Heart and Stroke Foundation SA Annual Report 2013

ANNUAL REPORT 2013

HEART

AND STROKE FOUNDATION

SOUTH AFRICA

HEART

AND STROKE FOUNDATION

SOUTH AFRICA ANNUAL REPORT 2013

CEO’S REPORT diabetes, chronic lung diseases and mental health are the leading cause of premature deaths globally – with up to 80% caused by unhealthy lifestyles.

Dr Vash Mungal-Singh Our lifestyles are killing us!

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iseases of lifestyle will soon become our next epidemic if we do nothing to stem the tide. Fortunately, global health bodies like the World Health Organisation and even at the level of the United Nations, non-communicable diseases (NCDs) are recognised as a priority. The basket of NCDs which include cardiovascular disease (CVD), cancer, 2

South Africans are affected as well. With our rapid transition from traditional and community-based settings to urban and peri-urban areas, more of us are adopting unhealthy westernised lifestyles. As a result, our risk profile for disease and death at a young age has worsened. It is not surprising that the health of our young people is at risk in the face of this rising epidemic, which is driven by social, economic and cultural determinants.

This year, amidst the resurfacing of old debates on what constitutes a healthy diet, it was encouraging to find scientific, professional and healthcare bodies come together and agree on a common message based on sound scientific evidence advocated by global health bodies. The principles of healthy eating remain firm – get rid of the refined carbohydrates (which is hidden in most of the foods we buy!), added sugar is

bad, there are good fats and bad fats, and high salt intake increases blood pressure.

But it’s not all bad news. We are delighted that South Africa leads the world by becoming the first country to legislate salt reduction in certain foods. Our salt reduction initiative is a wonderful example of how government, the private sector, scientists and non-governmental organisations have partnered for the good of public health. Our activities in the coming years will focus on awareness and education programmes to reduce discretionary salt.

The 2012/2013 period saw many achievements and first time activities. We reviewed our vision and mission for greater clarity and relevance to current needs. Through the support of partners, sponsors and donors we were able to reach more South Africans.

However, our fight against heart disease and strokes in young people has only begun and through your continued support we aim to intensify our efforts to reach the majority of South Africans.

Chairperson’s Report

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am pleased to report on the performance of the Heart and Stroke Foundation for the year ended 31 March 2013. The Foundation has seen another successful year in achieving its objectives and helping make a difference to our beneficiaries – the South African public.

The organisation achieved this through showing resilience in tough economic times, operating within tight budgets and accounting meticulously for all funds raised and donations received.

With CVD now featuring as a priority on the global and national health agendas, and with our growing numbers of unhealthy young people, the Heart and Stroke Foundation faces its biggest challenge yet – to reach and educate more people within the country and support the government in its drive to halt CVD-related deaths and disabilities in young people.

In line with our goal to create a financial reserve to cover one year’s operational expenses, reserves amount to R9,987,153 (up from R8,987,153 in 2012) which now brings us much closer to our goal. Following the finalisation of the 2012/2013 audit, all accounts and audited financial statements are up to date, and the audit is being conducted annually. Unaudited financial figures indicate that the financial position has improved significantly with the total comprehensive income for 2013 being R4,553,769, which has doubled since 2012, excluding a bequest of R8,783,083. In addition, operating expenses decreased by 10.5%, which is in keeping with the last few years’ focus on controlling costs.

Further details of the Foundation’s financial performance are to be found in the annual audited financials for the year ended March 2013.

Nanette Crouse Board Members We started in 2010 with only three board members and now have seven. Board members include healthcare academics and business executives with vast experience who are able to support and steer the Foundation into a direction of growth and visibility throughout South Africa.

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Chairperson’s Report Activities • The Heart and Stroke Foundation has successfully repositioned itself to play a strong advocacy role in the country and has played a central role in influencing the legislation of salt reduction in certain foods in South Africa. Subsequent to this, the Foundation has been mandated by the Department of Health and Industry to run the national awareness campaign to change behaviour for salt reduction.

