Department of Paediatrics and Child Health, Faculty of Clinical Sciences, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria.
Department of Paediatrics and Child Health, Ekiti State University Teaching Hospital, Ado- Ekiti, Nigeria.
Int Breastfeed J. 2024 Oct 6;19(1):70. doi: 10.1186/s13006-024-00678-1.
The World Health Organization prioritizes Mother's Own Milk (MOM) or donor human milk (DHM) when MOM is unavailable or insufficient. It is also important for healthcare workers (HCWs) to provide adequate support, information, and education to mothers to help improve their milk production and breastfeeding experience. DHM is scarce in developing countries, prompting a need for understanding health workers' perspectives.
This cross-sectional study, conducted in 2021 in Ekiti State, Nigeria, examined the knowledge and attitudes of HCWs regarding human milk banking. A sample of 321 participants from government-owned hospitals completed a self-administered questionnaire.
Of the 321 participants (84.7% response rate), the majority were females (69.2%), aged 30-39 (32.1%), Christian (91.9%), and employed in tertiary hospitals (91.9%). About 65% of the HCWs believe that HMB is a safe practice and 42% believe that the DHM has the same quantity of immunological factors as fresh human milk. While 80.4% displayed good DHM knowledge, attitudes varied. The HCWs profession influenced their attitudes and a higher proportion of all female HCWs (71%), except for health assistants (65.4%), expressed willingness to donate their breast milk if needed. Among males HCWs, the majority of those who were doctors (82.8%) and pharmacists (62.5%) expressed willingness to support their spouses to donate breast milk, and they also had higher acceptance of DHM for their infants. In all, more than 80% of the HCWs will encourage mothers to donate their milk and feed babies under their care with DHM, but only 47% would accept DHM to feed their own children. Health assistants had less favourable views, and negative perceptions were linked to the internet and media sources.
The study highlights health workers' awareness of DHM but indicates a reluctance to fully embrace it, especially among health assistants. The need for targeted education programs, to address knowledge gaps and negative perceptions, is crucial for the successful implementation of human milk banks in Nigeria. Overcoming challenges, such as safety concerns and sociocultural influences, requires focused efforts from policymakers and healthcare institutions.
当母亲的自有奶（MOM）或捐赠人乳（DHM）不可用时或不足时，世界卫生组织将其作为优先选择。卫生保健工作者（HCWs）为母亲提供足够的支持、信息和教育，以帮助提高她们的产奶量和母乳喂养体验，这也很重要。DHM 在发展中国家稀缺，这促使我们需要了解卫生工作者的观点。
本横断面研究于 2021 年在尼日利亚埃基提州进行，调查了 HCWs 对人乳库的知识和态度。来自政府所有医院的 321 名参与者完成了一份自我管理的问卷。
在 321 名参与者中（响应率为 84.7%），大多数是女性（69.2%），年龄在 30-39 岁（32.1%），基督教徒（91.9%），在三级医院工作（91.9%）。约 65%的 HCWs 认为 HMB 是一种安全的做法，42%的 HCWs 认为 DHM 具有与新鲜人乳相同数量的免疫因子。虽然 80.4%的 HCWs 对 DHM 有较好的了解，但态度各不相同。HCWs 的职业影响了他们的态度，除了卫生助理（65.4%）外，所有女性 HCWs 中更高比例（71%）表示如果需要，愿意捐献自己的母乳。在男性 HCWs 中，大多数医生（82.8%）和药剂师（62.5%）表示愿意支持他们的配偶捐献母乳，并且他们也更愿意接受 DHM 喂养自己的婴儿。总体而言，超过 80%的 HCWs 会鼓励母亲捐献母乳，并在他们照顾的婴儿中喂养 DHM，但只有 47%的 HCWs 会接受 DHM 喂养自己的孩子。卫生助理的观点不太有利，负面看法与互联网和媒体来源有关。
研究强调了卫生工作者对 DHM 的认识，但表明他们不愿意完全接受它，尤其是在卫生助理中。需要开展有针对性的教育计划，以解决知识差距和负面看法，这对于在尼日利亚成功实施人乳库至关重要。需要决策者和医疗机构集中精力克服安全问题和社会文化影响等挑战。
