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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

Success of Schools Partnership Programme embodies essence of UFS

2016-01-04

Description: Schools Partnership programme Tags: Schools Partnership programme

The everyday function and subsequent success of the SPP have come to embody the very essence of the UFS: inspiring excellence; transforming lives.

Addressing the urgent need for quality education at school level, the University of the Free State (UFS) established the Schools Partnership Project (SPP) in 2012. The aim of the project has been to turn ineffective schools into institutions producing outstanding results, thereby increasing the number and quality of first-year students at the UFS.

Within three years, the SPP has grown to include 68 primary and secondary schools across the Free State and the Sterkspruit area in the Eastern Cape. The programme is headed by Dr Peet Venter and run from the UFS South Campus. Expert mentors assist teachers and principals at these schools on a weekly basis, helping them to excel at their core functions. The programme’s success has been phenomenal.

Learner results from the SPP schools show a marked improvement compared to previous years. Teachers report that they have gained a broader understanding of the subjects they teach. “The university is doing a great job with this programme,” says one of the teachers. “We have developed a lot. We really appreciate this partnership.” Teachers not only gain substantial expertise in areas of planning, presentation, and subject knowledge; an increasing number of them have been receiving promotions, too.

The principals experience similar positive results, and regard the SPP as a productive contribution to their schools. The project has also established closer cooperation between principals and schools. This enables them to achieve common goals, share knowledge, and deal with challenges together.

An added spin-off of the programme has been the increased involvement of parents and care-givers. “We experience much more involvement from the community,” says mentor Danie Nieuwenhuizen. Parents start to take it upon themselves to tidy school grounds, care for vegetable gardens, and prepare food at school feeding schemes. Even the Sustained Silent Reading programme – that supplies magazines to learners – is now having an impact on households and communities. Many homes have never had magazines or other reading material before the reading programme.

The everyday function and subsequent success of the SPP have come to embody the very essence of the UFS: inspiring excellence; transforming lives.

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