Iberoamerican Network of Human-Milk Banks
Location
Cooperation program in Iberoamerican region, oriented to knowledge and technology exchange in breasting feeding and Human-Milk Banking – HMB, as strategic components to reach the Millennium Development Goals especially regarding child mortality.
Brazil as head Office, covering the others 22 countries in the iberoamerican region, Cape Verde and Mozambique.
Sobre você
Sobre você
Primeiro nome
João Aprígio
Sobrenome
Guerra de Almeida
Página na internet
Organização
Fundação Oswaldo Cruz
País
Brazil
Sobre sua organização
Nome da organização
Fundação Oswaldo Cruz
Página da organização na internet
Telefone da organização
552125539662 / 25541889
Endereço da organização
País da organização
Brazil
Sua ideia
Name Your Project
Iberoamerican Network of Human-Milk Banks
País onde se dará o foco de atuação
Brazil
Describe Your Idea
Cooperation program in Iberoamerican region, oriented to knowledge and technology exchange in breasting feeding and Human-Milk Banking – HMB, as strategic components to reach the Millennium Development Goals especially regarding child mortality.
Brazil as head Office, covering the others 22 countries in the iberoamerican region, Cape Verde and Mozambique.
Página na internet
Inovação
Por que a ideia é única e qual o diferencial em relação aos demais projetos do mesmo campo de atuação?
- The Human-Milk Banks (HMB) have had a crucial historical role as a support to maternal and child health in Brazil. The trajectory of the HMBs in Brazil can be divided in three different periods: 1983/1984 – initial phase of consolidation with the implementation of the first unit; 1985/1997 – expansion of the operation format, with the incorporation of activities in promotion, protection and support to breastfeeding; and from 1998 – development of the project of the Brazilian Human-Milk Banks Network (Rede BLH-BR), based in Fundação Oswaldo Cruz (FIOCRUZ), in Rio de Janeiro, whose model introduces a growth process based in decentralization and in the implementation of technical competency in states and municipalities. This advancement was result of a good articulation between the public policy of the Health Ministry, the integration among institutions and the attention to the needs of society regarding the improvement of quality of life.
The Rede BLH-BR is the world’s largest and most complex, composed by 196 HMB already working and other 16 in implementation. The achieved annual results in service providing and human milk production make very clear the positive impact of its action in the field of maternal and child health in Brazil. Annually, around 140.00 liters of pasteurized human milk with certified quality are distributed to more than 157.000 newborns that are hospitalized in intensive or semi-intensive care units, involving more than 120.000 mothers that participate as volunteers in the donation program. Besides, each year more than 1.300.000 women (pregnant, postnatal and breastfeeding mothers) use the Human-Milk Banks looking for direct help to breastfeed theirs children.
The coordinated action, the research and the technological development are the most importants support elements in the Brazilian Network. Through out these three components it is possible to combine the maintenance of a high level of technical rigor with low operational costs and, then,
A sua inovação é patenteada?
Não
Impacto
This Entry is about (Issues)
Quais foram os impactos obtidos até o momento?
-Activities and results in 2008
22 new Human-Milk Banks established in the region: 11 in Brazil, 4 in Ecuador, 3 in Argentina and 1 in Honduras, Guatemala, Uruguay and Spain.
514 technicians trained for the operation of the Human-Milk Bank and for the processing and control of maternal milk.
719.808 women supported in breatfeeding.
66.987 women donated human milk.
85.961 premature babies benefited with human milk.
Problema
The United Nations Economic Commission for Latin America and the Caribbean (CEPAL) forecasted a 19.4% population increase between 2005 and 2020. This growth represents an expectation of 11.6 millions births for this period of time. In this context, breastfeeding represents a strategic action to revert child morbidity and mortality rates in the region.
It is also important to highlight the studies that show the preoccupying increase trend in premature births and the raise of associated risks, increasing the neonatal mortality rates. In Brazil, a research conducted between 1982 and 2004 in the town of Pelotas, in the state of Rio Grande do Sul, reveled that the premature births increased from 6.3% to 15.3% in this period of time.
In developing countries, due to the biological risk in using formulated milk or due to the high costs of the available products, to guarantee human milk supply is to assure the food, the proper nutrition and the fall of neonatal morbidity and mortality rates (Lucas, 1992; Kunz, 1999; Weissheimer, 1995). The universal access to human milk for newborns in risk should be strategic planned, including actions that can guarantee the product quality, regarding its
Ações
Countries that need support to build a starting project to implement HMBs should meet the whole activities plan according the following description. Countries whose HMBs are in implementation phase will be part of this work proposal from the activity 6.7
6.1 Diagnose the operational conditions for the creation of a Human-Milk Bank.
6.2 Start workshops to detail the activities in the Human-Milk Banks (HMB) for managers.
6.3 Support the creation of the Implementation Project for the HMB Network.
6.4 Support the creation of a strategy of action for each country’s HMBs.
6.5 Select technicians in each country to be trained in HMB activities.
6.6 Train each country’s technicians in the Human-Milk Bank operations.
6.7 Achieve each country’s mission regarding adjustments and implantation of the information management tools: HMB national register, production control system
6.8 Perform technical practices of each country professionals in the Brazilian HMB Network management and information center.
