Innovative Tools and Strategies | Health Systems and Workforce | Targets and Metrics | Strengthening Quality of Care | Global Guidelines and Local Adaptations | Focus: Small and Sick Newborns | Focus: Nutrition Room: 2.64-2.66 Oral Abstracts
May 11, 2023 09:10 - 10:25(Africa/Johannesburg)
20230511T0910 20230511T1025 Africa/Johannesburg Supporting Optimal Nutrition for Small and Sick Newborns

Evaluating Readiness for Human Milk Banking and Use of Donor Human Milk for Achieving Exclusive Human Milk Diets for Low Birthweight Infants

Optimizing feeding of small and sick newborns (SSNBs), those born low birthweight (LBW) or preterm, is a critical component to improve quality of care. Donor human milk (DHM) from a human milk bank (HMB) is recommended by the World Health Organization (WHO) when the mother's own milk is unavailable, yet evidence and implementation strategies for low- and middle-income country (LMIC) settings are lacking. The Low Birthweight Infant Feeding Exploration (LIFE) study aimed to understand feeding of LBW infants in LMIC settings. We conducted DHM readiness assessments at hospitals in India, Malawi, and Tanzania to determine implementation readiness and feasibility of HMB integration and/or use of DHM for LBW infants as a systems-level infant and young child feeding (IYCF) intervention.

Establishing an Integrated Human Milk Banking Model for Feeding Preterm, Small, and Sick Newborns: The Kenya Experience 

The World Health Organization (WHO) recommends donor human milk (DHM) from a human milk bank (HMB) for small and sick newborns (SSNBs) when the mother's own milk is not available. Global implementation guidelines, especially for low- and middle-income country (LMIC) settings, do not exist, making HMB expansion a challenge. The Kenya Ministry of Health (MOH) sought PATH's technical assistance to pilot the Mother Baby Friendly Initiative Plus (MBFI+) integrated HMB model with the objective of developing an LMIC-appropriate model for providing DHM and enhanced lactation support to improve exclusive human milk diets for SSNBs and reduce neonatal mortality.

Complementary Feeding and Growth among Low Bi ...

Room: 2.64-2.66 International Maternal Newborn Health Conference 2023 information@imnhc.org
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Evaluating Readiness for Human Milk Banking and Use of Donor Human Milk for Achieving Exclusive Human Milk Diets for Low Birthweight Infants

Optimizing feeding of small and sick newborns (SSNBs), those born low birthweight (LBW) or preterm, is a critical component to improve quality of care. Donor human milk (DHM) from a human milk bank (HMB) is recommended by the World Health Organization (WHO) when the mother's own milk is unavailable, yet evidence and implementation strategies for low- and middle-income country (LMIC) settings are lacking. The Low Birthweight Infant Feeding Exploration (LIFE) study aimed to understand feeding of LBW infants in LMIC settings. We conducted DHM readiness assessments at hospitals in India, Malawi, and Tanzania to determine implementation readiness and feasibility of HMB integration and/or use of DHM for LBW infants as a systems-level infant and young child feeding (IYCF) intervention.


Establishing an Integrated Human Milk Banking Model for Feeding Preterm, Small, and Sick Newborns: The Kenya Experience 

The World Health Organization (WHO) recommends donor human milk (DHM) from a human milk bank (HMB) for small and sick newborns (SSNBs) when the mother's own milk is not available. Global implementation guidelines, especially for low- and middle-income country (LMIC) settings, do not exist, making HMB expansion a challenge. The Kenya Ministry of Health (MOH) sought PATH's technical assistance to pilot the Mother Baby Friendly Initiative Plus (MBFI+) integrated HMB model with the objective of developing an LMIC-appropriate model for providing DHM and enhanced lactation support to improve exclusive human milk diets for SSNBs and reduce neonatal mortality.


Complementary Feeding and Growth among Low Birthweight Infants in the Second Half of Infancy: Results from a Multisite Observational Cohort 

This study was designed to address the high prevalence of infant undernutrition among low birthweight (LBW, 2.5kg) infants in the second half of infancy, and the dearth of evidence on the optimal transition and provision of complementary feeding and growth of LBW infants. We aimed to understand the complementary feeding profile and growth outcomes in the second half of infancy.


Provider Communication and Coaching for Parents of Hospitalized Newborns and Sick Young Infants in Kenya: Provider and Caregiver Perspectives 

The relationship between health care providers and caregivers in the management of hospitalized newborns and sick young infants (SYIs) is an essential element of quality care. Meaningful participation in caring for infants during hospitalization has demonstrated improved caregiver-infant bonding, reduced parental stress, and better confidence in caring for their children once at home. We developed a provider behavior change (PBC) approach to improve experiences of care for caregivers of hospitalized newborns in Kenya. The intervention oriented providers on communication skills and how to coach caregivers on nurturing care: optimizing nutrition, safeguarding sleep, protecting skin, minimizing stress and pain, positioning, and handling.

