Mama Themba provides hope to vulnerable new Mothers in the Western Cape of South Africa by offering them valuable antenatal and breastfeeding education.
Showing posts with label milk. Show all posts
Showing posts with label milk. Show all posts

Wednesday, December 4, 2013

Meet Zoleka, Breastfeeding Counselor

I was recently able to spend some time with Zoleka Malamba, a breastfeeding counselor and advocate. I was struck by her personal story and how her history has led her to where she is today, making a difference in the lives of other women in similar situations.

Zoleka teaching on the importance of breastfeeding
at a support group

Today, Zoleka is 34 years old and has three kids.  She is married and lives with her husband, George, whom she met 1998.

Zoleka met Frances Fuchs, the manager of Bosom Buddies, while she was working for another NGO (non-governmental organisation), Mothers To Mothers, that counsels women who are HIV+.  She is happy today that she spoke with Frances when her contract with Mothers to Mothers was coming to an end.  She accepted the offer to work for Bosom Buddies in April 2012.

This is just a bit of Zoleka’s story.


Please tell me about yourself.
I grew up living with my mother, grandmother and uncle as social outcasts.  My mother had me when I was 15 years old and then my father left her and went on with his life.  My mother was forced to drop out of school to raise me and became a domestic worker [cleaning houses].  My grandmother also was a domestic worker.  My uncle used to sell newspapers 
at robots [traffic lights].

When I was thirteen or fourteen and in Standard 5 [grade 5], I had to drop school to look after my mother after she’d had a stroke.  She passed away that year and I tried to get back into school in Standard 6.  The next year, my grandmother had a heart attack and passed away, too.  We’d been living in a one-room shack.

I dropped out of school at Grade 10 because I had no support system and then got a job at a supermarket where was paid a total of R98 [around $10] for working a day and a half.  After a while, I got more hours and was able to work for three days for R198 [around $20].  I worked there for five years and it was while I was working at this supermarket that I met my husband, George.

In 2010, I heard that Mothers To Mothers was hiring.  They required a Grade 10 education as well as fluency in English, Afrikaans, and Xhosa.  Since I could speak all languages, I applied and went for an interview.  After two days, I was told I qualified for the job, over other applicants who had finished Grade 12 and beyond!  I still don’t know why they picked me, but thank God for it.


Expectant mother reading our pamphlet
How did you get to know Frances at Bosom Buddies?
When I first met Frances Fuchs, I was helping a woman from the Eastern Cape who had been raped by a policeman and as a result became pregnant, as well as HIV+.  I was heartbroken by her story and asked Frances to help her.  Frances agreed and our friendship began then, while I was still at Mothers To Mothers.

Many mothers that give birth in government hospitals do not have clothes for the babies and when they leave the hospital, must carry the baby home inside their own clothes.  Frances would bring bags of supplies for these mothers in Macassar where I worked with Mothers To Mothers.  We also started a breastfeeding support group together at that hospital a short while later and in 2012, Frances offered me a job at Bosom Buddies.


Was there something like Bosom Buddies for you when you had your first baby?
There was nothing!  I tell the ladies I work with now, “You are so fortunate!  In my time, there was no one to tell us about breast-feeding, how to have a healthy pregnancy, safe sex, and all those things.”  There was only a sister [nurse] to tell us whether or not we were pregnant.  We didn’t even feel like we could ask how our baby was doing because no one had told us that we could ask those questions.  When I was pregnant with my first daughter in 2001, the woman who gave the ultrasound didn’t even ask me if I wanted to know if it was a boy or a girl.  The doctors and nurses acted as if it was not our business to ask questions, and I did not have the courage to ask.

At Bosom Buddies, I can tell the women that it is their right and responsibility to ask questions and to learn.  During labor, it is okay to ask the nurse how many centimeters you are dilated so you can prepare better for the birth.  Sometimes the nurses can be intimidating, but you can still ask.  We want to empower them to press for the information they need.


Would you have made any changes to how you raised your children if you’d known then what you know now?
Yes, I would breastfeed!  With my firstborn, I didn’t want to eat and was very stressed because I didn’t have the support of my mother and father.  I didn’t know how to care for my child.  I didn’t breastfeed because I didn’t know how to do it and formula-fed her instead.  I started to mix feed and feed her porridge at two weeks old.  Because of malnutrition, she didn’t gain weight and at six months old she was still wearing newborn clothes.



If money weren’t an issue, what would you do with your life?
I would educate people more and more and more.  I want to teach them about the importance of breastfeeding.  I want to teach them about the dangers of HIV and how to avoid it and care for it.  It’s a very big problem here and even though people don’t want to talk about it, it is very real.

Friday, March 15, 2013

March News


There has been a lot of debate on our social platforms surrounding breastfeeding vs bottle feeding. One might wonder why we would invest so much in educating mothers on this issue. People are often surprised when I mention the topic. Or activists for breastfeeding are branded as ‘hippies and Nazis’. Yes, I have been called both. Let me explain my views as endorsed by our own Department of Health, by the World Health Organisation and UNICEF.

A middle class mother in urban areas in Europe has the benefits of antenatal education, of clean running water, of sterilising equipment, enough money to buy formula milk, help and resources nearby. She would be (one would hope) properly educated around the benefits of breastfeeding, on how to deal with difficulties and she would be literate in order to read and understand mixing instructions on the formula tin.

It is true that some women are unable to breastfeed for some specific medical reason; it
is also true that women don’t have the support to be successful at breastfeeding. Often problems with lack of supply are mentioned. Lack of supply can be directly linked to lack of information Bottles and pacifiers (of any kind) detrimentally affect breast milk supply.

In a new report by Save the Children, it is estimated that 830,000 babies could be saved every year if they were breastfed in the first hour of life. The colostrum, or first milk, provides potent antibodies that protects against disease. Breastfeeding in that golden hour after the baby’s birth typically leads to exclusive breastfeeding for the first 6 months.

So why isn't this happening? Save the Children identifies four major barriers to breastfeeding:

1) Community and cultural pressures
2) The health worker shortage
3) Lack of maternity legislation
4) Inappropriate marketing of breast-milk substitutes

In the developing world (this includes South Africa); the price paid is particularly high. A baby dies every 30 seconds for lack of protection breastfeeding provides against malnutrition and deadly disease.

What does all this have to do with Bosom Buddies? Our work is done in urban Cape Town, but we are definitely not exempt from these statistics and struggles. Anywhere in South Africa, our townships are places of poverty, struggle and hardship, particularly for the women and mothers. I always emphasise to the mothers in our support groups that the most significant hurt you can hurt a mother, is the pain of losing a child. In spite of access to medical care, all 4 of the above barriers still affect our mothers. Bosom Buddies is employing another breastfeeding expert from April, to help us to reach more women and to positively impact the infant mortality and morbidity rates in our area.