Other activities include contributing to the country’s strategy framework on noncommunicable diseases.

• The Foundation facilitated and conducted free health screenings for 10,496 people around South Africa, which is almost 133% more than the previous year.

• Cooking from the Heart, our new recipe book, is a first for South Africa, using favourite recipes while remaining budget friendly. The book created massive response and has been in great demand. Two hundred thousand free copies were distributed and the media response generated reached a total of 24,382,255 people.

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• An additional 126 products carry the Heart Mark, making healthier choices available to more people in South Africa.

• Children remain an important target audience; the Hearty DVD allowed us to reach them through the distribution of 210,000 free DVDs.

Prospects • A key strategic objective of the Foundation is to support research to improve CVD prevention and care. A new research fund, held in a reserve account, was allocated R1,000,000.

• The Board approved investing a proportion of the bequest in suitable property and offices for the Foundation.

• The Board continues to embrace the role of a special advisory committee, contributing to the vision and focus of the Heart and Stroke Foundation. Members include academics and practitioners.

• In addition to ongoing programmes, the Heart and Stroke Foundation will run South Africa’s salt reduction campaign as the national implementing partner of Salt Watch.

• A significant proportion of growth and income is expected through funding for the salt reduction campaign.

The Heart and Stroke Foundation has successfully utilised its resources to reach more people in South Africa and will continue to be actively involved in CVD prevention with all sectors.

I would like to thank our dedicated Heart and Stroke Foundation staff, fellow board members, advisory committee members, volunteers, partners and sponsors for helping us achieve so much in 2013.

WHO ARE WE?

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he 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.

Membership • World Heart Federation • African Heart Network • World Stroke Organisation • South African Heart Association • WASH (World Action on Salt and Health)

Our Vision To reduce the cardiovascular burden in South Africa

Our Mission To empower people in South Africa to adopt healthy lifestyles, make healthy choices easier, and seek appropriate care HEART AND STROKE FOUNDATION SOUTH AFRICA

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Our Objectives 1

Advocate for a health-enabling environment

2

Create awareness and provide evidence-based information for the benefit of the public and people affected by CVD

3

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, with up to 80% of these deaths being related to unhealthy lifestyles.

At least 80% of deaths in younger people can be avoided by following a healthy diet, regular physical activity, avoidance of tobacco use and no or moderate alcohol use.

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THE SOUTH AFRICAN CONTEXT

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on-communicable diseases (NCDs) are the leading cause of deaths globally, accounting for 63% of all deaths, and cardiovascular disease (CVD) contributes to more than half of these. CVD rates continue to increase in developing countries undergoing transition, as a result of urbanisation, increased longevity and lifestyle changes.

CVD does not discriminate and affects all cultural, demographic and economic groups in South Africa.

The profile of risk factors in South Africa is a cause for serious concern. The origin of CVD lies in childhood and risk factors are seen even in young people. Hypertension affects one in three adults 15 years or older, and nearly one in four people have high cholesterol levels.

Diabetes is also prevalent in about 10% of the population. Almost half of adult women and a quarter of adult men are physically inactive. Overweight and obesity continue to be a growing epidemic with up to 70% of our women being overweight or obese, and one in three men and about a quarter of all children being affected. Eating habits are changing towards the unhealthy ‘western’ diet and more people are eating unhealthy fast foods and processed foods. Processed foods are high in sugar, salt and refined carbohydrates. Our population is eating a diet too high in bad fats, salt and sugar, and not enough fruits and vegetables.

As a result, heart disease and strokes kill more young people in South Africa after HIV/AIDS.

South Africa is a country at risk for CVD, and the Heart and Stroke Foundation SA plays a critical role in reducing the massive burden of heart disease and stroke in our country.

