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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

Inspiration from an Olympic Champion for Spring graduandi

2012-09-20

Photo: Hannes Pieterse
20 September 2012

The guest list for the Spring Graduation ceremony of the University of the Free State included an Olympic gold medallist, a former Miss South Africa finalist and the Prime Minister of a neigbouring country.

The new graduates could draw inspiration from Olympic swimming champion Chad le Clos, who was the guest speaker at the event. Also attending was the Prime Minister of Lesotho, the Honourable Thomas Thabane, who came to watch his grandson graduating from Kovsies. Sharing a stage with Le Clos was Rolene Strauss, a medical student, who was among the top five contestants at last year’s Miss South Africa competition.

Le Clos, who became a national hero in July when he won a gold medal in the 200 m butterfly at the Olympic Games by beating American swimming legend Michael Phelps, told new graduates to strive for the impossible. Giving them insight into his remarkable achievement, Le Clos told them nobody had expected him to beat Michael Phelps. “Even I thought it was impossible to achieve. Always have a goal and work towards it,” he told them and said his ambition was to build up swimming in South Africa. Le Clos said he hoped that by 2016 there would be more swimmers making South Africa proud.

Prof. Jonathan Jansen, Vice-Chancellor and Rector of the university, delivered an Olympic-inspired message. Quoting the motto of the modern Olympic Games, ‘faster, higher and stronger’, Prof. Jansen told the new graduates that they had to be better than those who came before them. “I expect my students in a troubled country to learn how to be different, faster, higher and stronger. Faster means efficiency; it means to be responsive to those in need."

Drawing lessons for the country from Le Clos' victory, Dr Khotso Mokhele, Chancellor of the University, told the graduates to choose optimism. Referring to the Marikana mine tragedy, Dr Mokhele said the country was far from taking the last stroke. “Even if it looks as if the curtain is down; remember that final stroke of Chad le Clos and how the great Michael Phelps was defeated.”

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