NACCHO actively supports local approaches to breastfeeding protection, promotion, and support. From 2014-2018, NACCHO implemented the Reducing Breastfeeding Disparities through Peer & Professional Support project.

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.

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.

Through a cooperative agreement with CDC, NACCHO funded 72 demonstration sites, including LHDs, CBOs, coalitions, and local hospitals, to implement evidence-based and innovative breastfeeding projects in African American and other marginalized communities. Through the 18-month grant period, NACCHO provided over 1,500 hours of training and technical assistance. The project results included over 92,000 one-on-one supportive encounters for families, and over 3,000 support groups were hosted. In addition, the majority of grantees implemented policy, systems, and environmental (PSE) changes to enable women in their communities to breastfeed.

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!

Breastfeeding Public Health Partners – Charting the Course Together

Webinar Series

Origination / Expiration: Webinar series 1/22/2018-1/22/2020

Web-on-Demand– valid 30 days after webcast for up to two years

Learning Objectives: Series: 1. Describe 2 ways that breastfeeding can improve health equity 2. Describe 3 ways to reduce breastfeeding inequities 3. Identify 2 approaches for local and state agencies to collaborate to advance breastfeeding workplace support 4. Identify 2 approaches for local and state agencies to collaborate to advance maternity care practices 5. Identify at least 2 strategies public health entities can employ to enable broad access to breastfeeding promotion and support services in underserved communities.

Faculty/Credentials: Will vary

Webinar #4: Charting the Course Together: Broadening The Spectrum of Skilled Breastfeeding Support in the Community June 18 | 2:00 – 3:00 pm ET Watch the recording Complete the evaluation and post-test Instructions for CEs

Description: 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. Embracing the language of equitable continuity of care for breastfeeding families, the partners and other invited guests will discuss the spectrum of care and supports needed to ensure that every family in the community receive appropriately tailored care throughout their breastfeeding experience. Building a solid care continuum for families requires well-tended connections between community systems by an array of skilled lactation support providers. This session will describe systemic solutions to create continuity in the community, by increasing access and availability of skilled breastfeeding support in other spaces that families are, beyond the clinical maternity care and workplace environments.

Learning Objectives:

  • Define the public health landscape of community support continuity of care
  • Identify mechanisms to build equitable access to lactation care.
  • Describe benefits and strategies for working collaboratively with skilled lactation support providers, families and community stakeholders.

Organizational Presenters: National Association of County and City Health Officials United States Breastfeeding Committee National Association of Professional and Peer Lactation Support Providers of Colors Public Health Solutions

Webinar #3: Charting the Course Together: Supporting Breastfeeding at Work Watch the recording. Complete the evaluation and post-test. Instructions for CEs.

Description: Most new parents return to work before their child’s first birthday, yet only 40% of women have access to breastfeeding-friendly workplaces. 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. The presentation will also feature opportunities to advocate for expanded policies to support breastfeeding employees. In addition, the Breastfeeding Public Health Partners (BPHP) will shed light on current federal and state workplace breastfeeding legislation, past successes and the important role everyone can play in advocacy, describe outcomes of a national project supporting Title V programs to advance workplace breastfeeding accommodation, and the critical role of Breastfeeding-Friendly Child Care centers and providers. You will also hear examples of innovative workplace support initiatives across the country, including partnering with the State Department of Labor, and with local providers to support breastfeeding at work!

Learning Objectives:

  • Discuss how breastfeeding workplace support contributes to population health improvements
  • Identify current workplace breastfeeding legislation and advocacy opportunities to increase support for breastfeeding employees
  • Describe two ways Title V programs can advance workplace breastfeeding accommodation in their states

Organizational Presenters: United States Breastfeeding Committee, with New Mexico Taskforce and Center for WorkLife Law MomsRising Association of Maternal Child Health Programs (AMCHP)

Webinar #2: Charting the Course Together: Maternity Care Practices at the Nexus of Hospitals, Providers, States and Communities Watch the recording Complete the evaluation and post-test Instructions for CEs

Description: The second webinar in the 4-part series will focus on public health breastfeeding support within the maternity care settings. Beyond hospitals, many different entities, including healthcare providers, state and local health departments, breastfeeding coalitions and community-based organizations, can play a role in ensuring that birthing facilities incorporate and maintain evidence-based practices to increase in-hospital initiation and community duration rates through sustained collective efforts.

During this session, participants will hear how public health organizations contribute to advancing breastfeeding initiation rates by working together with hospitals. Carolina Global Breastfeeding Institute (CGBI) will kick of presenting major outcomes of the EMPower Breastfeeding initiative that provided technical assistance to 93 hospitals on their journey to becoming Baby-Friendly. Attendees will hear about ASTHO’s learning communities of state level agencies supporting the work of hospitals within their state. They will also learn how AAP is engaging physicians to promote implementation of evidence-based breastfeeding practices in maternity care facilities.

