Napier – Nutrition Society of South Africa; Hettie Schonfeldt – University of Pretoria;
Anniza De Villiers – Medical Research Council; Yolande Van Der Riet and Francina Makhoane – Consumer Goods Council of
South Africa; and Raheema Maharaj and Leanne Tee – Pick n Pay.
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OBJECTIVE 1
1.1. Salt Summit
O
Above: Deputy Minister of Health, Dr Gwen Ramokgopa
Below: Media coverage on salt awareness resulted from publicity around the Summit
n 13 March 2014, the HSF hosted
a high level Salt Summit, supported
by funding from Unilever, which
brought together national and international key opinion leaders and experts,
the government, industry and other key
stakeholders. With over 150 attendees, it
was a very successful day, exploring the
challenges we face and creating a roadmap to change behaviours to reduce salt
intake. The Summit was also used as a
platform to launch the Salt Watch brand.
The Deputy Minister of Health, Dr Gwen
Ramokgopa, opened the Summit on a
high note by recognising South Africa as
a world leader because of our regulations
for salt reduction in certain foodstuffs. She
noted that regulations alone will not be
sufficient and that South Africa needs
education and health promotion efforts.
She announced that the National Department of Health will help kickstart the Salt
Watch campaign through a R5 million
sponsorship for an advertising campaign.
Salt Summit outcomes
Attendees agreed on three key
points:
• Collaboration is crucial:
There is a need for cross-sectoral
collaboration, from government,
research institutions, academics,
NGOs, media, professional bodies (clinicians, nursing, dietetics
etc.) to corporate/industry (food,
healthcare, catering/chefs, etc.).
• The focus cannot be on salt
reduction in isolation: The
SW message must be within the
context of a healthy lifestyle.
• Message clarity: A standardised message is important, that is
simple, that the public will understand and that all sectors can use.
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overall
message
2. South African NCD Alliance
O
ctober 2013 saw the launch of the
South African Non-Communicable
Diseases Alliance (SANCD Alliance),
through the support of the international
NCD Alliance group. The HSF is a founding
member of the Alliance, together with Diabetes SA, the Cancer Association of South
Africa and the Patient Health Alliance of
NGO’s. The purpose of the SANCD Alliance is to lobby for government strategies
and to monitor progress to curb the rising
incidence of NCDs in South Africa. The first
stakeholder meeting was held in February
2013 in Johannesburg.
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3. National Nutrition Week
The meeting resolved to:
1. Support the NCDs Plan within and
between sectors while holding the
government accountable.
2. Work in partnership within and
across sectors in the NCDs Multisectoral Working Group.
3. Support the SANCD Alliance as a
lead organisation in the fight against
the NCDs epidemic.
4. Support the NCDs national research
agenda.
5. Support the completion of the Civil
Society National NCDs Status Report.
6.Support unrelenting action
strengthen the NCDs systems.
Eat less choose your
portion with
caution!
to
T
he focus of National Nutrition Week
(NNW) 2013 was to raise awareness in
the general public of the importance of
portion control. The HSF formed part of the
working group for NNW, which included
the Department of Health, the Association
for Dietetics in South Africa, the Consumer
Goods Council of South Africa and the
Consumer Education Project of Milk South
Africa. The working group planned and
developed the messages as well as materials used during NNW. During NNW the
HSF was involved in a number of activities,
including sending out a press release, radio
interviews, social media activities and the
Greater Gatsby Challenge.
OBJECTIVE 2
Create awareness
and provide
evidence-based
information for
the benefit of the
public and people
affected by CVD
1.1. Health screenings
O
1. Heart Awareness Month
S
eptember is Heart Awareness Month
(HAM) – an entire month dedicated to
raising awareness about cardiovascular
disease in South Africa, culminating with
World Heart Day on 29 September. In
2013 we encouraged South Africans to
‘Take the road to a healthy heart’.
The campaign’s key objectives were to:
1.Reach as many South Africans as possible with our message.
2.Pique the interest of South Africans to
learn more and adopt a healthy lifestyle.
ur campaign partner, Clicks Clinics,
provided free tests for blood pressure,
blood glucose, cholesterol and body
mass index nationwide. In addition, the
HSF conducted free community screenings.
In total, we screened 2,833 people and
Clicks Clinics screened 10,155 people during HAM.
A total of
12,988 people were
screened during Heart
Awareness Month
2013 compared to
10,496 in
2012
3.Provide free health screening across
South Africa.
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1.2. Heart Age Challenge
T
he driving tool for the HAM
campaign was our Heart Age
Challenge. Staff at lifestyle magazines
and radio stations participated to find out
their heart ages, and the exercise was covered in print media and on air. The Heart
Age Calculator proved to be a drawcard
based on its ability to translate CVD risk
into chronological age and years lost.
Eight well-known magazines and 15 radio
stations from six provinces participated.
Magazines and radio DJs provided free
media space through their discussions,
which also encouraged their listeners and
readers to be tested.
We are grateful to our HSF Ambassador,
Gareth Cliff, who not only helped kickstart
the challenge in 2012, but also returned
with his team this year for a follow-up testing live on 5 FM.
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Special points of interest
@SAHeartStroke was
trending on Twitter on
3 September. This means that the
Foundation was being mentioned on
Twitter by several users, from
all over South Africa.
Magazines that participated in the Heart
Age Challenge
Fairlady, Women’s Health, YOU, Huisgenoot, Living and Loving, Longevity, Good
Housekeeping and Rooi Rose.
• Total free media received to
the value of R4,479,885.38
• Eight magazines and 15 radio
stations participated in our
Heart Age Challenge
• We Screened 12,988 people
along with Clicks Clinics
Radio stations that participated in the
Heart Age Challenge
Bush Radio, Mdantsane FM, Valley
FM, Bay FM, Radio Teemaneng, KFM
FM, Eden FM, Unique FM, Ukhozi
FM, Link FM, Vukani Community
Radio, Inkonjane FM, Kingfisher FM,
CCFM and Smile FM
OBJECTIVE 2
1.4. World Heart Day –
healthier choices for life
1.3. Heart Smart Brunch
Good Housekeeping magazine (GHK)
hosted a fabulous Heart Smart brunch.
