Breastfeeding

NACCHO actively supports local approaches to breastfeeding protection, promotion, and support. NACCHO is current implementing the Reducing Breastfeeding Disparities through Continuity of Care project to develop a national Continuity of Care (COC) blueprint with national partners, provide targeted technical assistance to CDC REACH grantees in COC, and piloting a internal breastfeeding COC support model program with four community health centers.

Through webinars, on-going technical assistance, and success stories, NACCHO shared lessons learned and effective strategies for local level implementation. NACCHO continues to provide training and technical assistance to local health departments and other community-based organizations to advance community support and continuity of care.

Get involved by:

  • joining our e-newsletter to keep up with the latest program activities,
  • attending webinars and receiving continuing education credits, and
  • reading local-level implementation success stories and capacity briefs

New Funding Opportunity!

Establishing Breastfeeding Continuity of Care in REACH Communities

With support from the Centers for Disease Control and Prevention (CDC), Division of Nutrition, Physical Activity and Obesity (DNPAO), the National Association of County and City Health Officials (NACCHO) is pleased to announce a funding opportunity to local health departments and community-based organizations within a CDC REACH recipient jurisdiction (link to CDC REACH). The goal is that selected awardee and REACH recipient will work together to improve breastfeeding continuity of care in their communities and increase community capacity to provide consistent, coordinated and high-quality breastfeeding promotion and support services.

NACCHO will identify 3 to 4 organizations located within CDC REACH recipient jurisdictions ( to review these communities, click here) to implement evidence-based breastfeeding practices and policies within their organization and partner externally with the goal to establish community continuity of care. Examples of these activities may include Policies, Systems and environmental (PSE) changes to both internal and external continuity of care, such as training of current, existing staff in basic and advanced lactation care, , implementation of supportive policies for breastfeeding employees and clients; establishment of community breastfeeding supportive environments in community locations, provision of walk-in locations for lactation expertise and support (e.g: BabyCafés); and others activities that systematically connect breastfeeding mothers to relevant resources within their communities. Other partnership activities should include activities that improve internal and external collaborations for breastfeeding continuity of care, establishing referral networks, establishment or enhancement of local breastfeeding coalitions or community workgroups to improve the community breastfeeding support landscape.Applicants MUST BE in one of the 31 REACH communities and be willing to establish or be an existing partner of a REACH recipient and serve the same population.

The full RFA will be released by October 10th.

Applicants MUST BE in one of the 31 REACH communities and be willing to establish or be an existing partner of a REACH recipient and serve the same population. Applications can be reviewed and submitted online through http://naccho.co1.qualtrics.com/jfe/form/SV_6rKn5SqRCC6dJc1. Online application submissions are due on October 31st, 2019. You can register for the webinar here.

New Resource!

Breastfeeding in the Community Program Implementation Guide: Materials produced during the 4 years of the Reducing Disparities in Breastfeeding through Peer and Professional Support, 2014 – 2018. This community-level guide offers guidance and tools to help local organizations plan, implement and evaluate peer and professional lactation support programs. It covers a broad range of practical information that will support communities to ensure evidence-informed practices for successful sustainable programs!

Social Justice and Lactation Articles

The Breastfeeding team published two open-access peer-reviewed articles focused on social justice and lactation in the Spring 2018 issue of the Journal of Human Lactation.

"Breastfeeding in the Community: Sharing Stories on Implementations That Work" highlights the work of 19 NACCHO breastfeeding project grantees.

In "Breastfeeding in the Community: Addressing Disparities Through Policy, Systems, and Environmental Changes Interventions," the authors share practice-oriented strategies for agencies seeking to implement community-level breastfeeding interventions through a public health policy, systems, and environmental change approach.

With support from the Centers for Disease Control and Prevention (CDC), Division of Nutrition, Physical Activity and Obesity (DNPAO), the National Association of County and City Health Officials (NACCHO) is funding four community health centers (CHCs) to pilot an organizational breastfeeding continuity of care model. In addition to funding, NACCHO will provide technical assistance (TA) to CHCs as they explore and adopt policy system and environmental change solutions to increase their capacity to provide consistent and coordinated breastfeeding promotion and support services to the families they serve. Four FQHCs (NE, IN, NY, IL) were awarded $15,000 each. Activities to be implemented includes: evidence-based breastfeeding support policies, training of staff on lactation management, inclusion of breastfeeding support data into electronic medical records, implementation of supportive policies for breastfeeding employees and clients; enhancement of collaborations for breastfeeding continuity of care, and activities that connect breastfeeding parents to relevant resources within their communities.

