As the world marks World Breastfeeding Week from 1 – 7 August, South Africa joins the global call to action in line with the World Health Organisation (WHO) 2025 theme: Healthy Beginnings, Hopeful Futures. Despite overwhelming evidence of the health and developmental benefits of breastfeeding, South Africa continues to lag behind global targets. According to the latest health data from the Alliance for Science, only 32% of South African infants are exclusively breastfed during the first six months of life, far below the WHO’s goal of 50%.
Research confirms that breastfeeding provides unmatched health protection during infancy. Infant mortality increases by nearly six times within the first month of life for babies who aren’t breastfed, compared to those who are breastfed. Breastfeeding reduces the risk of infections, allergies, sudden infant death syndrome (SIDS), type 1 diabetes, and childhood obesity. It is also associated with improved cognitive outcomes, with breastfed children typically achieving higher IQ scores, better school attendance, and greater earning potential later in life. Dr Khungelwa Mrwebi, who leads Life Healthcare’s clinical-maternity initiatives, says many mothers face difficulties that affect their ability to breastfeed, particularly during the critical early weeks.
“While we continue to advocate for breastfeeding as the healthiest option for most babies, we must recognise the very real physical, emotional, and social challenges some mothers encounter,” she says. Difficulties with latching, low milk supply, sore nipples, and certain medical conditions can complicate breastfeeding. Additionally, some mothers may need to avoid breastfeeding due to medications or treatments. “Thankfully, many of these problems can be overcome with early intervention and support from trained lactation consultants,” adds Dr Mrwebi. In cases where breastfeeding is not possible, options like donor breast milk or expressing milk may be suitable. South Africa has a network of breast-milk banks that can provide support in such circumstances. Working mothers also require greater workplace support.
“The right to breastfeed or express milk is protected under South African law,” Dr Mrwebi explains, “but it’s essential for employers and mothers to proactively discuss arrangements before returning to work to ensure continuity.” She cautions that mothers should ideally avoid pumping before the first six weeks, as this is the period when milk production is still being established. Dr Mrwebi stresses that while breastfeeding should be supported and encouraged, there must be compassion for mothers who cannot or choose not to breastfeed.
“Motherhood is already a high-pressure experience. Stigmatising women based on how they feed their babies only increases mental health strain,” she says. “If you are feeling overwhelmed during or after pregnancy, speak to your doctor or healthcare provider,” she adds. “Looking after your mental health is just as important as caring for your baby’s physical wellbeing.” As we commemorate World Breastfeeding Week 2025, healthcare professionals, employers, communities and policymakers are being urged to come together to remove barriers to breastfeeding. With better education, support and protection for mothers, we can give every child a healthier start and a more hopeful future.