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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

First-year students welcomed into Kovsie Family

2013-01-23

New first-year students and their parents and guardians are welcomed on the Qwaqwa and Bloemfontein campuses.
Photo: Sonia Small
23 January 2013

YouTube Video

They came from near and far. Some hail from Bloemfontein, others from as far away as Botswana but they all have one thing in common. They were here to start their first year as Kovsie students. Thousands of first-year students, along with parents and guardians, attended the first year welcoming on the Qwaqwa and Bloemfontein campuses on 18 and 19 January 2013 respectively.

“I do not care whether you come from the Free State or Zimbabwe or whether you are from Gauteng or Lesotho. I do not care if you speak Sesotho, Setswana or Afrikaans. What I care about is that you must understand that you are smarter than you think.”

This was the message from Prof Jonathan Jansen, Vice-Chancellor and Rector of the University of the Free State (UFS), when he officially welcomed first year students to the Qwaqwa Campus. “At the UFS, we put emphasis on two very important projects - the academic and human projects”, said Prof Jansen.

“The academic project is about you excelling academically as a student. It is about being the best you can be in your chosen field of study. All of you should strive to be like Zandile, a young girl from Umlazi who, despite her poverty and challenging conditions at home, went on to attain seven distinctions in her 2012 matric results”, said Prof Jansen. He was referring to Zandile who he tracked down via Facebook to offer her a full bursary to study at the UFS. Zandile had appeared on SABC TV news, expressing her frustration at the lack of funds to continue her studies, despite her performance.

“The human project is about you loving those who are different from you, thus becoming better human beings,” Prof Jansen said.

Prof. Jansen echoed the same message on the Bloemfontein Campus the following day when he welcomed thousands of new students. These students, their parents and guardians packed the huge tent that was erected in the CR Swart parking area of the campus. Prof. Jansen welcomed students from the different faculties during four sessions. He told parents and students that the class of 2013 was the smartest class the university had had in its 109-year history.

Mr Rudi Buys, Dean of Students, informed them about the many opportunities that awaited them at Kovsies. These include programmes like the Leadership for Change Programme for first year students and the Stanford Sophomore College Program for second year students.

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