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05 August 2021 | Story Dr Chantell Witten | Photo Supplied
Dr Chantell Witten is from the Division of Health Professions Education at the University of the Free State (UFS) and she believes there can be no greater dividend than to invest in optimal nutrition for infants and children. They are the future

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

Before and After Hector
2014-03-05

 

Björn Krondorfer

The apartheid years. The Anglo-Boer War. Mix these two topics together and you are ensured of a vigorous debate.

This was exactly the result at the Centenary Complex Gallery recently. During a round-table discussion, Kovsie students analysed an artwork by Gerrit Hattingh entitled “Before and After Hector”. The artwork depicts the iconic photo of Hector Pieterson – taken during the 1976 Soweto Uprising – staged as an event in the Anglo-Boer War.

The artwork functioned as the focal point at an exhibition curated by Angela de Jesus.The exhibition formed part of the International Research Forum hosted by the UFS which explored the topic of Societies in the Aftermath of Mass Trauma and Violence.

The ensuing conversation did not disappoint. The photograph evoked a wide range of views and emotions as the students reflected on the historic image representing violent and painful events of our collective past. As the students robustly exchanged their opinions, they developed strategies to support the reconciliation process. The dialogue assisted these students in formulating ways to look back at our history and use this knowledge to carry our society past traumatic experiences.

Prof Pumla Gobodo-Madikizela, Senior Research Professor in the Office for Research on Trauma, Forgiveness and Reconciliation, was astounded at the level of insight and wisdom the students displayed. “I am pleased that our students came to join us around the table to discuss this portrait which is iconic globally; to engage and also give their own interpretations of what they know, and what they do not know about our historical past. The dialogue about the interweaving of the Hector Pieterson photograph with the story of black victims of the British concentration camps is one of the ways of exploring the views of the younger generation in the aftermath of mass trauma and violence in our collective history,” Prof Gobodo-Madikizela concluded at the end of the conversation.

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