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  • Title: Mothers' attitudes towards donated breastmilk in Jos, Nigeria.
    Author: Ighogboja IS, Olarewaju RS, Odumodu CU, Okuonghae HO.
    Journal: J Hum Lact; 1995 Jun; 11(2):93-6. PubMed ID: 7619300.
    Abstract:
    In many developing countries, the use of pooled human milk is not widely accepted. Six hundred eighty breastfeeding mothers were interviewed to ascertain their acceptance of donated breastmilk. Their attitudes toward stored breastmilk, human milk banking, and breastfeeding in the event of human immunodeficiency virus (HIV) positivity were solicited. About 71 percent would not accept donated breastmilk for their baby while the rest would consent only if the donor were a close family relative, owing to fear of transfer of diseases (28 percent), fear of transfer of genetic traits (22 percent), and religious and cultural taboos (14 percent). However, 60 percent were willing to donate breastmilk. Only 38 percent would accept milk from a breastmilk bank. None would breastfeed if she were HIV positive. In the Jos community of Plateau state, Nigeria, a survey was conducted among mothers who were specifically questioned in relation to transmissible diseases such as HIV. Their attitudes regarding pooled breast milk, breast milk banks, and offering stored breast milk to their babies were also ascertained. 680 breast-feeding mothers attending the Jos University Teaching Hospital (JUTH) were interviewed at the Pediatric Outpatient Department, Postnatal and Immunization clinics using a structured pretested questionnaire. The ethnic distribution reflected the major tribes in Nigeria (Ibo, Yoruba, and Hausa). Most of the women had at least a primary school education, were Christians, were employed, and had nursed babies previously. 70% were unwilling to accept donated breast milk. The remaining mothers would accept it only if the donor was a close family relation. Among the 92 health workers (90 nurses and 2 doctors) included in the study, only 11 (12%) would consent to using donated breast milk. Mothers who were employed were less willing to accept donated breast milk when compared with unemployed mothers (p .001). Similarly, mothers with secondary or postsecondary education as a group were significantly less willing to accept donated breast milk in comparison to those with primary or no formal education (p .02). The majority of employed or well- educated mothers opted for manufactured baby milk feeds. Under HIV-positive status, none would breast feed regardless of their educational or employment status. 410 (60%) of the women were willing to donate breast milk, but they preferred to do so for a relative's baby; 25% feared producing insufficient breast milk to sustain their own infants if they had to donate milk. On the whole, 63% believed that stored breast milk was unsafe after 6 hours in a home refrigerator. Breast milk from a well- established human milk bank was acceptable to 38% of the respondents. Negative responses were due to religious injunction (27%), fear of transfer of genetic traits (17%), possible transfer of disease (11%), cultural inhibition (4%), and personal dislike (2%).
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