Learning Objectives:

  • Describe the impact of national efforts to improve implementation of evidence-based maternity care practices in the hospital setting and beyond.
  • Understand and describe ways states in ASTHO’s Breastfeeding Learning Community promote and support breastfeeding at maternity care centers.
  • Describe efforts to engage physicians and relevant stakeholders to promote progress in breastfeeding education and support the safe implementation of evidence-based breastfeeding practices in maternity care facilities.

Organizational Presenters: American Academy of Pediatrics Carolina Global Breastfeeding Institute Association of States and Territories Health Officials

Webinar #1: Charting the Course Together: Breastfeeding and Public Health Equity View webinar recording. Evaluation and post-test (CERPs & CPEs). Continuing Education Instructions.


  • Welcome, Logistics, Agenda
  • Breastfeeding and Public Health Equity
  • Building Collaborations to Advance Equity in the First Food Field
  • Overview of ASPHN and State Work in the Breastfeeding Work Stream of the Children’s Healthy Weight CoIIN
  • WIC Leadership in Improving the Breastfeeding Landscape for Low-Income Moms
  • Closing
  • Question and Answers

Origination / Expiration: Webinar series 1/22/2018-1/22/2020 Web-on-Demand– valid 30 days after webcast for up to two years

Description: In this first webinar of the Public Health Breastfeeding Partner Series, the Centers for Disease Control Division of Nutrition Physical Activity and Obesity (CDC-DNPAO) and the Breastfeeding Public Health Partners, a group of national organizations that collaborate to support national public health priorities to improve the health and overall well-being of women, infants, children and families through individual and collective efforts, 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.

Learning Objectives:

  • Describe how breastfeeding is a powerful, cost-effective public health intervention
  • Identify two ways that breastfeeding can improve health inequities
  • Discuss a state or local initiative that supports breastfeeding as a preventive strategy for childhood obesity and chronic diseases


Banerjee, Kinkini M.S., Coalition Relations Director, United States Breastfeeding Committee
Eppes, Elisabet MPH, Senior Associate, Federal Government Affairs, National WIC Association
Fuller-Sankofa, Nikia MPH, MPA, Director, National Association of County and City Health Officials (NACCHO)
Perkins, Sandra MS, RD/LD, Public Health Nutrition Consultant, Association of State Public Health Nutritionists
France, Amber MS, MPH, IBCLC, Nutrition & Lactation Program Supervisor, Wood County Health Department
MacGowan, Carol A. MPH, RDN, LD, Public Health Advisor/Deputy Branch Chief (Acting), Centers for Disease Control and Prevention


CME activities with Joint Providers: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Centers for Disease Control and Prevention and NACCHO. The Centers for Disease Control and Prevention is accredited by the (ACCME®) to provide medical education for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Centers for Disease Control and Prevention designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™.

CNE: The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity provides 1.5 contact hours.

CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.2 CEU’s for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 1.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 0. CDC provider number 98614.

For Certified Public Health Professionals (CPH) The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 2 CPH recertification credits for this program.

CDC is an approved provider of CPH Recertification Credits by the National Board of Public Health Examiners. Effective October 1, 2013, the National Board of Public Health Examiners (NBPHE) accepts continuing education units (CEU) for CPH recertification credits from CDC. Please select CEU as your choice for continuing education when registering for a course on TCEOnline. Learners seeking CPH should use the guidelines provided by the NBPHE for calculating recertification credits. For assistance please contact NBPHE at

DISCLOSURE: In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use.

CDC, our planners, presenters, and their spouses/partners wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Planners have reviewed content to ensure there is no bias.

Content will not include any discussion of the unlabeled use of a product or a product under investigational use.

The Centers for Disease Control and Prevention and NACCHO are jointly providing the CNE for this activity.

CDC did not accept any commercial support for this activity.

To receive continuing education (CE):

Complete the Evaluation at Pass the posttest at 75% at (if applicable)

FEES: There are no fees for CE.


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
Webinar 1: Implementations that Work - Part 1 This webinar discussed public health breastfeeding. Introduction:
| CDC Goals:
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:
| Project Outcomes: | Project Lessons Learned:
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.
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.
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
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.
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


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
Innovations to Advance Rural Health Common rural barriers to breastfeeding and innovative solutions to advance rural health through breastfeeding support expansion
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.

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.

We are currently planning activities for this year. Stay tuned by joining our emailing list. Fill out your information below to subscribe.

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