HUMAN MILK BANK PROJECT

Rotary Area of Focus - Maternal and Child Care

HUMAN MILK BANK - A service established for the purpose of collecting, screening, processing, storing and distributing donated milk to meet the specific 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 nutrition for infants because of its compelling nutritional, immunoprotective, neurodevelopmental, psychological, social, economic and environmental benefits;

2. Components are not replicated by artificial formula so that infants who do not 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.

Brief Background - Existing Human Milk Bank Project Operator - DR. JOSE FABELLA MEMORIAL HOSPITAL A National Maternity Hospital and a Mother-Baby Friendly Hospital & Infant and Young Child Feeding (MBFHI-IYCF) accredited hospital - implements roaming-in and exclusive breastfeeding to all newborn babies, including those admitted at the Neonatal Intensive Care Unit (NICU). Mothers stay in the hospital for as long as their babies are confined in the NICU until they are discharged. Major Donors - Philippine College of Health and Sciences Financed the construction of milk bank structure; - Montblanc Foundation - Donated pasteuriser, plastic containers, freezers, computer set, office tables and chairs; and - UNICEF Donated freezers and electrical breast pumps. Date of Inauguration March 6, 2008

Beneficiaries 1. Preterm babies, critically-ill neonates with necrotizing enterocoloties, feeding intolerance, immunodeficiency diseases, allergies, inborn errors of metabolism admitted in neonatal intensive 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 Hemolytic anemia and cancer;
5. Midwifery/practicum students who conduct trainings in the facilityon breastfeeding; and 6. Doctors/health workers from other hospitals who intend to set up their own milk bank facility.

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 Intensive Care Unit (NICU) - 100 babies Amount of human milk donors collected/pasteurized for last 5 years (20082012) - 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 adults 5 adults Trainees 445 students

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

PROPOSED GLOBAL GRANT PROJECT To purchase additional pasteurizer to be donated to Dr. Jose Fabella Memorial Hospital. Rationale 1. FOR REPLACEMENT as existing unit existing pasteurizer is five (5) years old and has started to be out of service occasionally starting this year per hospital officials; 2. ADDITIONAL CAPACITY in the meantime that existing unit is serviceable; still

3. Being a government hospital catering to indigent families, it lacks the resources to buy a replacement.
Sponsors and Beneficiaries Primary Host Sponsor - Rotary Club of Timog-QC D3780

Primary International Sponsor - Daejeon Rotary Club, S. Korea D3680

Beneficiary - Dr. Jose Fabella Memorial Hospital, Manila Co-Host Clubs - Rotary Clubs of Holy Spirit, Cubao West, Roxas, Cubao Central, Quezon City Kamuning and West Triangle, D3780

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

Payment terms (Pasteurizer) - W/in 7 days from receipt at Fabella Hospital 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 equipment supplier/manufacturer of existing unit, as follows:
Name of Manufacturer Regional Distributor Major Specifications Cycle Time Bottle sizes Default setting @ 57 degC for 30 min @62.5decC for 30 min Ace InterMed, United Kingdom MediWide Sdn Bhd, Malaysia

80 minutes 100 ml and 200 ml (100ea size included) 62.5 degC for 30 min. deactivate HIV deactivate tuberculosis (TB)

Technical Specifications, Capacity- 4 Liters

Sources of Funds District 3780, Quezon City District 3680, S. Korea The Rotary Foundation TOTAL FUNDS REQUIREMENT -

US$ 9,000.00 US$ 10,000.00 US$ 19,000.00 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 government hospitals and health centers in Manila through a MOA with concerned officials 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.

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 infants Patients 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

Mission Statement

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

Supplies inside storage cabinet

Laminar Flow Hood where transfer of milk from collection to bottles is done before pasteurisation to avoid contamination

Freezers Storage of and below

Pasteurised Milk maintained at @ 20degC

Milk extraction from mother

Extracted milk from mothers

Outside Neonatal Intensive Care Unit (NICU)

Inside Neonatal Intensive Care Unit (NICU)

Breast Feeding Poster Campaign

Name of the Maternity Ward

Kangaroo Ward

Thank You!!