Dressed in red, GHK readers, staff and
guests gathered at the luxurious Table Bay
Hotel for an informative morning filled with
great food, fabulous prizes and valuable
heart health advice.
The mater of ceremonies for the event was
HSF Campaign Ambassador and radio/
TV personality, Mark Pilgrim. A raffle raised
R20,000 for the Foundation.
The Healthier Choices for Life event took
place on 29 September to celebrate World
Heart Day, an initiative of the World Heart
Federation, with over 3,000 people attending. The Nestle event, supported by the HSF
and Doctor’s Orders, involved childrens
theatre, cooking demonstrations and health
screenings. Doctor’s Orders televised the
event and interviewed Dr Mungal-Singh, Dr
Riaad Moosa (comedian and doctor) and
Lisa Raleigh (health and fitness guru and
HSF Ambassador).
2. Hearty
I
t’s been a busy year for our mascot,
Hearty. In recognising that
children are being influenced
to make unhealthy choices
and are the targets of unscrupulous marketing tactics,
Hearty aims to positively
influence children, parents and
care-givers.
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3. Support groups
4. Heart Mark – the healthy choice you can trust
he Mended Hearts Support Group
was established in Cape Town in
2006, in partnership with private
hospital group, Life Healthcare. The
Melohearts support group was established in 2012 in partnership with the
Melomed Hospital Group. These support groups provide a meeting place
for people who have experienced a
cardiovascular event and affected family
members and friends, who are interested
in learning more about living with CVD.
Trusted – The Heart
Mark (HM) logo remains
one of South Africa’s most
recognisable and trusted
markers for a healthier
choice. The logo helps
consumers identify healthier foods quickly
and easily when grocery shopping, and
eliminates the need to analyse food labels.
The Mended Hearts monthly groups run
in Cape Town, Port Elizabeth and Durban. This year, there were three meetings
in Port Elizabeth, 10 in Cape Town and
six in Durban. There are approximately
130 members.
• Have been thoroughly tested by an independent laboratory that has been accredited by the South African National
Accreditation System.
T
The Melohearts Programme is held at
various Melomed hospitals in the Western Cape. There are approximately 70
members.
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Credible – Products that carry the Heart
Mark logo can be trusted to be a healthier
choice because they:
• Meet stringent nutritional criteria for fats,
sodium, cholesterol, added sugars and
fibre (where applicable).
Product range – Currently, 72 manufacturers with a total of 512 products carry the
HM logo, giving consumers more choices
for healthy eating.
Quality – The HM Programme encourages food manufacturers to produce or reformulate products with improved nutritional
quality.
Heart Mark brand
building
• HM branding of 10 buses in
three provinces (Western Cape,
Eastern Cape and Gauteng)
• HM branded buses spent six
months on the road
• Are spot-checked to make sure they meet
criteria.
• Over 500,000 views each month
• Can be used as part of the HSF’s eating
plan.
• Value R450,000
OBJECTIVE 2
5. Tuckshop Programme
Benefits
he risk factors for CVD develop in childhood when children are exposed to unhealthy habits. Children spend most of
their time at school, so school tuckshops are
often places where children are exposed to
and have easy access to unhealthy foods.
These foods are often high in fat, salt and
sugar, and promote obesity and other risk
factors for chronic diseases of lifestyle. It is
important for parents to instil healthy habits
in the home, but they can’t monitor what
their children buy at the tuckshop and that’s
where we step in.
HEALTHY DIETS CAN REDUCE
THE RISK OF CHILDHOOD
OBESITY AND OTHER CHRONIC
DISEASES OF LIFESTYLE. THEY
ARE ALSO LINKED WITH IMPROVED
COGNITIVE PERFORMANCE, OVERALL
HEALTH AND DEVELOPMENT.
T
Because children spend most of their day
at school, improving the school environment
– such as the school tuckshop or canteen
– encourages healthy habits and can lay a
foundation for lifelong practices of healthier
eating, thus promoting good health during
the adult years.
The HSF Tuck Shop Programme is free and
helps schools offer healthier food options to
their learners. Schools are guided through
the process of adapting their existing food
offerings in a manner that is cost-effective
and practical. Registered schools also
receive regular updates through the newsletter, Break Time, which offers further tips
and information for teachers, parents and
learners.
Natinally, there are currently 14 schools
registered on the programme.
6. Restaurant Programme
T
he Restaurant Programme is a health
promotion tool designed to encourage
restaurants to provide healthy food options that are lower in fat, cholesterol, salt
and, where applicable, high in fibre. Its
uniqueness lies in the fact that it provides
those who want to eat healthily a means
of doing so, even when eating away from
home. Currently, three restaurants are on
board.
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7. Health screenings and talks
33 talks to 2,076
people
PROMOTIONAL
DISPLAYS
PORT ELIZABETH DURBAN
5 talks to 365
people
BLOEMFONTEIN TOTAL
41 talks to
4,852 people
7,293 people
12 displays
reaching
3,310 people
8 displays
reaching
2,440 people
20 displays
BLOOD PRESSURE
SCREENINGS
527 people
1,563 people
2,090 people
FULL SCREENINGS
3,051 people
950 people
1,037 people
1,688 people
278 people
7,004 people
In comparison to the previous year (April 2012 – March 2013):
CAPE TOWN
HEALTH TALKS
14 talks to
1,195 people
PROMOTIONAL
DISPLAYS
6 displays
reaching
1,000 people
BLOOD PRESSURE
SCREENINGS
36 people
FULL SCREENINGS
3,736 people
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GAUTENG
PORT ELIZABETH DURBAN
13 talks to
315 people
H
2013 and 2014 health promotion activities (number of
people reached)
10,000
BLOEMFONTEIN TOTAL
64 talks to
3,713 people
5,223 people
17 displays
13 displays
113 people
1,180 people
1,329 people
1,940 people 975 people
2,542 people
9,193 people
8,000
6,000
4,000
2,000
0
2013
2014
Full screeings
HEALTH TALKS
GAUTENG
Health talks
CAPE TOWN
igh blood pressure, ‘bad’ cholesterol,
high body mass index (BMI )and high
blood sugar levels are risk factors for
heart disease or stroke, and early detection
is essential to help reduce this risk. The HSF
encourages all South Africans to ‘know their
numbers’. However, these tests are often
inaccessible to less advantaged people and
communities who face cost and time barriers.
