Nutritional, Metabolic, Endocrine
Conditions
Interventions
Mother and Baby Friendly Initiative plus Model for Human Milk Banking
Standard care in the hospital
Sponsors
African Population and Health Research Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Vulnerable neonates (very low and low birth weight, premature, and very sick neonates) born and admitted in the newborn unit in Pumwani maternity hospital. Mothers of vulnerable neonates above 15 years of age Mothers of vulnerable neonates (very low and low birth weight, premature and very sick neonates) born and admitted in the newborn unit in Pumwani maternity hospital. Mothers of healthy neonates born in Pumwani maternity hospital admitted in the post-delivery or postnatal wards. Mothers of eligible neonates who give to consent to participate in the study. Health workers (Nurses, pediatricians, lactation managers and nutritionists) working in Pumwani maternity hospital's newborn unit and the postnatal/ post delivery wards. Human milk bank staff. Pumwani hospital management team ( Director of medical/health services and managers of the pediatric, maternity ward, mother and child clinic) Policy and decision makers including the Kenya Ministry of Health officials. Mothers who donated their breastmilk to the human milk bank and those whose children received donated human milk from the human milk bank
Exclusion criteria
Exclusion criteria: Vulnerable neonates (very low and low birth weight, premature and very sick neonates) not born in but admitted in Pumwani maternity hospital's newborn unit. Mothers of vulnerable neonates below 15 years of age. Mothers of vulnerable neonates (very low and low birth weight, premature and very sick neonates) not born in but admitted in Pumwani maternity hospital newborn unit. Mothers of eligible neonates not born in Pumwani maternity hospital but admitted in the post-delivery or postnatal wards Mothers of eligible neonates who declined to consent to participate in the study Eligible health workers who do not consent to participate in the study Human milk bank staff who do not consent to participate in the study Eligible Pumwani hospital management team who do not consent to participate in the study Eligible Policy and decision makers who decline to give consent to participate in the study Mothers who donate their breast milk to the human milk bank and those whose children receive donated human milk from the human milk bank but decline to give consent to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exclusive breastfeeding by either mother own milk and/ or donated human milk during the hospital stay | — |
Secondary
| Measure | Time frame |
|---|---|
| Use of human milk, mother's own milk or donated human milk, for first feed ;Use of donated human milk ;Time at the initiation of breastfeeding or the provision of human milk;Timely initiation of breastfeeding ;Knowledge, Attitude and Practice of mothers or caregivers on breastfeeding, donating breast milk, use of donor human milk and kangaroo mother care;Experiences of the mothers donating breastmilk and use donated human milk by their children ;Experiences (Benefits, risks, barriers and facilitators) of the health workers, hospital managers and the implementers in implementing the human milk bank ;Views and experiences of caregivers on the mother-baby friendly initiative, MBFI+, model;Experiences (Benefits, risks, barriers and facilitators) by the health workers, hospital managers and the implementers in implementing the MBFI+ model ;Cost of establishing the MBFI+ model;Hospital case fatality rate;Discharge* rate for LBW/VLBW. Deaths during the hospital stay, referral and leaving the hospital against medical advice will be not be included in the discharge;The incidence of Necrotizing Enterocolitis (NEC) (less than equal to stage1). Deaths during the hospital stay, referral and leaving the hospital against medical advice will be not be included in the discharge;Discharge without developing late-onset sepsis or NEC (less or equal to stage1) during the hospital stay. Deaths during the hospital stay, referral and leaving the hospital against medical advice will be not be included in the discharge;Proven late-onset sepsis during a hospital stay;Duration of hospital stay;Duration of newborn unit stay | — |
Countries
Kenya
Contacts
Public ContactSheena Kayira
Senior Development Officer African Population and Health Research Center
Outcome results
None listed