HYPERTENSION affects 1 in 3 ADULTS 15 YEARS OR OLDER NEARLY 1 IN 4 PEOPLE HAVE HIGH CHOLESTEROL LEVELS DIABETES IS ALSO PREVALENT IN ABOUT 10% OF THE POPULATION OVERWEIGHT AND OBESITY CONTINUE TO BE A GROWING EPIDEMIC, AFFECTING NEARLY 2 IN 3 WOMEN, 1 IN 3 MEN AND ABOUT A QUARTER OF ALL CHILDREN

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ACTIVITIES Objective 1 Advocate for a health-enabling environment The objectives of SW are: a. To conduct a national awareness and education campaign to encourage behaviour modification around salt consumption through: ❤ Increasing awareness on the association between high salt consumption and its effects on health ❤ Encouraging and supporting behaviour modification to: • Use less discretionary salt • Choose lower salt products. b. To lobby key stakeholders for support and dissemination of messages, namely the catering industry, hospital groups, healthrelated training institutions, media, etc.

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01. ADVOCACY: Salt Reduction in South Africa

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ur efforts to reposition the HSF in playing a key advocacy role have come to fruition.

We are pleased to announce that further to our role as a stakeholder advocating for salt reduction, the Department of Health and the working group mandated the HSF to conduct South Africa’s awareness and public education programme.

The association of high salt intake on increasing blood pressure is well documented. South Africans consume between two to three times the daily recommendation of less than 5g salt per day. Our Minister of Health, Dr Aaron Motsoaledi, has been hailed for his proactive approach to reducing salt intake in South Africans through proposed regulations.

The Salt Watch campaign (SW), under the guidance of a multisectoral coalition, was created to drive national awareness and lobby stakeholders to support the initiative. SW, implemented via the HSF, is supported by the national Department of Health, and is a member of World Action on Salt and Health (WASH).

The SW coalition includes experts from North West University, Nutrition Society South Africa (NSSA), the Association of Dietetics South Africa (ADSA), the Consumer Goods Council South Africa (CGCSA), the Medical Research Council (MRC), and the University of Pretoria.

PROGRAMMES 02. Heart Mark Programme 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 and takes away the need to scrutinize food labels. The HM logo is only found on approved foods after laboratory testing at independent laboratories to ensure strict nutrient criteria are met. HM nutritional criteria are based on national and international nutrition guidelines advocated by nutrition experts bodies and the World Health Organisation. The criteria are lower salt/sodium, cholesterol, added sugars and saturated fats, and higher fibre. In line with the latest research HM nutritional criteria were reviewed and updated by nutrition experts from the Centre of Excellence for Nutrition at North West University.

Mystery audits are conducted annually to ensure nutritional criteria are met at all times.

PRODUCT RANGE Twenty-six products were added to the HM portfolio this year, giving consumers more choices for healthy eating. A total of 536 products now carry the HM logo.

FOOD INDUSTRY The HM platform encourages food manufacturers to produce or reformulate products with improved nutritional quality.

EVALUATIONS • Audit: We continue to audit HM approved products through independent testing.

• Consumer surveys were conducted by the University of Cape Town’s School of Management Studies and the Division of Human Nutrition. These provided valuable insights into consumer behaviour and knowledge around the HM. The striking result was that 89% of consumers surveyed were aware of the HM.

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30-SECOND VIDEO CLIPS, CREATED PRO BONO BY CAPE PENINSULA UNIVERSITY OF TECHNOLOGY STUDENTS, WERE UPLOADED TO SOCIAL MEDIA

FREE AIRTIME WAS SECURED ON DSTV AND E.TV TO THE VALUE OF

R9,131,000

THE HEART MARK COMMENCED A RADIO ADVERTISING CAMPAIGN ON KFM AND HIGHVELD IN MARCH 2013

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Activities THERE ARE CURRENTLY ELEVEN SCHOOLS NATIONALLY REGISTERED ON THE PROGRAMME

MARKETING AND ADVERTISING Activities undertaken include: ❤ Print media – featured in English and Afrikaans September editions of Good Housekeeping magazine ❤ Two 30-second video clips, created pro bono by Cape Peninsula University of Technology students were placed on • TV – DSTV and e.tv sponsored free airtime to the value of just over R9 million, featuring our HM advert in early 2013 • Social media ❤ Digital – e-newsletters and social media ❤ Radio – HM’s key advertising campaign began in March 2013 with advertisements on two main radio stations, KFM and Highveld ❤ The HSF negotiated on behalf of HM holders for a 50% discount on advertising in Your Family magazine HM NEWSLETTER The quarterly HM newsletter is distributed to all HM holders and clients, providing updates on the programme, HSF campaigns and industry and legal/regulatory news.

