Experts call for health associations to end formula industry sponsorship  

Researchers are urging health associations to stop accepting sponsorships from formula companies to mitigate the influence of the commercial milk formula (CMF) industry on breastfeeding rates in the country. 

A recent study published in the Journal of the Colleges of Medicine of South Africa noted that CMF industry’s involvement with health associations is not without conflict, noting that it can “threaten the autonomy and integrity of health professionals and their associations, potentially leading them to intentionally or inadvertently prefer or recommend CMF, or prescribing specialised CMF when these are unnecessary.”

“We’re not just calling on healthcare professionals, but also researchers, scientists, academics, universities to ensure that they don’t allow commercial milk formula manufacturers to promote their products by sponsoring associations and events organised by health professionals,” says Dr Katie Pereira-Kotze, Research Consultant at the Health Systems Research Unit of the South African Medical Research Council.

South Africa’s rate of breastfeeding exclusively for babies under six dropped from 36% in 2016 to an estimated 22% in 2022. This falls short of the World Health Organisation’s (WHO) fifty percent target for exclusive breastfeeding across the globe in 2025. 

According to the National Department of Health (NdoH), new tactics in the marketing of breastmilk substitutes, including online marketing and health worker attitudes are some challenges to increasing the rates of breast-feeding. 

The study also notes that when health experts and their groups get money from the CMF industry, this creates a conflict of interest (COI) and a subconscious duty. This could make health professionals more likely to support the industry’s commercial interests and marketing.

The CMF industry likely targets healthcare workers because for most parents, these  are the first experts they meet when they become mothers. 

“There is often a thin line between illegal tactics that break local and global marketing rules or legal loopholes that are completely wrong. Targeting health care workers in various ways is especially insidious because they know that caregivers, families, and communities rely on and trust the advice from them,” explains Angelika Grimbeek, Policy and Research Manager at the Healthy Living Alliance (HEALA).

The researchers are calling on all healthcare facilities to join organisations such as the UCT Department of Paediatrics and Child Health, the United South African Neonatal Association and the Association for Dietetics in South Africa, “in setting a new standard for ethical conduct by publishing clear and strong public position statements aligned with global guidance”. 

About HEALA

HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system.

For media interviews please contact:  

Zukiswa Zimela HEALA Communications Manager

0745210652 | zukiswa@heala.org

OP-ED: Our children’s health is not for sale

I don’t have kids, but as an aunt, I know what it’s like to have to resist the pressure from the little ones at the stores. It seems they have just what it takes to tug at my heartstrings, so I give in to their requests for unhealthy snacks with bright cartoon characters. Most parents and full-time care-givers know how hard it is to resist the pleas for sweets, sugary cereal, and treats with their children’s favourite characters. 

We know that children are the future. Unfortunately, food companies see children as future consumers. Big food companies are increasingly using Child Directed Marketing (CDM) to increase sales. CDM is targeted at children to influence them to want unhealthy food. Getting children hooked on unhealthy foods creates in them lifelong loyal fans. 

Industry players know the power children have in decision-making for household spend. A 2021 Paramount Insights report showed that South African children are media savvy. Seventy percent of parents said their children have an impact on household purchasing decisions. “The main categories that kids influence are entertainment (97%), food and groceries (94%), restaurant (89%), vacations and day trips (80%, and electronics (75%). Additionally, “65% of kids participate in decisions about the gifts their family buys for others,” the study found. 

This means that our children, who are vulnerable and can be tricked by these groups, are the perfect tool to get parents to spend money on unhealthy food.

This article was published on Longevity on the 26th of July 2024. Click HERE to read the full op-ed.

Chew On This Episode 1: How is Big Food violating our right to nutritious food?

South Africa suffers from high levels of hunger, food insecurity, and obesity — all of which are consequences of the country’s broken food system. It is only by fixing South Africa’s broken food system will the country be able to guarantee everyone equitable access to affordable, nutritious food. This webinar explores the role Big Food plays in our ability to access nutritious food and how evidence based policies can address these issues.

Nestlé Sugar coating the truth about sugar content in baby food and formula

New research shows that Food Giant Nestle is intentionally exposing young children from developing countries like South Africa to foods containing high levels of sugar. The researchers found that biscuit flavoured baby cereal South Africa contains 6 grams of sugar while the same product sold in Switzerland, where Nestlé is headquartered, is available with no added sugar. 

