Dear Neil and All,
Preterm birth remains a leading cause of neonatal morbidity and mortality
in low- and middle-income countries (LMICs), with feeding difficulties
contributing significantly to poor outcomes. While high-tech solutions such
as breast milk fortifiers and automated feeding devices exist, many LMIC
health systems cannot reliably access these tools. Therefore, scalable,
low-cost, and evidence-informed strategies are essential.
Promoting early and exclusive breastfeeding is critical. Kangaroo Mother
Care (KMC), which involves skin-to-skin contact and frequent breastfeeding,
improves weight gain, thermoregulation, and feeding tolerance. Training
mothers and caregivers in proper latching and positioning enhances milk
transfer and reduces feeding stress.
Alternative feeding techniques such as cup, spoon, and syringe feeding
provide practical solutions to nasogastric tubes. These methods allow
controlled volumes, reduce aspiration risk, and empower caregivers to
participate actively in feeding. Small-scale donor milk networks also
provide lifesaving nutrition when maternal milk is insufficient, using safe
local handling protocols.
Caregiver education, follow-up, and hygiene promotion are equally
important. Simple tools like feeding charts, growth monitoring, early
recognition of feeding intolerance, handwashing, and clean feeding utensils
can prevent complications. Maternal nutrition support and community peer
groups help sustain breastfeeding practices and reduce maternal stress.
By combining these practical, low-cost interventions, LMICs can improve
preterm feeding outcomes, strengthen caregiver capacity, and enhance
neonatal survival—all without reliance on expensive technology.
CHIFA Profile: Dr. Uzodinma Adirieje is a leading voice in health education, community health, and advocacy, with decades of experience advancing people-centered development across Africa and beyond. His approach to health education emphasizes participatory learning, knowledge transfer, and behavior change communication, ensuring that individuals and communities gain the skills and awareness to make informed decisions about their health. He develops and delivers innovative health promotion strategies tailored to local realities, particularly in resource-limited settings. In community health, Dr. Adirieje has championed integrated primary health care, preventive medicine, and grassroots health initiatives. Through Afrihealth Optonet Association (AHOA), which he leads, he connects civil society, community groups, and health institutions to strengthen healthcare delivery, tackle health inequities, and improve access to essential services for vulnerable populations. His work addresses infectious diseases, maternal and child health, nutrition, climate and health, environmental health, and emerging public health challenges. As a passionate advocate, Dr. Adirieje works with governments, NGOs, and international organizations to influence health policy, mobilize resources, and promote sustainable development goals (SDGs). He amplifies community voices, ensuring that health systems are inclusive, accountable, and responsive. His advocacy extends beyond health to governance, environment, and social justice, positioning him as a multidisciplinary leader shaping healthier and more equitable societies. afrepton AT gmail.com