Our free service makes screening accessible
in such communities.
Blood pressure screenings
The screenings below include Heart Awareness Month and Stroke Week screenings, and
were conducted thoughout the year (April 2013 – March 2014):
OBJECTIVE 2
The HSF offered free community health
screenings and tested blood pressure,
cholesterol, blood glucose and BMI.
People screened
Durban – 919
Cape Town – 1,184
8. Stroke Week
S
troke Week is the HSF’s annual campaign focusing on raising awareness around preventable strokes. The HSF successfully lobbied the Department of Health to allocate an entire
week for stroke awareness, based on the significant burden of stroke in South Africa.
Stroke Week runs from from 28 October to 3 November and Global World Stroke Day is
celebrated on 29 October 2014.
Our main objectives were:
• To create awareness and educate the public about preventable stroke
• To encourage South Africans to have their blood pressure checked,
considering hypertension is a key risk factor for stroke
• Partner with national stroke support groups to reach more people
Port Elizabeth – 203
Special points of interest
• Total free media coverage
received to the value of
R1,651,730.65
• Established database
of 106 stroke support
groups nationwide
• Screened 2,306 people
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9. Rheumatic Heart
Disease Week
F
or Rheumatic Heart Disease Week
(4–10 August 2013), we called attention to the forgotten killer and
highlighted the unnecessary and preventable deaths and suffering affecting
mainly our country’s poorest communities. We distributed a press release to
the media; this helped us receive media
coverage and interviews on over 10 different media platforms.
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10. Salt Awareness Week
11. World Hypertension Day
or Salt Awareness Week (10–16 March)
we used our various channels to educate
South Africans on the dangers of eating
too much salt and to announce the launch
of Salt Watch. We disseminated a press
release to the media; this helped us receive
media coverage and interviews in over five
newspapers, 11 online publications and on
10 radio stations.
orld Hypertension Day falls on 17
May and this year we marked the
date by making South Africans
aware of the dangers of having high blood
pressure. By distributing a press release
to the media, we were able to secure media coverage and interviews on over 12
different media platforms.
F
W
OBJECTIVE 2
12. World No Tobacco Day
13. National Nutrition Week
The call of the Foundation
and health promoters
around the world on
No Tobacco Day (31
May) was to ban
tobacco advertising,
promotion and
sponsorship in all its
forms. We disseminated a
press release to the media;
this helped us receive
media coverage
and interviews
on over seven
different media
platforms.
Great Gatsby Challenge
I
n partnership with Pharma Dynamics and Heleen Meyer, author of Cooking from the Heart
recipe book, the HSF took up the challenge to make over the traditional Gatsby. The hearthealthier version of the Gatsby was launched to the public at an event held at the V&A
Waterfront during National Nutrition Week 2013 (9–15 October). With some modifications,
we were able to create a delicious Gatsby that is lower in total fat, unhealthy saturated fat
and salt, and higher in fibre, making it a better choice for the heart.
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14. Dress Red
14.1. Dress Red Day
Dress Red coincided with Valentine’s Day
on 14 February. We encouraged South
Africans to dress in red and help us raise
funds to fight CVD in women and children.
The HSF sold stickers at R5 each to raise
funds, which were used in a competition for
a chance of winning a Frédérique Constant
‘Hearts of Children’ watch to the value of
R20,000.00. Once again, Dress Red was
well received and South Africans joined in
the fun of dressing in red and sending us
pictures.
160 companies took part
in Dress Red and we
received a total of
3,089 entries for the
competition.
22
Top: Group prize winners, Psi Tau Omega Chapter, Alpha Kappa
Alpha Sorority Inc.
Left: Individual prize winner, Taryn Flanagan
14.2. Pillow Fight
GoodHope FM hosted
a special Valentine’s Day
‘Feel the love pillow
fight’ which took
place on the Sea Point
Promenade, Cape Town,
on 14 February. The HSF
joined in the fun and
all funds raised were
donated towards the HSF.
A total of R8,473.15
was raised.
OBJECTIVE 2
T
he HSF Durban branch participated
in the Pavilion Shopping Centre’s Valentine’s Day promotion called ‘Unlock
your heart’s desires’. Shoppers were encouraged to pledge R30 for a lock which was
attached to wire hearts at kiosks situated
throughout the centre. Dress Red stickers
were sold for HSF fundraising. A number
of celebrities gave their time and support
to the campaign by making special guest
appearances.
The Sharks rugby team signed autographs
and had photographs taken with shoppers.
Lisa Raleigh (HSF Ambassador and lifestyle
and wellness expert) and Abi Ray (East
Coast Radio DJ) made an appearance,
and on Dress Red day Lloyd Cele (musician and Idols season six runner-up)
wooed the crowds with songs,
photographs and autographs.
14.3. Pavilion Goes Red
23
How do I quit?
At those times when you usually smoke, plan a substitute activity
Stay
motivated – the first few days are the toughest
Avoid other smokers and smoke-filled
environments
Find support. Refer to a smoke-quitting association, support group or
medical support
Consider using medical quitting aids such as nicotine patches, sprays,
gums and medication.
Blood Pressure
16. Brochures
O
It’s never too late to benefit from quitting.
After quitting, many effects are reversible.
Tips for weight loss
Being overweight or obese puts you at higher risk for health problems, including heart disease, stroke, high blood
pressure,
diabetes,
certain cancers,
The target
values
are:
gallstones and degenerative joint disease.
Lipid Levels
mmol/l
Obesity is caused mainly by taking
more calories (energy) in the diet<than
Total in
cholesterol
5.0
are used up in exercise and daily activities. The westernised lifestyle promotes
LDL cholesterol
< 3.0
overweight and obese states. We are less active and eat more unhealthy
HDLand
cholesterol
> 1.2
foods, especially processed foods
take-outs.(women)
Know your
numbers:
15. Heart and Stroke Health Line
0860 1 HEART
(43278)
ObesityCholesterol continued.
HDL cholesterol (men)
How do you know if you are overweight or obese?
