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05 August 2021 | Story Dr Chantell Witten | Photo Supplied
Dr Chantell Witten is from the Division of Health Professions Education at the University of the Free State (UFS) and she believes there can be no greater dividend than to invest in optimal nutrition for infants and children. They are the future

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

School of Nursing receives a considerable grant
2011-06-01

Our School of Nursing once again became the proud recipient of a grant from the Atlantic Philanthropies, an international organization dedicated to “bringing about lasting changes in the lives of disadvantaged and vulnerable people”.

Atlantic Philanthropies granted millions of rands to South African nursing training institutions via University Based Nursing Education (UNEDSA), which will provide six recipient institutions the opportunity to transform nursing academic programmes in South Africa over a period of four years.

We recently received a R3 100 000 grant for the school to transform nursing scholarship and clinical practice. This is but the latest installment in a total grant of R16 million.

The School of Nursing, under the leadership of Prof. Anita van der Merwe, former Head of the School of Nursing, submitted a proposal to UNEDSA and was selected as one of the six recipients of the award. The school is now at the beginning of the third financial year of the project.

According to Dr Annali Fichardt from the School of Nursing, the school established a unique Virtual Health Teaching and Learning facility for training students in a non-threatening, simulated environment and to prepare nurses to be capable and to function optimally in the dynamic health-care environment. This provides opportunities for experimentation and sharing of integrated teaching and learning in nursing education.

The project helped establish a new unit for continuing professional development and research capacity development to serve practicing nurses and staff members of the School of Nursing. These initiatives will result in a fully transformed and accredited portfolio of programmes at undergraduate, post-basic and postgraduate levels to meet the needs of a range of health-care settings and learners.

The School of Nursing hopes to create an innovative teaching and learning environment that empowers students and professional nurses to become clinically excellent, able to practice independently in both resource-poor and technology-rich areas, and manage such complexities in an innovative way.

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