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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

Learning to serve, serving to learn

2013-10-18

At the Community Engagement Open Day were, at the back, from the left: Dr Choice Makhetha, Vice-Rector: External Relations; and Rev Billyboy Ramahlele, Director of Community Engagement. In front are, from the left: Selby Lengoabala, Betlehem Unit Manager; Councillor Job Tshabalala, Acting Executive Mayor; and Councillor Isaac Tshabalala, Strategic Manager in the office of the Executive Mayor of the Dihlabeng Local Municipality.
18 October 2013

Local community members, students and staff gathered at the Bloemfontein Campus, displaying what they do to empower communities.

The university held its first Community Engagement Open Day in order to honour outstanding individuals and highlight programmes that advance its civil responsibility. Hosted by the UFS Community Engagement Directorate, local community members, students and staff gathered in the Callie Human Centre at the Bloemfontein Campus, displaying what they do to empower communities.

Partners in Community Engagement (CE) and Service Learning (SL), local government, community-based research, student volunteer groups, Non-Profit Organisations (NPOs) and private business interacted with guests at their various information stalls. Faculties and departments displayed their distinctive programmes and demonstrated a renewed commitment to change lives through sharing knowledge, rendering services and fostering empowerment among communities.

In recognition of outstanding service, commitment and excellence in the field of community engagement and service learning, some staff members, researchers and some partners received the Vice-Rector’s Award for Community Engagement. Among them was Prof Matie Hoffman, who was honoured for his longstanding involvement in research at the Boyden Observatory. He is currently at the forefront of renovations for the planetarium at Naval Hill. In the category for external partners, REACH and Heidedal Childcare were awarded for demonstrating commitment towards their partnership with the university. The acting Executive Mayor, Job Tshabalala, also received an award on behalf of Dihlabeng Local Municipality Mayor, Tjhetane Mofokeng, for their involvement in education and social cohesion programmes. During his keynote address, the Director of Community Engagement, Rev Billyboy Ramahlele, emphasised the contribution that community engagement has on the two major strategic programmes of the university, namely the Academic and Human Projects. He pointed out that CE creates a platform on which students learn to appreciate human diversity in a real and unprotected set-up.

The interactions of the Open Day are expected to raise awareness, cultivate understanding among partners, encourage solid alliances and bring to the fore an acknowledgement of community engagement as the integral part of higher education.

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