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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

Read a book SA encourages South Africans to read one book a month

2012-09-20

Campus Principal Dr Elias Malete on the left and Tebogo Ditshego's. With them are Betsy Eister, UFS Director: Library and Information Services and Mathene Mahanke from the Department of Sport, Arts, Culture and Recreation.
20 September 2012

'Read a book SA's" objective is to bring reading into the everyday lives of South Africans. Speaking at Writers’ Day on the Qwaqwa Campus of the University of the Free State last Thursday, Ditshego said reading was essential. “Of all the skills that anyone can ever have, reading is the most fundamental of them all. It improves one's attention, confidence and discipline, amongst others.”

Ditshego asked why South Africa is presently faced with a 25,2% unemployment rate compared to Germany's 6-8%, despite South Africa having more and better natural resources. The answer, according to him, rests with lack of knowledge and critical skills in South Africans.

“Out of 144 countries, South Africa is ranked 133th in as far as the delivery of quality education is concerned. The reason for this is that South Africans lack knowledge, as they do not read enough. Most South Africans read for information, which is different from knowledge,” Ditshego argued.

In his welcoming remarks, Campus Principal Dr Elias Malete challenged authors to continue reminding society of their responsibilities.

“It is also your duty and responsibility to teach diplomacy lessons, to teach about effective leadership that is accountable, fair and transparent,” said Dr Malete.

Amongst the established authors who shared their wisdom with budding writers was Dr KPD Maphalla, a Sesotho literature guru and custodian of Sesotho language and culture. UFS students and learners from Sekgutlong and Tiisetsang secondary schools had the opportunity to showcase their writing skills. They also received expert advice on manuscript development and publishing from Mathene Mahanke from the Free State's Department of Sport, Arts, Culture and Recreation.

The annual Writers' Day is a joint venture of the Campus Principal and the Library and Information Services (LIS).

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