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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

Prof Johan Spies learns about much more than genetics in Argentina

2014-04-23

People who attended the course enjoyed Argentina and its traditions very much.

Prof Johan Spies from the Department of Genetics visited Argentina, where he and Dr Carlos Acuna (Universidad Nacional del Nordeste, Corrientes, Argentina) presented a course for doctoral students and staff of Cerzos-Conicet Bahia Blanca (something like the equivalent of South Africa’s NRF) and Universidad Nacional del Sur, Bahia Blanca. Prof Spies presented chromosomal evolution and its effect on fertility, while Dr Acuna took care of apomixis.

Bahia Blanca is a city with a population of almost the same as that of Bloemfontein. The city lies at the mouth of the Naposta River, which almost forms a delta where it flows into the sea. Bahia Blanca (white bay) derives its name from the salt deposits that lends a white colour to the beaches.

The people are very friendly and one soon learns to extend a long arm in greeting. Otherwise you are stuck with an ‘Ola’ while men and women alike will grab even a complete stranger to plant a kiss on your cheek. For people who places great value on personal space, this friendly gesture is not always as welcome!

Barbeque is a choice dish and is usually in the form of beef rib. “It was great (especially if you shut your eyes and ignore the scrumptious fat and future heart attacks)! With the rib they usually had blood sausage and very tasty pork sausage on the grid. Everywhere people are sipping, through a silver straw, their ‘mate’ (pronounce maty), a type of tea made from the leaves and stems of Yerba paraguariensis. It is generally drunk from a special calabash ‘cup’ through a silver straw, which also serves as sift to keep the leaves from your mouth. The calabash is usually passed from one person to another, with each person taking a sip from the brew! It is even passed around in class! Another thing in conflict with the upbringing I received from my mother (as is the cup at communion)!,” says Prof Spies.

“My short visit also taught me that the Argentinians are a proud nation that often faced adversity in the past. Nevertheless, they do not try to change their past. Street names even refer to dates from their past when, for example, they were attacked by England (in 1807). Only the almost 30 000 people who disappeared under the military regime, are rarely talked about!,” says Prof Spies.

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