Blueprint cover

The 2nd Anniversary of the Continuity of Care in Breastfeeding Support: A Blueprint for Communities

Aug 24, 2023 | Ryanna Quazi, Talei Moore

NACCHO celebrates the 2nd Anniversary of the Continuity of Care in Breastfeeding Support: A Blueprint for Communities during National Breastfeeding Month on August 24th, 2023.

Chest/Breastfeeding and Continuity of Care 

Leading health organizations recommend that infants be exclusively breastfed for the first 6 months of life. This recommendation also encourages breastfeeding to continue for at least the first two years of life with age-appropriate accommodation for feeding.

However, according to the Centers for Disease Control and Prevention (CDC), most infants in the United States are not exclusively chest/breastfed during this vital period. In fact, according to the CDC’s most recent data from the National Immunization Survey, only 58% of infants were chest/breastfed during the first 6 months, and 25% of infants exclusively chest/breastfed for the first 6 months. Suboptimal breastfeeding can increase the risk for short-term and long-term health outcomes, such as type 1 diabetes, obesity, and asthma. One of the drivers of suboptimal infant feeding and early chest/breastfeeding discontinuation is gaps in the continuity of care (CoC) in lactation resources and support within communities.

To achieve CoC associated with chest/breastfeeding support, families should receive seamless delivery of lactation resources and support, in conjunction with their healthcare. Services must be high-quality, consistent, and collaborative.

These healthcare experiences are especially critical during the first 1,000 days, which is the period from pregnancy to the second birthday of the child or children. In addition to care coordination, CoC of breastfeeding support also refers to the establishment of proactive, and supportive environments where families live, work, and play. The implementation of organizational policies and systems offers guidance for parents raising children. In combination, these systems can result in healthier outcomes for infants and toddlers.

The Blueprint Development

The goal of the CoC Blueprint is to support local-level organizations or individuals who interact with pregnant and postpartum families to ensure coordinated transitions of care and create supportive environments throughout their chest/breastfeeding journey. This resource identifies seven recommendations through which healthcare professionals can improve local lactation support and increase local capacity to implement community-driven approaches to support chest/breastfeeding. Each recommendation of the CoC Blueprint includes several strategies and resources; and can be implemented as a stand-alone recommendation or in a unique combination with other recommendations. In alignment with continuity of care goals, this resource prioritizes the needs of populations disproportionately impacted by structural barriers, such as socioeconomic status, that contribute to lower rates of chest/breastfeeding in communities. As a result, CoC Blueprint grantees have successfully increased chest/breastfeeding rates in their communities.

CoC Grantees and Success Stories 

Since its launch, NACCHO has funded 17 local-level organizations and their community partners to implement two or more recommendations from the CoC Blueprint to advance continuity of care in their communities. View the 2023 Grantee Success Stories and 2022 Grantee Success Stories, or visit the CoC Website under Implementations.

Applications are open for the third cohort of Blueprint grantees, apply today!

The Blueprint Website 

The CoC Blueprint website also serves as a national repository of community chest/breastfeeding programs, services, stories, and resources in the CoC Resource Library. The Chest/Breastfeeding website also includes recordings of the accredited eight-part webinar series #EveryStepoftheWay through the First 1,000 Days, with sessions that focus on each of the seven recommendations of the CoC Blueprint. Continuing education credits for most of the webinars in the series are still available, along with recordings and resource guides.

Engage with us!

To receive information about the CoC Blueprint funding opportunities, please subscribe to NACCHO’s monthly newsletter using your MyNACCHO account. If you do not have a MyNACCHO account, you can sign up  here.  

To contribute resources and other materials to the CoC Resource Library, please contact  [email protected]. 

Other Blueprint Accomplishments 

This chart displays the accomplishments of the Blueprint in the 2 years of its inception. It includes information such as the number of Blueprint downloads, the number of webinar attendees, and the number of resources added to the CoC Library.


Request for Applications (RFAs)

RFA: Bridging Breastfeeding Continuity of Care and Nutrition Security within the First 1,000 Days: Blueprint Cohort III

NACCHO will host a webinar for interested applicants on Thursday, September 21st at 1:00 pm ET to provide an overview of this funding opportunity and respond to any questions. All necessary information regarding the project and application process may be found in the Request for Application (RFA). This webinar will be recorded, shared with webinar registrants, and posted on NACCHO’s website. Register for the webinar here.


About Ryanna Quazi

Ryanna Quazi is the Communication Specialist for the MCAH Department.

More posts by Ryanna Quazi

About Talei Moore

More posts by Talei Moore

Related Posts

  • Webinar

UPCOMING WEBINAR: 2024 National Strategy for Suicide...

Join NACCHO on 7/08, 2-3PMET for 2024 National Strategy for Suicide Prevention:...

Jun 18, 2024

UPCOMING WEBINAR: 2024 National Strategy for Suicide...

6 Networked Partnerships 2022 10 07 133244 rmva

UPCOMING WEBINAR: Building Strong & Effective Youth and...

Join Community Justice and NACCHO for a crucial policy discussion on gun...

Jun 18, 2024

UPCOMING WEBINAR: Building Strong & Effective Youth and...

Dallas, TX Story From the Field Image
  • Immunization Vaccine Hesitancy

From Hesitation to Vaccination: Reducing Vaccine...

Recent data shows that vaccine hesitancy is becoming an issue of rising concern...

Jun 11, 2024

From Hesitation to Vaccination: Reducing Vaccine...

Family in meadow
  • Chronic Disease Community Health Social Determinants of Health Prevention Research Centers

Webinar Series: A Spotlight on Prevention Research...

PRC Webinar Spotlight: Shining a spotlight on various Prevention Research...

Jun 06, 2024 | Johanna Segovia

Webinar Series: A Spotlight on Prevention Research...

Senior couple hiking forest i Stock 966676942
  • Chronic Disease Community Health Social Determinants of Health Prevention Research Centers

Blog Series: PRC Spotlight on Washington University in...

PRCs are more than just research institutions; they are catalysts for change at...

Jun 05, 2024 | Johanna Segovia

Blog Series: PRC Spotlight on Washington University in...

  • HIV, STI, Viral Hepatitis, and Harm Reduction Digest

Digest (May 22, 2024)

HIV, STI, Hepatitis, and Harm Reduction Digest: May 22, 2024

May 22, 2024

Digest (May 22, 2024)

Website New Episode w Special Guests
  • Press Release Community Health Harm Reduction Maternal, Child, & Adolescent Health

NACCHO’s Podcast From Washington: Update on H5N1 and...

Update on H5N1 and Local Health Department Pilot Program Addresses Substance...

May 17, 2024

NACCHO’s Podcast From Washington: Update on H5N1 and...

  • Tools & Resources Injury and Violence Prevention

New Resource- ACEs Questionnaire Use: Cautions and...

NACCHO releases a new resource: ACEs Questionnaire Use: Cautions and...

May 15, 2024 | Camille Adams

New Resource- ACEs Questionnaire Use: Cautions and...

I Stock 494430421
  • Community Health Success Story Tobacco-Use Prevention

Zoning Policies: A Promising Practice in North Carolina

Limiting tobacco retail density near schools & parks is crucial in tobacco...

May 14, 2024 | Ashley Curtice, Director of Public Education and Communications, North Carolina Department of Health and Human Services

Zoning Policies: A Promising Practice in North Carolina

Back to Top