> 1.0
Diabetes
Living
a
healthy lifestyle
Set a reasonable and realistic goal for weight loss (see a registered dietician if you need
more help)
EatHigh
slowly
and enjoy
your (hypertension)
food
Eat lessis by
reducing
portionkiller’ as there are
blood
pressure
known
as your
the ‘silent
rarely
symptoms
or eating
visiblewhen
signsyou
warning
you that
blood
sizes and use a smaller
plate
Avoid
are not hungry
andyour
eating
out ofpressure is high.
Some people
know meals
they have
until
they have trouble
boredom or frustration
Stick tomay
threenot
balanced
a day hypertension
and have healthy
snacks
with their heart, brain or kidneys. High blood pressure increases your risk of
such as fruit or veggie
sticks in between if you’re really hungry
Drink lots of water
having a stroke.
every day
Make sure that your starchy foods are high fibre or are wholegrain, as
South Africans between the ages of 15 and 64 years suffers
these will keep youAbout
feelingone
fullerinforfour
longer
Choose lower fat foods (preferably fat
from high blood pressure. It is one of the leading causes of heart attacks,
free) daily to help reduce
total energy
Cook usingdeath.
low fat methods (e.g. baking,
strokes,your
kidney
failure intake.
and premature
boiling or grilling) and avoid adding unnecessary oils and fats to your food
It is very
What
is high
blood
pressure?
important to increase
your level
of physical
activity.
How does diabetes affect the heart?
Heart disease and stroke are the leading causes of death in diabetics. The
constant high blood sugar causes narrowing of the arteries, increased blood
triglycerides (a type of fat), decreased levels of HDL (‘good’) cholesterol, high
blood pressure and heart attack. Diabetics are also more prone to the development of atherosclerosis and blood clot formation.
ur free brochures provide
informaOur children are already at risk:
tion on CVD, risk factors and advice
on healthy lifestyles. This year we
distributed 22,300 brochures via our free
community health screenings, public health
The Heart and Stroke Health Line contalks and other events that we were involved
tinues to provide support to all South
in, SAboth private and public.
Africans via a helpline. This financial
The Heart and Stroke Foundation
offers FREE blood pressure screenings.
September is Heart Awareness
www.heartfoundation.co.za or
year we received 351 Health Line Visit
calls
Month, with World Heart Day
call 021 403 6450 for details.
celebrated globally in September
every year.
and email queries.
Stress
Stress has been linked to an increased risk for heart disease. While we can’t
always escape stress, managing stress effectively is important for a healthy
lifestyle. Often, we reach for unhealthy foods and snacks, skip our exercise,
drink alcohol excessively and turn to smoking to help us deal with stress – all
major risk factors for CVD!
Here are some tips to help you to cope with stress better:
Write down your troubles and share them with trusted friends or family
Practise good time management, and plan ahead of time
Accept that you can’t control everything, and relax about the things you cannot change
Prioritise! Only do the most important things, and don’t stress about the things that
don’t really matter
Learn to say “no” if your to-do list is too long
Give up on the bad habits – too much alcohol, smoking or caffeine can actually
increase your stress levels
Exercise! Go for a walk or pound it out in the gym
Get enough sleep, which for most people is about seven to eight hours a night
Take time to do something you enjoy.
Triglycerides
< 1.7
Weight status can be assessed using various measures including body mass
index (BMI) or waist
NB!circumference.
People who are at high risk for cardiovascular
events
will
have
individualised
as advised
theirit doctor or
Body Mass Index
(BMI):
To measure
BMI, taketargets
your weight
(in kg) andby
divide
2
specialist.
includes people
who have/had:
= weight/(height)
.
by your height (in
m2) i.e. BMIThis
Coronary
disease,
heart
attack, stroke, peripheral vascular disease
The following table will
help artery
determine
your
BMI:
Table 1: BMI Classification
Diabetes
What you should know about
Cardiovascular Disease
Diabetes mellitus is an abnormally high blood glucose (sugar) level caused by
the inability of the body to either produce or respond to insulin properly. Insulin
is a hormone necessary to carry glucose from the bloodstream into the cells
where it is used for energy.
Blood pressure is the pressure of the blood in arteries that is needed to keep
blood flowing through the body.
Smoking causes damage to blood vessels and therefore diabetic smokers are
at higher risk. Additionally, when there is damage to the nervous system, the
signals that should be sent to the brain to regulate heart rate and blood pressure may become blocked. Symptoms of a heart attack may be vague and
ignored or passed off as indigestion.
A blood pressure measurement is made up of two parts: systolic and diasThe westernised tolic.
lifestyle
has many
negative
children,
Systolic
pressure
(SBP)effects
occurson
during
heartincluding
contraction and diastolic
inactivity. Children
may prefer
watchthe
television,
computer
games
or surfbeats. This is
pressure
(DBP) to
during
period ofplay
heart
relaxation
between
the Internet ratherwhy
thana play
outside orisparticipate
but it ‘over’
is important
to for example,
measurement
expressedinassports,
one figure
another,
encourage them140/90
to keep moving.
mm Hg (SBP/DBP).
What are the symptoms of diabetes?
Familial
hypercholesterolaemia (inherited high cholesterol)
Classification
Children are tempted to eat junk or fast foods but these foods are high in ‘bad’
A guide to blood pressure levels:
Constant thirst
fats (particularly saturated and trans fats), salt and sugar, and low in fibre and
cholesterol?
micronutrients. Limit your children’s access to these foods to reduce their risk of
Unexplained weight loss
Normal (healthy)
SA (HSF)?
Normal
120/80
to 129/84
The most common cause of high cholesterol is too much saturated and trans
obesity, cardiovascular
disease and <diabetes
later
in life.
What is the Heart and Stroke Foundation
Have your blood
Overweight
fats in the
diet. Other causes include underactive thyroid, chronic kidney failure
Urinating more than usual
High sure
Normal
130/85a to
139/89
It is important to make
that you provide
healthy
environment for your kids
or alcohol abuse. Some people have naturally high blood cholesterol levels,
pressure
checked Vision Numbness/tinglinginfingertipsandtoes
30 or more
Obese
to
grow
into
healthy
adults.
