Changing a Culture: A Multifaceted, Cross-Sector Approach to Breastfeeding Support in Kansas
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1 Changing a Culture: A Multifaceted, Cross-Sector Approach to Breastfeeding Support in Kansas Brenda Bandy, IBCLC, Kansas Breastfeeding Coalition Martha Hagen, RD, IBCLC, Nutrition and WIC Services, KDHE
2 Where Do We Stand? 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Ever Breastfed 3 mos 6 mos U.S. 82.5% 46.6% 24.9% Kansas 77.1% 44.5% 24.5% Healthy People 2020 Goal 81.9% 46.2% 25.5% Data from 2014 National Immunization Survey
3
4 Where you live matters
5 Race & Ethnicity Matters 90.00% % Breastfeeding Initiation 88.00% 86.00% 84.00% 82.00% 80.00% 78.00% 76.00% 74.00% White NH African-American NH Hispanic Native American NH Kansas NH = non-hispanic % Breastfeeding Initiation 2016 Kansas Birth Certificate Data, KDHE
6 If 90% of babies in Kansas were breastfed according to medical recommendations It would - Prevent 23 maternal deaths Prevent 6 infant deaths Save of $156 Million per year Breastfeeding Saves Lives Calculator, Access October 8, Stuebe, A. M. et al (in press ). An online Calculator to estimate the impact of changes in breastfeeding rates on population health and costs. Breastfeeding Medicine
7 What would a Breastfeeding Utopia look like?
8 Overcoming the Barriers Weaving a net of support
9 Partners Bureau of Family Health: Title V Maternal and Child Health Services Program Nutrition and WIC Services University of Kansas School of Medicine- Wichita
10 Mutual Goals - Title V Title V National Performance Measure 4: (A) Percent of infants who are ever breastfed and (B) Percent of infants breastfed exclusively through 6 months. Title V Priority 4: Empowering families to make educated choices about nutrition. Title V Priority 6: Professionals have the knowledge and skills to address the needs of maternal and child health populations. Title V Priority 8: Information is available to support informed health decisions and choices.
11 Communities Supporting Breastfeeding Designation Child Care Provider Employer Leadership Societal Support Mother & Baby Peer Support Maternity Care
12 Criteria: A local breastfeeding coalition Leadership Quarterly conference calls Start-up meeting facilitation Tools for Coalitions webpage with resources Annual conference
13 Leadership Leadership KSBreastfeeding.org
14 Criteria: Peer breastfeeding support group 60+ La Leche League Leaders in 20 communities How to Start a Breastfeeding Support Group KS TRAIN course# (free) Facebook Support models 36 WIC Breastfeeding Peer Counselors in 40 counties Peer Support
15 Criteria: Community hospital(s) designated as High 5 for Mom & Baby or Baby-Friendly USA Kansas "High 5 for Mom & Baby* 62 out of 69 maternity care hospitals enrolled 29 recognized as High 5 hospitals Maternity Care * Administered by the United Methodist Health Ministry Fund, Hutchinson KS
16 Criteria: 1 business for every 1000 community citizens or 25 (whichever is lesser) participate in the Breastfeeding Welcome Here program Societal Support
17 Criteria: 1 business for every 5000 community citizens or 10 (whichever is lesser) receive a Breastfeeding Employer Support Award Employer Presentations to employers Awards for employers Return to Work class outline Direct consulting with businesses KansasBusinessCase.com
18 Criteria: A minimum of 20 child care providers in the community completing the KBC s How to Support the Breastfeeding Mother and Family course Child Care Provider Partners: Kansas Child Care Training Opportunities Child Care Aware of Kansas
19 Communities Supporting Breastfeeding 18 CBS Designated
20 Racial Demographics Year 1 (Pilot) 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Latino African American Asian American Indian Kansas Winfield Salina Hays Great Bend Liberal Data Source: U.S. Census Bureau(2010)
21 60.00% Racial Demographics Year % 40.00% 30.00% 20.00% 10.00% 0.00% Latino African American Asian American Indian Kansas Abilene Garden City Gove County Emporia Wichita Data Source: U.S. Census Bureau(2010)
22 Racial Demographics Year % 10.00% 8.00% 6.00% 4.00% 2.00% 0.00% Latino African American Asian American Indian Kansas El Dorado Hutchinson Coffey County Jackson County Thomas County Data Source: U.S. Census Bureau(2010)
23 Prairie Band Potawatomi Tribe Convene a breastfeeding committee comprised of a minimum of three (3) individuals from the Tribe that will meet at least once every three months for the purposes of supporting and promoting breastfeeding within the Tribe Display Breastfeeding Welcome Here window clings on all Tribal buildings. KBC will insert Potawatomi language if desired. Adopt a workplace lactation support policy for all Tribal employees Health Center staff that treats pregnant women, mothers and infants will complete 2-hr. on-site breastfeeding training provided by the Kansas Breastfeeding Coalition (KBC) Child Care Center staff will complete a 2-hr. on-site training on how to support breastfeeding families provided by the Kansas Breastfeeding Coalition (KBC) Will support a breastfeeding support group on the reservation with a trained peer counselor
24
25 Impact of Community Supporting Breastfeeding: (WIC Data) 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% Exclusive Breastfeeding at 6 Months of Age Our Mission: To protect and improve the health and environment of all Kansans
26 Station/ISDocs/CSB.pdf
27 Successes and Lessons Learned
28 Successes - Creating leaders (LCCs) Builds/revitalizes local coalitions Impact on government officials (proclamation)
29 Lessons Learned - Not an individual s project Businesses were the toughest criteria
30 Going Forward Any community can achieve the CSB designation (4 have already!) Looking into working with other Tribes in KS and African-American communities within KC and Wichita Continued support of the 6 components of the CSB criteria
31 Need more info? Brenda Bandy Executive Director Kansas Breastfeeding Coalition Martha Hagen State Breastfeeding Coordinator KDHE
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