Table 1.

Relevant government departments’ responsibilities towards the prevention and management of FASD

Relevant government departments	Responsibilities towards prevention of FASD	Responsibilities towards the management of FASD
Department of Health	– Estimate prevalence of FAS and FASD – Determine surveillance strategy for Alcohol-exposed pregnancy (AEP) – Screen for women at high risk for an AEP: binge drinking without using contraceptives – Implement strategies to prevent AEP in high-risk settings e.g. brief interventions at primary level – Create and disseminate educational materials on medical issues for FASD to the public and service providers – Training of service providers on medical issues for FASD	– Developmental screening and referral at birth and infancy. – Diagnosis, feeding support and parenting support in early childhood. – Contraception services for individuals with FASD – Mental health services for individuals with FASD
Department of Education	– Provide secondary and tertiary level education for adolescents and young women – Life skills training in secondary education – Create and disseminate educational materials on educational issues for FASDs to the public and service providers – Training of service providers on educational issues for FASD	– Provide crèches and pre-schools for individuals with FASD – Teacher and parent training on how to manage learning, language, and attention problems in individuals with FASD – Supportive educational environment for individuals with FASD – Classroom support for teachers – Development of specific learning interventions – Life skills training for individuals with FASD
Department of Social Development	– Support for women at high alcohol risk and their families. – Recreational activities to promote healthy life styles – Access to specialised alcohol rehabilitation services – Create and disseminate educational materials on social issues for FASD to the public and service providers – Training of service providers on social issues for FASD	– Access to social grants. – Family support against stigma and assistance with child management in the family. – Developing supportive home environment for women and individuals with FASD – Supportive community for individuals with FASD – Promoting independence among individuals with FASD
Department of Justice, Safety, and Security	– Enforcing liquor laws – Regulation of liquor industry – Legal protection for women and individuals with FASD – Create and disseminate educational materials on legal issues for FASD to the public and service providers – Training of service providers on legal issues for FASD	– Vulnerable to physical and sexual abuse and domestic violence – Better awareness by the police of FASD vulnerability e.g. recognition of disability in the legal process
Department of Labour	– Work-related skills training for Individuals with FASD – Employment opportunities for women – Create and disseminate public and provider educational materials on labour issue for FASD to the public and service providers –Training of service providers on labour issues for FASD	– Maternity leave for women to ensure early proper management for individuals with FASD – Efficient unemployment insurance fund (UIF) process – Alternative skills training for individual with FASD – Meaningful employment opportunities for individual with FASD (sheltered/menial work)