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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

Media: Moshoeshoe-lesing waardevol

2006-05-29

Hoofartikel
29 Mei 2006

Waardevolle lesing

DIE eerste koning Moshoeshoe-gedenklesing van die Universiteit van die Vrystaat het sommer met die intrapslag prikkelende gedagtes opgelewer en wys dat dit ’n paslike en nuttige manier is om ook die bydraes van swart leiers in Afrika te eer.

Terselfdertyd verskaf die eerste gedenklesing wat deur prof. Njabulo Ndebele, vise-kanselier van die Universiteit van Kaapstad gelewer is, diep stof tot nadenke en debat.

Die gedenklesing kom juis terwyl al hoe meer wenkbroue gelig word oor die skepping van ’n ander forum, die Native Club, waarvan wit Afrikane uitgesluit word.

Dis die geesteskind van mnr. Titus Mafolo, politieke raadgewer van pres. Thabo Mbeki, en die doel daarvan is om ’n forum te verskaf vir Afrika-intelligentsia.

In teenstelling met die ras-eksklusiewe Native Club wat ’n ongelukkige teruggryp is na rasgegronde instellings onder die apartheidsbewind, het prof. Ndebele in die gees van die inklusiewe leierskap van koning Moshoeshoe van Lesotho die gedenklesing opgedra aan al dié mense in Suid-Afrika en elders wat die moed het om hul oorwoë mening uit te druk oor belangrike sake wat die samelewing in die gestig staar.

Hy het tereg bygevoeg dié lesing kom op ’n kritieke punt in Suid-Afrika se nuwe demokrasie.
Prof. Ndebele het daarop gewys dat koning Moshoeshoe – Lesotho het onder sy leierskap mense van verskeie dele van die subkontinent gelok – kon bewys dat verskeidenheid ’n bindende eienskap kan wees.
Jy bereik die grootste eenheid tussen onderskeidende entiteite waar jy relatief vrye ruimte aan hulle gee om hul eiesoortige kenmerke na vore te bring.

Prof. Ndebele het ook opgemerk ’n toenemende aantal hoogs intelligente, sensitiewe en toegewyde Suid-Afrikaners oor die klas-, ras- en kulturele spektrum heen, bely dat hulle soos nooit tevore nie, onseker en kwesbaar voel sedert 1994.

Hierdie koerant spreek ter aansluiting hierby die wens uit dat die ANC-regeringsalliansie sal toesien dat wie ook al die leiding vorentoe in dié alliansie oorneem, ook daardie saambindende eienskappe moet besit wat koning Moshoeshoe gehad het. En wat hy gebruik het om sy land uit te bou en te verenig.

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