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Human Milk Banking Technical Advisory Group Meeting. Magdalena Serpa MD-MPH Newborn 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.
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Human Milk Banking Technical Advisory Group Meeting Magdalena Serpa MD-MPH Newborn 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? 5% 10% 32% 24% 29% 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% within 24h of delivery 75% in the first week post partum Fuente: Lawn J et al, Lancet, 2005
NMR LAC Region 40 30 NMR (per 1000) live births 20 10 0 Source: Levels and Trends in Child Mortality Report 2012 (UNICEF, WHO, World Bank, UN) Dr. G. Mazia Nov 2012 ALAPE Presentation, Cartagena, Colombia
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
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
One Milk Bank – Central Women’s HospitalUK Donated a Compact Pasteurizer in 2010 • 3 Litre Capacity (12 bottles 130ml or 250ml) • Verification of ‘milk’ temperature throughout cycle • Rapid refrigerated cooling to less than 4°C/attached cooling machine
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)?