Maternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Health and Systems for Health Unit, African Population and Health Research Center, Nairobi, Kenya.
Matern Child Nutr. 2019 Oct;15(4):e12842. doi: 10.1111/mcn.12842. Epub 2019 Jul 26.
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.
当无法使用母亲自己的母乳时，捐赠的人乳（DHM）被推荐为最佳替代品。肯尼亚尚未建立提供安全 DHM 的人乳库（HMB），这些 DHM 应不含任何物理、化学、微生物污染物或病原体。本研究旨在了解肯尼亚对捐赠和使用 DHM 以及建立 HMB 的看法。通过 17 次焦点小组讨论、29 次关键知情人访谈和 25 次深入访谈收集定性数据，受访者为育龄妇女、社区成员、卫生工作者和政策制定者。对 868 名 3 岁以下儿童的母亲进行了定量访谈。在 STATA 软件中对定量数据进行描述性分析，而对定性访谈进行 NVIVO 编码和主题分析。他们中的大多数人对向 HMB 捐赠母乳（80%）和用 DHM 喂养儿童（87%）持积极态度。在个人层面上，参与者更愿意将自己的母乳捐赠给 HMB（78%），而不是将 DHM 用于自己的孩子（59%）。捐赠和使用 DHM 的主要问题是个人不喜欢、担心包括 HIV 在内的疾病传播以及卫生问题。确保 DHM 的安全性被认为是提高 DHM 可接受性和成功建立 HMB 的重要因素。在建立 HMB 时，肯尼亚必须考虑到沟通策略，以解决有关 DHM 质量和安全性的主要问题。这些发现将有助于在肯尼亚和其他非洲国家制定 HMB 指南。
