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05 August 2020 | Story Dr Chantell Witten | Photo Supplied
Dr Chantell Witten

Globally, World Breastfeeding Week is celebrated from 1 to 7 August annually to raise awareness and galvanise action to promote, protect, and support breastfeeding. This year’s theme, #WBW2020, will focus on the impact of infant feeding on the environment/climate change to protect the health of babies, the planet, and its people. Sadly, despite all the health and social benefits of breastfeeding, South Africa has one of the lowest breastfeeding rates globally.  Why is this?

Women in general face a very hostile social environment in South Africa, even more so during the COVID-19 pandemic.  Almost one in two households in South Africa is female-headed, and approximately nine million children live in fatherless homes.  This puts an added burden on women, and most often mothers, to economically provide for essentials such as food, transport, and health care. Non-breastfeeding implies a reliance on other infant feeding, most often commercial and expensive. This inadvertently leads to inappropriate infant feeding, with the introduction of other foods before the age of six months.  The World Health Organisation and the National Department of Health recommends and promotes exclusive breastfeeding for all infants during the first six months of life.  In the era of lifelong antiretroviral treatment for HIV, all women can now safely breastfeed their infants. Infants younger than six months do not need anything else but breastmilk.

Breastmilk is a unique biological material that adapts to the needs of the growing infant.  Breastmilk provides nutrition, immunity, and unique nutrients to promote neurocognitive development.  However, to assist mothers in breastfeeding, we need a supportive environment at home, in our communities, and in our workplaces.  Breastfeeding mothers face an inordinate amount of pressure and negative inputs from hostile family who do not support the mother’s role to mother her child as she sees fit, or from hostile public spaces that do not cater for the breastfeeding mother, such as shopping malls and restaurants.  This saw Spur, the well-known family restaurant group, putting forward a public breastfeeding policy for their retail chain.  In order to support the return of breastfeeding mothers to the workplace, we need all workplace environments to endorse and comply with the code of good practice on pregnancy and afterbirth.  Perhaps in this time of COVID-19, more women will be working from home and will have the pleasure and privilege afforded to them to breastfeed their babies for longer.  The longer children are breastfed, the longer the health benefits and protection, even into the adult years.  Breastfeeding is associated with lower rates of obesity, lower rates of non-communicable diseases, and higher rates of cognitive development.

COVID-19 has forced us to have compassion and stand in solidarity with each other; now, more than ever, we need to stand together with breastfeeding mothers and women in general.  After all, breastfeeding is best for babies, best for our planet, and best for everyone.

 

Opinion article by Dr Chantell Witten, Division of Health Professions Education, University of the Free State

 

News Archive

Media: Sunday Times
2006-05-20

Sunday Times, 4 June 2006

True leadership may mean admitting disunity
 

In this edited extract from the inaugural King Moshoeshoe Memorial Lecture at the University of the Free State, Professor Njabulo S Ndebele explores the leadership challenges facing South Africa

RECENT events have created a sense that we are undergoing a serious crisis of leadership in our new democracy. An increasing number of highly intelligent, sensitive and committed South Africans, across class, racial and cultural spectrums, confess to feeling uncertain and vulnerable as never before since 1994.

When indomitable optimists confess to having a sense of things unhinging, the misery of anxiety spreads. We have the sense that events are spiralling out of control and that no one among the leadership of the country seems to have a definitive handle on things.

There can be nothing more debilitating than a generalised and undefined sense of anxiety in the body politic. It breeds conspiracies and fear.

There is an impression that a very complex society has developed, in the last few years, a rather simple, centralised governance mechanism in the hope that delivery can be better and more quickly driven. The complexity of governance then gets located within a single structure of authority rather than in the devolved structures envisaged in the Constitution, which should interact with one another continuously, and in response to their specific settings, to achieve defined goals. Collapse in a single structure of authority, because there is no robust backup, can be catastrophic.

The autonomy of devolved structures presents itself as an impediment only when visionary cohesion collapses. Where such cohesion is strong, the impediment is only illusory, particularly when it encourages healthy competition, for example, among the provinces, or where a province develops a character that is not necessarily autonomous politically but rather distinctive and a special source of regional pride. Such competition brings vibrancy to the country. It does not necessarily challenge the centre.