* Past Work: Over four years (2014 to 2018) DNPAO funded NACCHO to implement the “Reducing Disparities in Breastfeeding through Peer and Professional Lactation Support” Project. In years one and two, NACCHO funded 72 community-level breastfeeding projects in 32 states. Grantees supported families and communities through 93K one-on-one support encounters; 3,332 support groups hosted for 15K attendees; establishment or enhancement of 830 community partnerships; and, implementation of 27 policy, system and environmental change solutions to shift systemic and structural barriers to breastfeeding in the community. In years three and four of the project NACCHO hosted thirteen 90-minute webinars, including two CDC-Training and Continuing Education Online (TCEO) accredited webinar series. NACCHO published two peer reviewed journal articles (Breastfeeding and Policy, Systems and Environmental Changes and another sharing 19 Grantee Stories) to share project lessons learned.

Browse the tabs above to watch past webinar, read the newly published peer-reviewed journal articles, and browse the Stories from the Field to learn more about the lessons learned, barriers, facilitators and overall successes!

The series aims to identify public health solutions and promote equity in breastfeeding rates and access to care. All webinars feature local breastfeeding project presentations.

Continuing education credits still available for some of the webinars!

TITLE/TOPIC CONTENT LINKS CDC CE INFORMATION CE INFORMATION
Creating a Breastfeeding Support Ecosystem This first session of the Weaving a Breastfeeding Safety Net 4-part webinar series will address the public health significance of community breastfeeding continuity of care to increase breastfeeding duration and exclusivity rates, and mechanisms that can be used to create a breastfeeding ecosystem including a seamless continuum of care to promote, protect and support breastfeeding in African Americans and low-income communities who are disproportionally affected by structural barriers to breastfeeding. Access the recording Instructions to CDC CE Types Evaluation and Post Test for CERPs and CPEUs
Navigating Organizational Change for Breastfeeding Success Webinar This webinar focuses on internal continuity of care to help create a breastfeeding ecosystem, and addresses the organizational systems change we need to implement a seamless lactation safety net within groups that serve parents and babies. Speakers will provide an overview of the greater continuum of care primary care practices and Patient Centered Medical Home models for breastfeeding, and explore examples of replicable models that can be used to improve breastfeeding rates within your organization. Access the Recording Instructions for CDC CE Evaluation and Post Test for CERPs and CPEUs
Community Clinic Linkages: Why These Connections Matter This webinar will discuss how communities are effectively connecting with birthing facilities and local medical providers to improve continuity of care from the prenatal period until breastfeeding weaning. Participants will also learn from local organizations that are effectively partnering with clinical partners to close the critical gap that many families fall through, pre- and post-discharge. Link to Recording Please note that due to technical audio issues the introduction has been removed from the recording. Instructions for CDC CE Evaluation for CERPs and CPEUs
Marshaling Resources to Serve This final module of the 4-part webinar series will explore the richness and diversity of community-to-community linkages to advance breastfeeding continuity of care. An exploration of the breastfeeding socio-ecological model will serve as a framework for identifying community partners and change agents who could prove influential in establishing social and systemic structures to critically advance breastfeeding goals among populations with disparately low breastfeeding duration rates. Link to Recording Instructions for CDC CE Evaluation for CERPs and CPE
TITLE/TOPIC CONTENT LINKS CE INFORMATION
Webinar #4: Broadening The Spectrum of Skilled Breastfeeding Support in the Community In the fourth webinar of the series, the Breastfeeding Public Health Partners are chartering a course that explores shifts in the public health landscape of skilled lactation support. Watch the recording Evaluation and post-test (for CERPs & CPEs) Instructions to other CE Types
Webinar #3: Supporting Breastfeeding at Work The third webinar of the Charting the Course Together series will discuss the importance of workplace support to increase breastfeeding duration rates, the return on investment for supporting both employers and employees to make breastfeeding work at work, and share useful and practical resources for supporting breastfeeding employees and their employers. Watch the recording Evaluation and post-test(for CERPs & CPEs) Instructions to other Continuing Education types
Webinar #2: Maternity Care Practices at the Nexus of Hospitals, Providers, States and Communities The second webinar in the 4-part series will focus on public health breastfeeding support within the maternity care settings Watch the recording Evaluation and post-test (for CERPs & CPEs) Instructions to other Continuing Education types
Webinar #1: Breastfeeding and Public Health Equity In this first webinar of the Public Health Breastfeeding Partner Series we will discuss the significance of breastfeeding as a public health issue and explore the matter of equity in access and outcomes in breastfeeding. Presenters will share their public health breastfeeding work and highlight their efforts to advance equity in the field. Watch the recording Evaluation and post-test (for CERPs & CPEs) Instructions to other Continuing Education types
Title/Topic Content Links CE information
Webinar 1: Implementations that Work - Part 1 This webinar discussed public health breastfeeding. The second part of the webinar explored results and lessons learned from the Reducing Breastfeeding Disparities through Peer and Professional Support project. Recording
Webinar 2: Closing the Care Gap This webinar addressed varying mechanisms that can be used to create a continuum of care to support breastfeeding in underserved communities. Recording CDC CE
Webinar 3: Engaging the Hard-to-Reach This webinar addressed how local level organizations can better support communities with low breastfeeding rates by engaging and retaining women and families who are hard-to-reach. Recording CDC CE
Webinar 4: Leveraging Funds and Partnerships for Sustainability This webinar addressed how local level organizations can amplify the impact and longevity of community breastfeeding programs through skillful leveraging of funds and partnerships Recording
Webinar 5: Moving from National Programs to Local Initiatives This webinar explored how breastfeeding has been woven into the performance measures of national public health programs, such as Title V, Healthy Start and Home Visiting. Recording
Webinar 6: Building Sustainable Projects through PSE Changes Implementations of Policy, Systems and Environmental (PSE) changes within their organizations to sustain local breastfeeding support activities Please excuse the technical difficulties with the recording. The slide deck is available. Recording Webinar Slides/a>

