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Home : Activities : Domain analysis : Human milk services : Current state analysis

• Preterm birth
• Human milk supply shortage
• Low rate of milk donation
• Compensated donors
• Human milk pricing variability
• Small-scale milk banking service providers
• Poorly developed human milk distribution networks
• Complicated contracting process
• Health illiteracy regarding benefits of human milk
• High rate of childbirth outside any kind of health care facility
• Lack of visibility into supply and demand
• Weak regulatory enforcement capabilities
• Human milk donation is unregulated
• Unregulated market risks patient safety
• Unqualified and unlicensed practitioners
• Human milk collection, storage and distribution has poor quality control
• Human milk poses biosafety and biosecurity risks to public health
• lack of safe collection, handling and distribution, as with human blood supply and tissue banks
• Human milk donors are not appropriately screened
• Donated human milk is not appropriately screened
• Human milk is not handled safely during collection, storage and distribution
• Breakdown of cold chain when storing, transporting and handling human milk
• widespread tampering and adulteration within healthcare supply-chains
• Adulteration of donated human milk
• Contamination of donated human milk with pathogens, toxins and drugs
• environments of weak trust
• administrative corruption
• rampant fraud and abuse in clinical settings
• health systems plagued by repeated public scandals
• vulnerable to disruption : communications networks; supply-chain disruption
• increasing risk of disruption : social instability, natural disaster
• risk of weakened governance : assessment and evaluation; decision-making, planning, policy-making
• management systems disruption : monitoring and control; program, project management; services systems management; change management