Devolved autonomy is vital in the interests of sustainable governance. The failure of various structures to actualise their constitutionally defined roles should not be attributed to the failure of the prescribed governance mechanism. It is too early to say that what we have has not worked. The only viable corrective will be in our ability to be robust in identifying the problems and dealing with them concertedly.

We have never had social cohesion in South Africa — certainly not since the Natives’ Land Act of 1913. What we definitely have had over the decades is a mobilising vision. Could it be that the mobilising vision, mistaken for social cohesion, is cracking under the weight of the reality and extent of social reconstruction, and that the legitimate framework for debating these problems is collapsing? If that is so, are we witnessing a cumulative failure of leadership?

I am making a descriptive rather than an evaluative inquiry. I do not believe that there is any single entity to be blamed. It is simply that we may be a country in search of another line of approach. What will it be?

I would like to suggest two avenues of approach — an inclusive model and a counter-intuitive model of leadership.

In an inclusive approach, leadership is exercised not only by those who have been put in some position of power to steer an organisation or institution. Leadership is what all of us do when we express, sincerely, our deepest feelings and thoughts; when we do our work, whatever it is, with passion and integrity.

Counter-intuitive leadership lies in the ability of leaders to read a problematic situation, assess probable outcomes and then recognise that those outcomes will only compound the problem. Genuine leadership, in this sense, requires going against probability in seeking unexpected outcomes. That’s what happened when we avoided a civil war and ended up with an “unexpected” democracy.

Right now, we may very well hear desperate calls for unity, when the counter-intuitive imperative would be to acknowledge disunity. A declaration of unity where it manifestly does not appear to exist will fail to reassure.

Many within the “broad alliance” might have the view that the mobilising vision of old may have transformed into a strategy of executive steering with a disposition towards an expectation of compliance. No matter how compelling the reasons for that tendency, it may be seen as part of a cumulative process in which popular notions of democratic governance are apparently undermined and devalued; and where public uncertainty in the midst of seeming crisis induces fear which could freeze public thinking at a time when more voices ought to be heard.

Could it be that part of the problem is that we are unable to deal with the notion of opposition? We are horrified that any of us could be seen to have become “the opposition”. The word has been demonised. In reality, it is time we began to anticipate the arrival of a moment when there is no longer a single, overwhelmingly dominant political force as is currently the case. Such is the course of history. The measure of the maturity of the current political environment will be in how it can create conditions that anticipate that moment rather than seek to prevent it. We see here once more the essential creativity of the counter-intuitive imperative.

This is the formidable challenge of a popular post-apartheid political movement. Can it conceptually anticipate a future when it is no longer overwhelmingly in control, in the form in which it is currently, and resist, counter-intuitively, the temptation to prevent such an eventuality? Successfully resisting such an option would enable its current vision and its ultimate legacy to our country to manifest in different articulations, which then contend for social influence. In this way, the vision never really dies; it simply evolves into higher, more complex forms of itself. Consider the metaphor of flying ants replicating the ant community by establishing new ones.

We may certainly experience the meaning of comradeship differently, where we will now have “comrades on the other side”.

Any political movement that imagines itself as a perpetual entity should look at the compelling evidence of history. Few movements have survived those defining moments when they should have been more elastic, and that because they were not, did not live to see the next day.

I believe we may have reached a moment not fundamentally different from the sobering, yet uplifting and vision-making, nation-building realities that led to Kempton Park in the early ’90s. The difference between then and now is that the black majority is not facing white compatriots across the negotiating table. Rather, it is facing itself: perhaps really for the first time since 1994. Could we apply to ourselves the same degree of inventiveness and rigorous negotiation we displayed leading up to the adoption or our Constitution?

This is not a time for repeating old platitudes. It is the time, once more, for vision.

In the total scheme of things, the outcome could be as disastrous as it could be formative and uplifting, setting in place the conditions for a true renaissance that could be sustained for generations to come.

Ndebele is Vice-Chancellor of the University of Cape Town and author of the novel The Cry of Winnie Mandela

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