A Cross-sector Community Approach to Breastfeeding Support When the Stars Align: A Cross-sector Community Approach to Breastfeeding Support Kara slides 1-5 Brenda Bandy, IBCLC, Executive Director, Kansas Breastfeeding Coalition Kara Watts, RDN, LD, Kansas WIC Breastfeeding Peer Counselor Coordinator

How Does Kansas Compare? HP 2020 Goal Kara Kansas U.S. Data Source: National Immunization Survey, 2015 births

Where you live matters Kara

Race & Ethnicity Matters Kara 2016 Kansas Birth Certificate Data, KDHE

Economics, Infant & Maternal Mortality Matters If 90% of babies in Kansas were breastfed according to medical recommendations (exclusively for the first 6 months) … It would - Prevent 23 maternal deaths Prevent 6 infant deaths Save of $156 Million per year Kara Breastfeeding Saves Lives Calculator, www.usbreastfeeding.org/saving-calc, Access October 8, 2017. Stuebe, A. M. et al (in press - 2017). An online Calculator to estimate the impact of changes in breastfeeding rates on population health and costs. Breastfeeding Medicine

- Kimberly Seals Allers Brenda 6-8 - Kimberly Seals Allers

What would a “Breastfeeding Utopia” look like? Brenda

Overcoming the Barriers Weaving a net of support Brenda

Partners Bureau of Family Health: Kara 9-14 Bureau of Family Health: Title V Maternal and Child Health Services Program Nutrition and WIC Services University of Kansas School of Medicine- Wichita

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. Kara

Communities Supporting Breastfeeding Designation Child Care Provider Employer Peer Support Kara Leadership Mother & Baby Maternity Care Societal Support

Criteria: A local breastfeeding coalition Leadership Kara Quarterly conference calls Start-up meeting facilitation “Tools for Coalitions” webpage with resources http://ksbreastfeeding.org/tools-for-coalitions/ Annual coalitions conference - FREE

Leadership Leadership Kara KSBreastfeeding.org

Criteria: Peer breastfeeding support group Peer Support 43 WIC Breastfeeding Peer Counselors in 46 counties “How to Start a Breastfeeding Support Group” KS TRAIN course# 1047630 (free) Facebook Support models 60+ La Leche League Leaders in 20 communities Kara

Criteria: Hospital(s) designated as High 5 for Mom & Baby or Baby-Friendly ® USA Maternity Kansas "High 5 for Mom & Baby*” Care 62 out of 69 maternity care hospitals enrolled 31 recognized as “High 5”hospitals 6 “Baby-Friendly Hospitals” Brenda 15-19 * Administered by the United Methodist Health Ministry Fund, Hutchinson KS

Criteria: 1 business for every 1000 community citizens or 25 (whichever is lesser) participate in the “Breastfeeding Welcome Here” program 800+ businesses enrolled Societal Support Brenda

Criteria: 1 business for every 5000 community citizens or 10 (whichever is lesser) receive a Breastfeeding Employer Support Award 260+ Award-winner employers! Employer Brenda Presentations to employers Awards for employers “Return to Work” class outline Direct consulting with businesses

Criteria: A minimum of 20 child care providers in the community completing the KBC’s How to Support the Breastfeeding Mother and Family course 3,100+ child care providers trained! Child Care Provider Brenda Partners: Division of Child Care Licensing, KDHE Kansas Child Care Training Opportunities Child Care Aware ® of Kansas

Brenda Cheyenne Rawlins Brown Decatur Norton Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Sherman Thomas Sheridan Graham Cloud Pottawatomie Atchison Riley Jackson Leavenworth Rooks Osborne Mitchell Ottawa Clay Jefferson Shawnee Wyandotte Brenda Wallace Gove Ellis Russell Lincoln Geary Trego Wabaunsee Logan Ellsworth Dickinson Morris Osage Douglas Johnson Saline Greeley Wichita Scott Lane Ness Rush Miami Barton Marion Lyon Rice Franklin Pawnee McPherson Coffey Linn Hamilton Kearny Finney Hodgeman Chase Harvey Anderson Butler Greenwood Woodson Stafford Reno Bourbon Ford Edwards Grant Pratt Allen Stanton Haskell Wilson Neosho Gray Sedgwick Kiowa Kingman Clark Cowley Elk Crawford Morton Stevens Seward Montgomery Chautauqua Labette Cherokee Meade Barber Sumner Comanche Harper

Impact of Community Supporting Breastfeeding: (WIC Data) Exclusive Breastfeeding at 6 Months of Age 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% Kara 20-21

Communities Supporting Breastfeeding Race & Ethnicity Kara 21 Latino – Year 1 African American – Year 2 American Indian – Year 3

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 Brenda 22-27

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Adapting to CSB designation to African-American Neighborhoods African-American neighborhoods are defined by the local African-American breastfeeding coalition based upon lived experience in the community and census data identifying neighborhoods whose population is majority African-American. A map identifying African-American neighborhoods will be created by the local African-American breastfeeding coalition. Brenda

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Brenda http://www.amchp.org/programsandtopics/BestPractices/InnovationStation/ISDocs/CSB.pdf

Successes and Lessons Learned Brenda

Successes - Creating leaders (LCCs) Builds/revitalizes local coalitions Impact on government officials (proclamation) TOGETHER

Lessons Learned - Not an individual’s project Businesses were the toughest criteria TOGETHER

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 TOGETHER

Need more info? Kara Watts Kansas WIC Breastfeeding Peer Counselor Coordinator kwatts@ks.gov Brenda Bandy Executive Director, Kansas Breastfeeding Coalition 785-477-4666 bbandy@ksbreastfeeding.org