1. Human Milk Banking Technical Advisory Group Meeting Magdalena Serpa MD-MPH Newborn Team /PATH-MCHIP mserpa@path.org

2. Presentation Outline Who am I? Which projects do I currently work on? How do we* see HMB fitting within our area? * NB Health Team

3. PATH’s Newborn Team TA including south to south sharing of lessons learned in NB health

4. 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 )

5. When do NB die? 50% within 24h of delivery 75% in the first week post partum Fuente: Lawn J et al, Lancet, 2005

6. NMR LAC Region 0 10 20 30 40 NMR (per 1000) live births Dr. G. Mazia Nov 2012 ALAPE Presentation, Cartagena, Colombia Source: Levels and Trends in Child Mortality Report 2012 (UNICEF, WHO, World Bank, UN)

7. 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

8. Reaching MDG Targets

9. Myanmar, Countdown 2015 (2012 report)

10. 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

11. KMC Team, Los Mina Hospital, Dominican Republic

12. ANC, Mingalardon Hospital

13. Than Lyin District Hospital (Yangon Medical Region)

14. Than Lyin District Hospital

15. Central Women’s Hospital, Yangon

16. One Milk Bank – Central Women’s Hospital UK 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)

19. NB Spoon Feeding Central Maternity Hospital

20. LAC Newborn Alliance Members Source: Dr. G. Mazia, ALAPE presentation Nov 2012

21. 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)?

22. Thank you-Gracias- Kyal Zu Tin Par Tal

23. Shwedagon Pagoda