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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

Deaf Awareness Month empowers the hearing impaired

2015-09-21

There are more sign languages in the world than spoken languages. About 600 000 deaf South Africans have the South African Sign Language (SASL) as their first language. There are about 40 schools for the deaf in South Africa. 90% of all deaf children are born to hearing parents. Only about 30% of speech is visible on the lips.

How many of these fundamental facts did you know?

Deaf Awareness Month serves to educate hearing communities about issues that the deaf population face on a daily basis, as well as to honour the history and culture of people who are deaf or hard-of-hearing. For the past 70 years, the University of the Free State (UFS) has dedicated September to hosting events around the topic of hearing impairment.

The theme of ‘With South African Sign Language rights, our children can!’

This year’s theme had learners from Bartimea School for the Deaf and Blind, hearing impaired UFS students, and Prof Jonathan Jansen engaged in a conversation around empowerment at a picnic held on Monday 7 September 2015 at the Red Square on the Bloemfontein Campus.

Through a sign language interpreter, Matshela, a grade 12 learner, explained that he felt empowered by the efforts the university has made to embrace and empower individuals with disabilities. He then revealed his intentions of pursuing Information Technology or Social Work studies at Kovsies.

Clifford Machete, a first-year Administration student at the university, stated how sign language interpreters gave him an ‘I can’ attitude when he first arrived at university. “As a deaf person, I see that I am able to learn with the help of sign language interpreters. There is accessibility at the university, and I am so proud to be a student here and part of Deaf Awareness Month.”

Susan Lombaard, Lecturer and Acting Chairperson at the Department of South African Sign Language, believes that Deaf Awareness Month is about promoting human dignity.

“We want to show the world that deaf people can do everything, and that their language is as strong and important as any spoken language.”

For more information regarding Deaf Awareness Month activities, contact the South African Sign Language Department on 051 401 2251.

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