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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

A journey into self-discovery

2011-08-17

Sandy Little

The launch of the film and book Africa meets Africa: Pathways through the Interior at our university was a huge success.

It forms part of the The Africa meets Africa Project that is known for making connections between knowledge systems in pursuit of learning. It integrates amongst others beadwork and weaving with mathematics.

The film takes one through the Free State and some parts of the Northern Cape. The two actors, Mr Lerato Mokhitli and Ms Sandy Little, are both art students at Kovsies. During the trip they reveal some historic events not known to all. Prof. Jonathan Jansen, Vice-Chancellor and Rector, said: “Our history is a lot more complex and interesting than current texts allow. Much of what happened laid the foundations for trauma, and triumph is poorly understood. More so, is the history of the ordinary.”

The film and book are funded by National Heritage Council and FirstRand. It was launched in other provinces, among them KwaZulu-Natal. The Africa meets Africa Project aims to use the book in the Free State and Northern Cape in the Further Education and Training (FET) phase for educators and university students.

Prof. Jansen furthermore said: “I would definitely recommend the book with some additions, such as representation of excluded cultures. This would include white ethnographic histories and cultures and the intersections across black/white, African/European histories. I would also make the subject history compulsory to ensure that children would be exposed to our complex history.”

Ms Moipone Kabaoe, a third-year B.Soc.Sc. student at UFS, said: “The film was very informative and clarified some things. I also believe the actors have actually grown from the experience and they did a great job.”

Mrs Anna Mokhitli was ecstatic at the launch, as any proud mother would be. “I knew they were working so hard, but I never thought it would be something this big,” she said. Ms Helene Smuts, Director of Africa meets Africa, said: “You cannot learn until you start with what you know. This is the journey we took; now you must take your own.”

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