6.9 Train technicians to use information management tools: HMB national register, production control system, quality monitoring system, HMB online network.
6.10 Achieve a mission to adequate and
Resultados
- Indicator and Monitoring
• Number of benefited countries.
• Number o Milk Banks implemented.
• Number of implementation projects of the Human-Milk Bank Network created.
• Number of technicians trained for Human-Milk Bank operation, as well as for the process and control of maternal milk
• Number of technicians trained for the use of information management tools.
• Number of technicians trained to use methodologies and tools for monitoring breastfeeding.
• Number of women assisted in breastfeeding.
• Number of women donating human milk.
• Number of children benefited with human milk.
O que é essencial para que sua inovação seja bem sucedida nos próximos 3 anos?
- 2010: Achieve financial support for the Milk Banks World Congress, in Brazil, focusing in “Milk Banks commitment to the Millennium Development Goals”
2011 and 2012: Financial support to work with the African countries and to further expand in Latin America
Qual(is) seria(m) os obstáculos para a sua inovação?
Financial Resources
Quantas pessoas, por ano, são beneficiadas pelo sua inovação?
Mais de 10,000
Qual é a renda familiar média da comunidade que a sua inovação beneficia, em U$?
Não sei
A sua inovação influencia políticas públicas?
Sim
Sustentabilidade
Em que fase está a sua inovação?
Em execução por mais de 5 anos
Sua organização é
Governamental
Sua inovação/iniciativa está vinculada a uma organização estabelecida?
Sim
Se "Sim", nome da organização
Fundação Oswaldo Cruz
Há quanto tempo foi fundada a sua organização?
Há mais de 5 anos
Sua organização possui Diretoria ou Conselho Consultivo?
Sim
Sua organização possui alguma parceria não financeira com organizações sociais?
Sim
Sua organização possui alguma parceria não financeira com empresas?
Sim
Sua organização possui alguma parceria não financeira com o governo?
Sim
Conte-nos mais por que as parcerias acima são essenciais para a execução ou desenvolvimento da sua inovação
Approximately 150 words left (1200 characters).
Quais são as três ações mais relevantes e necessárias para o crescimento da sua inovação ou organização?
Approximately 300 words left (2400 characters).
A história
Em que momento decidiu criar/liderar esta inovação? Conte-nos a sua história
When I still was a master student in Federal University of Viçosa, Minas Gerais, I foreseen that I could build a new action strategy for human-milk banks repositioning them in the public health context and transforming them in a component of child mortality reduction. Thus in 1985 the new paradigm of human-milk banks was born and the Brazilian Network project, present today in Iberoamerica and in 2 African countries.
We started working in 1985 and the main priority was to comprehend the sanitary quality of collected human milk distributed by the Milk Bank, as well as evaluate technical procedures of processing and quality control in practice. As a conclusion in the same year new procedures were adopted, from collection to distribution, as well as it was instituted pasteurization LTLT as a mandatory thermal treatment, besides the quality control of pasteurized human milk (Almeida e Novak, 1994). With these measures, BLH-IFF started to distribute certified human-milk for its recipients.
The next step was the most difficult and laborious: to transform the Milk Bank in an unit serving breastfeeding. For doing so, it was necessary to completely break the paradigm founded in 1943 creating a new perspective for the human-milk bank.
Conte-nos a biografia do(a) inovador(a) social que criou ou lidera esta inovação
He obtained a degree in Food Engineering in Federal University of Viçosa (1981), a master degree in Microbiology in Federal University of Viçosa (1986) and a PhD in Women and Child’s Health in Instituto Fernandes Figueira - Fiocruz (1998). He is the coordinator of the Brazilian Network of Human-Milk Banks since its implementation; he is also chief of the National Reference Center for Human-Milk Banks of Brazil, coordinator of the Center of Technology and Information in Human-Milk Banks and Breastfeeding-ICICT/FIOCRUZ, executive secretary of the Iberoamerican Program of Human-Milk Banks-SEGIB/FIOCRUZ, coordinator of the advisory committee – BVS-Breastfeeding / BIREME, consultant of the Health Ministry and titular professor in Fundação Oswaldo Cruz/ Instituto Fernandes Figueira and Institute of Scientific and Technological Information. He has experience in the area of collective health, breastfeeding, public policies, managements and quality. (www.cnpq.br)
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Contato pessoal do Changemakers/Ashoka
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 | Naveen Shakir said: On January 18, 2010 the judges reviewed the entries for the Changemakers Improved Nutrition: Solutions through Innovation competition ... about this Competition Entry. - 733 days ago read more > |
| Iberoamerican Network of Human-Milk Banks has been chosen as a finalist in Nutrição de qualidade: soluções inovadoras. - 745 days ago |
| danafrasz updated this Competition Entry. - 745 days ago |
| RBLH submitted this idea. - 793 days ago |