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03. Tuck Shop programme CVD has its origins in childhood, which means that risk factors for CVD develop in childhood when children are exposed to unhealthy habits. School tuck shops and canteens are often places where children easily access bad foods – high in fat, salt and sugar – which promote obesity and other risk factors for chronic diseases of lifestyle. As children spend most of their day at school, improving the school environment – such as the school tuck shop or canteen – encourages healthy habits and can lay a foundation for lifelong practices of healthier eating, thus promoting good health during the adult years.

BENEFITS Healthy diets are linked with improved cognitive performance, overall health and development, and can reduce the risk of childhood obesity and other chronic diseases of lifestyle.

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.

ACTIVITIES Objective 2 Create awareness and provide evidence-based information for the benefit of the public and people affected by CVD 01. Heart Awareness Month

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eptember was national Heart Awareness Month (HAM) – an entire month dedicated to creating awareness on the risks and prevention of CVD in South Africa. This culminated in the World Heart Day global initiative, celebrated on 29 September.

5FM’S ON-AIR HEART-AGE CHALLENGE HELPED US REACH 2.5 MILLION LISTENERS, and OVER 1,000 WEBSITE HITS A TOTAL OF 10,496 PEOPLE WERE SCREENED THROUGHOUT SOUTH AFRICA

HEALTH SCREENINGS In partnership with Pharma Dynamics and Mediclinic, free screenings were offered in four locations around the country (Gauteng, Cape Town, KwaZulu-Natal and Port Elizabeth), resulting in over 10,496 South Africans being screened for cholesterol, glucose and blood pressure. We also partnered with the Willowton Group, a member of our food endorsement programme, to carry out free screenings during their shopping mall expos, and with Mediclinic, which carried out free health screenings in their health centres around the country.

Screenings Cape Town Port Elizabeth Durban Mediclinic Willowton Group Total number of people screened

Full Screening 418 404 729 6,000 2,758 10,293

Blood Pressure 14 173

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Totals 432 577 729 6,000 2,758 10,496 HEART AND STROKE FOUNDATION SOUTH AFRICA

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ACTIVITIES Outcomes:

HSF collected South Africa’s favourite recipes which were adapted and tested by our dietitians and food consultant.

COOKING FROM THE HEART RECIPE BOOK Key sponsor: • Pharma Dynamics Research partners: • South African Medical Research Council • Chronic Diseases Initiative in Africa (UCT) Partners: • Heleen Meyer (food consultant) • Clicks pharmacies and clinics (distribution partner) OBJECTIVES: To create a recipe guide offering family-favourite recipes in a healthier yet tasty version, that are culturally acceptable, easy to make and affordable.

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To celebrate Heart Awareness Month and World Heart Day, 200,000 copies were distributed, free, countrywide through Clicks Pharmacy and other internal efforts.

Massive media coverage: Total listenership and readership reach of 24,382,255, worth R1,398,027.85 (Refer to Appendix #1 for detailed report).

The team hosted 37 cooking demos and talks with 1,975 attendees.

5FM RADIO HEALTH CHALLENGE

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he HSF ran a heart age health challenge between the two popular 5FM radio station teams, DJ Gareth Cliff and DJ Fresh, to create a powerful platform to help achieve HAM objectives. The competition was based on a comparison of the ‘heart age’ of each team, with the ‘younger’ heart age representing healthier hearts and therefore the healthier team. Heart age differs from chronological age and has the potential to present surprising results, particularly to those who perceive themselves as healthy and having healthy habits.

