Evidence map›Paper›PMID 31099159›Full record

ArticleMaternal & child nutrition2019

Perceptions on donated human milk and human milk banking in Nairobi, Kenya.

Elizabeth Wambui Kimani-Murage, Milka Njeri Wanjohi, Eva Watiri Kamande, Teresia Njoki Macharia, Elizabeth Mwaniki, Taddese Zerfu, Abdhalah Ziraba, Juliana Waithera Muiruri, Betty Samburu, Allan Govoga and 6 more

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Elizabeth Wambui Kimani-MurageMaternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Milka Njeri WanjohiMaternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0003-4289-4762
Eva Watiri KamandeMaternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Teresia Njoki MachariaMaternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Elizabeth MwanikiMaternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Taddese ZerfuMaternal and Child Well Being Unit, African Population and Health Research Center, Nairobi, Kenya.
Abdhalah ZirabaHealth and Systems for Health Unit, African Population and Health Research Center, Nairobi, Kenya.
Juliana Waithera MuiruriMaternal and Child Health and Nutrition Program, PATH, Nairobi, Kenya.
Betty SamburuNutrition and Dietetics Unit, Ministry of Health, Nairobi, Kenya.
Allan GovogaNeonatal, Child and Adolescent Health Unit, Ministry of Health, Nairobi, Kenya.
Laura Wangui KiigeNutrition Section, UNICEF - Kenya Country Office, Nairobi, Kenya.
Thomas NgwiriClinical Services, Gertrude's Children's Hospital, Nairobi, Kenya.
Waithira MirieSchool of Nursing, University of Nairobi, Nairobi, Kenya.
Rachel MusokeDepartments of Paediatric, University of Nairobi, Nairobi, Kenya.
Kimberly Amundson-MansenMaternal and Child Health and Nutrition Program, PATH, Nairobi, Kenya.
Kiersten Israel-BallardMaternal and Child Health and Nutrition Program, PATH, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Donor human milk (DHM) is recomended as the best alternative when use of mothers' own milk is not a feasible option. Kenya has not yet established human milk banks (HMBs) for provision of safe DHM, which is free from any physical, chemical, microbiological contaminants or pathogens. This study aimed to establish the perceptions on donating and using DHM, and establishing HMBs in Kenya. Qualitative data were collected through 17 focus group discussions, 29 key informant interviews, and 25 in-depth interviews, with women of childbearing age, community members, health workers, and policy makers. Quantitative interviews were conducted with 868 mothers of children younger than 3 years. Descriptive analysis of quantitative data was performed in STATA software, whereas qualitative interviews were coded using NVIVO and analysed thematically. Majority of them had a positive attitude towards donating breast milk to a HMB (80%) and feeding children on DHM (87%). At a personal level, participants were more willing to donate their milk to HMBs (78%) than using DHM for their own children (59%). The main concerns on donation and use of DHM were personal dislikes, fear of transmission of diseases including HIV, and hygiene concerns. Ensuring safety of DHM was considered important in enhancing acceptability of DHM and successful establishment of the HMBs. When establishing HMBs, Kenya must take into consideration communication strategies to address the main concerns raised regarding the quality and safety of the DHM. The findings will contribute to the development of HMB guidelines in Kenya and other African contexts.

Indexed as

Milk BanksMilk, HumanAdultAttitude of Health PersonnelBreast FeedingChild, PreschoolCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInfantInfant, NewbornKenyaMaleParentsbreastfeedingdonated human milkdonatinghuman milk bankingneonate

Identifiers

PMID31099159
PMCPMC6859964

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.