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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

Renowned writer for Africa Day

2012-05-31

Attending the lecture were, from left: Dr Choice Makhetha, Vice-Rector: External Relations; Prof Kwandiwe Kondlo, Director of the Centre for Africa Studies;Prof. Ngugi wa Thiong'o; Prof Lucius Botes, Dean of the Faculty of the Humanities, and Prof Andre Keet, Director of the Institute for Reconciliation and Social Justice..
Photo: Stephen Collett
25 May 2012

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Lecture: THE BLACKNESS OF BLACK: Africa in the World Today

Audio of the lecture

Profile of Professor Ngugi wa Thiong'o (pdf format)

“Flowers are all different, yet no flower claims to be more of a flower than the other.” With these words Kenyan writer and one of the continent's most celebrated authors, Prof. Ngugi wa Thiong’o, delivered the tenth annual Africa Day Memorial lecture on 25 May 2012 in the University of the Free State's (UFS) Odeion Theatre on the Bloemfontein Campus. The lecture was hosted by the Centre for Africa Studies.

Long before Prof. wa Thiong’o was led inside the venue by a praise singer, chairs were filled and people were shown to an adjoining room to follow the lecture. Others, some on the university's Qwaqwa Campus, followed via live streaming.

In his speech titled the Blackness of Black: Africa in the world today, Prof. wa Thiong’o looked at the standing of Africa in the world today. He highlighted the plight of those of African descent who are judged “based on a negative profile of blackness”.

Prof. wa Thiong’o recalled a humiliating experience at a hotel in San Francisco in the United States, where a staff member questioned him being a guest of the hotel. He shared a similar experience in New Jersey, where he and his wife were thought to be recipients of welfare cheques. He said this was far deeper than overt racism.

“The certainty is based on a negative profile of blackness taken so much for granted as normal that it no longer creates a doubt.”

Prof. wa Thiong’o said the self certainty that black is negative is not confined to white perception of black only.

“The biggest sin, then, is not that certain groups of white people, and even the West as a whole, may have a negative view of blackness embedded in their psyche, the real sin is that the black bourgeoisie in Africa and the world should contribute to that negativity and even embrace it by becoming participants or shareholders in a multibillion industry built on black negativity.”

“Africa has to review the roots of the current imbalance of power: it started in the colonisation of the body. Africa has to reclaim the black body with all its blackness as the starting point in our plunge into and negotiations with the world.”

Prof. wa Thiong’o concluded by saying that Africa must rediscover and reconnect with Kwame Nkrumah’s dreams of a politically and economically united Africa.

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