Human Milk Banking Technical Advisory Group Meeting

Magdalena Serpa MD-MPHNewborn Team /PATH-MCHIP

mserpa@path.org

Presentation Outline

• Who am I?• Which projects do I currently work on?• How do we* see HMB fitting within our area?

* NB Health Team

PATH’s Newborn Team

• TA including south to south sharing of lessons learned in NB health

Why do NB die in LAC?

32%

29%

24%

10%5%

9% of NB in LAC are LBW; this contributes 60-80 % of deaths

Sources: Benguigui Y, PAHO, 2009 Mazia G. MCHIP/PATH (ALAPE Nov 2012 )

When do NB die?

50% w

ithin

24h of delivery

75% in the first week post partum

Fuente: Lawn J et al, Lancet, 2005

NMR LAC Region

0

10

20

30

40

NM

R (p

er 1

000)

live

birt

hs

Dr. G. Mazia Nov 2012 ALAPE Presentation, Cartagena, Colombia

Source: Levels and Trends in Child Mortality Report 2012 (UNICEF, WHO, World Bank, UN)

• Majority of PTB can be saved with

existing interventions

What can MCHIP do to ensure PTB get the care they need? Source: Joseph de Graft-Johnson

Reaching MDG Targets

Myanmar, Countdown 2015 (2012 report)

Source: Bhutta ZA, et al, Reducing maternal, newborn, and infant mortality globally: An integrated action agenda, Int J GynecolObstet (2012), doi:10.1016/j.ijgo.2012.04.001

KMC Team, Los Mina Hospital, Dominican Republic

ANC, Mingalardon Hospital

Than Lyin District Hospital (Yangon Medical Region)

Than Lyin District Hospital

Central Women’s Hospital, Yangon

One Milk Bank – Central Women’s HospitalUK Donated a Compact Pasteurizer in 2010

• Rapid refrigerated cooling to less than 4°C/attached cooling machine

• Verification of ‘milk’ temperature throughout cycle

• 3 Litre Capacity (12 bottles 130ml or 250ml)

NB Spoon Feeding Central Maternity Hospital

LAC Newborn Alliance Members

Source: Dr. G. Mazia, ALAPE presentation Nov 2012

Human Milk Banks as  entry point

• Develop a collaborative approach on neonatal-perinatal health to expand NB health in Myanmar?

• Link the Latin American Neonatal Alliance and the Asian Pacific Pediatric Association/other?

• Analyze HMB status in LAC (emphasis Colombia and DR)?

Thank you-Gracias- Kyal Zu Tin Par Tal

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