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
Knitting a Lactation Care Safety Net: Community-Clinical Linkages: Why These Connections Matter for Breastfeeding Webinar
Community-Clinical Linkages: Why These Connections Matter for Breastfeeding
Connections between community and clinical sectors improve population health. It may seem obvious to link organizations that share similar breastfeeding goals within the same community, but hospitals, primary care clinicians, public health agencies, and community groups often provide services with little interaction with each other. Community-clinical linkages help to ensure that families have predictable, frequent, equitable, and easy access to skilled lactation providers, as well as other community resources to prevent early discontinuation of breastfeeding.
Considering the breastfeeding socio-ecological model and the role of healthcare providers and maternity care facilities in regards to steps 3 and 10 of the 10 steps to breastfeeding; and healthcare providers in enabling women to start and continue breastfeeding, 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.
- Define community-clinical linkages for breastfeeding
- Identify at least two strategies to link community and clinic agencies working on breastfeeding
- Describe the role of establishing effective connections to achieve breastfeeding continuity of care
This webinar will take place on May 22nd from 2pm to 3:30pm ET. You can register here.
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.
Pictures from NACCHO's Breastfeeding Projects
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!
|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 Register||Instructions for CDC CE|
|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|
|Webinar #5: Creating a Breastfeeding Support Ecosystem|
|Webinar 1: Implementations that Work - Part 1||This webinar discussed public health breastfeeding.||Introduction: http://bit.ly/2mrPyR2
| CDC Goals: http://bit.ly/2fIhOeV
|Webinar 1: Implementations that work - Part 2||The second part of the webinar explored results and lessons learned from the Reducing Breastfeeding Disparities through Peer and Professional Support project.||Public Health Breastfeeding: http://bit.ly/2gtih6t
| Project Outcomes: http://bit.ly/2mZfffQ | Project Lessons Learned: http://bit.ly/2nEkuPf
|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.||http://bit.ly/2HNSFOa||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.||http://bit.ly/2pp4dAR||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||http://bit.ly/2HMsKXk|
|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.||http://bit.ly/2FLglpT|
|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||http://bit.ly/2FSzO41|
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||http://bit.ly/2m18LM6||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.||http://bit.ly/2CL4Sp4||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!
- Dakota County Public Health Builds on Breastfeeding Program to Create Rapid-Referral System
- Leveraging existing resources to achieve equity
- Peer Counseling in Arkansas
- Integrating Breastfeeding Peer Support into Hospital setting for improved continuity of care
- Reaching teen moms with breastfeeding education and support
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 firstname.lastname@example.org.