The health challenge was one of the highlights of HAM 2013, reaching some of the station’s 2.5 million listeners, with that day alone seeing over 1,000 website hits on the HSF website. The challenge was also featured on The Dr Mol Show on SABC3.

ACTIVITIES THINK RED LUNCHEON

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o round off the month, we partnered with Good Housekeeping magazine and Flora to host a glamorous Think Red luncheon at the five-star Table Bay Hotel in Cape Town. Guests were able to rub shoulders with celebrities like Liesel van der Westhuizen, Kerishnie Naiker and Celebrity Masterchef Sarel Loot, whilst being treated to a delicious three-course meal, panel discussions and cooking demonstrations. The event was so popular that the 150 tickets were sold out within the first week and Good Housekeeping closed the waiting list at 100 hopefuls. But most importantly, we were able to communicate our message that South African women need to take action against cardiovascular disease.

MENDED HEARTS

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his September we decided to focus on the recipe book by hosting cooking demonstrations in each region. Cape Town had a great turn out with Heleen Meyer, our food consultant, preparing three meals and discussing the book. In Port Elizabeth a cooking demo was held in the Victoria Tea House and Deli, followed by a three-course meal. Etienne Calitz from Bay FM was the master of ceremonies for the evening. Durban had a great turnout of 80 guests with Celebrity Masterchef Asha Maharaj leading the cooking demo assisted by chefs from Compass Group. Four recipes from the new recipe book were served to guests.

MEDIA COVERAGE IN TOTAL REACHED 24,382,255 (READERS, VIEWERS and LISTENERS) TO THE VALUE OF R1,398,027.85 37 COOKING DEMONSTRATIONS AND TALKS were ATTENDED BY 1,975 ATTENDEES

TELEVISION We had a strong TV presence with appearances on Morning Live on SABC, ETV news, the Dr Mol show and 7 de Laan

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ACTIVITIES 02. HEARTY DVD

2012

saw the distribution of our new educational DVD for children, Hearty’s Birthday Party. Hearty, our much-loved mascot, and his friends teach children heart-healthy habits in a fun and entertaining way, and the DVD features Hearty training with the Ajax Cape Town soccer team, and talking to soccer star Matthew Booth.

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 caregivers.

Thanks to our sponsors, Lucky Star, Helios and Caxton Magazines, we were able to distribute 130,000 free DVDs in Bona magazine in June 2012 and a further 80,000 in Your Family in November 2012

Jackie, from Cape Town

“Your recipe book has shown me that healthy options can really be delicious.”

Faith, from Cape Town

“The recipes are so easy to make. The first thing I made from the book, I already had all the ingredients in my kitchen cupboard.”

WEBSITE We launched our brand new and improved website on 1 September. With the combined media coverage we saw a massive spike in activity on our new website.

WEBSITE

VISITS 6,410

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UNIQUE VISITORS 5,635

AV. PAGES VISITED 6.13

AV. VISIT DURATION 05:36

ACTIVITIES 03. Health screenings and talks

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he HSF encourages all South Africans to ‘know their numbers’ by measuring blood pressure, cholesterol, blood glucose and body mass index (BMI). High blood pressure, ‘bad’ cholesterol, BMI and blood sugar levels can indicate a risk for heart disease or stroke, and early detection is essential to help reduce this risk. However, these tests are often inaccessible to poorer communities who face cost and time barriers. Our free service makes screening accessible to these communities by targeting commercial and community centres in disadvantaged areas.

The screenings below include Heart Awareness Month screenings, and were conducted throughout the year: 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

GAUTENG

1,940 people

PORT ELIZABETH

DURBAN

TOTAL

13 talks to 315 people

64 talks to 3,713 people

5,223 people

17 displays

23 displays

113 people

1,180 people

1,329 people

975 people

2,542 people

9,193 people

Thanks to funding from the National Lottery Fund we were able to reach over 9,000 people around South Africa

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ACTIVITIES Early detection is essential to help reduce the risk of a heart attack or stroke.