BREASTFEEDING IN THE COMMUNITY SERIES

This series addresses specific strategies to truly understanding community needs in rural and urban areas. Both webinars feature local breastfeeding projects. Continuing education for lactation support providers (CERPs) are available for a limited time!

Webinar title Content Link CE Information
Innovations to Advance Rural Health Common rural barriers to breastfeeding and innovative solutions to advance rural health through breastfeeding support expansion Recording Evaluation and post-test (for CERPs & CPEs)
Engaging and Empowering Families Successful public health programs reach community members where they are with services and supports designed to meet their identified needs. Many organizations host quality programming but struggle to engage and catalyze the community. Recording Evaluation and post-test (for CERPs & CPEs)

We have plenty of resources dedicated to helping local health departments support breastfeeding in minority communities. You can use these featured resources or check out our full list of resources in NACCHO's Toolbox.

  • Needs Assessment: This brief explains the importance of conducting needs assessments to inform program needs and activities and share examples of former grantees' assessments.
  • Work Plan & Budget: This brief addresses the importance of key factors for community project success, including work plan and budget congruence.
  • Home Visiting: This brief discusses practical strategies to incorporate breastfeeding into home visiting programs.
  • Continuity of Care: This brief provide insights on breastfeeding community continuity of care needed to improve breastfeeding duration rates.
  • WIC Breastfeeding Expansion: This brief highlights several examples of WIC breastfeeding expansion activities.
  • Infographic: This infographic offers visual data on the successes of the Breastfeeding Project.
  • Evaluation Plan: This brief provides insights on the importance of setting up monitoring and evaluation plan for your projects using examples from NACCHO's 2014 grantees.
  • NACCHO Exchange: The summer issue of the NACCHO Exchange is now available online. This issue showcases the ways in which local health departments and other community-based organizations are implementing family-friendly policy, systems, and environment changes to increase breastfeeding rates in their communities.
  • Webinar Series and Free Continuing Education: Thank you to the over 4,000 participants who attended our 2017 and 2018 webinar series! You can now find all of our webinars in one place. This document contains all webinar links from NACCHO's three series: the Public Health Breastfeeding Series, the Breastfeeding Public Health Partners Charting the Course Together Series and the Breastfeeding in the Community Series. You are still able to acquire continuing education for most of the webinars by watching the recording.
  • Program Implementation Guide: This is a comprehensive resource developed with materials produced during the 4 years of the Reducing Disparities in Breastfeeding through Peer and Professional Support, 2014 – 2018. This community-level guide offers guidance and tools to help local organizations plan, implement and evaluate peer and professional lactation support programs. It covers a broad range of practical information that will support communities to ensure evidence-informed practices for successful sustainable programs!
  • Archived Resources Guide
  • Active Resources Guide

We are currently planning activities for this year. Stay tuned by joining our emailing list. To subscribe, please log-in to your My NACCHO account. If you do not have a “My NACCHO” account you can sign up by clicking here.

  • Once logged on click on “My Subscriptions” in the left navigation menu
  • Check the box for “Breastfeeding in the Community”
  • Click “Save” at the bottom of the page

To contact us, please email breastfeeding@naccho.org.