Attitudes and Views Concerning Human Milk Banking Among Mothers Residing in a Rural Region of Bangladesh

2021 ◽  
pp. 089033442110044
Author(s):  
Yasmin Jahan ◽  
Sohel Rahman ◽  
Tasdidaa Shamsi ◽  
Atiqur sm-Rahman

Background Human milk banks play an essential role by providing human milk to infants who would otherwise not be able to receive mother’s milk. Study aim To determine the opinions and attitudes among possible donor mothers regarding human milk banks in one rural region in Bangladesh. Methods A prospective, cross-sectional study following a probability type of stratified cluster sampling technique was used. Included in the study ( N = 121) were mothers aged 20–49 years, with at least one child, who was currently lactating or had breastfed her child, and who resided in the rural community of Bangladesh where the study was conducted. Data were collected through a 21-item, close-ended questionnaire and a face-to-face interview conducted by the researcher at each participant’s home. Results Among the participants, 98.3% ( n = 119) said that they had not heard about human milk banks before speaking with the researchers. Most participants (71.9%, n = 87) said would obtain human milk from milk banks if necessary, but 28% ( n =34) of mothers indicated that they would not receive milk from a milk bank, even if it was necessary for their children. Only 8.3% ( n = 10) said human milk banks were not appropriate according to Islam and 99.2% ( n = 120) did not know about the acceptance of human milk banking practices in Bangladesh. Conclusions For those with religious concerns, a framework for both the donors and recipients can be established. It can be recommended that health education through healthcare personnel (midwives, nurses, gynecologists, pediatricians, and other health professionals) and religious leaders may strengthen the belief and increase awareness among family members about milk banking practices.

2018 ◽  
Vol 5 (5) ◽  
pp. 1775 ◽  
Author(s):  
Anitha M. Balachandran ◽  
Kamalarathnam C. N. ◽  
Mangala Bharathi S.

Background: Human milk banking depends on donations and characterization of donors seems important. We aimed to determine prevalence of human milk donors and profile of regular donors and their infants.Methods: Cross-sectional study done on human milk donors in model HMB in tertiary NICU for six months.  Donors who had donated for more than 30% of their hospital stay considered as regular donors. Their sociodemographic and clinical profile along with their infant status recorded from history, examination and health records.Results: Prevalence of Human milk donors in our HMB was 71.3% and that of regular donors was 27.08%. 616 eligible to donate. 234 regular donors included separating 382 defaulters. Excluding 17, 217 regular donors enrolled. Religious beliefs did not deter donation. 65.43% had school education. 90% donors belonged to middle socioeconomic class. Three fourths already had 2 living children. Majority delivered vaginally (62.67%) in health facility offering level II neonatal NICU care (42.86%). Regular donors stayed in hospital with their sick infants for mean (SD) period of 13 (4.21) days. Mean (SD) Post-natal age of commencement of milk donation among regular donors was 9 (3.47) days. Breast-feeding rate was 87.09%. Regular donors had delivered very low birth weight (42.86%), SGA (53.46%) infants who stayed in hospital for mean (SD) duration 18 (6.86) days.Conclusions: The prevalence of Human milk donors in our HMB was 71.3%. Only one third of them were regular donors. No religious barriers for donation observed. Educated socioeconomically secure multiparous donors made sustained donations. Health status and length of Postnatal stay in hospital of mothers and infants seemed to have a bearing on sustained donation. 


2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Haixia Tu ◽  
Ping Li ◽  
Lianlian Zhu ◽  
Xiaozhen Quan ◽  
Shuli Fan ◽  
...  

Abstract Background Donor human milk is the best alternative for preterm infants when their mother’s own milk is insufficient or unavailable. The development of human milk banks in China started late, and in most of these banks, the amount of donor human milk is insufficient for clinical demand. Moreover, many mothers are reluctant to use donor human milk due to safety concerns. It is important to understand the potential supply and demand of donor human milk before establishing a new human milk bank. This study aimed to understand women’s acceptance of human milk banking in Wenzhou, southeastern China. Methods A cross-sectional study was conducted in three community health centers in Wenzhou, southeast China, in December 2020. Data were collected from 305 postpartum women selected through convenience sampling. Sociodemographic, perinatal and breastfeeding characteristics, awareness and knowledge of human milk banking and willingness to donate human milk, and to accept donor human milk were assessed. Multivariable logistic regression analysis was used to explore independent predictors of willingness to donate human milk and to accept donor human milk. Results Only 17% (52/305) of our participants had heard of human milk banking prior to this survey. The prevalence of willingness to donate human milk and use donor human milk in our study was 73.4% (224/305) and 44.6% (136/305), respectively. Employment (adjusted odds ratio [AOR] 2.30; 95% confidence interval [CI] 1.17, 4.50) and human milk banking knowledge (AOR 1.23; 95% CI 1.12, 1.35) were independent predictors of willingness to donate human milk. Monthly household income in the previous year (AOR 2.18; 95% CI 1.17, 4.06), awareness of human milk banking (AOR 2.41; 95% CI 1.24, 4.67) and knowledge of human milk banking (AOR 1.22; 95% CI 1.11, 1.35) were significantly associated with willingness to accept donor human milk. Conclusions In our study, awareness of human milk banks among women in the first year postpartum was low. More mothers were willing to donate human milk than to use donor human milk to feed their children. In our study, knowledge of human milk banking was a predictor of both willingness to donate human milk and willingness to use donor human milk. Programs with detailed information on human milk banking are needed to help mothers improve their knowledge and increase acceptance of human milk banking.


