2nd WORLD BREASTFEEDING CONFERENCE GILBERT TSHITAUDZI NATIONAL DEPARTMENT OF HEALTH 12 DECEMBER 2016

WHA Resolution on Human Milk Banks 12/4/2018 “To investigate, as a risk-reduction strategy… the safe use of donor milk through human milk banks for vulnerable infants, in particular premature, low-birthweight and immuno-compromised infants, and to promote appropriate hygienic measures for storage, conservation, and use of human milk . . . .” – World Health Assembly, 2008

South Africa’s Commitment to Scaling Up Human Milk Banks 12/4/2018 “Human milk banks to be promoted and supported as an effective approach, especially in post natal wards and neonatal intensive care units, to reduce early neonatal and postnatal morbidity and mortality for babies who cannot breastfeed.” Minister of Health, Dr Aaron Motsoaledi Tshwane Declaration, 2011

Current Situation with HMBs is South Africa

Geo-Spatial Distribution of HMBs by Province 1 7 4 1 6 10 2 4 3

Creating an Enabling Environment for Scaling up HMBs (Path;2013) 12/4/2018

Information Management Key Pillars of a Human Milk Bank (adapted from Path, 2013) 12/4/2018 Safety Quality Information Management Advocacy & Promotion Sustainability

Challenges with the Existing Models 12/4/2018 Fragmentation Financial & Operational Support Safety & Quality Control Systems Different business models

Towards an Integrated HMB Networks for South Africa 12/4/2018 Regulatory Framework Quality Standards and SOPs Implementation Model

A South African HMB Networks Model 12/4/2018 National HMB Networks Coordinating Unit Provincial HMB Networks Coordinating Unit Human Milk Banks Human Milk Bank Depots

12/4/2018 Thank You