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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

South Campus delivers out-of-the-box solutions

2017-11-07

The AIO device as deployed in an IBP school.
Photo: Elrieka van Dalen

The IDEAS Lab on our South Campus supports learners in 83 schools by means of academic videos transmitted via the Internet Broadcast Project (IBP) and its own custom-built All-in-One (AIO) device. The project is a collaboration between UFS and the Department of Education in the Free State. It includes support for Mathematics, Physical Science, Life Science, Economics, Accounting, and Geography.

The AIO was purpose-built by the team at IDEAS Lab to facilitate the delivery of video lectures from highly-qualified teachers to identified schools. It comprises a projector, speakers, and a computer, which are housed in a custom-made, hard-wearing frame. The AIO is then set up at each school to which lessons are broadcast.

On-the-job training for educators

Educators have not been overlooked, either. UFS was the very first university to provide an Advanced Certificate in Teaching in a fully digital format, the ACT Online programme. It is designed for practicing teachers to upskill themselves in order to better address the needs in the classroom, not only advancing their career, but strengthening their knowledge, competencies, and subject specialisation as well. Ultimately, this leads to an improved quality of education, which has a profound impact on multitudes of students around South Africa.

CSIR joint initiative

Coupled with these projects is a new joint initiative termed ICT For Education. This project sees the CSIR collaborating with the national Department of Education, the Department of Rural Development and Land Reform, and the UFS. For this project, 24 primary and secondary schools in South Africa were identified to promote technological advancement in the education sector. Tablet computers have been allocated and already deployed at these schools, to learners as well as nearly 400 teachers.

South Campus is involved in the training of the teachers and learners in the use of the tablets in the classroom and other educational opportunities. In addition, training for 48 unemployed young people who will be providing first-line support began in March at a school in Thaba Nchu. The course on IT support is structured in such a way that anyone in the community can take it, starting out with topics such as My role in the community.

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