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SEMANA MUNDIAL DE LACTANCIA MATERNA

Semana Mundial de la Lactancia Materna 1993

.Mother-Friendly Workplace Initiative Action Folder  

Promoting the Rights of Working Women to Breastfeed  

World Breastfeeding Week (WBW) offers an opportunity for people worldwide to join together in celebration and action in support of breastfeeding. In 1992, the World Alliance for Breastfeeding Action (WABA) launched the first World Breastfeeding Week (WBW) on the theme of the Baby-Friendly Hospital Initiative. Over 70 countries have recognised the importance of breastfeeding, and have established baby-friendly hospitals! in 1993, WBW focuses on the rights of working women to breastfeed.  

According to the Innocenti Declaration, all women should be enabled to practise exclusive breastfeeding and all infants should be fed exclusively on breastmilk from 4-6 months of age. Therefter, children should continue to be breastfed, while receiving appropriate and adequate complementary foods, for up to two years of age or beyond.  

It is a particular challenge to assist working women to practise optimal breastfeeding. The goals are to:  

  • enable women to breastfeed with confidence by informing them of the benefits of optimal breastfeeding and of their maternity entitlements; 
  • ensure that national legislation to protect the rights of working women to breastfeed is implemented in as many countries as possible; 
  • increase public awareness of the rights of working women to breastfeed, and of the benefits of combining work and breastfeeding to women, children, and society at large; 
  • have trade unions demand maternity rights and support women workers who breastfeed; establish as many Mother-Friendly Workplaces as possible; 
  • protect cultural practices which support the breastfeeding mother working at or away from home.
Make these your goals! To succeed in these goals we need a new way of thinking about work. In many societies, work has been seen from a male perspective and valued only if it produced a cash income. When much of women’s work was home-based, or for subsistence, that work was under-reported, under-valued and under-paid. When women also work for a cash income, their workplaces seldome accommodate their reproductive work, including child-care and breastfeeding. We must create a woman-centred approach to work that values women’s productive and reproductive work and reduces the double and triple burden women carry. A woman-centred approach to work acknowledges child-care and breastfeeding as socially meaningful and productive work, and recognises the social supports necessary for optimal breastfeeding.  

With the right supports such as maternity leaves, affordable child-care and access to infants during working hours, women can successfully combine breastfeeding with other work. Children, women, families and employers all benefit from this health promoting, inexpensive, nurturing approach to child-care.  

Building on Success: Working Women Can and Do Breastfeed!  

In Uruguay, workers in the public sector are allowed to work half-time in order that they may breastfeed during the baby’s first six months. They receive 100% of their salary.  

Groups such as "Maria Liberacion" in Central Mexico have supported domestic workers to negotiate better arrangements during and after pregnancy, so that these women can also breastfeed.  

In Mozambique, women working in a cashew nut processing plant work near to a creche where they can breastfeed their babies twice a day. They work in pairs to offer mutual support. Their babies have been found to be far healthier than bottle-fed babies.  

Some large corporations provide generous maternity benefits packages to women executives in order to retain these highly trained and valued employees.  

Construction sites in India and Thailand provide mobile creches for women working at the sites.  

Why Should Working Women Breastfeed?   

Benefits for children:  

