Acceptability of Human Milk Donation and Associated Factors among Postnatal Mothers at Public Hospitals in Addis Ababa, Ethiopia, 2024

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Date

2024-05-10

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Addis Ababa University

Abstract

Background: The best nutrition for babies is breast milk; nevertheless, problems with the mother or the child may cause breastfeeding to be stopped temporarily or permanently. According to WHO and UNICEF, pasteurized donor milk is advised as an infant's first option. Ethiopia does not have a human milk bank yet, but the Ministry of Health is considering to establishing one. It is important to carefully assess if mothers perspective on the acceptability before establishing a human breast milk bank. Objective: The aim of this study was to assess the acceptability of human milk donation and associated factors among postnatal mothers at public hospitals in Addis Ababa, Ethiopia, 2024. Methods: An institutional-based cross-sectional study was conducted among 398 postnatal mothers from February 19 to March 19, 2024, using simple random sampling for hospitals and systematic random sampling for participants. Data was collected using interviewer-administered questionnaire via the Kobo Collector application. SPSS version 26 was used analyze the data, employing first binary logistic regression and then multivariable logistic regression to control confounders and establish associations. The statistical significance of the association was determined using 95% confidence interval and p-value < 0.05. Result: Among postnatal mothers, 75.4% expressed willingness to donate breast milk. Mothers who had awareness of the human breast milk bank were 2.69 times (AOR = 2.69, 95% CI: 1.27 5.67), and those who had awareness about wet nurses were 2.96 (AOR = 2.96, 95% CI: 1.76-4.98) more likely to willing of breast milk donation. Furthermore, those who had previous delivery of a LBW baby were 2.40 times (AOR = 2.40, 95% CI: 1.04-5.54), and the literate one were 2.44 times (AOR = 2.44, 95% CI: 1.16-5.11) more likely of willing to donate. Conclusion: Postnatal mothers exhibit a significant inclination to donate breast milk, influenced by factors like awareness of milk banks, familiarity with wet nurses, past experience of low-weight births, and literacy. Elevating awareness and education on milk donation, alongside tackling literacy, issues are pivotal for fostering milk donation. Keywords: Acceptability, Breast Milk Donation, Postnatal Mother, Human Milk Bank, Ethiopia.

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Acceptability Breast Milk Donation Postnatal Mother Human Milk Bank Ethiopia

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