04. World Stroke Day NATIONAL RADIO COVERAGE ON NINE RADIO STATIONS. RADIO AND ONLINE COVERAGE REACHED 2,652,000 PEOPLE.

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he HSF ran a media awareness campaign for World Stroke Day, 29 October 2012, to educate the public to recognise the signs of a stroke timeously, thus avoiding permanent disability and/or death, which is likely if treatment is delayed. The media release was covered on nine radio stations nationally. The total reach of the radio and online coverage was 2,652,000 listeners and readers. Our Durban branch joined a local charity for a stroke awareness walk.

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05. Mended Hearts Support Group

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he Mended Hearts Support Group was established in Cape Town in 2006, in partnership with private hospital group Life Healthcare. Its goal is to provide a meeting place for people who have experienced a cardiovascular event, family members and friends, and members of the public who are interested in learning more about living with CVD. The monthly groups give educational support and advice to survivors, and are conducted in Cape Town, Port Elizabeth and Durban. Cape Town and Port Elizabeth ran 10 meetings each in the year, and Durban had five meetings. There are approximately 120 registered members.

06. Rheumatic Heart Disease Week

For Rheumatic Heart Disease Week from 5 to 11 August 2012, we used our channels to disseminate Professor Bongani Mayosi’s (UCT) call on health professionals and parents to remember the forgotten disease, and to be vigilant of a sore throat.

ACTIVITIES 07. Communications and PR

Media presence for the year totalled 558 items of print, online and broadcast media. These included: Media

• 90 PIECES OF CONSUMER MAGAZINE COVERAGE • 115 PIECES IN LOCAL AND COMMUNITY NEWSPAPERS • 11 PIECES IN NATIONAL NEWSPAPERS • 125 ONLINE ITEMS • 126 INTERVIEWS OR MENTIONS ON NATIONAL, REGIONAL AND COMMUNITY RADIO STATIONS • 55 PIECES IN REGIONAL NEWSPAPERS • 22 PIECES IN TRADE MAGAZINES • 14 PIECES OF TV

THE COVERAGE REACHED A TOTAL OF 183,999,855 READERS, LISTENERS AND VIEWERS, WITH AN ADVERTISING VALUE EQUIVALENT to R6,294,537 DURING THIS PERIOD, WE PUT OUT 17 NATIONAL MEDIA RELEASES AND SEVEN REGIONAL MEDIA RELEASES WHICH LED TO 45% OF MENTIONS IN THE MEDIA

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ACTIVITIES Social media

Website

In August 2012, the Foundation launched a new Facebook page and Twitter account.

By the end of March 2013, our Facebook page was reaching approximately 300 people per week.

The HSF launched its new website in time for Heart Awareness Month on 1 September 2012. The new website was very well received and we saw a massive spike in activity.

Between the launch in September 2012 through to March 2013 we had 21,394 unique visitors and 28,842 visits in total – on average 5,768 total visits per month (versus just over 3,000 visits per month to the old website).

METRIC

“The information given on the website was a wake-up call for me.

I went to check my fasting blood glucose, cholesterol, blood pressure and BMI in order to know if I am at risk of chronic diseases of lifestyle.

From now on, I exercise regularly and eat healthy. Thank you.”

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TOTAL FOR FINANCIAL YEAR

12,533

28,842

41,375

8,739

21,394

30,673

Page views

44,967

136,481

181,448

Pages/visit

3.59

4.73

4.16

00.05.06

00:04:38

4.72

Bounce rate

46.67%

36.18%

41.43%

Percentage new visits

66.49%

72.08%

69.29%

Visits

Boitumelo says:

OLD WEBSITE NEW WEBSITE (April – August 2012) (September 2012 – March 2013)

Unique visitors

Average visit duration

PUBLICITY/MEDIA 08. HEART AND STROKE HEALTH LINE

15,000 brochures were distributed free of charge

0860 1 HEART(43278) The Heart and Stroke Health Line service has been updated and expanded thanks to funding from the National Lottery. • Staff were trained to counsel callers using the motivational interviewing (MI) 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.