Alarmingly the report noted that “Cerelac wheat-based cereals for six-month-old babies sold by Nestlé in Germany and the UK has no added sugar, while the same product contains over 5 grams per serving in Ethiopia and 6 grams in Thailand.” The same cereal sold in South Africa contained 4 grams of sugar per serving.

It is a well known fact that the overconsumption of sugar is linked to obesity. South Africa is facing a growing crisis of childhood obesity. 1 in 8 children under the age of 5 are obese. This alarming statistic points to a grim future for these children, who are likely to grow into a cohort of adults where every second person is obese. Being overweight or obese is a well-known driver of diseases like cancer, heart disease, diabetes, and high blood pressure.

With low levels of nutrition literacy, it is difficult for ordinary people to make sense of the current nutrition labels on the back of food products. Additionally, parents and caregivers who want to make the best choices for their children are often lured in by false claims of healthfulness and enrichment made by food producers.

The Healthy Living Alliance (HEALA) reiterates its call for the ratification of front-of-pack warning label (FOPWL) regulations on foods containing high levels of salt, sugar and saturated fat to protect caregivers from predatory food organisations like Nestlé. In 2023, the the National Department of Health (NdoH) published R3337, putting forward a draft regulation to introduce front-of-pack labelling in South Africa. These labels are intended to make it easier for everyone to identify these foods and make better food choices for themselves and their families.

Additionally, the regulation makes provision for marketing restrictions to be placed on foods bearing a warning label. This will protect consumers from unfounded health claims made by food producers.

“HEALA continues to call for South African government to strengthen their regulation and policy framework to safe guards the health of the children which is under the risk to major unhealthy food producers such as Nestle. We calling for government to review and tightening the Marketing Restriction to Children Regulation, urgently promulgate regulation on unhealthy food through FOWPL, policies that make schools a healthy food zones, protect academia from conflict of interests by food industry,” says Nzama Mbalati, HEALA, acting interim CEO.

Additional sugar was not only found in baby cereals, added sugar was also detected in Nido powdered milk marketed to children from the age on one.

Nestlé’s has a history of intentionally violating regulations put in place to protect the young. South Africa has regulations in place that prevent companies from aggressively promoting consumption of ultra-processed food, including products with a high sugar content. However, in 2021 Nestlé was caught flouting R991 regulations meant to safeguard the nutrition and health of South African children by organising a webinar with a potential giveaway to parents who attended. The department’s regulations are meant to safeguard the nutrition and health of South African children.

“Unethical behaviour in sales and marketing is something Nestlé is familiar with. Being the world’s largest food and beverage corporation, Nestlé has made a reputable name and made excessive profits for themselves at the expense of children and adults health globally,” Mbalati says.

While positioning itself as the solution to serious, life threatening issues like hidden hunger , Nestle pushes products with added sugars to food insecure children in developing countries.

HEALA is urging the government to do everything in its power to protect South Africa’s most vulnerable. The consequences of allowing big food companies to run rampant in our country are terrifying and should be a concern for us all. 

END

About HEALA: 

HEALA is a coalition of civil society organisations that advocates for equitable access to affordable and nutritious food for all in South Africa.

For interview requests please contact:

Zukiswa Zimela, Communications Manager HEALA

Zukiswa[at]heala.org |

WEBINAR: My Health, My Right: The Importance of regulating the food environment to eliminate over and under nutrition

HEALA cordially invites you to our upcoming webinar scheduled for April 24 at 15.30 SAST. The webinar titled “My Health, My Right: The Importance of regulating the food environment to eliminate over and under nutrition” is aimed at highlighting the grim reality of the food environment in South Africa. Currently, the country is battling a double burden of over and under-nutrition.

Experts warn that Ultra-Processed Food consumption may be associated with a higher risk of obesity, overweight, and stunting in low and middle-income countries. New research by Dr. Tamryn Frank shows that low-income South African adults consume, on average, 40% of their calories from ultra-processed products. We live in a society where eight million children go hungry every day. Dr. Edzani Mphaphuli will discuss the dangers of stunting and malnutrition for the wellbeing of children throughout their lives.

HEALA’s Programmes Manager, Petronell Kruger, will speak about the need for evidence-based regulations to fix South Africa’s broken food system and guarantee everyone equitable access to affordable, nutritious food.

RSVP HERE