Donor Breast Milk and Human Milk Banking: Awareness, Acceptance and Determinants among Mothers in Owerri, Nigeria: A Cross-sectional Study

Donor Breast Milk and Human Milk Banking: Awareness, Acceptance and Determinants among Mothers in Owerri, Nigeria: A Cross-sectional Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Donor Breast Milk and Human Milk Banking: Awareness, Acceptance and Determinants among Mothers in Owerri, Nigeria: A Cross-sectional Study Joseph Ezeogu, Alaoma Kawa, Chidinma Neola Okeji, Chioma Theresa Chimah This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-9187359/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 10 You are reading this latest preprint version Abstract Background: Donor human milk (DHM) is the recommended alternative when mothers own milk is unavailable, particularly for vulnerable infants who are unable to be breastfed; especially where safe and affordable milk-banking facilities are available or can be established. Human milk banking (HMB) facilitates safe DHM provision but remains nascent in Nigeria. This study assessed the knowledge, acceptance, and determinants of willingness to engage with DHM and HMB among mothers in . Methods: A hospital based descriptive cross-sectional study was conducted from March to June, 2025 at the immunization clinic of a Federal Tertiary . A total of 303 mother/infant dyads were consecutively enrolled. Data on sociodemographics, knowledge of DHM/HMB and acceptance were collected using a pretested structured paper-based questionnaire. Data were analyzed using descriptive statistics, Chi-square/Fisher’s exact tests, and multivariable logistic regression to identify factors independently associated with willingness to donate, recommend, and volunteer for milk banking. Results: A total of 303 mothers were assessed, of whom 95 (31.4%) were between 26 and 30 years. Most mothers 207 (68.3%), had tertiary education and 142 (46.9%) were of the upper socioeconomic class. The median infant age was 5 months (IQR: 3-9). While 186 (61.4%) mothers had heard of DHM, awareness of a formal donor milk policy was low, reported by 57 (18.8%) participants. Although 214(70.6%) mothers knew they could donate milk, only 124(40.9%) were willing to donate and a mere 45 (14.9%) respondents would accept DHM for their own infant. Key barriers to acceptance were hygiene concerns reported by 112 (29.9%) mothers and fear of disease transmission by 88 (23.5%) mothers. A strong preference for breast milk from relatives persisted demonstrated by 220 (72.6%) mothers. In multivariable analysis, higher socioeconomic status (AOR=6.05, 95% CI: 1.63–22.41), prior awareness of milk donation (AOR=5.91, 95% CI: 2.79–12.51), were independently associated with willingness to donate breast milk. Prior awareness of HMBs was the strongest independent predictor for willingness to volunteer for a milk banking association (AOR=7.73, 95% CI: 3.50–17.07). Conclusion: Despite reasonable knowledge, practical acceptance of donor milk and willingness to donate are low, driven by safety concerns and cultural norms. Educational interventions addressing safety protocols, spousal engagement and community advocacy are critical precursors to the successful establishment of human milk banking programs in Nigeria. The cross-sectional design and self-reported data might not represent the real weight of the knowledge practice gap in the study population. Human milk banking Breast milk Donation Knowledge Acceptance Nigeria Introduction Breast milk is universally recognized as the optimal source of nutrition for newborns providing unparalleled immunological and developmental benefits including boosting brain development and protection against overweight and obesity for infants (ill, term or premature babies). 1 , 2 For premature and low birth weight (LBW) infants, its role in reducing the risk of necrotizing enterocolitis (NEC) and other infections is particularly critical in protection from viral and inflammatory illnesses. 3 The World Health Organization (WHO), UNICEF and AAP recommend mothers own milk (MOM) term, preterm and LBW infants, highlighting its impact on child survival and long-term health. 4 – 6 However, not all infants have access to their MOM. Reasons include maternal illness or death, temporary separation, abandonment, infant adoption or delayed lactogenesis. 4 In such circumstances, the WHO recommends donor human milk (DHM) as the next best alternative. 7 DHM is breast milk expressed by a mother, processed, screened, and dispensed by a human milk bank (HMB) for use by a non-biological recipient. 8 While pasteurization marginally reduces some bioactive nutritional components, DHM retains significant advantages over infant formula; such as a lower incidence of NEC and improved feeding tolerance in high risk neonates. 4 , 7 Beyond direct recipient benefits, the presence of an HMB can enhance overall breastfeeding rates within a community and neonatal unit. 9 Despite these proven benefits, the establishment of HMBs in sub-Saharan Africa has been slow. Nigeria, with its high neonatal mortality rate, has only recently seen its first standardized HMB. 10 , 11 The challenges are multifactorial, encompassing logistical and financial constraints, as well as sociocultural beliefs and knowledge gaps among potential donors and recipients. 12 Informal, unregulated peer-to-peer milk sharing persists, carrying risks of Hepatitis B, syphilis, HIV and other undetected disease transmission. 14 Understanding the local knowledge, acceptance, and practices of DHM and HMB is a critical first step in developing culturally sensitive and effective milk banking services. While studies from other parts of Nigeria exist. 14 , 15 data from the South-Eastern region, specifically are limited. This study aims to assess the level of knowledge and acceptance of DHM and HMB among mothers in identify barriers and facilitators, and determine factors independently associated with willingness to participate in milk banking. The findings will provide essential evidence to guide policy, advocacy, and the development of contextually appropriate HMB programs in Nigeria. . Methodology Study design and setting This hospital based descriptive cross-sectional study was conducted from March 2025 to July 2025 at the Immunization and well-child clinic of the Federal Teaching Hospital,. FTHO is a major 625-bed tertiary health facility located in the capital of Imo State and receives referrals from neighboring Abia, Rivers, and Anambra States. The immunization clinic operates daily on weekdays, except on public holidays and it is run by Doctors and nurses. Study Population and Sampling The study population comprised mother-infant dyads attending the clinic. The minimum sample size was calculated using the formula for cross-sectional studies 16 : n = Z²pq/d². Assuming a 95% confidence level (Z = 1.96), a prevalence (p) of knowledge of donor breast milk of 25.8% from a previous study in Benin City, Nigeria, 13 and a 5% margin of error (d = 0.05), the minimum sample size was 294. To account for potential non-response, 303 consenting mothers were enrolled consecutively from March to June 2025. Inclusion criteria and exclusion criteria Mothers who attended the clinic and provided informed consent were included. However, mothers who refused to participate or had a critically ill child were excluded. Data collection : A structured questionnaire developed by the authors following extensive literature search was pre-tested on 20 mothers that were not included in the study and corrections noted were effected for clarity. It was face validated by a Paediatrician and a Paediatric nutritionist. It captured information on the sociodemographic characteristics of each mother and baby pair, such as maternal age, parity, religion, level of education, occupation and socio-economic status determined using the Oyedeji classification which assigned score based on parents education and occupation. 17 There were questions on knowledge: awareness of DHM, sources of information, awareness of HMB, and knowledge of any existing donor milk policy and acceptance-related questions: willingness to donate breast milk, willingness to receive DHM for their own infant, preferred source of donor milk, reasons for acceptance or refusal, need for spousal consent, and willingness to volunteer for or support a milk banking. Data analysis Data were entered into Microsoft excel cleaned and analyzed using Statistical Product and Service Solution (SPSS) version 27.0. Descriptive statistic (frequencies and percentages, medians with interquartile ranges) were used to summarize the participants characteristics and responses. Bivariate analysis using the Chi-square or Fisher's exact test was performed to assess associations between sociodemographic factors and the primary outcome variables (willingness to donate, willingness to volunteer). Variables with a p-value < 0.20 in bivariate analysis were entered into a multivariable binary logistic regression model to identify independent predictors of these outcomes. Results are presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). A p-value < 0.05 was considered statistically significant. Ethical considerations Ethical approval was obtained from the Health Research and Ethics Committee of with approval number FTHO/HREC /Vol2/98.The study participants provided informed consent before enrollment. Anonymity and confidentiality were guaranteed for all data. Results Sociodemographic characteristics A total of 303 mothers participated in the study. The median age of the youngest child was 5 months (IQR: 3–9). The majority of the mothers 95 (31.4%) were aged 26–30 years, 288 (95.0%) were of Igbo ethnicity and 233 (76.9%) resided in urban areas. Educational attainment was high, with 207 (68.3%) mothers and 216 (71.3%) of their partners having tertiary education. Based on the Oyedeji classification, 142 (46.9%) were of the upper socioeconomic class. Detailed characteristics are presented in Table I below. Table I: .Sociodemographic characteristics of study participants (N = 303) Variable Frequency n = 303 % Mother’s age range ≤ 20 years 21–25 years 26–30 years 31–35 years 46–40 years > 40 years 2 71 95 78 30 23 0.7 23.4 31.4 25.7 9.9 7.6 Maternal education Primary Secondary Tertiary 10 83 207 3.3 27.4 68.3 Father’s education Primary Secondary Tertiary 9 72 216 3.0 23.8 71.3 Socioeconomic status Lower Middle Upper 47 98 142 15.5 32.3 46.9 Religion Christianity Islam African traditional religion 298 2 1 98.3 0.7 0.3 Tribe Igbo Hausa Yoruba Others 288 3 6 4 95.0 1.0 2.0 1.3 Residence Rural Urban 62 233 20.5 76.9 Some percentages may not total 100% due to missing data. Knowledge of Donor Human Milk and Human Milk Banking Awareness of DHM was reported by 186 (61.4%) mothers. The primary source of information were social media 59 (31.7%) and health care workers (nurses and doctors combined):81 (43.5%). However, knowledge of HMB as a formal concept was reported by 125(41.3%) and awareness of any National policy on donor milk was minimally documented by 57(18.8%) mothers. This is shown in Table II. Table II. Knowledge and acceptance of donor breast milk amongst participants Acceptance of donor milk and Willingness to participate amongst participants Despite 214 (70.6%) mothers knowing they could donate breast milk, only 124 (40.9%) expressed willingness to do so. Acceptance of DHM for one's own infant was very low reported by 45 (14.9%) mothers. A strong preference for receiving milk from a relative was documented by 220 (72.6%) mothers an evidence of a strong cultural preference. A significant proportion of the mothers 187 (61.7%) required spousal consent for donation of breast milk, while a minority 58 (19.1%) expected monetary payment. Furthermore, 94 (31.0%) mothers were willing to volunteer for a milk banking association. This is summarized in Table III. Table III. Knowledge and acceptance of donor breast milk amongst participants Variable Frequency % Awareness that one can donate breast milk Yes No 214 88 70.6 29.0 Willingness to donate breast milk