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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

Amphitheatre to energise student life on the Qwaqwa Campus

2015-06-11

The Qwaqwa Campus of the University of the Free State is one of the fastest-growing rural campuses.

Since 2010, the campus has, among other things, built two new student residences, which provide accommodation for an additional 500 students. The old disused boiler room, which was used as a storeroom, has been converted into much-needed ablution and dressing room facilities at the sports fields. The Faculty of Education now boasts a Technology, Engineering Graphics and Design Education laboratory. The project was funded by the Department of Higher Education and Training.

One of the student priorities is a common space in the form of an open amphitheatre in front of the library.

‘’The amphitheatre is a highly-welcomed structure on our campus as it will provide students with an informal environment to study, socialise and meet,’’ said the Campus Principal, Prof Prakash Naidoo.

‘‘We have erected this on an existing space that was already used for outdoor launches and events on the campus, and is in line with our thinking of energising student life on campus. In addition, we have complemented this with the use of solar energy, so that students can just plug in and charge their phones and laptops while they are in the amphitheatre.”

Excited students, Chibi Mosia and Tshilidzi Matshavha, in final-year Chemistry and Chemistry Honours respectively, concurred that the amphitheatre is a good project for the campus.

‘‘It is an important and distinctive feature for the campus as it adds to the growth of our beautiful campus,’’ said Mosia.

‘’It will also enhance the use of alternative energy sources to reduce the campus's carbon footprint,’’ added Matshavha.

The project is worth almost R2,5 m, and took 12 months to complete. The Department of Higher Education and Training also provided the funds for this project.

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