Author(s):  
Vijaykumar P. Mane ◽  
Yuvaraj Bhanot Yenkanaik ◽  
Shankrappa Dhanapur ◽  
Sangappa Yallammanavar ◽  
Rashmi Sreenivasamurthy

Background: Tobacco is a major risk factor for a number of diseases affecting all age groups. One person dies every six seconds due to tobacco use and up to half of current users will eventually die of a tobacco-related disease. Government of India has enacted cigarette and other tobacco products act (COTPA) in the year 2003 to control tobacco use. The objective of study was to estimate the level of compliance to selected sections (4 to 9) of COTPA (cigarette and other tobacco products – prohibition of advertisement and regulation of trade and commerce, production, supply and distribution) act, 2003 in Koppal district, Karnataka.Methods: The present study was a cross sectional study conducted as an independent evaluation of COTPA act 2003 in Koppal district as per National Tobacco Control Program guidelines. Cluster sampling technique was used for sample selection and sample consisted of 158 public places, 102 educational institutional, 87 shops/ sell points and 60 tobacco products. Data entry and analysis was done using microsoft office excel 2013.Results: The prevalence of compliance to section 4, 5, 6A, 6B, 7, 8 and 9 of COTPA act 2003 in Koppal district were 80.3%, 96.5%, 98.9%, 64.8%, 53.3%, 63.3% and 50% respectively.Conclusions: Compliance level was poor especially in relation to display of health warnings on tobacco products which needs to be tackled through strict enforcement of the existing laws.


2017 ◽  
Vol 8 (2) ◽  
pp. 232 ◽  
Author(s):  
George Kent

The banking of human milk is expanding rapidly in both high- and low-income countries. Most milk banks serve critically ill infants, including those who are born prematurely or have low birthweight. This commentary explores the potential for extending the reach of milk banking so that it also serves many infants who are not critically ill, but would benefit from human milk from women other than their own mothers.


Author(s):  
Sivakumar C. P. ◽  
Jose Joseph ◽  
Manjula V. D.

Background: Overweight and obesity during childhood is a matter of growing concern among many low and middle income countries. Obesity in the developing world can be seen as a result of a series of changes in diet, physical activity health and nutrition. This is collectively known as ‘nutrition transition.Methods: The present study was conducted in an urban area of Kottayam district in Kerala. The schools were stratified into government, aided and unaided categories. Cluster sampling technique was used and data was collected after informed consent.Results: Obesity and overweight were found to be higher in children who consume butter/ghee, fried local foods, red meat/chicken and pizza/burgers frequently. The factors related to eating behaviour include time for finishing meals, parent force to eat, skipping of breakfast, family eats out and consumption of fast food.Conclusions: Nutritional transition has contributed to the problem of adolescent obesity.


2020 ◽  
Vol 32 (1) ◽  
pp. 1-8
Author(s):  
Md Faruq Alam ◽  
Mekhala Sarkar ◽  
Mohammad Tariqul Alam ◽  
Helal Uddin Ahmed ◽  
Avra Das Bhowmik ◽  
...  

The prevalence of substance use is on rising trend in the country. This two-stage nationwide multicentric community based cross sectional study was conducted by National Institute of Mental Health (NIMH), Dhaka during the period of September 2017 to July 2018 to determine the prevalence of substance use as well as to identify the proportion of users used different substances and to find out socio-demographic correlates of substance use in Bangladesh. The sample were collected by cluster sampling technique. In the first stage data were collected from 19692 respondents aged between 7 years and above in 140 clusters through face-to-face interview using semi-structured questionnaires to collect information by trained data collector. Diagnoses of substance use were made in the second stage of interview by research psychiatrists following DSM-5 diagnostic criteria of mental disorders. Descriptive and inferential statistics of the collected data was done using standard statistical parameters. SPSS programme (Version 23) was used to summarize and to analyze the data. The results showed that, the prevalence of substance use was found as 3.3% among the population 18 years and above. Prevalence of substance use was 4.8% in male and 0.6% in female. Most frequently used substances include cannabis in (42.7%), alcohol in 27.5%, amphetamine (yaba) in 15.2%, opioid in 5.3% and sleeping pills in 3.4% users. Among professions of substance users 6.7% were labors, 5.7% unemployed, 4.3% business men, 3.8% farmers and 3.5% service holders. Extremes of social classes were found as increased users of substances such as people with low income 3.2% and people with high income 3.8% using as against 2.6% in middle income group. The data of this community survey will be used for planning of mental health services in Bangladesh. Bang J Psychiatry June 2018; 32(1): 1-8


Author(s):  
Sreedevi C.

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.


