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Promoting MIYCN in communities through increased access to Safe Donor Human Milk

This project aims to increase access to safe donor milk through affordable pasteurization technology. The PiAstra, a low-cost device, allows for effective pasteurization without the need for a cell phone. The PiAstra has been successfully tested with milk from 45 donors and meets KZN HMB guidelines. The device is safe, user-friendly, mobile, and provides printable reports. It is being rolled out to community-based HMBs in KZN, rural hospitals in KZN and E. Cape, and hospitals in Ethiopia. This initiative is part of a larger effort to promote breastfeeding and improve infant feeding practices in communities.

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Promoting MIYCN in communities through increased access to Safe Donor Human Milk

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  1. PromotingMIYCN in communities through increased access to Safe Donor Human Milk Coutsoudis A, Barlow P, Powell N, Reimers P Dept. Paediatrics & Child Health

  2. Work made possible through the GSK/Save the Children Health Innovation Award UNICEF Joan Matji PATH S Mabasa & K Israel-Ballard Current Collaborations KZN-DOH Lenore Spies & Victoria Mubaiwa

  3. To increase access to safe donor milk we need to increase access to pasteurisation systems • But ……. Pasteurizers are expensive • Commercial Pasteurisers Cost R300,000 Plus

  4. A Brief History …………Flash Heating Pasteurization • PATH collaboration with: RohitChaudri, UW (Seattle), HMBASA and KZN-DOH • Developed a Simulated Flash Heating System • Temperature Monitoring • Display & Input through a Cell Phone • Hence known as FoneAstra

  5. A Brief History …………Flash Heating Pasteurization FoneAstra however was not amenable to modification for use in community settings because of the cell phone New Brief: • Cheaper Technology • No Cell Phone • Using local expertise • Enter PiAstra(using Raspberry Pi technology)

  6. Multi Plug Adaptor Water Basin Ice Packs Probe Printer Pi Astra Bottle Stand Induction Stove Pot

  7. R&D work on the PiAstra • Comparison Temp Curves • Milk versus Water as the medium used for the temperature probe • A Variety of Cow’s Milks experimented with • Full Cream Long-life Cow’s Milk was found to have the closest heating properties to human milk • Glass bottles Best for Storing Breastmilk • However only metal lids available - Susceptible to Rust • Custom made plastic lid with perfect seal commissioned • Plastic lid autoclavable and long lasting

  8. R&D work on the PiAstra • Milk from 45 donors • Pasteurized with PiAstra • Post-Pasteurization - 2ml samples from each sample pasteurised, sent to NHLS for testing • Standard KZN HMB Guidelines Followed • KZN NHLS Culture on 5% Horse Blood Agar • All samples showed no bacterial growth

  9. The PiAstraFeatures • Safe • Touch Screen Technology • No Plumbing Required • Relatively Low Cost • User Friendly • Mobile • Bench Top • Backup & Training Provided >>>>>>>>

  10. PiAstraAdditionalFeatures • Affordable for Small Scale HMBs in Community Settings • All Data – Stored and Retrieved on Unit • Electricity Failure .. Substitute with Gas Stove • Minimum Water Required – Can be Reused • Also well suited for NICU Settings • Bottle & Lid Label, Temp. Graph and Report Printouts • Battery Pack or Laptop Power Capability • Internet Firmware Upgrades • USB Data Transfer

  11. PiAstraTemp Data

  12. PiAstraRoll Out • 2 Community based HMBs in KwaZulu-Natal • 2 Rural Hospital HMBs in KwaZulu-Natal • 1 Rural Hospital in E. Cape • 3 Hospitals in Ethiopia • Cameroon will start in April • New Sites being considered

  13. A Common Story • 3 Week Old Abandoned • Brought to home with HMB  • Formula Fed in Hospital • Failing to Grow • Diagnosed Severe Malnutrition • Donor Breastmilk Provided • Few Weeks, Thriving and Growing beautifully

  14. PiAstraStory extends …. • providing donor human milk it is not an end in itself – a means to promoting breastfeeding in communities • appropriate education and engagement around improving infant feeding practices and other public health practices needs to be encouraged simultaneously. • HIA is therefore also being used to train community members to develop Healthy Happy Families. Booklets provided to all.

  15. Thank you! Recipient of donor breast milk Community based milk bank

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