You
can
do
this
by
packing
healthy
lunch
boxes,
Hypertension
due to a hereditary condition called familial hypercholesterolaemia (FH).
ensuring that your child’s school provides healthy foods at tuck shopsonce
and a year (more
die
or
suffer
Some people (e.g.
body
builders)
may
have
a
high
BMI
score
but
very
little
–
mild
140/90
to
159/99
Blurred
vision/visual
disturbances
Africans
South
If one family member is diagnosed with FH, it is vitally important that all teaching
memyour children about healthy foods.
often if there is a To see fewer
body fat. For these
a waist
circumference
skinfold
thick-if they have FH.
and blood vessel
berspeople,
of the family
have
a full fastingmeasure,
lipograma done
to test
– moderate
160/100 to 179/109
from preventable
Skin infectionheart
due to slow wound healing
ness or other more direct methods of measuring body fat may be more useful
history)!
Healthy habits from a young age
stroke.
disease, and
– severe
>180/110
measures.
How often should cholesterol be tested?
Constant tiredness
The signs of CVD can start in children as young as two years of age. Protect
If
your
cholesterol
levels
are
normal,
you
only
need
to
test
them
again
in
a
few
What
high blood
pressure
your children from
future harm
diseasedoes
by encouraging
healthy
habits at do?
an early
Waist circumference
Mission Increased hunger
years. But if your LDL (‘bad’) cholesterol is high or you have a family history
age.ofTeach them to love healthy foods and enjoy sports and physical activities.
An uncontrolled high blood pressure can lead to a heart attack, heart failure,
Waist circumference
the measurement
natural
waist every
(just above
high is
cholesterol
or heart around
disease,your
have
it checked
six months, or accordSymptoms vary from individual to to
and elderly people may not
You will make it much easier for them later in life.
adopt
South Africans individual
To get more
stroke, kidney failure and damage to eyesight (glaucoma, blindness).
the belly button).ing
It can
alsodoctor’s
be usedinstructions.
to determine
diseasedon’t
risk. need
A waist
to your
Children
to have their levels tested
present any symptoms.
circumference ofunless
more they
than have
80cma for
women
and 94cm for men indicates an
healthy lifestyles through raising awareness,
family
history.
Heart MarkTake all blood pressure medication exactly as prescribed. Don’t stop or change
How and
is it diagnosed?
increased risk.
research.
education
it unless advised to do so by your doctor.
How can cholesterol levels be lowered?
The Heart Mark makes it easier for shoppers to choose
A doctor needs to do a formal test to diagnose diabetes. You are required
Reducing your risk:
healthier products on the supermarket shelf and on the menu
Diet, physical activity and lifestyle changes are critical. Depending on your risk
to fast for eight hours and a blood sample is taken to test the glucose level.
when eating out. Products that carry the Heart Mark logo can
If you’re overweight
or obese,
you can reduce
your risk
successfullymedication
losing
profile,
your healthcare
professional
maybyrecommend
as well.
Normal random blood glucose level is between 4 and 7.8 mmol/l.
be trusted to be the healthier choice because they:
weight and keeping it off.
BMI (kg/m2)
Less than 18.5WhatUnderweight
causes high
18.5–24.9
25–29.9
can be
80% of cardiovascular disease
.
prevented by lifestyle changes
refers to any
Cardiovascular disease (CVD)
vessels. The
blood
and
heart
disease of the
disease, strokes,
most common are heart
failure.
heart attacks and heart
ble cause of
CVD is the leading preventa
death worldwide.
The development of CVD
starts in childhood.
The Heart and Stroke Foundation SA offers FREE Have been thoroughly tested by an independent accredited laboratory
blood pressure screenings.
Meet stringent nutritional criteria for fats, sodium, cholesterol, added sugars and
Visit www.heartfoundation.co.za or call our fibre (where applicable)
Heart and Stroke Health Line on
Are spot-checked to make sure they meet criteria
0860 1 HEART (0860 1 43278).
HSF health promoters were trained in
the motivational interviewing technique
which is recognised to encourage behaviour change. The interviewing techniques help people take responsibility for
their own health, and equip them with
practical guidelines to effectively change
behaviour. The service is offered in four
languages (English, Afrikaans, Xhosa
and Zulu), allowing us to communicate
with most South Africans.
7
6
Can be used as part of the HSF’s eating plan
Number of brochures
distributed BY REGION
Western Cape 8,500
300
Port Elizabeth 3,000
Gauteng
1,500
Kwa-Zulu Natal 9,000
Bloemfontein
7
8
How do I quit?
At those times when you usually smoke, plan a substitute activity
Stay
motivated – the first few days are the toughest
Avoid other smokers and smoke-filled
environments
Find support. Refer to a smoke-quitting association, support group or
medical support
Consider using medical quitting aids such as nicotine patches, sprays,
gums and medication.
It’s never too late to benefit from quitting.
After quitting, many effects are reversible.
Obesity
Tips for weight loss
Being overweight or obese puts you at higher risk for health problems, including heart disease, stroke, high blood pressure, diabetes, certain cancers,
gallstones and degenerative joint disease.
Obesity is caused mainly by taking in more calories (energy) in the diet than
are used up in exercise and daily activities. The westernised lifestyle promotes
overweight and obese states. We are less active and eat more unhealthy
foods, especially processed foods and take-outs.
How do you know if you are overweight or obese?
Stress
Stress has been linked to an increased risk for heart disease. While we can’t
always escape stress, managing stress effectively is important for a healthy
lifestyle. Often, we reach for unhealthy foods and snacks, skip our exercise,
drink alcohol excessively and turn to smoking to help us deal with stress – all
major risk factors for CVD!
Here are some tips to help you to cope with stress better:
Weight status can be assessed using various measures including body mass
index (BMI) or waist circumference.
Body Mass Index (BMI): To measure BMI, take your weight (in kg) and divide it
by your height (in m2) i.e. BMI = weight/(height)2.
