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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

Fun and camaraderie key to Vishuis rugby success

2017-09-27

The forwards of Vishuis laid a strong foundation in
the K1 rugby final against Kagiso. This helped them
to secure a win of 38-16.
Photo: Marelize van Niekerk

They have not only been dominating the residence rugby scene at the University of the Free State over the past few years, but also nationally. Although they might experience added pressure as favourites, a key ingredient to Vishuis’ success story is their enjoyment of the game and their camaraderie.

According to Henco Posthumus, the Vishuis captain, they realise that it still remains residence rugby. “The guys pitch up at practice because they want to play, not because somebody begged them to.”

Comfortable triumph in final

Vishuis claimed their fifth Varsity Cup Koshuis title earlier this year, and will defend their national title after being crowned Kovsie residence champions on 8 September 2017. They beat Kagiso comfortably 38-16 in the K1 final, after leading by 31-9 at half-time.

Posthumus says the fun element is often forgotten, but not at Vishuis. He says it is not just about the first team either. “Almost every house member, no matter if he studies medicine or if he hasn’t played rugby before, is playing a bit of rugby on a Friday evening. That is also why we, as a fairly small residence, can field five teams.”

More than just a game

Although their proud record serves as motivation, it is about more than just rugby. “The guys grow together in different ways. It is an honour to see how they grow during a season, also spiritually.”

They have been lucky not to suffer many serious injuries over a number of seasons, Posthumus says. “We are privileged to have 110 years of history behind our residence, and people from within and outside buy into who we are.”

“Our (new) coach, Zane Botha, is also a valuable acquisition. He has taken our rugby to the next level.”

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