a child
play

A Child 4 TH Annual California Breastfeeding Summit Monique - PowerPoint PPT Presentation

It Takes A Village To Nurse A Child 4 TH Annual California Breastfeeding Summit Monique Sims-Harper, DrPH, MPH, RD, IBCLC January 30, 2014 Background The birth outcomes of African American women are much poorer than for any other


  1. “It Takes A Village To Nurse A Child” 4 TH Annual California Breastfeeding Summit Monique Sims-Harper, DrPH, MPH, RD, IBCLC January 30, 2014

  2. Background • The birth outcomes of African American women are much poorer than for any other race. • Formula fed infants are 1.5 times more likely to die than if breastfed. • African American infants are twice as likely to die before their first birthday as other infants. • African American mothers are 3 – 4 times as likely to die from labor and delivery complications as other mothers.

  3. Breastfeeding is… Natural

  4. Working with Families of Different Cultures  Session Objectives  Assess Topic Relevance  Define Culture  Define Cultural Representation in CCC WIC  Employees, Clients  List a personal cultural belief that can interfere with BF promotion  List 3 methods that assist in educating clients based on their needs 5

  5. Breast Milk “If a medicine were developed that could prevent the deaths of a million or more children per year and greatly reduce childhood illness and disease…What if this medicine had no side effects…and if this miracle substance was also free of charge?” - Barbara Quick

  6. Surgeon General’s Call to Action on Breastfeeding • Excess Health Risks Associated with Not Breastfeeding – Acute Ear Infections – 100 – Diarrhea and vomiting -178 – Hospitalization for lower respiratory tract infection – 257 • Public Health must demonstrate leadership through: – Accelerate the implementation of the Baby-Friendly Hospital Initiative – Establish partnerships for integrated and continuous follow-up care after discharge from the hospital http://pediatrics.aappublications.org/content/early/2010/04/05/peds.2009-1616

  7. Healthy People 2020 Objectives MICH-21.1 Were ever breastfed (any breastfeeding) 81.9% MICH-21.2 Were breastfed at 6 months 60.5% MICH 21.3 Were breastfed at 1 year 34.1% MICH 21.4 Were breastfed exclusively through 3 months 44.3% MICH 21.5 Were breastfed exclusively through 6 months 23.7% MICH-22 Increase the proportion of employers that have worksite lactation support programs 38% MICH-23 Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life 10% MICH-24 Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies 8.1% www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=26

  8. Closing the Gaps • Hospital Exclusive and any Breastfeeding Rates • Between Hospital Newborn Screening results and discharge data • Discharge BF rates and PP BF rates • African-American and White BF rates

  9. Continuum of Care

  10. COPP Grant • California Obesity Prevention Program (COPP) – 15 Clinic Awardees Statewide – Develop and pilot criteria for a Breastfeeding Friendly HealthCare Provider certification. – Implement systems to provide and bill for breastfeeding support services and pumps

  11. Clinic Improvements • Staffing • Scheduling • Referrals • Staff Education • Billing & Reimbursement • EMR

  12. Workplace Lactation Accommodation • State Law 2002(Frommer) Time & Place • Federal Law 2010 ACA • Pregnancy Disability Regulations • State Law 2012 (Allen) Discrimination

  13. Churches as Partners • Allen Temple Baptist Church, Oakland, CA

  14. Allen Temple Baptist Church • Campus – Sanctuary, AIDS housing, Credit Union, Senior housing, Gym, Library, Offices/Training Rooms, Family Life Center • Services/Resources – Food Distribution, Counseling, Head Start, Youth & Family Services, Media/Arts/Worship training, Scouts, Prison ministry, Social Services, Health services

  15. Best Practice Model: Glide Memorial • Comprehensive, integrated service model • High visibility in community • Paid staff for all programs • Large volunteer force • Clear structure • Local and global activities • Working partnerships with CBOs

