Advancing gender equality through context-sensitive work-family support for breastfeeding: lessons from a participatory intervention in South Africa

The return to work is a key reason for breastfeeding cessation worldwide. Where workplace breastfeeding support is available, it is shaped by universal policies that overlook local realities and needs. Our collaborative research, involving an academic team and government partners, sought context-specific solutions for supporting breastfeeding in a provincial government in South Africa. Using a participatory approach, we conducted qualitative interviews with 12 government-employed mothers and senior managers. We identified three key challenges to workplace breastfeeding support: (1) Lack of awareness and communicating of reliable information on maternity and breastfeeding rights, (2) Workplace cultures pressurising mothers into silence, secrecy, and supra-performance that perpetuate breastfeeding as 'taboo' at work, and (3) Inadequate context-sensitive and practicable interventions for supporting maternity and breastfeeding at work. Based on these findings, we co-created tailored, practical interventions with the interviewees and refined them iteratively to enhance support for workplace breastfeeding. This research informed updates to a provincial government department policy document on workplace breastfeeding support, moving beyond national legislation to create a breastfeeding-friendly workplace. Our study highlights the value of participatory approaches for the development of context-sensitive solutions for workplace breastfeeding support with implications for organizations, social policy, and future research.