Creating Milk Depots in Hawai i: A Breastfeeding Hawai i Project In - PowerPoint PPT Presentation

Creating Milk Depots in Hawai ʻ i: A Breastfeeding Hawai ʻ i Project In Collaboration With Mothers’ Milk Bank of San Jose Le ʻ a Minton, MSN, APRN, CNM, IBCLC With Special Thanks To: Cindy Young, MPH, RD, CLE & Arissa Palmer, MHS from BreastfeedLA April 8, 2019

Importance of Donor Human Milk The majority of the donor human milk dispensed by the Mothers' Milk Bank of San S Jose goes to babies with a medical need for it. Babies may be hospitalized in the NICU or may be in the community. Common reasons for donor human milk use are: Prematurity S Failure to thrive (not growing well) S Formula intolerance S Malabsorption syndromes (small intestine unable to absorb certain nutrients) S Food allergies S Immune compromised or deficiencies S Pre or Post-operative nutrition S

Breast Milk Donors and Donor Milk Use in Hawai ʻ i S From 2016 – 2019 there were 45 mothers from Hawai ʻ i who donated their breast milk to Mothers’ Milk Bank of San Jose. S They represented donations from Kaua ʻ i, O ʻ ahu, Moloka ʻ i, Maui, and Hawai ʻ i islands. S There are 2 hospitals in Hawai ʻ i that currently utilize donor human milk. S Currently there are no milk depots in Hawai ʻ i for donors to drop their breast milk off at for shipment to a Human Milk Banking Association of North America milk bank.

What is a Milk Depot? The Mothers’ Milk Bank screens interested donors and once approved, the S Mothers’ Milk Bank informs the donor of local milk collection sites (depots) in their area to drop off their breast milk. A milk collection site (depot) is a facility with a tissue license that keeps a S freezer for collecting milk from screened donors. *Collection and shipping materials are provided by Mothers’ Milk Bank. The donated milk is shipped by the milk depot to the Mothers’ Milk Bank. S *Cost of shipping is covered by Mothers’ Milk Bank. The Mothers’ Milk Bank receives, processes and dispenses donated human S milk, providing pasteurized human milk to babies whose own mothers cannot supply the breast milk to meet their baby’s needs.

What is a Shipping Supply Site? The Mothers’ Milk Bank screens interested donors and once approved, the Mothers’ S Milk Bank informs the donor of local milk collection sites (depots) and local shipping supply sites in their area. A shipping supply site is a facility that keeps shipping supplies, such as coolers, to S provide to screened donors. Donors then take the shipping supplies home and pack the cooler and set up a FedEx pick up. *Shipping materials and cost of shipment are provided by Mothers’ Milk Bank. The donated milk is shipped by the screened donor to the Mothers’ Milk Bank. S The Mothers’ Milk Bank receives, processes and dispenses donated human milk, S providing pasteurized human milk to babies whose own mothers cannot supply the breast milk to meet their baby’s needs.

What is the Purpose of a Milk Depot or Shipping Supply Site? S The purpose of establishing local milk collection sites (depots) and shipping supply sites is to normalize breastfeeding, make communities aware of the need for donated breast milk and make the process of donating breast milk easier for local mothers. S Screened donors can choose to either drop off their donated milk or pick up all the supplies they need for shipping their milk to the Mothers’ Milk Bank.

Breastfeeding Hawai ʻ i & Mothers’ Milk Bank of San Jose Breastfeeding Hawai ʻ i is the state affiliate to the United States Breastfeeding Committee and the S state breastfeeding coalition. They work to protect, promote and support breastfeeding in Hawai ʻ i. They are working towards opening a milk bank in Hawai ʻ i as a part of serving our community’s breast milk needs. Phase 1 is establishing milk depots and shipping supply sites in Hawai ʻ i. This will help to S normalize breastfeeding and let mothers know donating breast milk, when one is able, is also a wonderful gift to the community. Through a generous grant from Women’s Fund of Hawai ʻ i, Breastfeeding Hawai ʻ i is able to S fund freezers and establishment of milk depots and shipping supply sites in Hawai ʻ i in 2019. Mothers’ Milk Bank of San Jose was established in 1974, and provides over 500,000 ounces of S donor human milk to babies across the U.S. They are also the closest milk bank to Hawai ʻ i. Mothers’ Milk Bank of San Jose supports the development of a milk bank in Hawai ʻ i and will serve as a the milk bank where Hawai ʻ i’s donor human milk is tested, pasteurized and shipped from until we are able to establish a milk bank in Hawai ʻ i.