09. BROCHURES Our free brochures provide information on CVD, risk factors and advice on healthy lifestyles.

This year we distributed 15,000 brochures, including 5,000 brochures distributed in GP rooms in KwaZulu-Natal, Bloemfontein, East London, Port Elizabeth and Gauteng.

• The service is now offered in four languages (English, Afrikaans, Xhosa and Zulu), allowing us to reach the majority of South Africans.

10. NEWSLETTERS The monthly Heart Zone newsletter is distributed to approximately 10,000 recipients.

The SA Heart Association newsletter carries our news to clinical practitioners.

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RESEARCH Objective 3 Support research to improve CVD prevention and patient care THIS IS WHAT IT TAKES TO GET A HEART MARK

First, the product applies for endorsement.

Next, it is thoroughly tested by an independent, accredited lab.

02. Cooking from the Heart Recipe Book Research

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n developing the recipe book, the Heart and Stroke Foundation partnered with the Medical Research Council and Chronic Diseases Initiative in Africa (CDIA) from the University of Cape Town. This recipe book is part of a larger research project called Putting Prevention into Practice being undertaken by CDIA. The aim of this project is to produce and test a resource package for primary healthcare providers and community health workers, to enable them to offer brief behaviour-change counselling in a variety of settings.

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The laboratory results are then examined by a team of dietitians.

sodium and sugar are checked to see if nutritional criteria are met.

Now the product is ready to receive our stamp of approval.

But not before its packaging is assessed for nutritional accuracy according to our strict requirements.

It may seem excessive, but it means that every Heart Mark approved product is nutritionally sound.

Look out for the healthy choice you can trust.

01. Heart Mark Research Market research on the Heart Mark logo conducted by the University of Cape Town’s (UCT) School of Management Studies and UCT’s Division of Human Nutrition provided valuable insights into consumer knowledge about the logo and purchasing behaviour of Heart Mark approved foods. The exercise confirmed the high level of awareness of the logo. It helped profile consumers who chose the Heart Mark and also exposed opportunities for further public education.

The striking result was that 89% of consumers surveyed were aware of the HM.

SPONSORS & FUNDERS

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big thank you to our sponsors, funders and ambassadors. Without their support a lot of the great work that we do would not be possible. ❤ HSF AMBASSADORS

Gareth Cliff ❤ Campaign AMBASSADORS

❤ SPONSORS & FUNDERS Bowman Gilfillan Caxton & CTP publishers and printers Clicks Group Good Housekeeping Magazine Life Healthcare Group Medical Research Council National Lottery Distribution Trust Fund Omron

Liezel van der Westhuizen

Pharma Dynamics

Kerishnie Naicker

Rhodes Food Group

Michael Mol Uyanda Mbuli Lloyd Cele Robert Marawa

GOLD SPONSORS

Willowton Group – Platinum Sponsor Oceana Group – Gold Sponsor

IDS

Mark Pilgrim

❤ PLATINUM AND

Spur – Gold Sponsor Tiger Brands – Gold Sponsor

Roche Sappi Ltd Stellenbosch University UCT Faculty of Health Science division of Human Nutrition

Unilever – Gold Sponsor

UCT Marketing in School of Management Studies UCT Medical School of Public Health Unity Foods HEART AND STROKE FOUNDATION SOUTH AFRICA

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SPONSORS & FUNDERS â?¤ DONORS

Leo Ewers

Andrew Murray

Lisa Forshey

Aon South Africa (Pty) Ltd

Little Tew Charitable Trust

Brandhouse

Meerendal School

Daddy Govender Family Charity Trust

Momentum

Daniel Pienaar

Mount Partridge Rover Angling

Elru

Mrs K Balraj

Emerald

Ms Erster

First National Bank

Oceanside Trading

Gelderblom Trust

Pam Opperman

Graeme Reginald Hunter

Parkview Junior School

H & J Breakell

Penny Cole

Iris Keen

Pinehurst Primary School

Jan Still

Rene England

Jared Halliday

Ruwaida Buksh

Jean De Villiers, De Villiers Trust

St Cyprians Junior School

Jet Lee Will Trust

Suncoast Casino

Kevin Jacobs

The Carl and Emily Fuchs Foundation

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The Dora and William Oscar Heyne Charity Trust The Olive Purcell Charitable Trust The Olive Trust Theodor Pre-Primary School UCT Graduate School of Business Varsity College, Sandton

