Paediatrics is more than just treating childhood illnesses—it’s about shaping the future by ensuring that every child has the best start in life. Dr. Sanelisiwe “Nellie” Balfour, a specialist paediatrician, is deeply committed to this mission. With a career spanning both public and private healthcare, she has dedicated herself to providing expert medical care while advocating for early childhood development, parental education, and the well-being of vulnerable children.
Early Dreams and the Calling to Medicine
Dr. Sanelisiwe “Nellie” Balfour didn’t always dream of becoming a doctor. In fact, she once imagined a life behind the decks as a DJ. But life had other plans. “Biology was my favourite subject at school, and I did very well at it. The human body fascinated me,” she recalls. Her childhood experiences in and out of hospitals due to severe asthma also shaped her admiration for doctors, whom she saw as superheroes. “Between being a DJ and a doctor, I leaned more towards helping people.”
It was during her internship, while rotating through paediatrics, that she realized her true calling. “Being called by the nurses at 3 a.m. to put up a drip did not upset me or annoy me because I knew I’d get to see the cute little faces of my favourite patients.” She recognized that children, unlike adults, often end up in hospital not by choice but by circumstance. “Helping kids is just so rewarding,” she says.
The Road to Paediatrics: Education and Challenges
Dr. Balfour earned her MBChB from the University of Cape Town in 2011, later specializing in paediatrics through the Fellowship of the College of Paediatricians of South Africa (FCPaeds) and completing her Master of Medicine (MMed) at Wits University (cum laude).
Her journey was not without challenges. “Long working hours without sleep or even toilet breaks, working in hospitals with a lack of resources, and dealing with very unstable and sick children—sometimes losing them—was incredibly difficult,” she reflects. But through every hardship, she held onto the moments that made it all worth it. “Seeing children who were initially very sick get better and go home, knowing you’re making a difference in people’s lives, and receiving hugs from patients—those are the highlights.”
As a Black woman in medicine, she also faced prejudice. “People who look like me don’t usually take up space or get heard in this field,” she says. But she pushed through, determined to be the representation she wished to see.
Breaking Barriers: A Pioneering Role at Nelson Mandela Children’s Hospital
In a historic moment, Dr. Balfour became the first private general paediatrician at Nelson Mandela Children’s Hospital. “The experience was a huge honour! Being the first of anything carries a lot of responsibility too.” Working in private practice introduced her to a different set of challenges and patient needs compared to public hospitals, but for her, every child she sees is equally important. “Whether public or private, they all involve children who need help.”
Her passion for newborns and early childhood development stems from a deep understanding of how crucial those first years of life are. “So many conditions in early childhood, if left untreated, can lead to adverse effects affecting growth and development, which could impact them all the way into adulthood.” She firmly believes in the power of early intervention: “If we tackle issues early, particularly in the first 1,000 days of life, many kids have a fighting chance to grow into well-rounded, nurtured adults.”
The Heart of Paediatrics: A Day in Her Life
Dr. Balfour’s days are anything but ordinary. Mornings begin with ward rounds, checking on inpatients, followed by consultations in her rooms. Fridays hold special significance—she dedicates the day to working at the Teddy Bear Clinic, where she treats victims of abuse.
Despite the emotional weight of her work, she remains steadfast. “The stronger I am and the more space I hold for scared patients and families, the clearer I can think and the better decisions I can make for the well-being of my patients.” And when asked about dealing with the sadness of paediatrics, she is resolute: “The good outweighs the bad. The numerous kids who survive and thrive make it all worth it.”
She also addresses misconceptions about paediatrics. One of the most common? That it’s difficult to diagnose patients who can’t speak. “I think it’s the easiest! You can see by their expressions and clinical signs when they’re unwell, and their smiles and bubbly behavior tell you when they’re better.”
Guiding Parents: Advice for a Thriving Childhood
Beyond treating children, Dr. Balfour sees her role as one of education and empowerment for parents. “Children thrive when they are loved and listened to. Be present, be interested in them, listen, be affectionate.” She emphasizes that discipline doesn’t mean shouting or hitting but teaching consequences and respect. “Kids also thrive off of routine—they all need it.”
Her commitment to continuous learning keeps her at the forefront of paediatric medicine. “Keeping updated means attending conferences, webinars, and reading the latest research.” She is particularly excited about any advancements that reduce the pain and anxiety children experience in hospitals.
A Legacy of Healing and Empowerment
For Dr. Balfour, the most rewarding part of her career isn’t just healing children—it’s making a lasting impact, particularly in her work at the Teddy Bear Clinic. “Bringing justice for these patients is incredibly fulfilling.”
Looking ahead, she hopes to continue educating parents and advocating for children’s health. “I want to make strides in the paediatric field so that my legacy is left behind. I want to be an inspiration and an example for future paediatricians who look like me, making their path a bit easier.”
Outside of medicine, she treasures time with her husband and son, her family, and her friends. “I love being a mother, a wife, a sister, an auntie, and a friend. I try to make time for my loved ones and make them feel special.” And as a true foodie, she enjoys exploring the latest restaurants in town.
Her story is one of dedication, resilience, and a deep, unwavering love for children. From an asthmatic child in hospital beds to a doctor who now saves young lives, Dr. Sanelisiwe Balfour embodies the very essence of care and commitment.
About Dr. Sanelisiwe Balfour
Dr. Sanelisiwe “Nellie” Busisiwe Zethu Balfour is a specialist paediatrician dedicated to providing compassionate care for children. She earned her MBChB from the University of Cape Town in 2011, later specializing in paediatrics with an FCPaeds (SA) and an MMed from Wits University (cum laude). She made history as the first private general paediatrician at Nelson Mandela Children’s Hospital and is passionate about early childhood development, newborn care, and advocacy for vulnerable children.
Originally from Cape Town, she spent part of her childhood in exile in Melbourne, Australia. She shares her life with her husband, son, and a very cheeky French bulldog named Gwinya.
Her work extends beyond the hospital, as she is deeply involved in educating parents and shaping the future of paediatrics. Her mission is clear: to heal, empower, and inspire the next generation of medical professionals.
