Cost Analysis of Operating a Human Milk Bank in China.

BACKGROUND: Establishing a human milk bank for the benefit of premature newborns who are unable to receive their mothers' milk for various reasons is a common initiative. To date, 19 human milk banks have been established in China; however, data associated with human milk banks are lacking, including information on the operational costs, guidelines, and regulatory systems for human milk banks in China. RESEARCH AIM: Our study aim was to conduct a cost analysis for the human milk bank at Shanghai Children's Hospital. METHODS: A management accounting approach, based on the activity-based costing method, was used to develop a cost model for donor human milk. The data were collected retrospectively and included budget plans, financial and expenditure reports, databases, and interviews with the staff and managers at the Shanghai Children's Hospital Human Milk Bank in 2017. RESULTS: In 2017, the total volume of qualified donor human milk was 933.70 L, of which 842.71 L (90%) was frozen and 90.99 L (10%) was freshly donated on site. The total annual cost to provide milk for 212 high-risk infants in 2017 was US$156,923, and the unit cost was US$168/L. CONCLUSIONS: The operating costs of human milk banks in China are similar to those in other countries internationally, but these costs are so large that they require government and society support for funding and milk donation. Therefore, ongoing breastfeeding support for mothers and measures to reduce the operating costs of human milk banks should be advocated.

Human milk bank operation and management mode / 国际儿科学杂志

Breasffeeding has reached a consensus on the beneficial effects of promoting the health of newborns,especially premature babies.There are still some newborns or premature babies who are unable to get their own mother's breast milk after birth due to the mother's health reasons.So the significance of establishing a human milk bank for collection,processing,screening,storage and distribution of donor milk is also obvious.The human milk bank has been developed for more than a century since its first establishment.The operation and management models of human milk banks in all countries in the world have formed a relatively stable management system.This review summarizes the operation and management mode and cost problems of the global human milk bank,which may provide references for management and guideline development of human milk bank in China.