The following table will help determine your BMI:
Table 1: BMI Classification
BMI (kg/m2)
Write down your troubles and share them with trusted friends or family
Practise good time management, and plan ahead of time
Accept that you can’t control everything, and relax about the things you cannot change
Prioritise! Only do the most important things, and don’t stress about the things that
don’t really matter
Learn to say “no” if your to-do list is too long
Give up on the bad habits – too much alcohol, smoking or caffeine can actually
increase your stress levels
Classification
Less than 18.5
Underweight
18.5–24.9
Normal (healthy)
25–29.9
Overweight
30 or more
Obese
Exercise! Go for a walk or pound it out in the gym
Waist circumference
Waist circumference is the measurement around your natural waist (just above
the belly button). It can also be used to determine disease risk. A waist
circumference of more than 80cm for women and 94cm for men indicates an
increased risk.
Take time to do something you enjoy.
The Heart and Stroke Foundation SA
offers FREE blood pressure screenings.
Visit www.heartfoundation.co.za or
call 021 403 6450 for details.
Reducing your risk:
If you’re overweight or obese, you can reduce your risk by successfully losing
weight and keeping it off.
Living a
healthy lifestyle
Our children are already at risk:
The westernised lifestyle has many negative effects on children, including
inactivity. Children may prefer to watch television, play computer games or surf
the Internet rather than play outside or participate in sports, but it is important to
encourage them to keep moving.
It is important to make sure that you provide a healthy environment for your kids
to grow into healthy adults. You can do this by packing healthy lunch boxes,
ensuring that your child’s school provides healthy foods at tuck shops and
teaching your children about healthy foods.
Healthy habits from a young age
The signs of CVD can start in children as young as two years of age. Protect
your children from future disease by encouraging healthy habits at an early
age. Teach them to love healthy foods and enjoy sports and physical activities.
You will make it much easier for them later in life.
Heart Mark
The Heart Mark makes it easier for shoppers to choose
healthier products on the supermarket shelf and on the menu
when eating out. Products that carry the Heart Mark logo can
be trusted to be the healthier choice because they:
What is the Heart and Stroke Foundation
SA (HSF)?
Vision
or die
To see fewer South Africans suffer vessel
from preventable heart and blood
disease, and stroke.
Mission
To get more South Africans to adopt
healthy lifestyles through raising awareness,
education and research.
Have been thoroughly tested by an independent accredited laboratory
Meet stringent nutritional criteria for fats, sodium, cholesterol, added sugars and
fibre (where applicable)
Are spot-checked to make sure they meet criteria
6
Cholesterol continued.
The target values are:
Lipid Levels
mmol/l
Total cholesterol
< 5.0
LDL cholesterol
< 3.0
HDL cholesterol (women)
> 1.2
HDL cholesterol (men)
> 1.0
Triglycerides
< 1.7
7
Diabetes
High blood pressure (hypertension) is known as the ‘silent killer’ as there are
rarely symptoms or visible signs warning you that your blood pressure is high.
Some people may not know they have hypertension until they have trouble
with their heart, brain or kidneys. High blood pressure increases your risk of
having a stroke.
Diabetes mellitus is an abnormally high blood glucose (sugar) level caused by
the inability of the body to either produce or respond to insulin properly. Insulin
is a hormone necessary to carry glucose from the bloodstream into the cells
where it is used for energy.
What is high blood pressure?
NB! People who are at high risk for cardiovascular events
will have individualised targets as advised by their doctor or
specialist. This includes people who have/had:
Coronary artery disease, heart attack, stroke, peripheral vascular disease
Diabetes
Familial hypercholesterolaemia (inherited high cholesterol)
Blood pressure is the pressure of the blood in arteries that is needed to keep
blood flowing through the body.
A blood pressure measurement is made up of two parts: systolic and diastolic. Systolic pressure (SBP) occurs during heart contraction and diastolic
pressure (DBP) during the period of heart relaxation between beats. This is
why a measurement is expressed as one figure ‘over’ another, for example,
140/90 mm Hg (SBP/DBP).
A guide to blood pressure levels:
What causes high cholesterol?
The most common cause of high cholesterol is too much saturated and trans
fats in the diet. Other causes include underactive thyroid, chronic kidney failure
or alcohol abuse. Some people have naturally high blood cholesterol levels,
due to a hereditary condition called familial hypercholesterolaemia (FH).
Normal
< 120/80 to 129/84
High Normal
130/85 to 139/89
Hypertension
If one family member is diagnosed with FH, it is vitally important that all members of the family have a full fasting lipogram done to test if they have FH.
– mild
– moderate
160/100 to 179/109
How often should cholesterol be tested?
– severe
>180/110
How can cholesterol levels be lowered?
140/90 to 159/99
6
What you should know about
Cardiovascular Disease
How does diabetes affect the heart?
Heart disease and stroke are the leading causes of death in diabetics. The
constant high blood sugar causes narrowing of the arteries, increased blood
triglycerides (a type of fat), decreased levels of HDL (‘good’) cholesterol, high
blood pressure and heart attack. Diabetics are also more prone to the development of atherosclerosis and blood clot formation.
Smoking causes damage to blood vessels and therefore diabetic smokers are
at higher risk. Additionally, when there is damage to the nervous system, the
signals that should be sent to the brain to regulate heart rate and blood pressure may become blocked. Symptoms of a heart attack may be vague and
ignored or passed off as indigestion.
What are the symptoms of diabetes?
Constant thirst
Unexplained weight loss
Have your blood
pressure checked
once a year (more
often if there is a
history)!
What harm does high blood pressure do?
Urinating more than usual
Numbness/tinglinginfingertipsandtoes
Blurred vision/visual disturbances
Skin infection due to slow wound healing
Constant tiredness
Increased hunger
An uncontrolled high blood pressure can lead to a heart attack, heart failure,
stroke, kidney failure and damage to eyesight (glaucoma, blindness).
Take all blood pressure medication exactly as prescribed. Don’t stop or change
it unless advised to do so by your doctor.
Symptoms vary from individual to individual and elderly people may not
present any symptoms.
How is it diagnosed?
A doctor needs to do a formal test to diagnose diabetes. You are required
to fast for eight hours and a blood sample is taken to test the glucose level.
Normal random blood glucose level is between 4 and 7.8 mmol/l.
Diet, physical activity and lifestyle changes are critical. Depending on your risk
profile, your healthcare professional may recommend medication as well.
The Heart and Stroke Foundation SA offers FREE
blood pressure screenings.
