Perceptions on donated human milk and human milk banking in Nairobi, Kenya.
Adult
Attitude of Health Personnel
/ ethnology
Breast Feeding
/ ethnology
Child, Preschool
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
/ ethnology
Health Personnel
/ psychology
Humans
Infant
Infant, Newborn
Kenya
/ ethnology
Male
Milk Banks
Milk, Human
Parents
/ psychology
Patient Acceptance of Health Care
breastfeeding
donated human milk
donating
human milk banking
neonate
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
10
09
2018
revised:
13
03
2019
accepted:
10
05
2019
pubmed:
18
5
2019
medline:
13
6
2020
entrez:
18
5
2019
Statut:
ppublish
Résumé
Donor human milk (DHM) is recomended as the best alternative when use of mothers' own milk is not a feasible option. Kenya has not yet established human milk banks (HMBs) for provision of safe DHM, which is free from any physical, chemical, microbiological contaminants or pathogens. This study aimed to establish the perceptions on donating and using DHM, and establishing HMBs in Kenya. Qualitative data were collected through 17 focus group discussions, 29 key informant interviews, and 25 in-depth interviews, with women of childbearing age, community members, health workers, and policy makers. Quantitative interviews were conducted with 868 mothers of children younger than 3 years. Descriptive analysis of quantitative data was performed in STATA software, whereas qualitative interviews were coded using NVIVO and analysed thematically. Majority of them had a positive attitude towards donating breast milk to a HMB (80%) and feeding children on DHM (87%). At a personal level, participants were more willing to donate their milk to HMBs (78%) than using DHM for their own children (59%). The main concerns on donation and use of DHM were personal dislikes, fear of transmission of diseases including HIV, and hygiene concerns. Ensuring safety of DHM was considered important in enhancing acceptability of DHM and successful establishment of the HMBs. When establishing HMBs, Kenya must take into consideration communication strategies to address the main concerns raised regarding the quality and safety of the DHM. The findings will contribute to the development of HMB guidelines in Kenya and other African contexts.
Identifiants
pubmed: 31099159
doi: 10.1111/mcn.12842
pmc: PMC6859964
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12842Informations de copyright
© 2019 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.
Références
Acta Paediatr. 2016 May;105(5):462-7
pubmed: 26659819
Early Hum Dev. 2009 Nov;85(11):701-4
pubmed: 19766412
Breastfeed Med. 2014 Jun;9(5):251-6
pubmed: 24784566
Breastfeed Med. 2012 Feb;7(1):29-37
pubmed: 21718117
Int Breastfeed J. 2011 Feb 22;6:3
pubmed: 21342496
J Hum Lact. 2008 Feb;24(1):69-76
pubmed: 18281358
Matern Child Nutr. 2019 Oct;15(4):e12842
pubmed: 31099159
Pediatrics. 2006 Mar;117(3):e380-6
pubmed: 16510618
Arch Dis Child Fetal Neonatal Ed. 2007 May;92(3):F169-75
pubmed: 16556615
Turk Pediatri Ars. 2015 Jun 01;50(2):83-9
pubmed: 26265891
J Hum Lact. 2013 May;29(2):222-9
pubmed: 23515087
Collegian. 2014;21(3):239-44
pubmed: 25632719
J Perinat Med. 2013 Mar;41(2):129-31
pubmed: 23241582
Lancet. 2016 Jan 30;387(10017):475-90
pubmed: 26869575
Lancet. 2014 Jul 12;384(9938):189-205
pubmed: 24853593
Early Hum Dev. 2007 Oct;83(10):667-73
pubmed: 17913402
Cochrane Database Syst Rev. 2014 Apr 22;(4):CD002971
pubmed: 24752468
Ann Nutr Metab. 2016;69 Suppl 2:8-15
pubmed: 28103607
J Hum Lact. 2015 May;31(2):294-300
pubmed: 25722356
J Hum Lact. 1995 Jun;11(2):93-6
pubmed: 7619300
J Hum Lact. 2003 May;19(2):199-202
pubmed: 12744538