to HMB? Yes No 124 178 40.9 58.7 Willing to receive DHM for own baby Yes No Preference for source of breast milk donor Relatives Non-relatives Either 45 257 220 39 44 14.9 84.8 72.6 12.9 14.5 Requires husband’s consent to donate breast milk Yes No 187 110 61.7 36.3 Requires monetary payment to donate breast milk Yes No 58 241 19.1 79.5 Willing to volunteer for HMB association Yes No 94 209 31.0 69.0 Reasons for Acceptance and Refusal Among the minority (n = 98, with multiple responses) willing to receive DHM, the primary reasons were maternal illness preventing breastfeeding reported by 35 (35.7%) mothers and the baby crying when the mother is unavailable by 16 (16.3%) participants. Conversely, the major barriers cited for unwillingness to receive DHM (n = 375 responses) were concerns about the milk's hygiene reported by 112 (29.9%), fear of disease transmission (such as HIV, Hepatitis) 88 (23.5%), and the belief that another woman's milk is less nourishing reported by 47 (12.5%) mothers. Cultural and religious prohibitions were reported by 29 (7.7%) and 12 (3.2%) mothers. This is depicted in Table IV. Table IV. Reasons for acceptance and refusal Reasons for acceptance n n = 98 % Mother is sick and cannot breastfeed 35 35.7% Baby is crying, and the mother is not around 16 16.3% Mother’s breast milk is not flowing 15 15.3% Mother’s breast milk is not safe for the baby 10 10.2% To prevent the mother’s breasts from sagging 7 7.1% Baby is not gaining weight because of inadequate milk 6 6.1% Convenient 5 5.1% Reasons for refusal n n = 375 % Not Sure if it is hygienic 112 29.9% Fear of disease (HIV, Hepatitis B, and C) 88 23.5% Breastmilk from other women is less nourishing 47 12.5% Others (personal reasons/distaste) 34 9.1% My culture prohibits it 29 7.7% Lack of confidence in it 19 5.1% Not a common practice 17 4.5% My religion prohibits it 12 3.2% Fear of transmission of bad genetic traits 12 3.2% Afraid of what people will say 5 1.3% There were multiple responses. Factors Associated with Willingness to Donate Breast milk In the multivariable logistic regression model as shown in Table V below, mothers of upper socioeconomic status had over six times the odds of being willing to donate compared to those of lower SES (AOR 6.05, 95% CI 1.63–22.41). Prior awareness of breast milk donation was also a strong independent predictor (AOR 5.91, 95% CI 2.79–12.51). Interestingly, mothers who preferred another woman's milk as a substitute for their own infant were significantly more likely to be willing donors (AOR 6.24, 95% CI 1.07–36.50). Conversely, having no preference for a relative or non-relative as a donor ("neither") was associated with 72% lower odds of donation willingness (AOR 0.28, 95% CI 0.10–0.79). Table VII. Multivariable Logistic Regression: Determinants of willingness to donate breastmilk Variable Willing to donate N, % Unwilling to donate N, % Test statistic (df) p-value Crude OddsRatio (95%CI) Adjusted OddsRatio (95%CI) Adj. p-value Maternal education Primary Secondary Tertiary 1 (10.0)27 (32.5) 94 (45.6) 9 (90.0) 56 (67.5) 112 (54.4) 8.226 ‡ 0.015 0.13 (0.02–1.06) 0.57 (0.34–0.99) 1 1.18 (0.09–16.41) 0.92 (0.37–2.27) 1 0.901 0.849 Socioeconomic status Lower Middle Upper 7 (14.9) 49 (50.0) 61 (43.0) 40 (85.1) 49 (50.0) 81 (57.0) 16.772 (2) ‡ < 0.001 1 5.71 (2.33–13.99) 4.30 (1.80–10.26) 1 3.67 (0.81–16.59) 6.05 (1.63–22.41) 0.091 0.007 Religion Christianity Islam ATR 122 (41.1) 0 (0) 0 (0) 175 (58.9) 2 (100) 1 (100) 1.630 ‡ 0.712 1 0.30 (0.01–6.36) 0.50 (0.02–12.49) - - Ever heard of DBM Yes No 103 (55.4) 21 (18.1) 83 (44.6) 95 (81.9) 41.013 (1) † < 0.001 5.61 (3.23–9.77) 1 5.91 (2.79–12.51) 1 < 0.001 Heard of BM banking Yes No 68 (54.4) 56 (31.6) 57 (45.6) 121 (68.4) 15.684 (1) † < 0.001 2.58 (1.61–4.14) 1 0.78 (0.41–1.49) 0.453 Preferred substitute Formula Another woman’s BM Others 87 (41.4) 8 (72.7) 19 (29.7) 123 (58.6) 3 (27.3) 45 (70.3) 7.710 ‡ 0.022 1 3.77 (0.97–14.62) 0.60 (0.33–1.09) 1 6.24 (1.07–36.50) 1.27 (0.59–2.74) 0.042 0.543 Preferred donor source Relative Non-relative Neither 95 (43.4) 19 (48.7) 10 (22.7) 124 (56.6) 20 (51.3) 34 (77.3) 7.542 (2) † 0.023 1 1.24 (0.63–2.45) 0.38 (0.18–0.82) 1 1.23 (0.53–2.87) 0.28 (0.10–0.79) 0.634 0.017 df – degree of freedom Factors Associated with Willingness to Volunteer for Milk Bank For the outcome of willingness to volunteer for a milk banking association, the sole independent predictor in the adjusted model was prior awareness of human milk banking (AOR 7.73, 95% CI 3.50–17.07) (Table 5). Sociodemographic factors were not significant after adjustment. This is depicted in Table VIII. Table VII. Determinants of willingness to volunteer for breast milk banking Variable Willing to volunteer N, % Unwilling to volunteer N, % Test statistic (df) p-value Crude Odds Ratio (95%CI) Adjusted Odds Ratio (95%CI) Adj. p-value Maternal education Primary Secondary Tertiary 1 (10.0) 23 (27.7) 68 (32.9) 9 (90.0) 60 (72.3) 139 (67.1) 2.551 ‡ 0.265 0.35 (0.07–1.70) 0.78 (0.45–1.37) 1 - - Socioeconomic status Lower Middle Upper 8 (17.0) 39 (39.8) 41 (28.9) 39 (83.0) 59 (60.2) 101 (71.1) 8.173 (2) ‡ 0.017 1 3.22 (1.36–7.62) 1.98 (0.85–4.60) 1 0.97 (0.32–2.95) 2.40 (0.81–7.09) 0.960 0.113 Religion Christianity Islam ATR 92 (30.9) 1 (50.0) 1 (100) 207 (69.1) 1 (50.0) 0 (0) 2.737 ‡ 0.231 1 2.25 (0.14–36.37) 6.73 (0.27–166.8) - - Ever heard of DBM Yes No 75 (40.3) 19 (16.4) 111 (59.7) 97 (83.6) 19.105 (1) † < 0.001 3.45 (1.95–6.11) 1 1.19 (0.49–2.90) 1 0.695 Heard of BM banking Yes No 69 (55.2) 25 (14.1) 56 (44.8) 152 (85.9) 57.659 (1) † < 0.001 7.49 (4.32–12.99) 1 7.73 (3.50–17.07) 1 < 0.001 Preferred substitute Formula Another woman’s BM Others 63 (30.0) 7 (63.6) 18 (28.1) 147 (70.0) 4 (36.4) 46 (71.9) 5.365 ‡ 0.076 1 4.08 (1.15–14.44) 0.91 (0.49–1.70) 1 1.79 (0.38–8.56) 1.29 (0.55–3.03) 0.465 0.565 Preferred donor Relative Non-relative Neither 73(33.2) 20 (51.3) 1 (2.3) 147 (66.8) 19 (48.7) 43 (97.7) 24.955 (2) † < 0.001 1 2.11 (1.07–4.22) 0.05 (0.00–0.35) 1 1.69 (0.71–4.03) 0.00 (0.00–NA) 0.239 0.997 † Chi-square; ‡ Fisher’s exact test; df – degree of freedom Discussion This study highlights a significant disconnect between awareness and acceptance of donor human milk and milk banking among mothers in Owerri, Nigeria. While knowledge of the concept of milk donation was relatively high (61.4%), this did not translate into a willingness to use DHM (14.9%) or donate (40.9%). This knowledge-practice gap underscores the profound influence of safety perceptions, cultural norms, and a lack of trust in formal systems. The first major finding in this study is the 61.4% DHM awareness in our group of mothers which is higher than figures reported in earlier Nigerian studies of between 25.8%-39% 15,16,18,19 and the 12.4% 20 29.3% 21 41.6% 22 34% 23 reported in some international studies. This may reflect increasing internet penetration and the influence of social media, identified here as the primary information source at 31.7%. This aligns with findings of social media as the primary source of information at 87%, in a Turkish study 22 though access to the internet is better for women in Turkey than in Nigeria. 24 , 25 Our findings however, contrasts with previous studies where healthcare workers were the main source of information. 14 , 15 , 19 The disparity in our findings may be due to increasing internet penetration in Nigeria reported at 45.5% 26 and also reflects broader global trends in maternal health information-seeking in middle-income settings and highlights the underutilization of formal antenatal care platforms for health education. 27 This shift in predominance of the internet as a source of information presents both an opportunity and a challenge, as social media can disseminate information rapidly but may also propagate misinformation. The low awareness of formal HMB at 38.4% contrasts with the 50.2% documented by Ahmed et al. 28 The awareness of a national policy at a lowly 18.8% aligns with findings by Iloh et al 19 and Aondasser et al 15 in other parts of Nigeria, but contrasts with a Brazilian study that reported > 90% policy awareness. 29 The findings in our study of lower awareness of formal HMB and national policy is consistent with the reality that organized milk banking is in its infancy in Nigeria. 10 , 11 This policy knowledge gap is a critical barrier, as it prevents mothers from understanding the safety systems (screening, pasteurization) that distinguish banked milk from informal milk sharing(the more common system of breastmilk donation in our communities). 13 The extremely low acceptance of DHM for one's own child at 14.9% is a key finding, comparable to rates in some Nigerian settings 18 but far lower than the 69.4% reported in Uganda. 27 Our findings of low DHM acceptance is not unconnected to the fact that most women in Southeastern Nigeria, socioculturally believe that every infant should be breastfed by their mothers. The primary barriers to acceptance of DHM identified were hygiene concerns and fear of HIV/Hepatitis transmission, similar to findings in other Nigerian studies. 14 , 19 , 22 This fear, despite robust evidence that Holder pasteurization inactivates these viruses, 30 points to a deep-seated distrust. This distrust may be amplified by the Nigerian context of historical challenges with blood product safety, 31 creating a powerful psychological barrier that factual knowledge alone may not overcome. The strong preference for milk from a relative reported at 72.6% further illustrates this trust deficit, suggesting that the formal, anonymous system of a milk bank is perceived as less safe than the informal, kinship-based network of the past. Public health messaging must explicitly and transparently address these safety concerns, detailing the rigorous screening and processing that ensures DHM safety. Other reasons for being unwilling to use DBM were religion and cultural unacceptability for a small proportion of mothers at 3.2% and 7.2% respectively. This aligns with previous Nigerian studies 19 , 32 however in a Turkish study, 22 religion was reported as a leading barrier to acceptance of HMB by a large proportion of the mothers. This difference maybe because of the influence and predominance of Islam in Turkey which is different from our study setting which is predominantly Christian. Furthermore, targeted enlightenment programs and sharing of real-life success stories needs to be carried out by government and its agencies. Willingness to donate at 40.9% was higher than willingness to receive, but still represents a significant underutilization of the potential donor pool, especially given that over half the mothers reported experiencing excess milk production. This rate is comparable to some African studies 14 but lower than others. 15 , 19 , 33 , 34 However, our rate is higher than the 11% and 31% rates documented in other African studies. 20 , 3 A plausible explanation for the finding of willingness to donate in our study could be due to the reported excess milk production experience and they would like to help other women and their children by donating, in agreement with the work by Azema and Callahan. 35 The altruistic motivations cited by potential donors (e.g., helping an ill mother) are encouraging. However, the need for spousal consent documented at 61.7% is in keeping with other studies. 15 , 19 Our finding is not surprising considering that South Eastern Nigeria is a male dominant area and confirms the patriarchal structure of household decision-making regarding infant feeding in this context. 