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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

International ties for OSM

2013-08-21

Prof Nicol Viljoen in the historic Teatr Zdrojowy in Walbrzych, Poland
20 August 2013

Profs Nicol and Martina Viljoen from the Odeion School of Music (OSM) recently undertook a very successful trip to Europe where Prof Nicol Viljoen rendered two solo piano recitals in Poland. They also delivered a joint paper at a congress in Budapest.

The first of the two recitals were held in Crakow at the famed Zespol Panstwowych School of Music. At this event, Prof Viljoen essentially recited Chopin Mazurkas and was invited to repeat this performance in Poland in the future.

The second piano recital was in the historicTeatr Zdrojowy im. Henryka Wieniawskiego in Walbrzych. This concert included Preludes, Mazurkas, as well as the Ballad in G minor by Chopin. After the Mazurkas, the audience rewarded Prof Viljoen with a standing ovasion – and again at the end of the concert. As a result of this, the chief organiser of the event, Jerzy Kosek, who is also the conductor of the Filharmonia Sudecka, invited Prof Viljoen to perform as soloist with his orchestra next year.

Kosek also invited Conducting students at the OSM to work with the Filharmonia under his leadership on an exchange basis. He indicated that he would like to strengthen the ties with the University of the Free State and the Odeion School of Music. Two members of the Filharmonia Sudecka are currently doctoral students in Performing Arts at the OSM, namely Karol Legierski (concertmaster) and Marianne Cilliers (first violin), while the co-concertmaster, Dorota Graca, is in the process of registering for doctoral studies at the OSM.

The paper delivered by Profs Viljoen in Budapest, formed part of the interdisciplinary congress, ‘The Arts in Society,’ where more than twenty countries were represented. Their paper dealt with the post-apartheid oeuvre of the South African composer, Hans Huyssen. Charla Schutte, another doctoral student at the OSM, delivered a paper on an interpretation of indoctrination songs on the basis of an analytical model by the philosopher Johann Visagie.

During the trip, Prof Martina Viljoen also had a productive meeting with the executive manager of Common Ground Publishers, an academic publisher based in the USA, with a view to publish work from the OSM.

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