Application Process and Timeline Timeline Monday, March 25, 2019 Request for Applications Released Monday, April 8, 2019 10am-11am Information session via webinar Webinar Slides will be posted at https://bfhawaii.org Monday, July 1, 2019 Applications due Monday – Friday, July 8-12, 2019 Applicant Interviews Thursday, July 18, 2019 Site Selection Thursday, August 1, 2019 Announcement of Awards Technical assistance available through Breastfeeding Project Duration Hawai ʻ i with the understanding that facilities will continue to sustain the collection and/or shipping supply site for at least 3 years.

Breastfeeding Hawai ʻ i Responsibilities Provide on-going coaching and technical assistance S Provide stipend for cost of refrigerator and thermometer S Provide mandatory “how-to” training for initial set-up S Facilitate and/or conduct on-site visits and audits S Coordinate shipping supplies as needed S Coordinate incentives during milk drives S Work with depot and shipping supply sites to create effective marketing S campaign to recruit donors

Mothers’ Milk Bank of San Jose Responsibilities S Collaborate with Breastfeeding Hawai ʻ i for milk depot and shipping supply site’s mandatory “how-to” training for initial set-up S Facilitate and/or conduct on-site visits and audits S Provide shipping supplies to milk depots and shipping supply sites S Furnish milk depots with giveaways to use during milk drives S Collaborate with Breastfeeding Hawai ʻ i on effective marketing campaign development with milk depots and shipping supply sites to recruit donors

Facility Responsibilities Attend mandatory “how-to” training for initial set-up and any scheduled phone S and/or in-person meetings regarding progress with implementation Create sustainability plan for maintaining the site for 3 years S Commit to encouraging breastfeeding in the community S Identify staff responsible for activities of the milk depot or shipping supply site S Collect and submit data to Breastfeeding Hawai ʻ i according to agreed upon S timeline Create marketing plan for milk depot or shipping supply site S

What Does it Take to Start a Milk Depot? Requirements for milk collection sites (depots) include: S Apply to be a milk depot site through the Breastfeeding Hawai ʻ i website and be S selected A locked freezer with a thermometer, or a protected location for a freezer with S thermometer (stipend to cover cost is provided; freezer size based on site’s available space) An employee or volunteer who agrees to oversee the collection and shipping of S milk An employee to monitor the temperature of the freezer daily S Current tissue license (Mothers’ Milk Bank of San Jose covers this) S

What Does it Take to Start a Shipping Supply Site? S Requirements for shipping supply sites include: S Apply to be a shipping supply site through the Breastfeeding Hawai ʻ i website and be selected S Physical location at a business to store the shipping supplies, which include a shipping box that has a cooler inside, shipping labels, and ice packs (not frozen). Coolers are 12”x12”x23” in size. S Employee(s) or volunteer(s) who agree to monitor the shipping supplies and ensure they are being given to screened donors and contact Breastfeeding Hawai ʻ i when new supplies are needed

Questions Where can the milk depots and shipping supply sites be located? S On any island, in any business that has space and an employee or volunteer willing to oversee the S milk depot or shipping supply site. It is not required to be a hospital or healthcare clinic, though it definitely can be. Any community business that is supportive and wants to host a site is welcome and encouraged to apply! Will the donor milk remain frozen if shipped from a neighbor island to San Jose? S Yes. Mothers from neighbor islands have donated to Mothers’ Milk Bank of San Jose. We have S the FedEx shipping schedule and will provide information regarding days of the week to ship donor milk and we will include ice packs with all shipping supplies. How will people know about our milk depots and shipping supply sites? S All milk depot and shipping supply site locations will be listed on Breastfeeding Hawai ʻ i’s website S and will be promoted with any Breastfeeding Hawai ʻ i activity. Mothers’ Milk Bank of San Jose will also inform screened donors of the nearest location to them to drop off their milk or pick up shipping supplies. And all facilities will have a marketing plan to inform the community they are a milk depot or shipping supply site.

Questions? S If you have any questions please contact us at: Breastfeeding Hawai ʻ i: Le ʻ a Minton, MSN, APRN, CNM, IBCLC Board President info@bfhawaii.org https://bfhawaii.org