15 , 19 This finding is crucial; any successful HMB program must include strategies for engaging men as partners and advocates, not just as gatekeepers. The relatively low expectation of monetary payment (19.1%) is a positive indicator, suggesting that a well-structured, altruistic donation model is feasible if trust can be established The multivariate analysis provides strong evidence for targeted interventions. The fact that prior awareness of milk donation was the strongest predictor of willingness to donate (AOR 5.91, 95% CI: 2.79–12.51). This clear knowledge-to-action link, corroborated by studies in similar contexts (documenting increased donation because of prior awareness of milk donation) 3 , 19 , 21 strongly suggests that a fundamental lack of awareness is a primary and potentially modifiable barrier to building a culture of breast milk donation. This is consistent with the knowledge-attitude-practice framework 36 therefore a clear call for intensified, community-wide behavior modifying based education. The link between higher SES and donation willingness (AOR 6.05, 95% CI: 1.63–22.41) highlights a risk of inequity. It may be attributable to greater exposure of mothers in the upper SEC to global health narratives such as the concept of altruistic donation through media or healthcare interactions, higher health literacy and a potential reduction in culturally ingrained stigmas associated with milk sharing. This highlights a risk that milk banking services could inadvertently cater to a more privileged demographic, therefore programs must be designed to be inclusive, reaching all SES women through accessible channels like community health talks and radio programs, rather than relying solely on digital platforms. The finding that mothers who would choose another woman's milk as a substitute for their own were significantly more willing donors (AOR 6.24, 95% CI: 1.07–36.50) reveals an important psychological alignment: those who intrinsically value human milk for their own infants are motivated to provide it for others, creating a powerful internal consistency between belief and action. Promotional messages could effectively frame donation as a reciprocal, community-oriented act. Conversely, the profound distrust signified by having ‘no preference’ for a donor source (AOR 0.28, 95% CI: 0.10–0.79) identifies a group requiring intensive trust-building through transparent communication about donor screening and milk pasteurization, and perhaps engagement with community leaders. Finally, the finding that awareness of HMB was the only independent predictor of willingness to volunteer for a milk bank (AOR 7.73, 95% CI:3.50–17.07) is paramount. It suggests that general awareness of the institution of a milk bank, as a formal, trustworthy entity, is a prerequisite for community engagement and support. This argues for a phased approach: initial efforts should focus on building awareness of what a milk bank is and how it operates safely, before launching large-scale donation drives. Despite clear WHO and UNICEF recommendations prioritizing DHM over formula for vulnerable infants where mothers' own milk is unavailable, only a minute fraction of respondents selected DHM as a preferred substitute. It suggests that while breastfeeding itself is being embraced, the conceptual leap to accepting and utilizing donated breastmilk remains a significant cultural and psychological hurdle, one that must be addressed for milk banking to achieve its full public health potential. Unfortunately, low income countries lag behind in establishing and promoting DBM and human milk banks. Limitations The findings from this study must be interpreted in the context of the cross-sectional design of the study that precludes causal inferences. Generalizability may be limited because the sample was from a single tertiary centre, hospital-based setting and predominantly urban, educated sample. The use of self-reported data is subject to social desirability and recall bias. However, our study provides valuable baseline data for a region where such information was previously insufficient or lacking. Conclusion This study reveals a critical gap between theoretical knowledge and practical acceptance of donor human milk and milk banking among mothers in. While a biological capacity and a foundational level of awareness exist, acceptance is severely constrained by safety concerns, cultural norms, a lack of trust in formal systems, misinformation and absent infrastructure. To bridge this gap, a multi-pronged, culturally sensitive strategy of targeted educational campaigns, spousal engagement, advocacy to accelerate development and dissemination of policy and HMB guidelines, public awareness and establishment of pilot milk bank with integrated research in the 6 geopolitical zones of Nigeria. This will help build a sustainable, accepted, and life-saving human milk banking system for vulnerable infants. Declarations Ethics approval: Ethical approval was obtained from the Health Research and Ethics Committee of the in accordance with relevant guidelines and regulations with approval number FTH/OW/HREC/Vol 1/166. Consent to participate: Written informed consent was gotten from all participating mothers. To maintain confidentiality data was anonymized. Consent to publish: All authors give their consent for the publication of this manuscript Author Contribution JE conceptualized the study, CTC cleaned and entered data, JE, AK, CNO and CTC were involved in manuscript writing. All authors reviewed the manuscript. Acknowledgement We acknowledge the mother child dyads that participated in the study and the staff of Well child Immunization clinic. Data Availability Data generated and analysed is available upon reasonable request. References WHO, Infant and young child feeding [Internet]. 2023 [cited 2025 Nov 17]. 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Global Implementation Framework.pdf Ganapathy V, Hay JW, Kim JH (2012) Costs of necrotizing enterocolitis and cost-effectiveness of exclusively human milk-based products in feeding extremely premature infants. Breastfeed Med 7(1):29–37 Henderson G, Anthony MY, McGuire W (2007) Formula milk versus maternal breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev. ;(4). Isaacs EB, Fischl BR, Quinn BT, Chong WK, Gadian DG, Lucas A Impact of breast milk on intelligence quotient, brain size, and white matter development. Pediatr Res [Internet]. 2010 Apr [cited 2025 Nov 17];67(4):357–62. Available from: https://pubmed.ncbi.nlm.nih.gov/20035247 Hoodbhoy S (2013) Human milk banking; current evidence and future challenges. Paediatr Child Heal (United Kingdom) 23:337–341. https://doi.org/10.1016/j.paed.2013.04.001 Abhulimhen-Iyoha B, Okonkwo I, Ideh R, Okolo A (2015) Mothers’ perception of the use of banked human milk for feeding of the infants. Niger J Paediatr 42(3):223–227 Aondoaseer M, Morgan A, Martha O Knowledge and Attitude of Mothers Towards Donor Breast Milk in Makurdi, Nigeria [Internet]. Niger J Paediatr. 2025 [cited 2025 Nov 17]. pp. 22–32. Available from: https://www.njpaediatrics.com/index.php/njp/article/ view /1223/1098 Tobergte DR, Curtis S (2013) Essential Medical Statistics. J ChemInf Model 53(9):1689–1699 Oyedeji GA (1985) Socio-economic background of hospitalised children in Ilesha [Internet]. Vol. 12, Nigerian Journal of Paediatrics. pp. 111–7. Available from: http://www.njpaediatrics.com/1985/v12n4/2Socio economic and Cultural Background of Hospitalized Children in Ilesha Ogundare EO, Dedeke IOF, Babatola AO, Adeniyi AT, Ajite AB, Lawal OA et al (2023) Human milk banking acceptability among pregnant and nursing mothers in Southwest Nigeria. J Public Health Res [Internet]. Jul 1 [cited 2025 Nov 17];12(3). Available from: https://pubmed.ncbi.nlm.nih.gov/3766768 Iloh KK, Osuorah CDI, Ndu IK, Asinobi IN, Obumneme-Anyim IN, Ezeudu CE et al (2018) Perception of donor breast milk and determinants of its acceptability among mothers in a developing community: A cross sectional multi-center study in southeast Nigeria. Int Breastfeed J 13:47. https://doi.org/10.1186/s13006-018-0189-2 Demisse H, Ameya G, Alemayehu T, Estifanos N (2022) Knowledge and attitudes towards breast milk donation and associated factors among pregnant mothers attending antenatal care at health centers in Addis Ababa, Ethiopia. ;1–15. Available from: https://doi.org/10.21203/rs.3.rs-1921575/v1 Huang C, Han W, Fan Y (2021) Knowledge and attitude on donation of breast milk in hospitalized mothers. Gac Sanit [Internet]. ;35(3):213–5. Available from: https://doi.org/10.1016/j.gaceta.2019.09.013 Ekşioğlu A, Yeşil Y, Turfan EÇ (2015) Mothers’ views of milk banking: sample of İzmir. Turk PediatriArs 50(2):83–89 Pal A, Soontarapornchai K, Noble L, Hand I (2019) Attitudes towards Donor Breast Milk in an Inner City Population. Int J Pediatr (United Kingdom) 3847283. 10.1155/2019/3847283 Women’s Learning Partnership (WLP). C20 summit Brings WLP Turkey, Leading Civil Society Activists Together for Economic Agenda-Setting (Statistics on Turkey} (2015) Available from: http://www.learningpartnership.org/turkey . [Last accessed on 2026 March 19] Pew Research Center. Internet Access Growing Worldwide but Remains Higher in Advanced Economies (2016) Available from: https://www . Pew research.org/global. [Last accessed on 2026 March 19] Simon Kemp.Digital (2026) : Nigeria. Data reportal. View at www.datareportal.com.Accessed26/2/26 Mohamed H, Ismail A, Sutan R, Rahman RA, Juval K (2025) A scoping review of digital technologies in antenatal care: recent progress and applications of digital technologies. BMC Pregnancy Childbirth [Internet]. ;25(1). Available from: https://doi.org/10.1186/s12884-025-07209-8 Ahmed MAM, Namisi CP, Kirabira NV, Lwetabe MW, Rujumba J (2024) Acceptability to donate human milk among postnatal mothers at St. Francis hospital Nsambya, Uganda: a mixed method study. Int Breastfeed J 19(1):1–16 PAHO. INSTITUTO FERNANDES FIGUEIRA/FIOCRUZ – Human Milk Banks in the Americas - PAHO/WHO | Pan American Health Organization [Internet]. [cited 2025 Nov 17]. Available from: https://www.paho.org/en/partnerships/instituto-fernandes-figueirafiocruz-human-milk-banks-americas Wesolowska A, Sinkiewicz-Darol E, Barbarska O, Bernatowicz-Lojko U, Borszewska-Kornacka MK, van Goudoever JB (2019) Innovative techniques of processing human milk to preserve key components. Nutrients 11(5):1–17 Bloodrescue, BLOOD SAFETY IN NIGERIA: CHALLENGES, INITIATIVES AND RECOMMENDATIONS. – Blood Cells Rescue Initiative [Internet]. 2025 [cited 2025 Nov 17]. Available from: https://bloodrescue.org/2025/03/blood-safety-in-nigeria-challenges-initiatives-and-recommendation Ogundele T, Ogundele OA, Bello EO Knowledge and Perception of Mothers toward Donor Milk and Human Milk Banking. Niger J Gen Pract [Internet]. 2022 Jan [cited 2025 Nov 17];20(1):1–5. Available from: https://journals.www.com/njgp/fulltext/2022/20010/ knowledge_and_perception_of_mothers_toward_donor.1.aspx Yılmaz M, Aykut M, Şahin H, Ongan D, Balcı E, Günİ et al (2018) Knowledge, attitude, and practices about wet nursing and human milk banking in Kayseri, Turkey. Erciyes ;40(4):204–9 Akhimienho KI, Uwaibi N (2022) Perception of Donor Breast Milk and Determinants of Its Acceptability amongst Pregnant Women Attending Antenatal Clinic in a Secondary Facility in South-South Nigeria. Int JMultidisc Res Anal 30(63):31–35. https://doi.org/10.47191/ijmra/v5-i8-43 Azema E, Callahan S (2003) Breast milk donors in France: A portrait of the typical donor and the utility of milk banking in the French breastfeeding context. J Hum Lact 19:199–202 Mohillo LG, Jalandoon AR, Marcial DE (2024) Knowledge, Attitudes and Practices Towards Open Educational Resources in Higher Education Institutions in the Philippines. Inf Technol Learn Tools 103(5):89–103 Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Editorial decision: Revision requested 13 Apr, 2026 Reviews received at journal 13 Apr, 2026 Reviewers agreed at journal 13 Apr, 2026 Reviews received at journal 13 Apr, 2026 Reviewers agreed at journal 25 Mar, 2026 Reviewers agreed at journal 23 Mar, 2026 Reviewers invited by journal 23 Mar, 2026 Editor assigned by journal 23 Mar, 2026 Submission checks completed at journal 23 Mar, 2026 First submitted to journal 21 Mar, 2026 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-9187359","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":611608941,"identity":"75843549-077a-407d-bf65-399aa7a10663","order_by":0,"name":"Joseph Ezeogu","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAxUlEQVRIiWNgGAWjYBACxgYILcfAwEOiFmPitcBAYgPRWpjb2x8++PDrcPqG42cPPvjAYCen20DIYT0Hkg1n9h3O3XAmL9lwBkOysdkBQlpmJByT5u0BajmQYybNw3AgcRtBLfMftv8Gakk3OP+GWC0zmNmYeX4cTjC4QbQtPWnMkjMb0g1n3nhjbDjDgAi/GLYff/jhwx9reb7zOYYPPlTYyRHW0gCyqo2BQQGs0oCAchCQB5N/gIwGIlSPglEwCkbByAQAHd1GxPvv2QsAAAAASUVORK5CYII=","orcid":"","institution":"Federal Teaching Hospital Owerri","correspondingAuthor":true,"prefix":"","firstName":"Joseph","middleName":"","lastName":"Ezeogu","suffix":""},{"id":611608942,"identity":"a5251322-c42c-4fd6-8f13-5a52805349d3","order_by":1,"name":"Alaoma Kawa","email":"","orcid":"","institution":"Federal Teaching Hospital Owerri","correspondingAuthor":false,"prefix":"","firstName":"Alaoma","middleName":"","lastName":"Kawa","suffix":""},{"id":611608943,"identity":"64e23324-7bc3-46da-90a3-d3f813a5a0cd","order_by":2,"name":"Chidinma Neola Okeji","email":"","orcid":"","institution":"Federal Teaching Hospital Owerri","correspondingAuthor":false,"prefix":"","firstName":"Chidinma","middleName":"Neola","lastName":"Okeji","suffix":""},{"id":611608944,"identity":"e70a2c89-082b-4f85-99b3-e54167b77308","order_by":3,"name":"Chioma Theresa Chimah","email":"","orcid":"","institution":"Federal Teaching Hospital Owerri","correspondingAuthor":false,"prefix":"","firstName":"Chioma","middleName":"Theresa","lastName":"Chimah","suffix":""}],"badges":[],"createdAt":"2026-03-21 17:38:15","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-9187359/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-9187359/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":105385219,"identity":"3f5c90ae-449e-4480-abdb-7a46c64ad027","added_by":"auto","created_at":"2026-03-25 12:13:09","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1611596,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-9187359/v1/d806eb54-8898-4a7e-93d2-f74377f03314.