尼泊尔中部其他母亲使用母乳的感知和经验:一种定性研究
Akina Shrestha1, Natalie Gulrajani2, Amy Sarah Ginsburg3
1Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. akinakoju@kusms.edu.np.
International breastfeeding journal
|March 22, 2025
概括
在尼泊尔,非正式的母乳共享很常见,但对疾病传播和母婴关系的担忧阻碍了捐赠母乳的使用. 解决这些障碍是增加捐赠人乳接受度的关键.
科学领域:
- 公共卫生 公共卫生
- 新生儿营养新生儿营养
- 定性研究是指质量研究.
背景情况:
- 世界卫生组织 (WHO) 建议在母乳不足时使用捐赠母乳.
- 包括尼泊尔在内的低收入和中等收入国家 (LMICs) 因有限的牛奶银行而面临安全和负担得起的捐赠母乳获取障碍.
- 了解尼泊尔对捐赠母乳的看法对于开发有效干预措施至关重要.
研究的目的:
- 探索尼泊尔对使用捐赠母乳的看法和经验.
- 确定接受和实践捐赠母乳的障碍和促进因素.
- 为制定战略提供信息,以改善捐赠母乳的可用性和利用.
主要方法:
- 2019年12月至2020年1月,在尼泊尔的杜利赫尔市进行了一项定性研究.
- 与母亲,父亲和社区卫生工作者 (CHW) 举行了焦点小组讨论 (FGD).
- 与公共卫生利益相关者进行了关键信息人访谈 (KIIs),随后对成绩单进行了主题分析.
主要成果:
- 在亲戚和邻居之间,非正式的母乳共享 (直接母乳养或挤出牛奶) 是普遍存在的.
- 感知到的好处包括克服最初的牛奶供应问题,方便性和降低婴儿感染风险.
- 犹涉及疾病传播风险,对母婴关系的潜在影响,以及对动物牛奶而不是供体牛奶的偏好.
结论:
- 人们已经意识到捐赠母乳的好处,但存在重大障碍,阻碍其广泛采用.
- 关于传染病和母婴关系的担忧需要注意.
- 解决这些问题对于增加尼泊尔捐赠和使用捐赠母乳的接受和实践至关重要.
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