  16. Common Faith – Health Activities • Health screenings/referrals and trainings • Health fairs • Nutrition and exercise classes • Health messages in church media and pastoral sermons • Surveys • Distribution and development of health materials (print, video, cookbooks)

  17. Elements that Promote Success • Partnerships/collaborations • Positive health values shared • Membership > 400 members • Church Resource Availability • Ministers with graduate education • Church ownership • Commitment of church leaders • Organizational Structure/Accounting & Documentation

  18. Why Engage Faith-Based Organizations? • Churches have a history of community involvement • Representation of millions of Americans – 60% of US citizens worship is important – 42% report church attendance nearly every week • Faith based organizations influence social norms and attitudes and encourage lifestyle and behaviors consistent with recommended Public Health practices. • Faith institutions are stable, strategically placed and accessible and culturally appropriate to their members. • Churches have valuable resources – health professionals in the congregation and have access to facilities.

  19. Why Engage Faith-Based Organizations? • Faith communities are service oriented and a rich reservoir of volunteers • Church space and facilities • Vast administrative, media and communications infrastructure • Traditionally serve the underserved and marginalized – address health disparities • Have established programs targeting women, men, youth and incarcerated populations.

  20. Formative Research • Literature Review • Consultation with pre-existing community collaborations – Breastfeeding Coalition – Black Infant Health Program and Coalition – Solano County Health Disparities Coalition • Focus Groups – 16 focus groups • Clergy, women, men and teens • Results informed the intervention

  21. A More Excellent Way Health Community Breastfeeding Program Monique Sims, DrPH, MPH, RD, IBCLC Chief Executive Officer, A More Excellent Way Health

  22. What is “A More Excellent Way*” • An organization that aims to promote wellness and reduce health disparities . • MEW engages health organizations, the community, and particularly churches, to provide health education, information and resources. *“A More Excellent Way” refers to I Corinthians 12:31 But covet earnestly the best gifts: and yet show I to you a more excellent way.

  23. Collaborative Partners • Collaborators – African American Churches – WIC – Black Infant Health Program and Coalition – Breastfeeding Coalitions – AA Breastfeeding Cultural Outreach Task Force – Kaiser Permanente Women’s Health Department – La Clinica De La Raza • Key Funders: – Kaiser Permanente – Los Medanos Community Health Care District – First 5 Solano Children and Families Commission

  24. Activities • Church Leadership training on health disparities in maternal child health, the importance of breastfeeding, and the MEW Intervention • Church breastfeeding-friendly assessment and improvement • Peer Counselor Training (Six 4-hour Saturday sessions) • Community Baby Shower • Monthly Peer Counselor continued training • Mother-to-Mother monthly Support Group

  25. Breastfeeding is… Part of My Heritage

  26. Community Baby Showers • Recruitment Strategy • Community Education • Health Workshops for Pregnant mother, father of baby, grandmother and siblings • Health Fair Referrals and Linkages • Breastfeeding Education to all Participants

  27. Pilot Project: 2005-2006 • Randomized interventions and wait-listed control group at one church • Pre- and Post- intervention surveys • Outcome measure: breastfeeding intention • Result: – Increase in breastfeeding intention and confidence in the Intervention Group

  28. 2006: Revival Center Ministry, Vallejo

  29. 2007: True Love Baptist Church, Fairfield

  30. 2008: Tabernacle of David, Vallejo

  31. 2009: St. Stephens CME Church, Fairfield

  32. 2012 Friendship Missionary Baptist Church

  33. 2013 MEW Expansion to Contra Costa County Solomon Temple Church, Pittsburg Good Samaritan Church, Vallejo

  34. Outcomes/Successes • 9 churches have participated • 201 participants attended SOME of the Peer Counselor Training • 93 Completed the Peer Counselor Training • 581 Contacts by Peer Counselors • 9 Community Baby Showers serving over 900 pregnant African American women and expectant fathers

  35. Questions / Discussion

Recommend


More recommend