Application of a locally developed open-access digital monitoring system for the human milk bank network in Vietnam.

Background: Establishing the first Human Milk Bank (HMB) in Vietnam at the Da Nang Hospital for Women and Children marks a significant advancement in neonatal care. This specialized service addresses the critical need for donor human milk (DHM) when a mother's own milk is unavailable, providing essential nutrition to small vulnerable newborns. Introducing the new specialized service required developing a digital monitoring system to ensure the quality and safety of DHM.

Development of the tool: This digital and open access system was designed using an approach called DMADV (Define, Measure, Analyze, Design, and Verify), and includes features for human milk donor management, DHM processing, recipient management, and real-time data access. It has streamlined operations, enhanced efficiency, and ensured adherence to safety and quality standards.

The use of the tool: The application of the monitoring system has facilitated the tracking of DHM from collection to use, ensuring transparency and accountability. Data collected through this system has been instrumental in improving program performance, informing decisions, and supporting research. The successful scaling up of HMB services and the monitoring system to other regions in Vietnam demonstrates the project's effectiveness and potential for broader impact. The system's adaptability has allowed continuous improvements and integration of new functions, such as financial reporting and consumables tracking.

Lessons learned: Lessons learned from the Da Nang HMB have been shared to guide the development of HMB monitoring systems in other regions and countries. The digital monitoring system has proven to be a critical tool in maintaining the quality and safety of DHM, ultimately contributing to better health outcomes for children. The successful implementation of HMB services underscores the importance of robust monitoring systems in its operations and highlights the potential for digital solutions to enhance healthcare services.