Knowledge and attitude towards human milk banking in reproductive aged women living in Georgia

Background: Breast milk is suggested as the ideal and sole early nutrition source for infants from birth to at least six months of age and should be viewed as a public health concern rather than a personal preference. Human milk banks (HMBs) play a crucial role in providing life-saving breast milk to premature and ill infants when maternal milk is unavailable. Georgia has ongoing efforts to establish the first official HMB facility. Methods: We conducted a cross-sectional study employing a simple random sampling method to select a sample of 287 women of reproductive age and to assess their knowledge and attitude toward HMBs. Results: Despite a substantial knowledge gap (57% recognizing nutritional superiority, 51% acknowledging infection risk reduction), the main issue is low trust (30%) in future local milk banking facilities; if unable to produce milk, only 30% of women prefer donated human milk over formula. A statistically significant association has been recorded between personal neonatal intensive care unit admission history, higher educational status, and a more positive attitude toward HMBs. Conclusions: This study provides a foundational basis for future healthcare initiatives to enhance acceptance and knowledge of HMBs, facilitating the optimal functioning of these facilities within the population.