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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

Shimlas still the only unbeaten side in 2015 Varsity

2015-03-18

The Shimlas remain the only unbeaten side in this year’s Varsity Cup rugby tournament after their bonus-point 44-24 win against the University of Cape Town Ikeys in Bloemfontein.

The home side managed a very comfortable 34-8 lead in the first half against the defending champions Ikeys. No matter how hard the Ikeys fought back, the Shimlas win was inevitable, and secured the first ever home semifinal at the UFS.

It was in the second minute that Shimlas’ Gerhard Olivier went over the try line. The Shimlas continued to press forward, and kept the game play primarily in the UCT half of the field. By the time the first Strategy Break came along, the Shimlas already had a 21-0 lead over their visitors. The Ikeys did manage one converted try before halftime, still leaving the home side with a 34-8 lead.

After halftime, there was still no stopping the Shimlas. Even when UCT’s attempt at a comeback saw them scoring their second converted try, the point difference were still 18 points. Shortly after, Olivier scored his third try for the Shimlas. The Ikeys’ response to this was scoring a third try in their comeback effort, putting the scoreboard at 39-24 with Shimlas still in the lead after 65 minutes.

Despite Ikeys’ attempt for their bonus point try near fulltime, Shimlas’ counter-attack saw their replacement player Boela Venter cross the try line for the last time to secure a 44-24 win for the home side.

The Shimlas will host North-West University’s Pukke side at Shimla Park in the last round of the tournament this coming Monday. For the first time since the Varsity Cup’s inauguration in 2008, the UFS side has already secured a home semifinal for the week after.

Shimlas point scorers:

Tries: Gerhard Olivier (3), Johan van der Hoogt, Danie Maartens (2), Boela Venter
Conversion kicks: Niel Marais (3)

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