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

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

3. Where you live matters
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4. Race & Ethnicity Matters
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2016 Kansas Birth Certificate Data, KDHE

5. 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
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Breastfeeding Saves Lives Calculator,  Access October 8, 2017.
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

6. - Kimberly Seals Allers
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- Kimberly Seals Allers

7. What would a “Breastfeeding Utopia” look like?
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8. Overcoming the Barriers Weaving a net of support
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9. Partners Bureau of Family Health:
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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.
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11. Communities Supporting Breastfeeding Designation
Child Care Provider
Employer
Peer Support
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Leadership
Mother &
Baby
Maternity Care
Societal
Support

12. Criteria: A local breastfeeding coalition
Leadership
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Quarterly conference calls
Start-up meeting facilitation
“Tools for Coalitions” webpage with resources
Annual coalitions conference - FREE

13. Leadership
Leadership
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KSBreastfeeding.org

14. 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# (free)
Facebook Support models
60+ La Leche League Leaders in 20 communities
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15. 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”
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* Administered by the United Methodist Health Ministry Fund, Hutchinson KS

16. Criteria: 1 business for every community citizens or 25 (whichever is lesser) participate in the “Breastfeeding Welcome Here” program
800+ businesses enrolled
Societal Support
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17. Criteria: 1 business for every 5000 community citizens or 10 (whichever is lesser) receive a Breastfeeding Employer Support Award
260+ Award-winner employers!
Employer
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Presentations to employers
Awards for employers
“Return to Work” class outline
Direct consulting with businesses

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
3,100+ child care providers trained!
Child Care Provider
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Partners:
Division of Child Care Licensing, KDHE
Kansas Child Care Training Opportunities
Child Care Aware ® of Kansas

19. 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

20. 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%
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21. Communities Supporting Breastfeeding Race & Ethnicity
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Latino – Year 1
African American – Year 2
American Indian – Year 3

22. 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
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23. Brenda

24. 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.
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27. Successes and Lessons Learned
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28. Successes - Creating leaders (LCCs)
Builds/revitalizes local coalitions
Impact on government officials (proclamation)
TOGETHER

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

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
TOGETHER

31. Need more info? Kara Watts
Kansas WIC Breastfeeding Peer Counselor Coordinator
Brenda Bandy
Executive Director, Kansas Breastfeeding Coalition