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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

Splendid Summer Graduation concludes 2014 ceremonies

2014-12-11

Photo Gallery Afternoon session; Morning session
YouTube

On Thursday 11 December 2014, the university awarded a total of 392 qualifications during our Summer Graduation Ceremony in the Callie Human Centre on the Bloemfontein Campus. Of these, 225 were awarded to graduates from the Faculty of Health Sciences, while 134 master’s degrees and 33 PhDs were awarded in the other six faculties. Another 74 diplomas and 56 certificates were also awarded in the School for Open Learning.

Well-known radio personality, Redi Thlabi, and acclaimed cardiothoracic surgeon, Dr Susan Vosloo, encouraged and inspired the graduates during the two ceremonies on the day.

During the morning session, Thlabi imparted some of the valuable lessons she learned in her personal life as well as in her career. She encouraged graduates to change the script of our country for future generations, to be mindful of others and to find meaning in whatever you do.

“Those who have a platform, a voice and an education have the power to help others further on their journey,” Thlabi said. “I believe we are living in an exciting time – a time to leave a legacy behind, a time to make a mark in this world.”

Graduates from the Faculty of Health Sciences and the School for Open Learning were addressed by Dr Vosloo during the second ceremony.

Dr Vosloo often referred to the success of transformation at our university and added that few successes are achieved without adversity. She encouraged the afternoon’s graduates to become professionals with a high sense of dignity, accountability and transparency in their workplace.

“Remember that you and you alone are able to decide what your approach will be in anything in life from here on forward,” she said.

Dr Vosloo, a Kovsie alumnus, graduated in 1980. Shortly after this, she became the first female heart surgeon in South Africa. She is currently in independent private practice at Christiaan Barnard Memorial Hospital, having also worked from 1998 untill 2012 at the Vincent Pallotti Hospital in Cape Town.

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