Breast milk donation and banking provide lifesaving nutrition for preterm and vulnerable infants. However, the success of such programs depends largely on the knowledge, perceptions, and acceptability among frontline health professionals. This study assessed nurses’ views on breast milk donation and banking in Bono regional hospitals, Ghana. A cross-sectional descriptive study was conducted among nurses across three selected referral hospitals in the Bono region of Ghana. Data were collected using structured questionnaires covering knowledge, perceptions, and acceptability of breast milk donation and banking. Four hundred and twenty-two (422) nurses were randomly selected for data collection. Descriptive and inferential statistics were used to analyze responses, with associations tested between socio-demographic factors and acceptability. Nurses demonstrated moderate knowledge of breast milk donation, with notable gaps in conceptual understanding and safety protocols. Perception toward breastmilk donation and banking were neutral, with recognition of donor milk’s role in improving neonatal survival, though concerns about affordability and disease transmission persisted. Acceptability was high, with many nurses expressing willingness to donate or encourage donation. Age, workplace, and religion significantly influenced acceptance levels. The study concludes that while nurses in Bono regional hospitals show readiness to support breast milk donation and banking, targeted education, cultural and religious engagement, clear safety and financing frameworks are needed to address existing concerns.

[1].   Adjei, B., Adu-Kofi, I. M., Alpan, C., Ababio, N., Dsaue, N. A., 2025, Acceptance and perception of human milk banking: A review. International Journal of Multidisciplinary Research, 7(2), 1-10.

[2].   Iloh, K. K., Osuorah, C. D. I., Ndu, I. K., Asinobi, I. N., Obumneme-Anyim, I. N., Ezeudu, C. E., 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 south-east Nigeria. International Breastfeeding Journal, 13(1), 1-13.

[3].   Mampane, T., Wolvaardt, J. E., 2024, The acceptability of a donor human milk bank and donated human milk among mothers in Limpopo Province, South Africa. Maternal and Child Nutrition, 20(3).

[4].   Appiah, P. K., Amu, H., Osei, E., Konlan, K. D., Mumuni, I. H., Verner, O. N., et al., 2021, Breastfeeding and weaning practices among mothers in Ghana: A population-based cross-sectional study. PLoS ONE, 16(11), 1-19. Available at: https://doi.org/10.1371/journal.pone.0259442

[5].   Namuddu, M. G., Kiguli, J., Nakibuuka, V., Nantale, R., Mukunya, D., 2023, Acceptability of donated breast milk among pregnant women in selected hospitals in central Uganda: A cross-sectional study. International Breastfeeding Journal, 18(1), 1-11.

[6].   Zamahlubi, H. T., Naidoo, K. L., Khan, F., Masekela, R., 2024, Knowledge, attitudes and awareness regarding donor breast milk: A cross-sectional study of mothers in a high HIV-prevalent area. South African Journal of Clinical Nutrition, 37(1), 1-8. Available at: https://doi.org/10.1080/16070658.2023.2189347

[7].   National Institute for Health and Care Excellence (NICE), 2021, Quick reference guide: Donor breast milk banks-The operation of donor breast milk bank services. NICE Clinical Guideline, February 1-15.

[8].   Pinto, M., Moehlecke Iser, B., Molon Fernandes, T., Oliveira Schuelter, P., Ferreira D’Agostini, M., 2020, Contributing and limiting factors for human milk donation. Journal of Health Sciences, 22(2), 177-182.

[9].   Chagwena, D. T., Mugariri, F., Sithole, B., Mataga, S. F., Danda, R., Matsungo, T. M., et al., 2020, Acceptability of donor breastmilk banking among health workers: A cross-sectional survey in Zimbabwean urban settings. International Breastfeeding Journal, 15(1), 1-11.

[10].  Ramli, N., Ibrahim, N. R., Hans, V. R., 2021, Human milk banks-The benefits and issues in an Islamic setting. East Journal of Medicine, 15(4), 163-167.

[11].  Tende, F. K., Nwameme, A. U., Tabong, P. T. N., 2023, Acceptability of breast milk donor banking: A qualitative study among health workers in Greater Accra Regional Hospital, Ghana. PLOS Global Public Health, 3(8), 1-17. Available at: https://doi.org/10.1371/journal.pgph.0001870

[12].  Obeng, C., Jackson, F., Amissah-Essel, S., Siah-Asamoah, C., Perry, C. A., Gonzalez Casanova, L., et al., 2023, Women’s perspectives on human milk banking in Ghana: Results from a cross-sectional study. Frontiers in Public Health, 11. Available at: https://doi.org/10.3389/fpubh.2023.xxxxxx

[13].  Mpayo, L. L., Msuya, M. A., Moshiro, R., Cosmas, I. L., Kimaryo, Y., 2024, Awareness and acceptability of donor human milk banking among women in Dar es Salaam, Tanzania: A cross-sectional study. Journal of African Neonatal, 4, 77-83.

[14].  UNICEF, 2010, Implementation guidance: Making EHS an integral part of process design. UNICEF Publication, 135-149.

[15].  Dalinjong, P. A., Wang, A. Y., Homer, C. S. E., 2018, The implementation of the free maternal health policy in rural Northern Ghana: Synthesised results and lessons learnt. BMC Research Notes, 11, Article 276.

[16].  Nanjundeswaraswamy, T. S., Divakar, S., 2021, Determination of sample size and sampling methods in applied research. Proceedings in Engineering Sciences, 3(1), 25-32.

[17].  Abdul Hamid, S. B., Haris, S. N., Hui, J. C., 2022, Breastfeeding knowledge, attitude and practices and its association with food insecurity during COVID-19. Environment and Public Health Journal, 7(21), 153-164. Available at: https://doi.org/10.21834/ebpj.v7i21.3686

[18].  Masi, A. C., Stewart, C. J., 2024, Role of breastfeeding in disease prevention. Microbial Biotechnology, 17(7), 1-10.

[19].  World Health Organization (WHO), 2003, Global strategy for infant and young child feeding. Fifty-Fourth World Health Assembly Document, 1-8.

[20].  Ogundare, E. O., Dedeke, I. O. F., Babatola, A. O., Adeniyi, A. T., Ajite, A. B., Lawal, O. A., et al., 2023, Human milk banking acceptability among pregnant and nursing mothers in Southwest Nigeria. Journal of Public Health Research, 12(3).