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Donor Breast Milk and Human Milk Banking: Awareness, Acceptance and Determinants among Mothers in Owerri, Nigeria: A Cross-sectional Study","fulltext":[{"header":"Introduction","content":"\u003cp\u003eBreast milk is universally recognized as the optimal source of nutrition for newborns providing unparalleled immunological and developmental benefits including boosting brain development and protection against overweight and obesity for infants (ill, term or premature babies).\u003csup\u003e\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e,\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e\u003c/sup\u003e For premature and low birth weight (LBW) infants, its role in reducing the risk of necrotizing enterocolitis (NEC) and other infections is particularly critical in protection from viral and inflammatory illnesses.\u003csup\u003e\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e\u003c/sup\u003e The World Health Organization (WHO), UNICEF and AAP recommend mothers own milk (MOM) term, preterm and LBW infants, highlighting its impact on child survival and long-term health.\u003csup\u003e\u003cspan additionalcitationids=\"CR5\" citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e\u003c/sup\u003e\u003c/p\u003e \u003cp\u003eHowever, not all infants have access to their MOM. Reasons include maternal illness or death, temporary separation, abandonment, infant adoption or delayed lactogenesis.\u003csup\u003e\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u003c/sup\u003e In such circumstances, the WHO recommends donor human milk (DHM) as the next best alternative.\u003csup\u003e\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e\u003c/sup\u003e DHM is breast milk expressed by a mother, processed, screened, and dispensed by a human milk bank (HMB) for use by a non-biological recipient.\u003csup\u003e\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u003c/sup\u003e While pasteurization marginally reduces some bioactive nutritional components, DHM retains significant advantages over infant formula; such as a lower incidence of NEC and improved feeding tolerance in high risk neonates.\u003csup\u003e\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e,\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e\u003c/sup\u003e\u003c/p\u003e \u003cp\u003eBeyond direct recipient benefits, the presence of an HMB can enhance overall breastfeeding rates within a community and neonatal unit.\u003csup\u003e\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e\u003c/sup\u003e Despite these proven benefits, the establishment of HMBs in sub-Saharan Africa has been slow. Nigeria, with its high neonatal mortality rate, has only recently seen its first standardized HMB.\u003csup\u003e\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e,\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e\u003c/sup\u003e The challenges are multifactorial, encompassing logistical and financial constraints, as well as sociocultural beliefs and knowledge gaps among potential donors and recipients.\u003csup\u003e\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e\u003c/sup\u003e Informal, unregulated peer-to-peer milk sharing persists, carrying risks of Hepatitis B, syphilis, HIV and other undetected disease transmission.\u003csup\u003e\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e\u003c/sup\u003e\u003c/p\u003e \u003cp\u003eUnderstanding the local knowledge, acceptance, and practices of DHM and HMB is a critical first step in developing culturally sensitive and effective milk banking services. While studies from other parts of Nigeria exist.\u003csup\u003e\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e,\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e\u003c/sup\u003e data from the South-Eastern region, specifically are limited. This study aims to assess the level of knowledge and acceptance of DHM and HMB among mothers in identify barriers and facilitators, and determine factors independently associated with willingness to participate in milk banking. The findings will provide essential evidence to guide policy, advocacy, and the development of contextually appropriate HMB programs in Nigeria.\u003c/p\u003e \u003cp\u003e.\u003c/p\u003e"},{"header":"Methodology","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eStudy design and setting\u003c/h2\u003e \u003cp\u003eThis hospital based descriptive cross-sectional study was conducted from March 2025 to July 2025 at the Immunization and well-child clinic of the Federal Teaching Hospital,. FTHO is a major 625-bed tertiary health facility located in the capital of Imo State and receives referrals from neighboring Abia, Rivers, and Anambra States. The immunization clinic operates daily on weekdays, except on public holidays and it is run by Doctors and nurses.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eStudy Population and Sampling\u003c/h3\u003e\n\u003cp\u003eThe study population comprised mother-infant dyads attending the clinic. The minimum sample size was calculated using the formula for cross-sectional studies\u003csup\u003e\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e\u003c/sup\u003e: n\u0026thinsp;=\u0026thinsp;Z\u0026sup2;pq/d\u0026sup2;. Assuming a 95% confidence level (Z\u0026thinsp;=\u0026thinsp;1.96), a prevalence (p) of knowledge of donor breast milk of 25.8% from a previous study in Benin City, Nigeria,\u003csup\u003e13\u003c/sup\u003e and a 5% margin of error (d\u0026thinsp;=\u0026thinsp;0.05), the minimum sample size was 294. To account for potential non-response, 303 consenting mothers were enrolled consecutively from March to June 2025.\u003c/p\u003e \u003cp\u003e \u003cstrong\u003eInclusion criteria and exclusion criteria\u003c/strong\u003e \u003cp\u003eMothers who attended the clinic and provided informed consent were included. However, mothers who refused to participate or had a critically ill child were excluded.\u003c/p\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eData collection\u003c/b\u003e: A structured questionnaire developed by the authors following extensive literature search was pre-tested on 20 mothers that were not included in the study and corrections noted were effected for clarity. It was face validated by a Paediatrician and a Paediatric nutritionist. It captured information on the sociodemographic characteristics of each mother and baby pair, such as maternal age, parity, religion, level of education, occupation and socio-economic status determined using the Oyedeji classification which assigned score based on parents education and occupation.\u003csup\u003e\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e\u003c/sup\u003e There were questions on knowledge: awareness of DHM, sources of information, awareness of HMB, and knowledge of any existing donor milk policy and acceptance-related questions: willingness to donate breast milk, willingness to receive DHM for their own infant, preferred source of donor milk, reasons for acceptance or refusal, need for spousal consent, and willingness to volunteer for or support a milk banking.\u003c/p\u003e \u003cp\u003e \u003cstrong\u003eData analysis\u003c/strong\u003e \u003cp\u003eData were entered into Microsoft excel cleaned and analyzed using Statistical Product and Service Solution (SPSS) version 27.0. Descriptive statistic (frequencies and percentages, medians with interquartile ranges) were used to summarize the participants characteristics and responses. Bivariate analysis using the Chi-square or Fisher's exact test was performed to assess associations between sociodemographic factors and the primary outcome variables (willingness to donate, willingness to volunteer). Variables with a p-value\u0026thinsp;\u0026lt;\u0026thinsp;0.20 in bivariate analysis were entered into a multivariable binary logistic regression model to identify independent predictors of these outcomes. Results are presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). A p-value\u0026thinsp;\u0026lt;\u0026thinsp;0.05 was considered statistically significant.\u003c/p\u003e \u003c/p\u003e \u003cp\u003e \u003cstrong\u003eEthical considerations\u003c/strong\u003e \u003cp\u003e Ethical approval was obtained from the Health Research and Ethics Committee of with approval number FTHO/HREC /Vol2/98.The study participants provided informed consent before enrollment. Anonymity and confidentiality were guaranteed for all data.\u003c/p\u003e \u003c/p\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec6\" class=\"Section2\"\u003e\n \u003ch2\u003eSociodemographic characteristics\u003c/h2\u003e\n \u003cp\u003eA total of 303 mothers participated in the study. The median age of the youngest child was 5 months (IQR: 3\u0026ndash;9). The majority of the mothers 95 (31.4%) were aged 26\u0026ndash;30 years, 288 (95.0%) were of Igbo ethnicity and 233 (76.9%) resided in urban areas. Educational attainment was high, with 207 (68.3%) mothers and 216 (71.3%) of their partners having tertiary education. Based on the Oyedeji classification, 142 (46.9%) were of the upper socioeconomic class. Detailed characteristics are presented in Table I below.