Evaluating Readiness for Human Milk Banking and Use of Donor Human Milk for Achieving Exclusive Human Milk Diets for Low Birthweight Infants
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB), Nutrition
Health Systems and Workforce
Strengthening Quality of Care
Presenters
KM
Kimberly Mansen
Senior Program Officer- Nutrition Technical Lead, PATH
Co-authors Kiersten Israel-Ballard
Team Lead, PATH
KM
Karim Manji
Professor, Muhimbili University Of Health And Allied Sciences
CS
Christopher Sudfeld
Associate Professor , Harvard T.H. Chan School Of Public Health
TM
Tisungane Mvalo
Assistant Research Professor , UNC Project Malawi
MP
Melda Phiri
Doctor & Researcher, UNC Project Malawi
RB
Roopa Ballad
Doctor And Researcher, KAHER’s J N Medical College
SV
Sunil Vernekar
Assistant Professor, KLE University
LD
Leena Das
Doctor And Researcher, SCB Medical College
SP
Sanghamitra Panda
Doctor And Researcher, City Hospital, Bhubaneshwar
Linda Vesel
Senior Research Scientist / Scientific Lead Vulnerable Infant Feeding, Ariadne Labs, Harvard T.H. Chan School Of Public Health
Katherine Semrau
Ariadne Labs And Harvard Medical School, Ariadne Labs / Harvard Medical School
Establishing an Integrated Human Milk Banking Model for Feeding Preterm, Small, and Sick Newborns: The Kenya Experience
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB), Nutrition
Global Guidelines and Local Adaptations
Innovative Tools and Strategies
Presenters Kiersten Israel-Ballard
Team Lead, PATH
Co-authors
KM
Kimberly Mansen
Senior Program Officer- Nutrition Technical Lead, PATH
EK
Elizabeth Kimani-Murage
Senior Research Scientist, APHRC
TZ
Taddese Zerfu
Post-doctoral Research Scientist , APHRC
MW
Milka Wanjohi
Associate Research Scientist, APHRC
CW
Calistus Wilunda
Associate Research Scientist , APHRC
Emily Njuguna
Senior Regional Technical Advisor- Africa, PATH
MW
Mary Waiyego
Kenyatta Neonatology, Pumwani Maternity Hospital
FN
Faith Njeru
Neonatal Nurse, Pumwani Maternity Hospital
LK
Laura Kiige
Nutrition Kenya, United Nations Children's Fund (UNICEF)
NL
Nelson Langat
Data Analyst, APHRC
BS
Betty Samburu
Nutrition And Dietetics Unit, Kenya Ministry Of Health
TN
Thomas Ngwiri
Clinical Services, Gertrude's Childrens Hospital
WM
Waithera Mirie
School Of Nursing, University Of Nairobi
RM
Rachel Musoke
Department Of Pediatrics, University Of Nairobi
MK
Minnie Kibore
Senior Manager, CIFF
Complementary Feeding and Growth among Low Birthweight Infants in the Second Half of Infancy: Results from a Multisite Observational Cohort
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB), Nutrition
Strengthening Quality of Care
Targets and Metrics
Presenters Linda Vesel
Senior Research Scientist / Scientific Lead Vulnerable Infant Feeding, Ariadne Labs, Harvard T.H. Chan School Of Public Health
Co-authors
CD
Christopher Duggan
Professor , Boston Children's Hospital / Harvard T.H. Chan School Of Public Health
BK
Bhavna Koppad
Assistant Professor, KLE Academy Of Higher Education And Research
KM
Karim Manji
Professor, Muhimbili University Of Health And Allied Sciences
KM
Kate Miller
Senior Biostatistician , Stanford University
TM
Tisungane Mvalo
Assistant Research Professor , UNC Project Malawi
MP
Melda Phiri
Doctor & Researcher, UNC Project Malawi
FS
Friday Saidi
Doctor & Researcher, UNC Project Malawi
LS
Latha Shamanur
Doctor & Researcher, SS Institute Of Medical Sciences And Research Center
ES
ES Siddhartha
Doctor & Researcher, Women And Children Hospital
CS
Christopher Sudfeld
Associate Professor , Harvard T.H. Chan School Of Public Health
Katherine Semrau
Ariadne Labs And Harvard Medical School, Ariadne Labs / Harvard Medical School
Provider Communication and Coaching for Parents of Hospitalized Newborns and Sick Young Infants in Kenya: Provider and Caregiver Perspectives
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB), Nutrition
Strengthening Quality of Care
Global Guidelines and Local Adaptations
Presenters Chantalle Okondo
Population Council Nairobi, Kenya, Population Council
Co-authors
CN
Charity Ndwiga
Population Council, Population Council Kenya
TA
Timothy Abuya
Associate, Population Council
PS
Pooja Sripad
Associate II, Population Council
Charlotte Warren
Senior Research Associate MNH, Population Council
Population Council Nairobi, Kenya
,
Population Council
Senior Research Scientist / Scientific Lead Vulnerable Infant Feeding
,
Ariadne Labs, Harvard T.H. Chan School of Public Health
Senior Program Officer- Nutrition Technical Lead
,
PATH
Dr. Abeba Ayele
Manager, Child Health and Development
,
CIFF
Head, Division of Neonatal and Child Health
,
Ministry of Health
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Complementary Feeding and Growth among Low Birt...
IMNHC_1684766426linda_vesel.pptx View Submitted by Linda Vesel 2
Provider Communication and Coaching for Parents...
IMNHC_1684766481chantalle_okondo_hospitalized_newborns.pptx View Submitted by Chantalle Okondo 1IMNHC_1684766483chantalle_okondo.pptx View Submitted by Chantalle Okondo 1
Evaluating Readiness for Human Milk Banking and...
IMNHC_1684766326kimberly_mansen.pptx View Submitted by Kimberly Mansen 2
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