Community feedback on the JustMilk Nipple Shield Delivery System (NSDS) in the Vhembe District of Limpopo, South Africa.

Aspen Flynn, Rebekah Scheuerle, Geoff Galgon, Stephen Gerrard, Vhonani Netshandama



Infant medication administration is a major public health challenge, especially in rural or low-resource areas. The JustMilk Nipple Shield Delivery System (NSDS) is a novel method of infant medication delivery designed to address some of these challenges.


The purpose of this study was to explore the acceptability of the JustMilk NSDS in selected communities in the Vhembe District of Limpopo, South Africa.


Data was collected through 39 semi-structured interviews with infant caretakers and health workers in the Vhembe District. Interviews were transcribed and coded into themes, which were verified by an independent coder.


Four themes arose around acceptability of the JustMilk NSDS: input on device design, perceived benefits of the device, perceived barriers to community acceptance, and suggested device applications. Participants expressed positivity about the NSDS concept. Potential for increased dosing accuracy was stated as the main positive attribute of the NSDS. Potential stigma was noted, and the need for an education program about the device was discussed. No major community barriers to NSDS use were noted. Acetaminophen and de-worming agents were suggested as potential applications for the device.


Participants were enthusiastic about the potential benefits of the NSDS and were interested in using the device to deliver medication to infants. Design suggestions, especially to combat potential stigma of device use, will be thoroughly considered by the researchers. This study was a positive step forward in developing the NSDS as a novel method of medication delivery to breastfeeding infants, particularly in rural or low-resource areas.

Authors' affiliations

Aspen Flynn,

Rebekah Scheuerle, University of Cambridge

Geoff Galgon, JustMilk 501(c)3 non profit

Stephen Gerrard, JustMilk 501(c)3 non profit

Vhonani Netshandama, University of Venda School of Health Sciences

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Cite this article

South African Journal of Child Health 2017;11(4):192-197.

Article History

Date submitted: 2017-12-22
Date published: 2017-12-22

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