\u003c/p\u003e\n \u003cp\u003eTable I: .Sociodemographic characteristics of study participants (N\u0026thinsp;=\u0026thinsp;303)\u0026nbsp;\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003ctable id=\"Taba\" border=\"1\"\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariable\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003en\u0026thinsp;=\u0026thinsp;303\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eMother\u0026rsquo;s age range\u003c/p\u003e\n \u003cp\u003e\u0026le;\u0026thinsp;20 years\u003c/p\u003e\n \u003cp\u003e21\u0026ndash;25 years\u003c/p\u003e\n \u003cp\u003e26\u0026ndash;30 years\u003c/p\u003e\n \u003cp\u003e31\u0026ndash;35 years\u003c/p\u003e\n \u003cp\u003e46\u0026ndash;40 years\u003c/p\u003e\n \u003cp\u003e\u0026gt;\u0026thinsp;40 years\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003cp\u003e71\u003c/p\u003e\n \u003cp\u003e95\u003c/p\u003e\n \u003cp\u003e78\u003c/p\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003cp\u003e23\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.7\u003c/p\u003e\n \u003cp\u003e23.4\u003c/p\u003e\n \u003cp\u003e31.4\u003c/p\u003e\n \u003cp\u003e25.7\u003c/p\u003e\n \u003cp\u003e9.9\u003c/p\u003e\n \u003cp\u003e7.6\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eMaternal education\u003c/p\u003e\n \u003cp\u003ePrimary\u003c/p\u003e\n \u003cp\u003eSecondary\u003c/p\u003e\n \u003cp\u003eTertiary\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e10\u003c/p\u003e\n \u003cp\u003e83\u003c/p\u003e\n \u003cp\u003e207\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e3.3\u003c/p\u003e\n \u003cp\u003e27.4\u003c/p\u003e\n \u003cp\u003e68.3\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eFather\u0026rsquo;s education\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003ePrimary\u003c/p\u003e\n \u003cp\u003eSecondary\u003c/p\u003e\n \u003cp\u003eTertiary\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003cp\u003e72\u003c/p\u003e\n \u003cp\u003e216\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e3.0\u003c/p\u003e\n \u003cp\u003e23.8\u003c/p\u003e\n \u003cp\u003e71.3\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eSocioeconomic status\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eLower\u003c/p\u003e\n \u003cp\u003eMiddle\u003c/p\u003e\n \u003cp\u003eUpper\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e47\u003c/p\u003e\n \u003cp\u003e98\u003c/p\u003e\n \u003cp\u003e142\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e15.5\u003c/p\u003e\n \u003cp\u003e32.3\u003c/p\u003e\n \u003cp\u003e46.9\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eReligion\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eChristianity\u003c/p\u003e\n \u003cp\u003eIslam\u003c/p\u003e\n \u003cp\u003eAfrican traditional religion\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e298\u003c/p\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e98.3\u003c/p\u003e\n \u003cp\u003e0.7\u003c/p\u003e\n \u003cp\u003e0.3\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eTribe\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eIgbo\u003c/p\u003e\n \u003cp\u003eHausa\u003c/p\u003e\n \u003cp\u003eYoruba\u003c/p\u003e\n \u003cp\u003eOthers\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e288\u003c/p\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e95.0\u003c/p\u003e\n \u003cp\u003e1.0\u003c/p\u003e\n \u003cp\u003e2.0\u003c/p\u003e\n \u003cp\u003e1.3\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eResidence\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eRural\u003c/p\u003e\n \u003cp\u003eUrban\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e62\u003c/p\u003e\n \u003cp\u003e233\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e20.5\u003c/p\u003e\n \u003cp\u003e76.9\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n \u003cp\u003eSome percentages may not total 100% due to missing data.\u003c/p\u003e\n\u003c/div\u003e\n\u003ch3\u003eKnowledge of Donor Human Milk and Human Milk Banking\u003c/h3\u003e\n\u003cp\u003eAwareness of DHM was reported by 186 (61.4%) mothers. The primary source of information were social media 59 (31.7%) and health care workers (nurses and doctors combined):81 (43.5%). However, knowledge of HMB as a formal concept was reported by 125(41.3%) and awareness of any National policy on donor milk was minimally documented by 57(18.8%) mothers. This is shown in Table II.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable II. Knowledge and acceptance of donor breast milk amongst participants\u003c/strong\u003e\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n \u003cdiv class=\"colspec\" align=\"left\"\u003e\u0026nbsp;\u003cimg 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\"\u003e\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec8\" class=\"Section2\"\u003e\n \u003ch2\u003eAcceptance of donor milk and Willingness to participate amongst participants\u003c/h2\u003e\n \u003cp\u003eDespite 214 (70.6%) mothers knowing they could donate breast milk, only 124 (40.9%) expressed willingness to do so. Acceptance of DHM for one\u0026apos;s own infant was very low reported by 45 (14.9%) mothers. A strong preference for receiving milk from a relative was documented by 220 (72.6%) mothers an evidence of a strong cultural preference. A significant proportion of the mothers 187 (61.7%) required spousal consent for donation of breast milk, while a minority 58 (19.1%) expected monetary payment. Furthermore, 94 (31.0%) mothers were willing to volunteer for a milk banking association. This is summarized in Table III.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable III. Knowledge and acceptance of donor breast milk amongst participants\u003c/strong\u003e\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003cdiv class=\"colspec\" align=\"left\"\u003e\u003cbr\u003e\u003c/div\u003e\n \u003cdiv class=\"colspec\" align=\"left\"\u003e\u0026nbsp;\u003c/div\u003e\n \u003ctable id=\"Tabd\" border=\"1\"\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariable\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAwareness that one can donate breast milk\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e214\u003c/p\u003e\n \u003cp\u003e88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e70.6\u003c/p\u003e\n \u003cp\u003e29.0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eWillingness to donate breast milk to HMB?\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e124\u003c/p\u003e\n \u003cp\u003e178\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e40.9\u003c/p\u003e\n \u003cp\u003e58.7\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eWilling to receive DHM for own baby\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003cp\u003ePreference for source of breast milk donor\u003c/p\u003e\n \u003cp\u003eRelatives\u003c/p\u003e\n \u003cp\u003eNon-relatives\u003c/p\u003e\n \u003cp\u003eEither\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e45\u003c/p\u003e\n \u003cp\u003e257\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e220\u003c/p\u003e\n \u003cp\u003e39\u003c/p\u003e\n \u003cp\u003e44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e14.9\u003c/p\u003e\n \u003cp\u003e84.8\u003c/p\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e72.6\u003c/p\u003e\n \u003cp\u003e12.9\u003c/p\u003e\n \u003cp\u003e14.5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eRequires husband\u0026rsquo;s consent to donate breast milk\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e187\u003c/p\u003e\n \u003cp\u003e110\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e61.7\u003c/p\u003e\n \u003cp\u003e36.3\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eRequires monetary payment to donate breast milk\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e58\u003c/p\u003e\n \u003cp\u003e241\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e19.1\u003c/p\u003e\n \u003cp\u003e79.5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eWilling to volunteer for HMB association\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e94\u003c/p\u003e\n \u003cp\u003e209\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e31.0\u003c/p\u003e\n \u003cp\u003e69.0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n\u003c/div\u003e\n\u003ch3\u003eReasons for Acceptance and Refusal\u003c/h3\u003e\n\u003cp\u003eAmong the minority (n\u0026thinsp;=\u0026thinsp;98, with multiple responses) willing to receive DHM, the primary reasons were maternal illness preventing breastfeeding reported by 35 (35.7%) mothers and the baby crying when the mother is unavailable by 16 (16.3%) participants. Conversely, the major barriers cited for unwillingness to receive DHM (n\u0026thinsp;=\u0026thinsp;375 responses) were concerns about the milk\u0026apos;s hygiene reported by 112 (29.9%), fear of disease transmission (such as HIV, Hepatitis) 88 (23.5%), and the belief that another woman\u0026apos;s milk is less nourishing reported by 47 (12.5%) mothers. Cultural and religious prohibitions were reported by 29 (7.7%) and 12 (3.2%) mothers. This is depicted in Table IV.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable IV. Reasons for acceptance and refusal\u003c/strong\u003e\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n \u003cdiv class=\"colspec\" align=\"left\"\u003e\u0026nbsp;\u003c/div\u003e\n \u003ctable id=\"Tabe\" border=\"1\"\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eReasons for acceptance\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003en\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003en\u0026thinsp;=\u0026thinsp;98\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMother is sick and cannot breastfeed\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e35\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e35.7%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBaby is crying, and the mother is not around\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e16.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMother\u0026rsquo;s breast milk is not flowing\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e15.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMother\u0026rsquo;s breast milk is not safe for the baby\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e10\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e10.2%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eTo prevent the mother\u0026rsquo;s breasts from sagging\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e7.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBaby is not gaining weight because of inadequate milk\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e6.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eConvenient\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eReasons for refusal\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003en\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cem\u003en\u0026thinsp;=\u0026thinsp;375\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e%\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNot Sure if it is hygienic\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e112\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e29.9%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eFear of disease (HIV, Hepatitis B, and C)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e23.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eBreastmilk from other women is less nourishing\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e47\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e12.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eOthers (personal reasons/distaste)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e9.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMy culture prohibits it\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e7.7%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eLack of confidence in it\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5.1%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eNot a common practice\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e4.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eMy religion prohibits it\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e3.2%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eFear of transmission of bad genetic traits\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e3.2%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAfraid of what people will say\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e1.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003eThere were multiple responses.\u003c/p\u003e\n\u003ch3\u003eFactors Associated with Willingness to Donate Breast milk\u003c/h3\u003e\n\u003cp\u003eIn the multivariable logistic regression model as shown in Table V below, mothers of upper socioeconomic status had over six times the odds of being willing to donate compared to those of lower SES (AOR 6.05, 95% CI 1.63\u0026ndash;22.41). Prior awareness of breast milk donation was also a strong independent predictor (AOR 5.91, 95% CI 2.79\u0026ndash;12.51). Interestingly, mothers who preferred another woman\u0026apos;s milk as a substitute for their own infant were significantly more likely to be willing donors (AOR 6.24, 95% CI 1.07\u0026ndash;36.50). Conversely, having no preference for a relative or non-relative as a donor (\u0026quot;neither\u0026quot;) was associated with 72% lower odds of donation willingness (AOR 0.28, 95% CI 0.10\u0026ndash;0.79).