Achievements and challenges of facilities implementing human milk banks in the KwaZulu-Natal province, South Africa
| dc.contributor.advisor | Daniels, Lynette | en_ZA |
| dc.contributor.advisor | Boatemaa, Sandra | en_ZA |
| dc.contributor.author | Kadir, Zaheeda | en_ZA |
| dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Global Health. Human Nutrition. | en_ZA |
| dc.date.accessioned | 2021-05-21T12:56:46Z | |
| dc.date.available | 2021-05-21T12:56:46Z | |
| dc.date.issued | 2021-03 | |
| dc.description | Thesis (MSc)--Stellenbosch University, 2021. | en_ZA |
| dc.description.abstract | ENGLISH SUMMARY: Purpose: Human milk banks (HMB) (as a supporting mechanism) have a role to play in providing support to vulnerable infants to survive and thrive in the clinical setting. Human milk is better tolerated as it tends to reduce the length of stay in hospital and late onset sepsis, and decreases the risk of necrotising enterocolitis (NEC). With very few milk banks initiated and those that have been initiated struggling for sustainability, this research in the African context should assist in creating awareness of the importance of human milk banks (HMBs). The aim of the study was to analyse the activities of all human milk banks in KZN and to establish challenges and achievements between 2016 and 2019. Study Design: A longitudinal review study, with an analytical component, was conducted. Quarterly and annual reports from HMB in the KZN between 2016 and 2019 were used. Quantitative analysis on the performance indicators reported in the HMB reports and thematic analysis of achievements and challenges using the World Health Organization (WHO) system building blocks were used. Findings: A total of 91 reports were used in this study. New Donors increased from 264 in 2016 to 1 870 in 2019. A specialised facility was cited as having the largest number of infants receiving donor human milk, from 43 in 2016 to 194 in 2019. The amount of pasteurised milk transferred to other facilities was highest in 2016. The main achievement cited by the HMB reports was the increase in number of donors at district, regional, tertiary and specialised levels. The main challenge cited by the HMB reports was the lack of skilled HMB health workers. Conclusion: This study examined the activities of all human milk banks in KZN and established the challenges and achievements between 2016 and 2019. The various achievements such as acceptance of mothers donating human milk, assistance to other facilities that do not have an established HMB, and challenges such as lack of trained skilled staff, lack of consumables and non-functional equipment, should be considered. A national core model for implementation of HMB in South Africa will assist with a more standardised implementation of the HMB. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING: Doel: Menslike melkbanke (as ondersteunende meganisme) het 'n rol om te speel in die ondersteuning van kwesbare babas in die kliniese omgewing om te oorleef en te floreer. Mensmelk word beter verdra dit verlaag hospitalisasie, laat aanvang sepsis en die risiko vir nekrotiserende enterokolitis (NEK). Aangesien baie min melkbanke geiniasieer word en die wat dit iniasieer sukkel met die volhoubaarheid, sal hierdie navorsing in die Afrikaanse-konteks help om bewustheid te skep van die belangrikheid van Menslike melkbanke . Die doel van die studie was om die aktiwiteite van alle menslike melkbanke in KZN te ontleed en om uitdagings en prestasies tussen 2016 en 2019 vas te stel. Studie-ontwerp: 'n Longitudinale oorsigstudie met 'n analitiese komponent is uitgevoer Kwantitatiewe analise van die prestasie-indikatore wat in die Menslike melkbanke verslae gerapporteer word, en tematiese ontleding van prestasies en uitdagings met behulp van die Wêreld Gesondheids Organisasie -stelselboublokke sal gebruik word. Verslae is van 2016 tot 2019 gebruik. Bevindinge: Altesaam 91 verslae is in hierdie studie gebruik Die belangrikste prestasie wat deur die Menslike melkbanke verslae aangehaal word, was die toename in die aantal donateurs op distriks-, streeks-, tersiere en gespesialiseerde vlak. Die grootste uitdaging wat deur die Menslike melkbanke verslae aangehaal word, was die gebrek aan bekwame Menslike melkbanke gesondheidswerkers.. Die aantal nuwe skenkers het toegeneem van 264 in 2016 tot 1870 in 2019. Gespesialiseerde fasiliteite het die grootste aantal babas wat skenkermensmelk ontvang het, van 43 in 2016 tot 194 in 2019. Die hoeveelheid gepasteuriseerde melk wat na ander fasiliteite oorgedra is, was die hoogste in 2016. Gevolgtrekking: Hierdie studie het die aktiwiteite van alle menslike melkbanke in KZN ondersoek en die uitdagings en prestasies tussen 2016 en 2019 vasgestel. Die verskillende prestasies soos die aanvaarding van moeders wat mensmelk skenk, hulp aan ander fasiliteite wat nie 'n gevestigde menslike melbanke het nie, en uitdagings soos aangesien gebrek aan opgeleide bekwame personeel, gebrek aan verbruiksgoedere en nie-funksionele toerusting, oorweeg moet word. 'N Nasionale kernmodel vir die implementering van HMB in Suid-Afrika sal help met 'n meer gestandaardiseerde implementering van die menslike melbanke. | af_ZA |
| dc.description.version | Masters | |
| dc.embargo.terms | 2022-11-30 | |
| dc.format.extent | xiii, 57 pages ; includes annexures | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/110475 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : Stellenbosch University | |
| dc.rights.holder | Stellenbosch University | |
| dc.subject | Human milk banks (HMB), infants, human milk, KZN | en_ZA |
| dc.subject.lcsh | Breast milk -- Collection and preservation -- KwaZulu-Natal (South Africa) | en_ZA |
| dc.subject.lcsh | Breastfeeding -- KwaZulu-Natal (South Africa) | en_ZA |
| dc.subject.lcsh | Infants -- Nutrition -- KwaZulu-Natal (South Africa) | en_ZA |
| dc.subject.name | UCTD | |
| dc.title | Achievements and challenges of facilities implementing human milk banks in the KwaZulu-Natal province, South Africa | en_ZA |
| dc.type | Thesis | en_ZA |