2017 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Sumarni Sumarni

<em>Ministry of Health of the Republic of Indonesia to set out five key issues related to safety in the hospital, the Patient Safety, worker safety, the safety of buildings and equipment in hospitals that could have an impact on Patient Safety and personnel, safety of the environment that have an impact on environmental pollution and safety businesses Hospital related to the survival Hospital. Management of patient safety plays an important role in improving the quality of health services. Patient safety is the efforts of service that prioritizes patient safety. The research was conducted at Ibn Sina Hospital, the type of research is cross sectional study is a draft that examines the dynamics of the correlation between the independent variables (patient safety) and the dependent variable (improving the quality of health services) at the same time. Respondents that all officers in the field of medical care and support services at Ibn Sina Hospital. The sampling technique used is random cluster sampling technique with a population of 402 respondents sampled 304 respondents. Based on interviews with the respondents stated that the higher the safety of the patient, the better the quality of a hospital, when a patient is exposed to the incident then it will switch to other hospitals, patient safety and quality are positively correlated Hospital. The results showed that no respondents (0%) the implementation of Patient Safety classified as very weak. The percentage of respondents to the implementation of Patient Safety is very strong, strong, moderate and weak amounted to 12.25% (30 respondents), 71.57% (224 respondents), 15.69% (39 respondents) and 0.49% (11 respondents ). Based on these results it is known that the majority of respondents ie 71.57% (224 respondents) is the implementation of the Patient Safety category are classified as strong, so it can be concluded that the implementation of Patient Safety at Ibn Sina Hospital relatively strong. Based on the dimensions of most of the dimensions Implementing Patient Safety at Ibn Sina Hospital is high with dimensions on the dimension of cooperation is highest in units amounted to 97.10%.</em>


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Samuel Dagne ◽  
Yonatan Menber ◽  
Yosef Wassihun ◽  
Gedefaw Dires ◽  
Atitegeb Abera ◽  
...  

Background. The prevalence of undernutrition in low- and middle-income countries is still remarkably high. Undernutrition during adulthood is a greater risk factor for low productivity, poor health, and mortality. There is limited information on the prevalence and determinants of chronic energy deficiency in Ethiopia. Objective. To assess the prevalence and determinants of chronic energy deficiency among adults aged 18–59 years in Ethiopia. Method. A secondary data analysis was conducted using the data obtained from the 2016 Ethiopia Demographic and Health Survey. Data were collected using a multistage stratified cluster sampling technique, and the analytic sample consisted of 9,280 adults aged 18–59 years. The chi-square test and multivariable logistic regression analyses were used, and p value <0.05 was taken as statistically significant. Result. A total of 9280 adults aged 18–59 years were included in the study and 2911 (28.7%) (95% CI: 27.0%–30.4%) of whom were chronic energy deficient. Adults who have no work (AOR = 1.41, 95% CI: 1.16, 1.72), male adults from Tigray region (AOR = 2.23, 95% CI: 1.61, 3.09), Afar region (AOR = 2.98, 95% CI: 2.04, 4.36), Somali region (AOR = 3.14, 95% CI: 2.19, 4.52), Gambella region (AOR = 1.89, 95% CI: 1.29, 2.76), Harari region (AOR = 1.54, 95% CI: 1.09, 2.19), Amhara region (AOR = 1.53, 95% CI: 1.09, 2.13), Oromia region (AOR = 1.53, 95% CI: 1.07, 2.19), Dire Dawa (AOR = 1.45, 95% CI: 1.03, 2.05), adults live lonely (AOR = 1.44, 95% CI: 1.21, 1.71), and adults residing in poor wealth index households (AOR = 1.26 : 95% CI: 1.07, 1.49) were significantly associated with chronic energy deficiency. Conclusion and recommendation. Chronic energy deficiency among male adults in Ethiopia was a high public health problem. Marital status, wealth index, occupation, and region were significant predictors of chronic energy deficiency. The Ministry of Health with other partners should strictly monitor and evaluate interventions that are being applied and should give focus to adult men to prevent malnutrition.


2017 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Rasmidar Samad ◽  
Qushay U. Malinta

Objective : Gingival pigmentation (changes of the gingival color) from brown to black discoloration may occur due to exogenous and endogenous factor. Increased concentration of heavy metal in the blood has been known to be one of the exogenous factors that could lead to gingival pigmentation. Nuha is a sub-district in South Sulawesi which soil contains high concentration of nickel and other heavy metals. Heavy metal contaminations in the water, soil, or air have detrimental effects on human health, particularly the oral cavity.Material and Methods : This study proposed to determine the association between duration of residence with gingival pigmentation to the community of Nuha District of East Luwu society. This study was a descriptive observational with cross-sectional study design.Results : The population in this study was all of the Nuha residents. The sampling technique used was simple two-stage cluster sampling. Gingival pigmentation in this study was measured using Dummet Oral Pigmentation Index (DOPI).Conclusion : The data obtained showed significant association between duration of residence with maxillar and mandibular gingival pigmentation in the residents of Nuha District of Luwu Timur. p-value for maxillar DOPI was 0.003 and for mandibular DOPI was 0.000.  


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