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable VII. Multivariable Logistic Regression: Determinants of willingness to donate breastmilk\u003c/strong\u003e\u003c/p\u003e\n\u003cdiv class=\"gridtable\"\u003e\n \u003cdiv class=\"colspec\" align=\"left\"\u003e\u0026nbsp;\u003c/div\u003e\n \u003ctable id=\"Tabf\" border=\"1\"\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariable\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eWilling to donate\u003c/p\u003e\n \u003cp\u003eN, %\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eUnwilling to donate\u003c/p\u003e\n \u003cp\u003eN, %\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eTest statistic (df)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ep-value\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eCrude\u003c/p\u003e\n \u003cp\u003eOddsRatio\u003c/p\u003e\n \u003cp\u003e(95%CI)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eAdjusted\u003c/p\u003e\n \u003cp\u003eOddsRatio\u003c/p\u003e\n \u003cp\u003e(95%CI)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eAdj.\u003c/p\u003e\n \u003cp\u003ep-value\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eMaternal education\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003ePrimary\u003c/p\u003e\n \u003cp\u003eSecondary\u003c/p\u003e\n \u003cp\u003eTertiary\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1 (10.0)27 (32.5)\u003c/p\u003e\n \u003cp\u003e94 (45.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e9 (90.0)\u003c/p\u003e\n \u003cp\u003e56 (67.5)\u003c/p\u003e\n \u003cp\u003e112 (54.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e8.226\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.015\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.13 (0.02\u0026ndash;1.06)\u003c/p\u003e\n \u003cp\u003e0.57 (0.34\u0026ndash;0.99)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1.18 (0.09\u0026ndash;16.41)\u003c/p\u003e\n \u003cp\u003e0.92 (0.37\u0026ndash;2.27)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.901\u003c/p\u003e\n \u003cp\u003e0.849\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eSocioeconomic status\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eLower\u003c/p\u003e\n \u003cp\u003eMiddle\u003c/p\u003e\n \u003cp\u003eUpper\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e7 (14.9)\u003c/p\u003e\n \u003cp\u003e49 (50.0)\u003c/p\u003e\n \u003cp\u003e61 (43.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e40 (85.1)\u003c/p\u003e\n \u003cp\u003e49 (50.0)\u003c/p\u003e\n \u003cp\u003e81 (57.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e16.772 (2)\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e5.71 (2.33\u0026ndash;13.99)\u003c/p\u003e\n \u003cp\u003e4.30 (1.80\u0026ndash;10.26)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e3.67 (0.81\u0026ndash;16.59)\u003c/p\u003e\n \u003cp\u003e6.05 (1.63\u0026ndash;22.41)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.091\u003c/p\u003e\n \u003cp\u003e0.007\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eReligion\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eChristianity\u003c/p\u003e\n \u003cp\u003eIslam\u003c/p\u003e\n \u003cp\u003eATR\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e122 (41.1)\u003c/p\u003e\n \u003cp\u003e0 (0)\u003c/p\u003e\n \u003cp\u003e0 (0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e175 (58.9)\u003c/p\u003e\n \u003cp\u003e2 (100)\u003c/p\u003e\n \u003cp\u003e1 (100)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1.630\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.712\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e0.30 (0.01\u0026ndash;6.36)\u003c/p\u003e\n \u003cp\u003e0.50 (0.02\u0026ndash;12.49)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eEver heard of DBM\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e103 (55.4)\u003c/p\u003e\n \u003cp\u003e21 (18.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e83 (44.6)\u003c/p\u003e\n \u003cp\u003e95 (81.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e41.013 (1) \u003csup\u003e\u0026dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e5.61 (3.23\u0026ndash;9.77)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e5.91 (2.79\u0026ndash;12.51)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eHeard of BM banking\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e68 (54.4)\u003c/p\u003e\n \u003cp\u003e56 (31.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e57 (45.6)\u003c/p\u003e\n \u003cp\u003e121 (68.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e15.684 (1) \u003csup\u003e\u0026dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e2.58 (1.61\u0026ndash;4.14)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.78 (0.41\u0026ndash;1.49)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.453\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003ePreferred substitute\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eFormula\u003c/p\u003e\n \u003cp\u003eAnother woman\u0026rsquo;s BM\u003c/p\u003e\n \u003cp\u003eOthers\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e87 (41.4)\u003c/p\u003e\n \u003cp\u003e8 (72.7)\u003c/p\u003e\n \u003cp\u003e19 (29.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e123 (58.6)\u003c/p\u003e\n \u003cp\u003e3 (27.3)\u003c/p\u003e\n \u003cp\u003e45 (70.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e7.710\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.022\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e3.77 (0.97\u0026ndash;14.62)\u003c/p\u003e\n \u003cp\u003e0.60 (0.33\u0026ndash;1.09)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e6.24 (1.07\u0026ndash;36.50)\u003c/p\u003e\n \u003cp\u003e1.27 (0.59\u0026ndash;2.74)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.042\u003c/p\u003e\n \u003cp\u003e0.543\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003ePreferred donor source\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eRelative\u003c/p\u003e\n \u003cp\u003eNon-relative\u003c/p\u003e\n \u003cp\u003eNeither\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e95 (43.4)\u003c/p\u003e\n \u003cp\u003e19 (48.7)\u003c/p\u003e\n \u003cp\u003e10 (22.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e124 (56.6)\u003c/p\u003e\n \u003cp\u003e20 (51.3)\u003c/p\u003e\n \u003cp\u003e34 (77.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e7.542 (2) \u003csup\u003e\u0026dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.023\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e1.24 (0.63\u0026ndash;2.45)\u003c/p\u003e\n \u003cp\u003e0.38 (0.18\u0026ndash;0.82)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e1.23 (0.53\u0026ndash;2.87)\u003c/p\u003e\n \u003cp\u003e0.28 (0.10\u0026ndash;0.79)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.634\u003c/p\u003e\n \u003cp\u003e0.017\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003ctfoot\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"8\"\u003edf \u0026ndash; degree of freedom\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tfoot\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e\n \u003ch2\u003eFactors Associated with Willingness to Volunteer for Milk Bank\u003c/h2\u003e\n \u003cp\u003eFor the outcome of willingness to volunteer for a milk banking association, the sole independent predictor in the adjusted model was prior awareness of human milk banking (AOR 7.73, 95% CI 3.50\u0026ndash;17.07) (Table\u0026nbsp;5). Sociodemographic factors were not significant after adjustment. This is depicted in Table VIII.\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable VII. Determinants of willingness to volunteer for breast milk banking\u003c/strong\u003e\u003c/p\u003e\n \u003cdiv class=\"gridtable\"\u003e\n \u003ctable id=\"Tabg\" border=\"1\"\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eVariable\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eWilling to volunteer\u003c/p\u003e\n \u003cp\u003eN, %\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eUnwilling to volunteer\u003c/p\u003e\n \u003cp\u003eN, %\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eTest statistic (df)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ep-value\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eCrude\u003c/p\u003e\n \u003cp\u003eOdds Ratio\u003c/p\u003e\n \u003cp\u003e(95%CI)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eAdjusted\u003c/p\u003e\n \u003cp\u003eOdds Ratio\u003c/p\u003e\n \u003cp\u003e(95%CI)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eAdj.\u003c/p\u003e\n \u003cp\u003ep-value\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eMaternal education\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003ePrimary\u003c/p\u003e\n \u003cp\u003eSecondary\u003c/p\u003e\n \u003cp\u003eTertiary\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1 (10.0)\u003c/p\u003e\n \u003cp\u003e23 (27.7)\u003c/p\u003e\n \u003cp\u003e68 (32.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e9 (90.0)\u003c/p\u003e\n \u003cp\u003e60 (72.3)\u003c/p\u003e\n \u003cp\u003e139 (67.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e2.551\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.265\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.35 (0.07\u0026ndash;1.70)\u003c/p\u003e\n \u003cp\u003e0.78 (0.45\u0026ndash;1.37)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eSocioeconomic status\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eLower\u003c/p\u003e\n \u003cp\u003eMiddle\u003c/p\u003e\n \u003cp\u003eUpper\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e8 (17.0)\u003c/p\u003e\n \u003cp\u003e39 (39.8)\u003c/p\u003e\n \u003cp\u003e41 (28.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e39 (83.0)\u003c/p\u003e\n \u003cp\u003e59 (60.2)\u003c/p\u003e\n \u003cp\u003e101 (71.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e8.173 (2)\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.017\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e3.22 (1.36\u0026ndash;7.62)\u003c/p\u003e\n \u003cp\u003e1.98 (0.85\u0026ndash;4.60)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e0.97 (0.32\u0026ndash;2.95)\u003c/p\u003e\n \u003cp\u003e2.40 (0.81\u0026ndash;7.09)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.960\u003c/p\u003e\n \u003cp\u003e0.113\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eReligion\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eChristianity\u003c/p\u003e\n \u003cp\u003eIslam\u003c/p\u003e\n \u003cp\u003eATR\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e92 (30.9)\u003c/p\u003e\n \u003cp\u003e1 (50.0)\u003c/p\u003e\n \u003cp\u003e1 (100)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e207 (69.1)\u003c/p\u003e\n \u003cp\u003e1 (50.0)\u003c/p\u003e\n \u003cp\u003e0 (0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e2.737\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.231\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e2.25 (0.14\u0026ndash;36.37)\u003c/p\u003e\n \u003cp\u003e6.73 (0.27\u0026ndash;166.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e-\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eEver heard of DBM\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e75 (40.3)\u003c/p\u003e\n \u003cp\u003e19 (16.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e111 (59.7)\u003c/p\u003e\n \u003cp\u003e97 (83.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e19.105 (1) \u003csup\u003e\u0026dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e3.45 (1.95\u0026ndash;6.11)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1.19 (0.49\u0026ndash;2.90)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.695\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003eHeard of BM banking\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eYes\u003c/p\u003e\n \u003cp\u003eNo\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e69 (55.2)\u003c/p\u003e\n \u003cp\u003e25 (14.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e56 (44.8)\u003c/p\u003e\n \u003cp\u003e152 (85.