  • Breastfeeding meets children’s nutritional and emotional needs, including into the second year as part of the weaning diet. 
  • Breastfed children have stronger immune systems and are healthier than children who do not receive breastmilk. 
  • Studies show that increased breastfeeding can save the lives of over 1 million children who presently die every year from diarrhoea and acute respiratory infections. 
Benefits for Women:  
  • Breastfeeding encourages women’s self-reliance, Women become more self-confident when they breastfeed. 
  • Breastfeeding protect womens’ health. 
  • Breastfeeding women may be less likely to develop breast and ovarian cancers. 
Benefits for Families:  
  • Breastfeeding mothers are less like to become pregnant. The continued contraceptive effect of breastfeeding is particularly important for women for whom contraception is unavailable, unaffordable or unacceptable. 
  • Breastfeeding saves families money that would be spent on bottle- feeding. 
Benefits for Employers:  
  • Breastfeeding women are less likely to be absent from work to tend to a sick baby. 
  • Breastfeeding women are more likely to return to work, enabling employers to keep trained, experienced and motivated workers. 
  • Breastfeeding women have a higher morale and loyalty to the employer. 
Environmental Benefits:  
  • Breastfeeding uses renewable resources and does not produce solid wastes. As more women breastfeed, workplaces will have to take increased responsibility in making workplaces safe. 
Economic Benefits:  
  • Infant formula and feeding bottles do not have to be purchased. A major hospital in Honduras practising breastfeeding saves about US$14,500 annually. breastfed babies stay much healthier and hence incur less medical cost on illness.
Obstacles Working Women Face in Breastfeeding Over the past three years, governments through United Nations have affirmed the importance and benefits of breastfeeding to infants, mothers and society at large. In three key documents:  
  • Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding, 1 August 1990; 
  • Convention on the Rights of the Child (September 1990); 
  • and Declaration of the World Summit on Children, (30 September 1990),
Governments have, thereby, stated the right of infants and mothers to exclusive breastfeeding; the right of women to correct and consistent information and support in child health and nutrition; and the right of children to protection and development.  

These UN documents, together with the maternity legislation of the ILO, recognise the rights of working mothers to breastfeed their infants. But, in practice, women employed in various work environments face many different obstacles to breastfeeding. For instance:  

  • maternity leave may only be available to formally employed women on annual or permanent contracts, or only for women working in the public sector; agricultural workers and women working in the informal sector in many countries are not covered by any policies or legal protection;
  • many employers do not want women workers to be hampered by family responsibilities; 
  • if costs for leave and day care are borne by the employers alone, they will prefer to hire male workers; 
  • the lack of workplace day care or transportation to community-based or home-based day care and no guaranteed job security will hinder possibilities for breastfeeding, even when maternity leave is available; 
  • demands for pay equity, permanent contracts, or adequate working conditions often take priority over lactation rights such as nursing breaks or day care; 
  • women workers do not often play a significant role in decision making in unions; 
  • they lack representation in policy-making groups, and have time constraints for trade union activities if they have children; 
  • day care facilities and nursing breaks may be available in large companies, but not in small companies where most women work; 
  • male-oriented attitudes of government and employers do not see maternity entitlements as an investment in the health of society, but rather as doing a favour to women; 
  • national socio-economic conditions (eg. unequal distribution of wealth, poverty, heavy debt financing) leave little resources for health care services necessary to support breastfeeding; 
  • the overall low social status of women in many countries gives lower priority to their needs. 
Action Ideas  

For working women:  

  • Raise the issue of breastfeeding at your trade union meeting or at a women’s group. 
  • Form a mother support group at your workplace to exchange practical information on breastfeeding techniques and management.
For employers:  
  • Follow "Ten Steps to Creating a Mother-Friendly Workplace". 
  • Seek innovative child-care solutions including home- based child-care.
For unions:  
  • Develop co-operative child-care programmes at work. 
  • Ensure that child-care workers are supportive and knowledgable about breastfeeding. 
  • Demand a clean, safe working environment, especially for breastfeeding mothers. 
  • Lobby for adequate paid maternity leave and breastfeeding breaks.
For health care workers:  
  • Inform working women about the advantages of breastfeeding. 
  • Offer practical advice on combining work and breastfeeding to employers and working women. 
  • Offer to be a community resource to area employers wishing to support, protect and promote breastfeeding.
  • Ensure that hospital or maternity facilities are also a mother- friendly workplace.
For environmental groups:  
  • Increase public awareness that breastfeeding is environmentally friendly, whereas bottle-feeding is not!
For women’s groups and policy makers:  
  • Demonstrate that mother-friendly workplaces are beneficial to all women, and all workers. 
  • Lobby the government to support child-care and maternity leave costs. 
  • Ensure equal employment opportunities for mothers and pregnant women. 
  • Determine whether existing maternity legislation is implemented, and whether it applies to all women workers. 
  • Convince employers of the benefits of having a mother friendly workplace (such as less absenteeism and anxiety, better morale, loyal committed staff and a healthy labour force in the next generation). 
  • In countries without national maternity legislation, lobby the government to implement minimum maternity entitlements as recommended by the International Labour Organization (ILO) conventions. 
  • Create alliances with international labour federations. 
  • Link breastfeeding rights to campaign for human rights, gender equity and child survival.
Ten Steps to Creating a Mother-Friendly Workplace   
Every workplace should:  

