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. 2022 Apr 1;25(2):86-94.
doi: 10.34763/jmotherandchild.20212502.d-21-00009.

Challenges in implementation of mother milk banks in Rajasthan: A situational analysis

Neha Mantri  1 , Akhil D Goel  2 , Nitin K Joshi  3 , Pankaj Bhardwaj  4 , Vaishali Gautam  2 , Manoj K Gupta  2
Affiliations

Challenges in implementation of mother milk banks in Rajasthan: A situational analysis

Neha Mantri et al. J Mother Child. .

Abstract

Background: Breastmilk is the baby's "first vaccine". Donated human milk (DHM) is the next best alternative when a mother's milk is not available, as recommended by WHO- UNICEF. DHM as a nutritional source provides similar immune protection and may prove revolutionary in reducing neonatal morbidity and mortality. The study aimed to explore the challenges in the implementation of selected Mother Milk Banks (MMBs) of Rajasthan.

Material and methods: A qualitative in-depth interview of key stakeholders was conducted to know the various facets of the challenges in milk banking practices using the Root Cause Analysis framework.

Results: The system challenges identified in the functioning of AMMBs were lack of recurring funds, dedicated lactational counselors, and trained technicians. Databases for demand-supply estimates were also lacking. The community challenges were low acceptance of DHM due to safety concerns, risk of disease transmission, and quality of donated milk. Moreover, the religious stigma and cultural beliefs regarding the transfer of heredity traits and decrease in mother-child affection act as barriers in donating milk.

Conclusion: For acceptance and availability of DHM, Social Behavior Communication Change (SBCC) interventions must be incorporated early during the antenatal check-up period. Our study highlighted the role of education; motivation by healthcare providers has a major influence on infant feeding choices. In a developing country such as India, where the frameworks concerning the development of mother milk banks are still maturing, our study findings provide baseline information to address the barriers in the implementation of mother milk banks in India.

Keywords: Breastfeeding; breastmilk; infants; lactation; milk banks; root cause analysis.

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Conflict of interest statement

Conflicts of interest:

Nil

Figures

Figure 1
Figure 1
The challenges observed in the functioning of the Aanchal mother milk banking practices.
See this image and copyright information in PMC

References

    1. Kramer MS, Kakuma R. WHO The optimal duration of exclusive breastfeeding: a systematic review. World Health Organization;; 2001. - PubMed
    1. Infant and Young Child Feeding Chapter, Indian Academy of Pediatrics; Rajeshwari K, Bang A, Chaturvedi P, Kumar V, Yadav B. Infant and young child feeding guidelines: 2010. Indian Pediatr. 2010;47(12):995–1004. et al. - PubMed
    1. National guidelines on Infant and Young Child Feeding (ICYF) Ministry of Human Resource Development. Department of Women and Child Development. Food and Nutrition Board. Government of India. 2004. http://www.wcd.nic.in/sites/defaults/files/nationalguidelines.pdf Last accessed on 2 March 2021. Available from.
    1. Child Health Division M of H& FWG of I. India Newborn Action Plan (INAP) 2014. https://nhm.gov.in/images/pdf/programmes/inap-final.pdf Last accessed on 2 March 2021. Available at.
    1. Lactation Management Centers in Public Health Facilities. Child health division Ministry of Health and Family Welfare Government of India. 2017. https://nhm.gov.in/images/pdf/programmes/IYCF/National_Guidelines_Lactat... Last Accessed on 2 March 2021. Available from.

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