Rotary Human Milk Bank Project

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HUMAN MILK BANK PROJECT

Rotary Area of Focus - Maternal and

Child Care


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HUMAN MILK BANK - A service established for the purpose of collecting,screening, processing, storing and distributing donated milk to meet thespecific needs of individual for whom human milk is prescribed.

Benefits of Breast Milk

1. Proven by clinical and research studies to be the best source of nutritionfor infants because of its compelling nutritional, immunoprotective,neurodevelopmental, psychological, social, economic and environmentalbenefits;

2. Components are not replicated by artificial formula so that infants who donot have access to their own mothers milk, a donor milk can be life saving;

3. Best alternative feeding option for both fullterm and preterm babies.


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Brief Background - Existing Human Milk Bank Project

Operator - DR. JOSE FABELLA MEMORIAL HOSPITAL

A National Maternity Hospital and a Mother-Baby Friendly Hospital & Infantand Young Child Feeding (MBFHI-IYCF) accredited hospital - implementsroaming-in and exclusive breastfeeding to all newborn babies, includingthose admitted at the Neonatal Intensive Care Unit (NICU). Mothers stay inthe hospital for as long as their babies are confined in the NICU until theyare discharged.

Major Donors- Philippine College of Health and SciencesFinanced the construction ofmilk bank structure;- Montblanc Foundation - Donated pasteuriser, plastic containers,freezers, computer set, office tables and chairs; and- UNICEFDonated freezers and electrical breast pumps.

Date of InaugurationMarch 6, 2008


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Beneficiaries

1. Preterm babies, critically-ill neonates with necrotizing

enterocoloties, feeding intolerance, immunodeficiency diseases,allergies, inborn errors of metabolism admitted in neonatalintensive care units (NICU);

2. Infants confined in other government and private hospitals;

3. Infants who are victims of calamities like floods;

4. Adult patients who are suffering from illness like Hemolyticanemia and cancer;

5. Midwifery/practicum students who conduct trainings in the

facilityon breastfeeding; and

6. Doctors/health workers from other hospitals who intend toset up their own milk bank facility.


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Progress Report

No. of mothers giving birth daily at Fabella Hospital - 300-400 mothers

Average No. of sick babies/infants confined daily at Neo-natal IntensiveCare Unit (NICU) - 100 babies

Amount of human milk donors collected/pasteurized for last 5 years (2008-2012) - 2,655 liters

No. of Beneficiaries for the Last Five Years (Direct and Trainees)

In-patients - 1,218 infants

Other hospitals - 1,280 infants

During calamities (Ondoy etc)50 babies

Sick adults5 adults Trainees445 students


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TOP RECIPIENT HOSPITALS

* University of Santo Tomas Hospital

St. Lukes Medical Center

St. Clare Medical Center Paranaque Doctors Hospital

Asian Hospital Medical Center

Mary Johnston Hospital

Medical Center Imus

Manila Doctors Hospital Perpetual succor Hospital

Makati Medical Center

University of the East medical Center

Capitol Medical Center

Chinese General Hospital FEE-Dr. Jose Reyes Medical Center

Mary Mediatrix Medical Center


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PROPOSED GLOBAL GRANT PROJECT

To purchase additional pasteurizer to be donated to Dr. Jose FabellaMemorial Hospital.

Rationale1. FOR REPLACEMENT as existing unit existing pasteurizer is five (5)

years old and has started to be out of service occasionally starting this yearper hospital officials;

2. ADDITIONAL CAPACITY in the meantime that existing unit is still

serviceable;3. Being a government hospital catering to indigent families, it lacks theresources to buy a replacement.

Sponsors and BeneficiariesPrimary Host Sponsor - Rotary Club of Timog-QC D3780

Primary International Sponsor - Daejeon Rotary Club, S. Korea D3680Beneficiary - Dr. Jose Fabella Memorial Hospital, Manila

Co-Host Clubs - Rotary Clubs of Holy Spirit, Cubao West, Roxas, CubaoCentral, Quezon City Kamuning and West Triangle, D3780


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Project Cost

1. Machinery and Equipment :

1 set Pasteurising Equipment (4 Liters Capacity):

Initial Price - US$ 49,061.00 (door-to-door)Final Price US$ 37,730.00 (door-to-door)

2. Miscell. expenses (bank charges, etc) - US$ 270.00

TOTAL PROJECT COST - US$ 38,000.00


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Payment terms (Pasteurizer)- W/in 7 days from receipt at FabellaHospital but before commissioning.

Delivery Terms (Pasteurizer) - Within 8 wks. from receipt of order

Payment Terms (Breast pump) - COD

Sources of Equipment (Pasteurizer)

Hospital officials recommend to purchase from the same equipmentsupplier/manufacturer of existing unit, as follows:

Name of Manufacturer - Ace InterMed, United Kingdom

Regional Distributor - MediWide Sdn Bhd, Malaysia

Major Specifications

Cycle Time - 80 minutesBottle sizes - 100 ml and 200 ml (100ea size included)

Default setting - 62.5 degC for 30 min.

@ 57 degC for 30 min - deactivate HIV

@62.5decC for 30 min - deactivate tuberculosis (TB)


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Technical Specifications, Capacity- 4 Liters


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Sources of Funds

District 3780, Quezon City - US$ 9,000.00

District 3680, S. Korea - US$ 10,000.00

The Rotary Foundation - US$ 19,000.00

TOTAL FUNDS REQUIREMENT - U$$ 38,000.00

Sustainability

1. Supply of Milk- 300 to 400 mothers daily deliveries at Fabella Hospital;

- Walk in mothers; and

- Establishment of additional collection depot initially in governmenthospitals and health centers in Manila through a MOA with concernedofficials to be expanded to other cities and municipalities.

2. Operations

A processing fee shall be charged to those supplied to private hospitals to

cover expenses on supplies, utilities, etc.


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2. Operations of Facility

- Collection of processing fee for quantities supplied to other hospitals to

cover repairs and maintenance, power cost and procurement of supplies,- From hospital funds, if so warranted.

Impact

Projected no. of additional beneficiaries annually @ 4 liters capacity:

In- patients at Fabella Hospital - 2, 300 infantsPatients in other hospitals - 832 infants

Victims of calamities - 100 infants

Adult sick patients - - 10 adults

Trainees using the facility - 450 trainees

PROJECTED TOTAL ANNUALLY - 3,692 individuals


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Mission Statement


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Clockwise from left: Drs.Melissa Juico, Estrella J. Olonan-Jusi,Ruben C. Flores (Medical Director); Rtns. Francis Paderna and ReneCantos


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Supplies inside storage cabinet


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Laminar Flow Hood where transfer of milk from collection to

bottles is done before pasteurisation to avoid contamination


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FreezersStorage of Pasteurised Milk maintained at @ 20degC

and below


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Milk extraction from mother


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Extracted milk from mothers


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Outside Neonatal Intensive Care Unit (NICU)


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Inside Neonatal Intensive Care Unit (NICU)


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Breast Feeding Poster Campaign


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Name of the Maternity Ward


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Kangaroo Ward


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Thank You!!

Rotary Human Milk Bank Project

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