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Donor human milk practice in Indonesia: a media content analysis
Andini Pramono1,2, Alvia Hikmawati2
1Department of Health Economics, Wellbeing and Society, National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.
In Indonesia, informal donor human milk sharing occurs due to a lack of regulations and milk banks. This leads to negative impacts and contradictory feelings among mothers, highlighting the need for clear guidelines.
Area of Science:
- Public Health
- Sociology
- Maternal and Child Health
Background:
- Donor human milk (DHM) is a recommended alternative when direct breastfeeding isn't possible.
- Limited understanding exists regarding accessing and donating expressed breast milk in Indonesian communities.
Purpose of the Study:
- To identify community experiences with donor human milk in Indonesia.
- To explore the societal context of accessing and donating expressed breast milk.
Main Methods:
- Qualitative media content analysis of 20 articles from six Indonesian online news portals.
- Keywords included "donor human milk," "expressed breastmilk," and "wet nursing" in Bahasa Indonesia.
Main Results:
- Five themes emerged: reasons for DHM use, regulatory aspects (national/religious), expert recommendations, negative impacts of lacking regulations, and maternal ambivalence.
- Informal milk sharing is prevalent due to the absence of milk banks and clear access/donation information.
Conclusions:
- The lack of formal structures for DHM access and donation leads to informal sharing and concerns among health professionals and scholars.
- Developing clear guidelines with religious and healthcare experts is crucial for safe and accountable DHM practices in Indonesia.
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