THE TEAM ❤ Board Members

Dr Tom Mabin FESC FRCP

Nanette Crouse (Chairperson)

Dr David Marais Chemical Pathology, Clinical Laboratory Science

Prof Krisela Steyn (Vice-chairperson)

Dr Vash Mungal-Singh MBChB, FFPath (Haematology), MBA

Shân Biesman-Simons

Prof Karen Sliwa-Hahnle MD, PhD, FESC, FACC

Richard Cramer

Prof Krisela Steyn MBCH13, MSc, MD

Farouk Meyer

Prof Jimmy Volmink BSc, MBChB (UCT), DCH (SA), MPH (Harvard), DPhil (Oxon), MASSAf

Dr Vash Mungal-Singh

Dr Liesl Zühlke MBChB, DCH, FC Paeds (SA), Cert Cardiology (Paeds), MPH (Clinical Research)

Dr Liesl Zühlke

❤ Attorneys

❤ Scientific Advisory Committee

Fairbridges Attorneys – Robert Humphries

Dr Salie Abrahams PhD

B G Bowman Gilfillan – Brandyn Lilley

Mrs Shan Biesman-Simons RD (SA) B.Sc. Post Graduate Diploma in Therapeutic Dietetics

❤ Accountants

Dr Johan Brink MBChB, FCS (SA) (Cardthor)

Charl du Plessis CA (SA) Incorporated

Prof Alan Bryer CP (SA) FC Neurology (SA) M. Med (Neurology) PhD

❤ Auditors

Dr Tracy Kolbe-Alexander MPH, PhD

A2A Kopano Incorporated – Ricardo Sardien

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Organogram VASH MUNGAL-SINGH CEO

ASHLEIGH KUTTNER PROGRAMME DIRECTOR: PROJECTS ROWDA ALEXANDER ACCOUNTS OFFICER

VICTORIA SHAND COMMUNICATIONS OFFICER

ERIKA KETTERER SCIENTIFIC AND PROGRAMME DEVELOPMENT MANAGER ANIKA BARNARD DIETITIAN

PATRICK ADAMSON PROGRAMME DIRECTOR: HR/IR

JESSICA BACON DIETITIAN

GARETH MORGAN COMMERCIAL MANAGER

RENEE ENGEL HEART MARK ADMINISTRATOR

HEALTH Promotions team DAWN PRETORIUS PROJECTS AND COMMUNICATIONS ASSISTANT

Amina Habib HEALTH screening manager Dana Govender Regional manager Beauty Wright-Sipondo HEALTH PROMOTION OFFICER Lynette Butlion OFFICE ADMINISTRATOR AND HEALTH PROMOTION OFFICER

FREDELINE LESS RECEPTIONIST AND PA TO CEO

MAYLEEN WILLIAMS SUPPORT SERVICES MANAGER

KHULULWA QIKA CLEANING ASSISTANT

WILFRED SPENCE DRIVER

Yvonne Luvuno HEALTH PROMOTION OFFICER

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HEART AND STROKE FOUNDATION SOUTH AFRICA

Help us build a healthier South Africa by donating to Heart Foundation Bank: Nedbank, Foreshore Branch, Account Number: 1083248251, Branch Code: 108309 Head Office: P O Box 15139, Vlaeberg, 8018 Heart and Stroke Health Line: 0860 1 HEART / 0860 1 43278 ❤ E-mail: heart@heartfoundation.co.za Website: www.heartfoundation.co.za ❤ Facebook: www.facebook.com/HeartStrokeSA

Twitter: twitter.com/SAHeartStroke

Fundraising Number: 08 800 329 0004 ❤ NPO Number: 032-326-NPO