Visit www.heartfoundation.co.za or call our
Heart and Stroke Health Line on
0860 1 HEART (0860 1 43278).
Can be used as part of the HSF’s eating plan
Blood Pressure
About one in four South Africans between the ages of 15 and 64 years suffers
from high blood pressure. It is one of the leading causes of heart attacks,
strokes, kidney failure and premature death.
If your cholesterol levels are normal, you only need to test them again in a few
years. But if your LDL (‘bad’) cholesterol is high or you have a family history of
high cholesterol or heart disease, have it checked every six months, or according to your doctor’s instructions. Children don’t need to have their levels tested
unless they have a family history.
24
Set a reasonable and realistic goal for weight loss (see a registered dietician if you need
more help)
Eat slowly and enjoy your food
Eat less by reducing your portion
sizes and use a smaller plate
Avoid eating when you are not hungry and eating out of
boredom or frustration
Stick to three balanced meals a day and have healthy snacks
such as fruit or veggie sticks in between if you’re really hungry
Drink lots of water
every day
Make sure that your starchy foods are high fibre or are wholegrain, as
these will keep you feeling fuller for longer
Choose lower fat foods (preferably fat
free) daily to help reduce your total energy intake. Cook using low fat methods (e.g. baking,
boiling or grilling) and avoid adding unnecessary oils and fats to your food
It is very
important to increase your level of physical activity.
Children are tempted to eat junk or fast foods but these foods are high in ‘bad’
fats (particularly saturated and trans fats), salt and sugar, and low in fibre and
micronutrients. Limit your children’s access to these foods to reduce their risk of
obesity, cardiovascular disease and diabetes later in life.
Some people (e.g. body builders) may have a high BMI score but very little
body fat. For these people, a waist circumference measure, a skinfold thickness or other more direct methods of measuring body fat may be more useful
measures.
Get enough sleep, which for most people is about seven to eight hours a night
Know your
numbers:
6
September is Heart Awareness
Month, with World Heart Day
celebrated globally in September
every year.
7
8
can be
80% of cardiovascular disease
prevented by lifestyle changes.
refers to any
Cardiovascular disease (CVD)
blood vessels. The
disease of the heart and
disease, strokes,
most common are heart
failure.
heart attacks and heart
cause of
CVD is the leading preventable
death worldwide.
The development of CVD
starts in childhood.
OBJECTIVE 2
17.2. CVD Updates
This monthly newsletter is distributed to 140
health care professionals, professional bodies, researchers, universities and organisations involved in public health. It summarises
and provides links to the latest scientific
research, news, international standards and
best practices relating to cardiovascular
disease.
25 m Average advertising value
R30
20 m
25
15 m
20
10 m
15
105 m
5 m0
0
2013
2014
R26,846,794
R26,846,794
PR and Communications
coverage reached a
cumulative total of
206,077,639 readers,
listeners and viewers,
with an advertising
value equivalent (AVE)
of R26,846,793.84,
compared to 2013’s reach
of 183,999,855 and AVE
of R6,294,537.
R30 m Average advertising value
2013
2014
250 m Cumulative media reach
250
200 m Cumulative media reach
200
150 m
150
100 m
100
50 m
50 m0
0
2013
2013
2014
206,077,639
206,077,639
The monthly Heart Zone newsletter is distributed to approximately 10,000 recipients.
It covers heart-healthy topics, provides
practical tips to live a healthy lifestyle and
includes delicious heart-healthy recipes. In
addition, the South African Heart Association newsletter carries our news to clinical
practitioners.
R6,294,537
R6,294,537
17.1. Heart Zone
18. PR and
Communications
183,999,855
183,999,855
17. Newsletter
2014
25
300,000
• 215 online items
• 219 interviews or mentions
on national, regional and
community radio stations
• 79 pieces in regional
newspapers
• 42 Pieces in trade magazines
• 22 Pieces on TV
• 7 Pieces in medical journals
26
Our Facebook page likes have grown
by 596%.
18.2. Social media
In March 2014 the HSF Facebook page
had 1,371 likes. There was an increase
of 1,174 likes from April 2013 to March
2014.
50,000
0
5
4
3
2
1
0
80
60
40
20
0
2013
2014
Page views
100,000
Unique visits
150,000
Average visit duration
• 30 pieces in national
newspapers
Traffic to the HSF website continues to
increase. Data indicates the recipe tab
as the most visited tab on the website,
so attention will be given to provide delicious, heart-healthy recipes. Attention will
also be given to increase the average
visit duration.
200,000
Percentage new visits
• 84 pieces in local and
community newspapers
18.3. Website
Visits
• 62 pieces of consumer
magazine coverage
250,000
Pages per visit
18.1. Media
OBJECTIVE 3
Support
research to
improve CVD
prevention and
patient care
1. Salt Watch Research Advisory Group
A ‘Salt Watch Research Advisory Group’ has been set up to guide
the research agenda of the Salt Watch campaign.
2. HSF Research Fund
We have allocated R1million towards establishing the HSF
research fund with the purpose of funding research to
better understand CVD in South Africa and to improve CVD
prevention and patient care.
27
Sponsors and Donors
T
hank you to our sponsors,
donors and ambassadors.
They say strength lies in
numbers and we couldn’t agree
more! A lot of the great work
that we do would not be possible without the support of our
sponsors, funders and ambassadors. A heartful thanks to
every one of you.
28
HSF Ambassadors
• Garden Court
Gareth Cliff
• Joekels Tea Packers
Lisa Raleigh
• Muggles
Campaign Ambassadors
• Omron
Platinum Sponsor
Mark Pilgrim
• Pavilion Shopping Centre
Willowton Group
Liezel van der Westhuizen
• Sasko
Kerishnie Naicker
• Southern Oil
Michael Mol
• Table Bay Hotel
Uyanda Mbuli
• Tokara
Lloyd Cele
• Weetbix
Robert Marawa
Donors
Sponsors
• Akacia Healthcare
• Akacia Medical
• Andre Ferreira
• Bokomo Oats
• British Telecommunications
• Clicks Pharmacy
•C
ity of Cape Town – Legal
Services Department
Gold Sponsors
Oceana Group
Spur
Tiger Brands
Unilever
• Frédérique Constant
• Colin Tyzack
• First National Bank
• Good Housekeeping
Magazine
• GoodHope FM
• Helen Binisch
• Herbert Charlie
• Minute Maid
• Mr. Muller
• Oasis Retirement Resort
• Pharma Dynamics
• Sister Leigh Sullivan
• Teleperformance
• The Carl and Emily Fuchs
Foundation
• The Daddy Govender Family
Charity Trust
• T he Diane Kaplan Charity
Trust
Scientific Advisory
Committee
Prof Krisela Steyn
MBChB, MSc, MD
• The Olive Purcell Trust
Dr Salie Abrahams PhD
• T sogo Sun KwaZulu Natal
(Pty) Ltd.
