{"title":"尼日利亚西南部孕妇和哺乳母亲对母乳库的接受程度。","authors":"Ezra Olatunde Ogundare, Iyabode Olabisi Florence Dedeke, Adefunke Olarinre Babatola, Adewuyi Temidayo Adeniyi, Adebukola Bidemi Ajite, Olubunmi Adeola Lawal, Adekunle Bamidele Taiwo, Odunayo Adebukola Fatunla, Ayotunde Emmanuel Ajibola, Olufunke Bosede Bolaji, Oladele Simeon Olatunya","doi":"10.1177/22799036231197190","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Human milk bank is a sustainable source of donor human milk (DHM) which is an acceptable alternative to the mother's milk and it is not routinely available in Nigeria, a multi-ethnically diverse country.The study aimed to assess the willingness to donate or accept human milk among pregnant women and mothers attending the antenatal, immunization, outpatient, under-five, and neonatal follow-up clinics in selected health facilities in Ekiti State, Southwest Nigeria.</p><p><strong>Study design and methods: </strong>A descriptive cross-sectional, mixed methods study design was used to collect data in selected health facilities in Ekiti State. Questionnaires and focus group discussions were used to collect quantitative and qualitative data respectively while data analysis was done using the IBM® Statistical Package for Social Science SPSS version 26® and thematic analysis respectively.</p><p><strong>Results: </strong>Of the 798 respondents, 529 (66.3%) and 626 (78.4%) did not know about wet nursing or human milk banking (HMB) respectively and 139 (17.4%) were willing to donate their breastmilk for a stipend. In the focus group discussion, 50% had heard about wet nursing but none heard about HMB. Maternal educational level had a significant impact on their willingness to donate or accept DHM (<i>p</i> < 0.00). Wholesomeness, cultural, and religious biases were major reasons affecting HMB acceptability.</p><p><strong>Conclusions: </strong>Awareness and perception of HMB are poor. Appropriate information, education, and counselling on HMB are needed to drive the adoption and establishment of HMB in Nigeria.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/4a/10.1177_22799036231197190.PMC10475256.pdf","citationCount":"0","resultStr":"{\"title\":\"Human milk banking acceptability among pregnant and nursing mothers in Southwest Nigeria.\",\"authors\":\"Ezra Olatunde Ogundare, Iyabode Olabisi Florence Dedeke, Adefunke Olarinre Babatola, Adewuyi Temidayo Adeniyi, Adebukola Bidemi Ajite, Olubunmi Adeola Lawal, Adekunle Bamidele Taiwo, Odunayo Adebukola Fatunla, Ayotunde Emmanuel Ajibola, Olufunke Bosede Bolaji, Oladele Simeon Olatunya\",\"doi\":\"10.1177/22799036231197190\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Human milk bank is a sustainable source of donor human milk (DHM) which is an acceptable alternative to the mother's milk and it is not routinely available in Nigeria, a multi-ethnically diverse country.The study aimed to assess the willingness to donate or accept human milk among pregnant women and mothers attending the antenatal, immunization, outpatient, under-five, and neonatal follow-up clinics in selected health facilities in Ekiti State, Southwest Nigeria.</p><p><strong>Study design and methods: </strong>A descriptive cross-sectional, mixed methods study design was used to collect data in selected health facilities in Ekiti State. Questionnaires and focus group discussions were used to collect quantitative and qualitative data respectively while data analysis was done using the IBM® Statistical Package for Social Science SPSS version 26® and thematic analysis respectively.</p><p><strong>Results: </strong>Of the 798 respondents, 529 (66.3%) and 626 (78.4%) did not know about wet nursing or human milk banking (HMB) respectively and 139 (17.4%) were willing to donate their breastmilk for a stipend. In the focus group discussion, 50% had heard about wet nursing but none heard about HMB. Maternal educational level had a significant impact on their willingness to donate or accept DHM (<i>p</i> < 0.00). Wholesomeness, cultural, and religious biases were major reasons affecting HMB acceptability.</p><p><strong>Conclusions: </strong>Awareness and perception of HMB are poor. 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引用次数: 0
摘要
背景:母乳库是捐赠母乳(DHM)的可持续来源,是母乳的可接受替代品,但在尼日利亚这个多民族多元化的国家,母乳库并不常见。这项研究的目的是评估在尼日利亚西南部埃基蒂州选定的卫生机构进行产前检查、免疫接种、门诊、五岁以下儿童和新生儿随访诊所的孕妇和母亲捐献或接受母乳的意愿。研究设计和方法:采用描述性横断面混合方法研究设计,在埃基蒂州选定的卫生设施中收集数据。采用问卷调查和焦点小组讨论分别收集定量和定性数据,数据分析分别使用IBM®Statistical Package for Social Science SPSS version 26®和专题分析。结果:798名受访者中,529名(66.3%)和626名(78.4%)不了解母乳喂养和母乳银行(HMB), 139名(17.4%)表示愿意捐赠母乳以获得补贴。在焦点小组讨论中,50%的人听说过母乳喂养,但没有人听说过HMB。产妇受教育程度显著影响其捐献或接受DHM的意愿(p)。结论:产妇对HMB的认识和认知较差。需要适当的信息、教育和咨询,以推动HMB在尼日利亚的采用和建立。
Human milk banking acceptability among pregnant and nursing mothers in Southwest Nigeria.
Background: Human milk bank is a sustainable source of donor human milk (DHM) which is an acceptable alternative to the mother's milk and it is not routinely available in Nigeria, a multi-ethnically diverse country.The study aimed to assess the willingness to donate or accept human milk among pregnant women and mothers attending the antenatal, immunization, outpatient, under-five, and neonatal follow-up clinics in selected health facilities in Ekiti State, Southwest Nigeria.
Study design and methods: A descriptive cross-sectional, mixed methods study design was used to collect data in selected health facilities in Ekiti State. Questionnaires and focus group discussions were used to collect quantitative and qualitative data respectively while data analysis was done using the IBM® Statistical Package for Social Science SPSS version 26® and thematic analysis respectively.
Results: Of the 798 respondents, 529 (66.3%) and 626 (78.4%) did not know about wet nursing or human milk banking (HMB) respectively and 139 (17.4%) were willing to donate their breastmilk for a stipend. In the focus group discussion, 50% had heard about wet nursing but none heard about HMB. Maternal educational level had a significant impact on their willingness to donate or accept DHM (p < 0.00). Wholesomeness, cultural, and religious biases were major reasons affecting HMB acceptability.
Conclusions: Awareness and perception of HMB are poor. Appropriate information, education, and counselling on HMB are needed to drive the adoption and establishment of HMB in Nigeria.
期刊介绍:
The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.