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e57.659 (1) \u003csup\u003e\u0026dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e7.49 (4.32\u0026ndash;12.99)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e7.73 (3.50\u0026ndash;17.07)\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003ePreferred substitute\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eFormula\u003c/p\u003e\n \u003cp\u003eAnother woman\u0026rsquo;s BM\u003c/p\u003e\n \u003cp\u003eOthers\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e63 (30.0)\u003c/p\u003e\n \u003cp\u003e7 (63.6)\u003c/p\u003e\n \u003cp\u003e18 (28.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e147 (70.0)\u003c/p\u003e\n \u003cp\u003e4 (36.4)\u003c/p\u003e\n \u003cp\u003e46 (71.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e5.365\u003csup\u003e\u0026Dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.076\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e4.08 (1.15\u0026ndash;14.44)\u003c/p\u003e\n \u003cp\u003e0.91 (0.49\u0026ndash;1.70)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e1.79 (0.38\u0026ndash;8.56)\u003c/p\u003e\n \u003cp\u003e1.29 (0.55\u0026ndash;3.03)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.465\u003c/p\u003e\n \u003cp\u003e0.565\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u003cstrong\u003ePreferred donor\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eRelative\u003c/p\u003e\n \u003cp\u003eNon-relative\u003c/p\u003e\n \u003cp\u003eNeither\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e73(33.2)\u003c/p\u003e\n \u003cp\u003e20 (51.3)\u003c/p\u003e\n \u003cp\u003e1 (2.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e147 (66.8)\u003c/p\u003e\n \u003cp\u003e19 (48.7)\u003c/p\u003e\n \u003cp\u003e43 (97.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e24.955 (2) \u003csup\u003e\u0026dagger;\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e2.11 (1.07\u0026ndash;4.22)\u003c/p\u003e\n \u003cp\u003e0.05 (0.00\u0026ndash;0.35)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003cp\u003e1.69 (0.71\u0026ndash;4.03)\u003c/p\u003e\n \u003cp\u003e0.00 (0.00\u0026ndash;NA)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e0.239\u003c/p\u003e\n \u003cp\u003e0.997\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003ctfoot\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"8\"\u003e\u003csup\u003e\u0026dagger;\u003c/sup\u003eChi-square; \u003csup\u003e\u0026Dagger;\u003c/sup\u003eFisher\u0026rsquo;s exact test; df \u0026ndash; degree of freedom\u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tfoot\u003e\n \u003c/table\u003e\n \u003c/div\u003e\n\u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study highlights a significant disconnect between awareness and acceptance of donor human milk and milk banking among mothers in Owerri, Nigeria. While knowledge of the concept of milk donation was relatively high (61.4%), this did not translate into a willingness to use DHM (14.9%) or donate (40.9%). This knowledge-practice gap underscores the profound influence of safety perceptions, cultural norms, and a lack of trust in formal systems.\u003c/p\u003e \u003cp\u003eThe first major finding in this study is the 61.4% DHM awareness in our group of mothers which is higher than figures reported in earlier Nigerian studies of between 25.8%-39%\u003csup\u003e15,16,18,19\u003c/sup\u003e and the 12.4%\u003csup\u003e20\u003c/sup\u003e 29.3%\u003csup\u003e21\u003c/sup\u003e41.6%\u003csup\u003e22\u003c/sup\u003e 34%\u003csup\u003e23\u003c/sup\u003e reported in some international studies. This may reflect increasing internet penetration and the influence of social media, identified here as the primary information source at 31.7%. This aligns with findings of social media as the primary source of information at 87%, in a Turkish study\u003csup\u003e\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e\u003c/sup\u003e though access to the internet is better for women in Turkey than in Nigeria.\u003csup\u003e\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e,\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e Our findings however, contrasts with previous studies where healthcare workers were the main source of information.\u003csup\u003e\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e,\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e,\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e The disparity in our findings may be due to increasing internet penetration in Nigeria reported at 45.5%\u003csup\u003e26\u003c/sup\u003e and also reflects broader global trends in maternal health information-seeking in middle-income settings and highlights the underutilization of formal antenatal care platforms for health education.\u003csup\u003e\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e\u003c/sup\u003e\u003c/p\u003e \u003cp\u003eThis shift in predominance of the internet as a source of information presents both an opportunity and a challenge, as social media can disseminate information rapidly but may also propagate misinformation. The low awareness of formal HMB at 38.4% contrasts with the 50.2% documented by Ahmed et al.\u003csup\u003e28\u003c/sup\u003e The awareness of a national policy at a lowly 18.8% aligns with findings by Iloh et al\u003csup\u003e19\u003c/sup\u003e and Aondasser et al\u003csup\u003e15\u003c/sup\u003e in other parts of Nigeria, but contrasts with a Brazilian study that reported\u0026thinsp;\u0026gt;\u0026thinsp;90% policy awareness.\u003csup\u003e\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e\u003c/sup\u003e The findings in our study of lower awareness of formal HMB and national policy is consistent with the reality that organized milk banking is in its infancy in Nigeria.\u003csup\u003e\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e,\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e\u003c/sup\u003e This policy knowledge gap is a critical barrier, as it prevents mothers from understanding the safety systems (screening, pasteurization) that distinguish banked milk from informal milk sharing(the more common system of breastmilk donation in our communities).\u003csup\u003e\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e\u003c/sup\u003e\u003c/p\u003e \u003cp\u003eThe extremely low acceptance of DHM for one's own child at 14.9% is a key finding, comparable to rates in some Nigerian settings\u003csup\u003e\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e\u003c/sup\u003e but far lower than the 69.4% reported in Uganda.\u003csup\u003e\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e\u003c/sup\u003e Our findings of low DHM acceptance is not unconnected to the fact that most women in Southeastern Nigeria, socioculturally believe that every infant should be breastfed by their mothers. The primary barriers to acceptance of DHM identified were hygiene concerns and fear of HIV/Hepatitis transmission, similar to findings in other Nigerian studies.\u003csup\u003e\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e,\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e,\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e\u003c/sup\u003e This fear, despite robust evidence that Holder pasteurization inactivates these viruses,\u003csup\u003e30\u003c/sup\u003e points to a deep-seated distrust. This distrust may be amplified by the Nigerian context of historical challenges with blood product safety,\u003csup\u003e31\u003c/sup\u003e creating a powerful psychological barrier that factual knowledge alone may not overcome. The strong preference for milk from a relative reported at 72.6% further illustrates this trust deficit, suggesting that the formal, anonymous system of a milk bank is perceived as less safe than the informal, kinship-based network of the past. Public health messaging must explicitly and transparently address these safety concerns, detailing the rigorous screening and processing that ensures DHM safety. Other reasons for being unwilling to use DBM were religion and cultural unacceptability for a small proportion of mothers at 3.2% and 7.2% respectively. This aligns with previous Nigerian studies\u003csup\u003e\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e,\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e\u003c/sup\u003e however in a Turkish study,\u003csup\u003e22\u003c/sup\u003e religion was reported as a leading barrier to acceptance of HMB by a large proportion of the mothers. This difference maybe because of the influence and predominance of Islam in Turkey which is different from our study setting which is predominantly Christian. Furthermore, targeted enlightenment programs and sharing of real-life success stories needs to be carried out by government and its agencies.\u003c/p\u003e \u003cp\u003eWillingness to donate at 40.9% was higher than willingness to receive, but still represents a significant underutilization of the potential donor pool, especially given that over half the mothers reported experiencing excess milk production. This rate is comparable to some African studies\u003csup\u003e\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e\u003c/sup\u003e but lower than others.\u003csup\u003e\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e,\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e,\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e,\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e\u003c/sup\u003e However, our rate is higher than the 11% and 31% rates documented in other African studies.\u003csup\u003e\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e,\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e\u003c/sup\u003e A plausible explanation for the finding of willingness to donate in our study could be due to the reported excess milk production experience and they would like to help other women and their children by donating, in agreement with the work by Azema and Callahan.\u003csup\u003e\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e\u003c/sup\u003e The altruistic motivations cited by potential donors (e.g., helping an ill mother) are encouraging. However, the need for spousal consent documented at 61.7% is in keeping with other studies.\u003csup\u003e\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e,\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e Our finding is not surprising considering that South Eastern Nigeria is a male dominant area and confirms the patriarchal structure of household decision-making regarding infant feeding in this context.\u003csup\u003e\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e,\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e This finding is crucial; any successful HMB program must include strategies for engaging men as partners and advocates, not just as gatekeepers. The relatively low expectation of monetary payment (19.1%) is a positive indicator, suggesting that a well-structured, altruistic donation model is feasible if trust can be established\u003c/p\u003e \u003cp\u003eThe multivariate analysis provides strong evidence for targeted interventions. The fact that prior awareness of milk donation was the strongest predictor of willingness to donate (AOR 5.91, 95% CI: 2.79\u0026ndash;12.51). This clear knowledge-to-action link, corroborated by studies in similar contexts (documenting increased donation because of prior awareness of milk donation) \u003csup\u003e\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e,\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e,\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e\u003c/sup\u003e strongly suggests that a fundamental lack of awareness is a primary and potentially modifiable barrier to building a culture of breast milk donation. This is consistent with the knowledge-attitude-practice framework \u003csup\u003e\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e\u003c/sup\u003e therefore a clear call for intensified, community-wide behavior modifying based education.