1. Provide at least three months paid maternity leave that begins after the baby is born. Offer other options such as longer maternity leave with partial pay, or paternity leaves.  

2. Offer flexible work hours to breastfeeding women such as part-time schedules, lengthened work days to enable longer breaks, and job sharing.  

3. Provide daily breastfeeding breaks of up to an hour a day.  

4. Support affordable infant and child-care at the workplace or in the community. For rural worksites and seasonal work, use mobile child-care units.  

5. Provide facilities for expressing and refrigerating breastmilk.  

6. Encourage co-workers and management to have a positive, accepting attitude toward working women breastfeeding.  

7. Keep the environment clean and safe.  

8. Inform women workers and unions about maternity leave policy and other rights.  

9. Ensure that women have full job security.  

10. Have a network of supportive women in unions or workers’ groups who can help women to combine breastfeeding and work.  

Tips for successfully combining work and breastfeeding  

  • Take as much postpartum rest as possible. 
  • Establish breastfeeding before you return to work. 
  • Form a support group with other working women who breastfeed; 
  • Consider co-operative strategies such as sharing child-care. 
  • Women in the informal economy, such as street vendors, can cooperate with each other to breastfeed their babies. 
  • If you are away from your baby for several hours, express breastmilk and have the baby fed with a cup and spoon. The use of bottles or pacifiers discourages babies from breastfeeding. 
  • Practise expressing breastmilk before returning to work. Expressing breastmilk by hand is easy with practice and convenient for most women. 
  • Pumps for expressing breastmilk may be useful for some women.
  • Expressed breastmilk keeps well for 8 or more hours even in tropical countries. Milk expressed by a pump does not keep as well. 
  • Get plenty of rest, and eat extra food and drink to maintain your health. Your diet should be well-balanced and include lots of fruits and vegetables, carbohydrates, and fluids. 
  • Have family members and friends provide extra help while you are breastfeeding. 
  • Breastfeed in a comfortable chair or while lying down so that you can rest. 
  • If you are separated from your baby for long hours during the day, breastfeed more at night. It may be easier to have your baby sleep with you. 
  • If you have flexible work hours, going an hour late, extending your lunch break, or leaving an hour early can be helpful. 
  • Know your rights at work. 
  • Join your local union or worker’s group. Ensure that working women’s issues such as infant care and breastfeeding are addressed
Resources  

"Women, work and breastfeeding", Penny van Esterik, Cornell International Nutrition Monograph No. 23, Div. of Nutritional Sciences, Savage Hall, Cornell Uni., Ithaca, NY 14853, USA.  

"The Politics of Breastfeeding", Gay Palmer, Pandora Press, London, 1986. INFACT Canada.  

 "The Working Woman’s Guide to Breastfeeding" . Dana, N. and A. Price, Simon & Schuster, New York, 1987.  

"Of Cradles and Careers. A guide to reshaping your job to include a baby in your life" . Lowmon, K., La Leche League International, Franklin Park, Illinois, 1984.  

"Breastfeeding and the Working Mother. A handbook for mothers to combine work & breastfeeding". Mason, D. and D. Ingersoll, 1986.  

"Breastfeeding and Women’s Work: Constraints and Opportunities". Van Esterik, P. and T. Greiner., in Studies in Family Planning, Vol 12, No 4, 1981.  

"Lactation, Fertility and the Working Women". D. Jelliffe, et. al. (ed) London: IPPF, 1979

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