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Protect breastfeeding – A shared responsibility

05 August 2021 | Story Dr Chantell Witten | Photo Supplied

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

World Breastfeeding Week is celebrated every year from 1-7 August. In South Africa, it coincides with Women’s Month and gives us the opportunity to reflect on how far we have come and how far we still have to go to achieve gender equity in different spheres of life. Even more reason for us in the academic sphere to stop and think about the areas of support that may still need attention and effort to correct.

In the context of protecting breastfeeding this would speak to the Code of Good Conduct in the Labour Act which affords pregnant and breastfeeding women protection and support. In extreme cases it means protection from exposure to hazardous substances, but in the general setting of the work environment this relates to workplace support for a private and safe place to express breastmilk. One institution made headlines when a staff member was secretly videoed while she was expressing breastmilk. What is also needed is to put in place a policy that guides on how university property such as a fridge may or may not be used to store expressed breastmilk, or how to deal with a manager who insists on holding meetings in a woman’s scheduled milk-expressing time slots. The law may indicate that you are entitled to two 30-minute time slots to express but it is quite another issue to get your colleagues to accommodate or respect your biological needs.

Protecting breastfeeding

Besides the protection of employees, the government in its commitment to improve child health and nutrition has committed to protect breastfeeding from the undue influence of the infant-formula industry by implementing the recommendations of the International Code for the Marketing of Breastmilk Substitutes. South Africa approved the Regulations Relating to Foodstuff for Infants and Young Children (R991) to control the marketing and promotion of infant formula by limiting how the product may be marketed and how the industry may engage with the public and child health and development professionals, in particular.

While many are aware of the prohibition to advertise or to promote and distribute free or incentivised sales of infant formula, many may not be aware of the limitations placed on academics and researchers. The academic and research fraternity has had a long and conflicted relationship and history with the infant-formula industry. Many departments and individual researchers have received funding, conference sponsorship and gifts from the infant-formula industry. In the early 2000s at the height of the HIV epidemic, the Department of Health recommended that women living with HIV should not breastfeed and instead provided six months of free formula milk, inadvertently implying that health professionals approved of infant formula. While the national Department of Health has since stopped the distribution of free infant formula through the programme for the prevention of mother-to-child transmission of HIV (PMTCT) from 2011, many health professionals trained in the early years continue giving mixed messages to mothers and display limited skills to promote and support breastfeeding.

So how do we protect breastfeeding in the academic setting?

As more women enter academia, managers and the institutional leadership need to be cognisant and purposeful in developing a breastfeeding culture by granting women the protections afforded them by the Labour Law. Furthermore, in all spheres of academia and research, and as an institution, we need to guard against conflict of interest and conflicted relationships with the infant-formula industry. We need to do due diligence by raising the awareness of R991. All child health and development professionals should be acquainted with R991 through their curricula, and we should individually and collectively be accountable in our conduct to protect, promote and support breastfeeding as a human right, an investment in health and development, and for a sustainable future. There can be no greater dividend than to invest in optimal nutrition for infants and our children. They are the future.

News Archive

National Human Trafficking Resource Line a victim-centred approach to combating crime

2017-08-24

Prof Beatri Kruger, Adjunct Professor at the
UFS Faculty of Law. Photo: Supplied

As a response to the rising number of human trafficking cases in South Africa and around the world, key role players in various fields have pulled together to come up with workable solutions on how to stop the crime and assist victims. Some of the work being done by NGOs and law enforcement agencies has been supported by insights from research conducted in communities and by academic institutions. According to Prof Beatri Kruger, Adjunct Professor of Law in the Faculty of Law at the University of the Free State and experienced researcher in human trafficking, support for victims has grown in leaps and bounds with the help of the latest technology. More and better quality information can be collected to strengthen efforts of combating the crime,” she said.

One such technological development is the national Human Trafficking Resource Line, which provides various services, including information on trafficking activities, assistance to agencies working with victims of trafficking in persons (TIP), creating a network from which data can be collected, analysed, and activities tracked, in order to ensure the best service to victims.

The resource line connects callers, often victims of TIP or anonymous tippers, to service providers in social services, law enforcement, places of safety, medical facilities, and government agencies, especially during emergencies.

Resource line a helping hand to victims
The resource line was established in 2016 and has replaced the previous helpline. This line provides more services and resources than just a helpline. Through partnerships, it works to strengthen local and national structures that can assist victims over the phone.

Call specialists are trained by Polaris, an American company using international standards and protocols. The call specialists are available 24/7 to take reports of human trafficking confidentially and anonymously. They put victims in touch with service providers for health screening, counselling, and repatriation if they are from another country, and also assist with case management.

Empowering service providers is the key to success
Support for service providers such as NGOs, safe houses, and government departments in the network is in the form of skills training programmes for staff, and a referral system in various provinces around the country. There are good referral partners in each province, as well as provincial coordinators ensuring accountability regarding cases, mobilising services for victims, and coordinating the referrals and response.

To strengthen the network further, services provided in each province are being standardised to ensure that the right people are contacted when handling cases, and that key stakeholders in each province are used. The strength of the provincial provider network is key to offering victims of human trafficking the services they need.

Human trafficking is a crime that permeates multiple academic disciplines and professions. Therefore, information collected from victims through such a helpline and collated by agencies, will assist academic institutions such as the UFS in furthering their research, while strengthening the content of academic programmes in fields such as law, law enforcement, social sciences, health sciences, and international relations.

The number to call for reporting or providing tips on TIP-related crimes and activities, is 0800 222 777.

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