\u003c/p\u003e \u003cp\u003eThe link between higher SES and donation willingness (AOR 6.05, 95% CI: 1.63\u0026ndash;22.41) highlights a risk of inequity. It may be attributable to greater exposure of mothers in the upper SEC to global health narratives such as the concept of altruistic donation through media or healthcare interactions, higher health literacy and a potential reduction in culturally ingrained stigmas associated with milk sharing. This highlights a risk that milk banking services could inadvertently cater to a more privileged demographic, therefore programs must be designed to be inclusive, reaching all SES women through accessible channels like community health talks and radio programs, rather than relying solely on digital platforms.\u003c/p\u003e \u003cp\u003eThe finding that mothers who would choose another woman's milk as a substitute for their own were significantly more willing donors (AOR 6.24, 95% CI: 1.07\u0026ndash;36.50) reveals an important psychological alignment: those who intrinsically value human milk for their own infants are motivated to provide it for others, creating a powerful internal consistency between belief and action. Promotional messages could effectively frame donation as a reciprocal, community-oriented act. Conversely, the profound distrust signified by having \u0026lsquo;no preference\u0026rsquo; for a donor source (AOR 0.28, 95% CI: 0.10\u0026ndash;0.79) identifies a group requiring intensive trust-building through transparent communication about donor screening and milk pasteurization, and perhaps engagement with community leaders.\u003c/p\u003e \u003cp\u003eFinally, the finding that awareness of HMB was the only independent predictor of willingness to volunteer for a milk bank (AOR 7.73, 95% CI:3.50\u0026ndash;17.07) is paramount. It suggests that general awareness of the institution of a milk bank, as a formal, trustworthy entity, is a prerequisite for community engagement and support. This argues for a phased approach: initial efforts should focus on building awareness of what a milk bank is and how it operates safely, before launching large-scale donation drives.\u003c/p\u003e \u003cp\u003eDespite clear WHO and UNICEF recommendations prioritizing DHM over formula for vulnerable infants where mothers' own milk is unavailable, only a minute fraction of respondents selected DHM as a preferred substitute. It suggests that while breastfeeding itself is being embraced, the conceptual leap to accepting and utilizing donated breastmilk remains a significant cultural and psychological hurdle, one that must be addressed for milk banking to achieve its full public health potential. Unfortunately, low income countries lag behind in establishing and promoting DBM and human milk banks.\u003c/p\u003e \u003cp\u003e \u003cstrong\u003eLimitations\u003c/strong\u003e \u003cp\u003eThe findings from this study must be interpreted in the context of the cross-sectional design of the study that precludes causal inferences. Generalizability may be limited because the sample was from a single tertiary centre, hospital-based setting and predominantly urban, educated sample. The use of self-reported data is subject to social desirability and recall bias. However, our study provides valuable baseline data for a region where such information was previously insufficient or lacking.\u003c/p\u003e \u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThis study reveals a critical gap between theoretical knowledge and practical acceptance of donor human milk and milk banking among mothers in. While a biological capacity and a foundational level of awareness exist, acceptance is severely constrained by safety concerns, cultural norms, a lack of trust in formal systems, misinformation and absent infrastructure. To bridge this gap, a multi-pronged, culturally sensitive strategy of targeted educational campaigns, spousal engagement, advocacy to accelerate development and dissemination of policy and HMB guidelines, public awareness and establishment of pilot milk bank with integrated research in the 6 geopolitical zones of Nigeria. This will help build a sustainable, accepted, and life-saving human milk banking system for vulnerable infants.\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch2\u003e\u0026nbsp;\u003c/h2\u003e\n\u003cp\u003e\u003cstrong\u003eEthics approval:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthical approval was obtained from the Health Research and Ethics Committee of the in accordance with relevant guidelines and regulations with approval number FTH/OW/HREC/Vol 1/166. Consent to participate: Written informed consent was gotten from all participating mothers. To maintain confidentiality data was anonymized.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent to publish:\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors give their consent for the publication of this manuscript\u003c/p\u003e\n\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\n\u003cp\u003eJE conceptualized the study, CTC cleaned and entered data, JE, AK, CNO and CTC were involved in manuscript writing. All authors reviewed the manuscript.\u003c/p\u003e\n\u003ch2\u003eAcknowledgement\u003c/h2\u003e\n\u003cp\u003eWe acknowledge the mother child dyads that participated in the study and the staff of Well child Immunization clinic.\u003c/p\u003e\n\u003ch2\u003eData Availability\u003c/h2\u003e\n\u003cp\u003eData generated and analysed is available upon reasonable request.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eWHO, Infant and young child feeding [Internet]. 2023 [cited 2025 Nov 17]. 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Int JMultidisc Res Anal 30(63):31\u0026ndash;35. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.47191/ijmra/v5-i8-43\u003c/span\u003e\u003cspan address=\"10.47191/ijmra/v5-i8-43\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eAzema E, Callahan S (2003) Breast milk donors in France: A portrait of the typical donor and the utility of milk banking in the French breastfeeding context. J Hum Lact 19:199\u0026ndash;202\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eMohillo LG, Jalandoon AR, Marcial DE (2024) Knowledge, Attitudes and Practices Towards Open Educational Resources in Higher Education Institutions in the Philippines. Inf Technol Learn Tools 103(5):89\u0026ndash;103\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"egyptian-pediatric-association-gazette","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"epag","sideBox":"Learn more about [Egyptian Pediatric Association Gazette](https://epag.springeropen.com)","snPcode":"43054","submissionUrl":"https://submission.springernature.com/new-submission/43054/3?","title":"Egyptian Pediatric Association Gazette","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Springer Hybrid","inReviewEnabled":true,"inReviewRevisionsEnabled":false},"keywords":"Human milk banking, Breast milk, Donation, Knowledge, Acceptance, Nigeria","lastPublishedDoi":"10.21203/rs.3.rs-9187359/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-9187359/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground: \u003c/strong\u003eDonor human milk (DHM) is the recommended alternative when mothers own milk is unavailable, particularly for vulnerable infants who are unable to be breastfed; especially where safe and affordable milk-banking facilities are available or can be established. Human milk banking (HMB) facilitates safe DHM provision but remains nascent in Nigeria. This study assessed the knowledge, acceptance, and determinants of willingness to engage with DHM and HMB among mothers in .\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods: \u003c/strong\u003eA hospital based descriptive cross-sectional study was conducted from March to June, 2025 at the immunization clinic of a Federal Tertiary . A total of 303 mother/infant dyads were consecutively enrolled. Data on sociodemographics, knowledge of DHM/HMB and acceptance were collected using a pretested structured paper-based questionnaire. Data were analyzed using descriptive statistics, Chi-square/Fisher’s exact tests, and multivariable logistic regression to identify factors independently associated with willingness to donate, recommend, and volunteer for milk banking.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003eA total of 303 mothers were assessed, of whom 95 (31.4%) were between 26 and 30 years. Most mothers 207 (68.3%), had tertiary education and 142 (46.9%) were of the upper socioeconomic class. The median infant age was 5 months (IQR: 3-9). While 186 (61.4%) mothers had heard of DHM, awareness of a formal donor milk policy was low, reported by 57 (18.8%) participants. Although 214(70.6%) mothers knew they could donate milk, only 124(40.9%) were willing to donate and a mere 45 (14.9%) respondents would accept DHM for their own infant. Key barriers to acceptance were hygiene concerns reported by 112 (29.9%) mothers and fear of disease transmission by 88 (23.5%) mothers. A strong preference for breast milk from relatives persisted demonstrated by 220 (72.6%) mothers. In multivariable analysis, higher socioeconomic status (AOR=6.05, 95% CI: 1.63–22.41), prior awareness of milk donation (AOR=5.91, 95% CI: 2.79–12.51), were independently associated with willingness to donate breast milk. Prior awareness of HMBs was the strongest independent predictor for willingness to volunteer for a milk banking association (AOR=7.73, 95% CI: 3.50–17.07).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion: \u003c/strong\u003eDespite reasonable knowledge, practical acceptance of donor milk and willingness to donate are low, driven by safety concerns and cultural norms. Educational interventions addressing safety protocols, spousal engagement and community advocacy are critical precursors to the successful establishment of human milk banking programs in Nigeria. The cross-sectional design and self-reported data might not represent the real weight of the knowledge practice gap in the study population.\u003c/p\u003e","manuscriptTitle":"Donor Breast Milk and Human Milk Banking: Awareness, Acceptance and Determinants among Mothers in Owerri, Nigeria: A Cross-sectional Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-03-25 12:11:13","doi":"10.21203/rs.3.rs-9187359/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2026-04-13T16:12:41+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-04-13T14:48:14+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"114065905963386688476926881341186921023","date":"2026-04-13T14:36:47+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-04-13T10:38:44+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"288117813043122382317565000709410102538","date":"2026-03-25T08:14:17+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"246927306539542328082814330741997170749","date":"2026-03-23T06:52:12+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-03-23T06:16:49+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2026-03-23T05:45:27+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2026-03-23T05:44:52+00:00","index":"","fulltext":""},{"type":"submitted","content":"Egyptian Pediatric Association Gazette","date":"2026-03-21T17:25:27+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"egyptian-pediatric-association-gazette","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"epag","sideBox":"Learn more about [Egyptian Pediatric Association Gazette](https://epag.springeropen.com)","snPcode":"43054","submissionUrl":"https://submission.springernature.com/new-submission/43054/3?","title":"Egyptian Pediatric Association Gazette","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Springer Hybrid","inReviewEnabled":true,"inReviewRevisionsEnabled":false}}],"origin":"","ownerIdentity":"7a66d502-0f98-4e5d-bc87-c491fdd7ea63","owner":[],"postedDate":"March 25th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-04-23T18:38:47+00:00","versionOfRecord":[],"versionCreatedAt":"2026-03-25 12:11:13","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-9187359","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-9187359","identity":"rs-9187359","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}