Le vendredi 18 septembre 2015
5時50分、快晴、23℃、45％。
家の前のジャカランダの花盛り。既に散り始めた。
庭のハイビスカスは一年中花をつけるが、今がやはり盛りである。黄色い夾竹桃もしかり。
 |
| 僕の家の前のジャカランダ |
南アフリカ共和国では「母乳銀行」がブームだそうだ。
南アはアフリカ大陸の国の中でもエイズ患者が多い。人口の20％がエイズ・ビールス感染者と云われている。エイズで死亡するひとは少なくなったが、ビールスは母乳によって乳児に伝えられることが多い。
しかし、乳児にはやはり母乳が成長に欠かせない。そこで「母乳銀行」が組織された。
日本では乳母という女性がいた。今は、人工の代用乳になっているのだろうか。母乳を冷凍して宅配販売してくれる会社まであるようだ。ビジネスとして成立している。
南アでは血液銀行と同じ発想で、ボランディアの女性を登録して、母乳を数千人の女性から集めているのだという。
日赤の血液のようにビジネスではなく、善意のボランティア活動の延長となっていることを期待するのは無理なのだろうか。
The breast
milk banks reshaping South African attitudes
The Guardian + Slate Afrique
In a
country where a premature baby dies every 20 minutes, community-based
organisations are leading a shift in perception to breastfeeding – and saving
lives
When
Patrick McLeod was born prematurely in May, he was just 37cm and 1.2kg in
weight. His life hung by a thread. “It was a scary thing, to encounter him so
small,” says his mother, Annerleigh Bartlett. “He was so fragile we weren’t
sure how to handle him.”
Bartlett,
who had undergone an emergency caesarian at 28 weeks pregnant, could not
produce milk to feed her baby and his digestive system was not developed enough
to receive formula. But there was another way. Patrick began drinking breast
milk donated by other women to the Cape Town-based organisation Milk Matters.
He took a
millilitre of milk every two hours, continuing on donor milk for a fortnight,
until his mother was able to lactate. Patrick, who spent more than two months
in intensive care, is now 14 weeks old, 50cm and more than 3kg. “He improved on
a daily basis,” recalls Bartlett. “He went from strength to strength. He’s
quite feisty.”
Breast milk
banks are growing rapidly in South Africa, combating a climate where
breastfeeding rates are low, formula is fashionable and a premature baby dies
every 20 minutes. The government is introducing the banks at public hospitals,
and hopes that a shift in attitudes and mindsets will follow: at present only
8% of South African women exclusively feed their babies breast milk during the
first six months of their lives.
It’s a
system that existed informally in hospitals around the country before 1980. But
the HIV/Aids pandemic put an end to it, and dealt a blow to breastfeeding in
general, with HIV-positive mothers warned that they risked passing on the virus
to their babies. Instead, the government supplied free formula.
Eventually
a new method of pasteurisation ensured that breast milk banks could operate
safely again. Fifteen years ago in Durban, Anna Coutsoudis set up South
Africa’s first community-based bank with funding from Unicef. “At the beginning
I heard nurses asking, how can you bring milk from a white woman for a black
baby?” she recalls. “I said, but you’re happy for me to bring milk from a white
cow? We don’t get those statements any more.”
But as
South Africa’s infant mortality rates remained dismal health officials came to
recognise that the benefits of breast milk – packed with nutrients that help
build the immune system – far outweighed the risks, and antiretroviral drugs
were also significantly reducing the likelihood of HIV transmission. In 2011
the government began champion breastfeeding.
By the
middle of next year, KwaZulu-Natal province alone will have 16 milk banks in
public hospitals. Coutsoudis says: “There’s been a huge push from the
government, which is very exciting.”
Breast Milk
Reserve in Johannesburg
Stasha Jordan at the South African Breast Milk
Reserve in Johannesburg. Photograph: David Smith
Infant
mortality has come down in recent years but there is still a battle of
perceptions. “Poor people aspire to have what the rich have, and the rich have
always been seen as giving their children formula. It’s your cellphone, your
TV, your satellite dish – and formula fits with that. But breastfeeding is
common to all women, not just a certain social class. It shouldn’t just be a
woman hiding in the corner: it should be aspired to.”
Donated
breast milk is not taken from HIV-positive women. Potential donors undergo a
health screening and express their milk into sterile jars. It is then tested,
pasteurised, refrigerated and distributed. Coutsoudis estimates there are now
2,000-3,000 donors nationwide, giving breast milk for no payment to premature
babies who have been abandoned, orphaned or whose mothers are too ill to
lactate. “It is rewarding to know you have contributed to another person’s
life,” she says.
Coutsoudis
assisted with the establishment of Milk Matters in Cape Town and the South
African Breast Milk Reserve (SABR) in Johannesburg. At The Media Mills, a
cluster of converted industrial buildings, the SABR runs bottles of milk
through a pasteuriser and eight freezers. A wall clock notes: “Every drop
counts.” The SABR runs 44 milk banks across the country and is expanding fast:
last year it fed 1,689 babies, while this year it got to more than 2,800.
But Stasha
Jordan, founder of the SABR, warns that the “breast is best” message still has
a long way to go. “South Africa takes a very conservative stance on
communication around healthcare, or at least a very cryptic one,” she
complains. “The government is doing much better but I would love to see a lot
more education; I would love my children to come home and say they heard all
about breastfeeding today. It’s about normalising breastfeeding.”
Jordan says
women donate “for the same reason you donate blood: because you know the
life-saving value of it and you’re part of a movement. The ambition is to be
like blood banks. We have educated a segment of our population about donating
blood and in the same way we can educate women, to grow the breastfeeding
industry.”
The message
is spreading, though. Khanye Nzama defied her own family to breastfeed her
children, then became a regular milk donor in 2012. “I wanted to make a
difference,” explains the 32-year-old from Pinetown in KwaZulu-Natal. “In this
world you have to give something to make the world better. I decided the best
gift of life I could give is my breast milk.”
Back in
Cape Town, Bartlett is so grateful for the intervention by Milk Matters that
she has turned donor herself, already giving three litres, which fed 20 infants
for 24 hours. “It was the least I could do,” she says. “If it wasn’t for
organisations like Milk Matters, we might not have a boy today.”
Aucun commentaire:
Enregistrer un commentaire