Mrs Shan Biesman-Simons
RD (SA) B.Sc. Post Graduate Diploma in
Therapeutic Dietetics
Prof Jimmy Volmink
BSc, MBChB (UC T), DC H (SA), MPH
(Harvard), DPhil (Oxon), MASSAf
• Unilever South Africa
• Valerie Luyckx
• Von Geusau
Board Members
Nanette Crouse (Chairperson)
Prof Krisela Steyn (Vice-chairperson)
Shân Biesman-Simons
Richard Cramer
Farouk Meyer
Dr Vash Mungal-Singh
Dr Liesl Zühlke
Dr Johan Brink
MBChB, FCS (SA) (Cardthor)
Prof Alan Bryer
CP (SA) FC Neurology (SA) M. Med
(Neurology) PhD
Dr Liesl Zühlke
MBChB, DC H, FC Paeds (SA), Cert Cardiology
(Paeds), MPH (Clinical Research)
Attorneys
Fairbridges Attorneys
Dr Tracy Kolbe-Alexander
MPH, PhD
B G Bowman Gilfillan
Dr Tom Mabin FESC FRCP
Accountants
Dr David Marais
Chemical Pathology, Clinical Laboratory
Science
Charl du Plessis CA (SA)
Incorporated
Dr Vash Mungal-Singh
MBChB, FFPath (Haematology), MBA
Auditors
Horwath Zeller Karro
29
organogram
Chief Executive Officer
Vash Mungal Singh
Administration
Fredeline Less
Science and Programme
Development Manager
Christelle Chrickmore
Commercial Manager
Gareth Morgan
Dietitian
Jessica Byrne
Heart Mark
Administrator
Renee Engel
Health Screening Manager
Amina Habib
Regional Manager
Dana Govender
Health Promotion Officer
Beauty Wright-Sipondo
Health Promotion Officer
Lynette Butlion
Health Promotion Officer
Yvonne Luvuno
30
Programme Director –
Projects
Ashleigh Kuttner
Accounts Officer
Rowda Alexander
PR and Communications
Officer
Samukelisiwe
Mabaso
Driver
Wilfred Spence
Cleaning Officer
Khululwa Qika
Projects and
Communications Assistant
Dawn Pretorius
Statement of financial position as at 31 March 2014
Figures in Rand
Audited 2014
Audited 2013
759,555
442,090
14,731,926
12,880,653
15,491,481
13,322,743
Financial report
Assets
Non-Current Assets
Property, plant and equipment
Other financial assets
Current Assets
Trade and other receivables
2,196,289
1,155,877
Cash and cash equivalents
2,350,503
2,704,397
Total Assets
4,546,792
3,860,274
20,038,273
17,183,017
Statement of comprehensive income
Equity and Liabilities
Figures in Rand
Equity
Revenue
6,601,713
3,746,510
Other income
8,654,387
6,756,602
(14,126,642)
(6,933,095)
1,129,458
3,570,017
96,196
264,112
1,797,513
719,795
Reserves
Retained income
12,500,041
11,059,908
7,335,212
5,752,312
19,835,253
16,812,220
Liabilities
Provisions
Total Equity and Liabilities
Operating profit
Investment revenue
Current Liabilities
Trade and other payables
Operating expenses
Fair value adjustments
47,935
238,484
Finance costs
155,085
132,313
Profit for the year
203,020
370,797
Other comprehensive income
20,038,273
17,183,017
Total comprehensive income for the year
Audited 2014
Audited 2013
(134)
(154)
3,023,033
4,553,770
–
–
3,023,033
4,553,770
31
Statement of changes in equity
Figures in Rand
Note 6. Capital reserves
Capital
Capital
revaluation preservation
Balance at 01 April 2012
205,070
8,782,083
Research
programs
Total
reserves
Retained
income
Total equity
–
8,987,153
3,271,297
12,258,450
Changes in equity
Total comprehensive income for the year
–
–
–
–
4,553,770
4,553,770
Transfer to capital reserves
–
1,046,940
1,025,815
2,072,755
(2,072,755)
–
–
1,046,940
1,025,815
2,072,755
2,481,015
4,553,770
205,070
9,829,023
1,025,815
11,059,908
5,752,312
16,812,220
3,023,033
Total changes
Balance at 01 April 2013
Changes in equity
Total comprehensive income for the year
–
–
–
–
3,023,033
Transfer to capital reserves
–
1,324,246
115,887
1,440,133
(1,440,133)
–
Total changes
–
1,324,246
115,867
1,440,133
1,582,900
3,023,033
205,070
11,153,269
1,141,702
12,500,041
7,335,212
19,835,253
Balance at 31 March 2014
Note(s)
32
6
The Heart Foundation does not generate
income through the services of the organisation and therefore is very careful in its financial management practices. The organisation operates on budgets funded primarily
by donations. The capital preservation and
research programme income have been
transferred to reserves in order to preserve
capital. The policy of the organisation is to
capitalise all income earned from investments underlying these reserves.
HELP US BUILD
A HEALTHIER
SOUTH AFRICA BY
DONATING TO
THE HEART
AND STROKE
FOUNDATION
Head Office: P O Box 15139, Vlaeberg, 8018
Heart and Stroke Health Line: 0860 1 HEART / 0860 1 43278
E-mail: [email protected]
Fundraising Number: 08 800 329 0004 NPO Number: 032-326-NPO
HeartStrokeSA
SAHeartStroke
www.heartfoundation.co.za
Bank: Nedbank,
Foreshore
Branch,
Account Number:
1083248251,
Branch Code:
108309