Human Milk Banking Technical Advisory Group Meeting
Magdalena Serpa MD-MPHNewborn Team /PATH-MCHIP
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
Shwedagon Pagoda
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