Knowledge of Private Pharmacy Staff on the Dispensing of Breast Milk Substitutes in the Bamako District, 2023-2024

<i>Introduction:</i> Globally, 59% of infants under six months are not exclusively breastfed. Many receive alternative foods, including breast milk substitutes. This study aimed to assess the knowledge of private pharmacy staff regarding the dispensing of breast milk substitutes in the district of Bamako. <i>Methods:</i> A cross-sectional study was conducted from July 1, 2023, to November 30, 2024. Data were analyzed using SPSS version 25.0. The study population was composed of pharmacists, salespeople, and individuals responsible for dispensing breast milk substitute drugs in pharmacies. Pearson's chi-square or Fisher's exact tests were used, with a significance level of 5%. Confidentiality and anonymity of respondents were maintained. <i>Results:</i> The survey included 165 staff members, with men comprising 61.8% of participants. The mean age was 31.7 years (SD ±8.9). Most staff were assistants (53.3%), and 92.0% had less than 15 years of experience. Medical visits represented the primary source of training (84.7%). More than half of respondents (54.5%) lacked knowledge of the International Code of Marketing of Breast-milk Substitutes. Brand awareness was the main reason for dispensing specific product ranges (45.8%). Professional experience significantly influenced dispensing decisions. <i>Conclusion:</i> Pharmacy staff demonstrated limited knowledge of the International Code of Marketing of Breast-milk Substitutes. Continuous medical education is required to enhance the dispensing of breast milk substitutes in line with current recommendations.