Post on 27-Mar-2015
BREASTFEEDING IN KANSAS: WHO’S DOING WHAT WHERE?Brenda Bandy, IBCLCProgram Director, Business Case for BreastfeedingKansas Breastfeeding Coalition, Inc.
Martha Hagen, MS,RD,LD,IBCLCBreastfeeding CoordinatorNutrition and WIC Services
The NORMAL way to feed a baby!
Where Do We Stand?
Percent of Mothers Who Breastfeed Their Infants at 6 months
Kansas and U.S., 2001-2010Desired Direction = Above Line
HP2020 = Healthy People 2020na = not available Source: National Immunization Survey (birth year; 2007 and 2008 data are provisional.); Pediatric Nutrition Surveillance System (PedNSS)
HP2020 60.6%
nanana
na
Indicators of Breastfeeding Support(CDC 2012 Breastfeeding Report Card)
Breastfeeding Initiation Rates 2008-2010
6
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
< 70% 70%-81.8% > 81.9% (HP 2020 goal)
Breastfeeding Data Sources
•National Immunization Survey
•Kansas Birth Certificate Data
•Kansas WIC Data
•Pediatric Nutrition Surveillance System Data
Surgeon General’s Call to Action to Support Breastfeeding
Available at www.surgeongeneral.gov
Call to Action to Support Breastfeeding“Everyone can help make breastfeeding easier.”
WHO’S DOING WHAT IN KANSAS…AND WHERE
A look at breastfeeding initiatives and programs across the state of Kansas as they relate to the Surgeon General’s Call to Action to Support Breastfeeding
The “Who” (not the rock band)Kansas Breastfeeding Coalition
Business Case for Breastfeeding (workplace lactation support) Coming in August – window clings for businesses High 5 for Mom and Baby (hospital maternity care improvement)
Women, Infant & Children (KDHE) Peer counselors (mother-to-mother support) Maternal & family education Community awareness campaigns
La Leche League of Kansas Mother-to-mother support Continuing education to health care professionals
Kansas Public Health Association/County Health Depts. County-level grants for a variety of breastfeeding interventions
The “Where”
A look at the locations of breastfeeding support activities by county in relation to the Surgeon General’s Call to Action to Support Breastfeeding
Clearer understanding of breastfeeding in Kansas
Action 1:Give mothers the support they need to breastfeed their babies.
• 88% of hospitals in Kansas included breastfeeding in their prenatal patient education (“Maternity Practices in Infant Nutrition and Care Survey” (mPINC), Centers for Disease Control and Prevention, 2011)
• Kansas Public Health Association (KPHA) grant funding made possible:• Breast pump/aids in 12 counties• Breastfeeding prenatal classes in 6 counties• Spanish breastfeeding materials in two counties• High School education in Johnson County
Action 1: Counties providing maternal support through KPHA grants
14
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 3: Strengthen programs that provide mother-to-mother support and peer counseling.
• La Leche League of Kansas has 56 volunteers providing mother-to-mother support in 20 counties.
1.92 LLL Leaders/1000 live births (LBs) compared to 0.95/1000 LBs nationally
• 39 WIC Peer Counselors in 47 counties.
• 13 breastfeeding support groups established with KPHA grants run by county health departments.
Action 3: La Leche League
16
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 3: WIC Peer Counselors
17
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 3: Breastfeeding Support Groups at County Health Departments (KPHA grants)
18
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 3: Mother-to-Mother Support Composite
19
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 4: Use community-based organizations to promote and support breastfeeding.
• KPHA grants funded:• 24/7 warm helpline in two counties• Breastfeeding events in three counties
• Healthy Start home visitors continue to serve breastfeeding mothers
• Parents As Teachers educators receive specific training on breastfeeding
• Formation of African-American peer support project in KC• Coming soon…“Breastfeeding Welcome Here” window-
clings for businesses from the KBC
Action 4: Community-based organizations to support breastfeeding – KPHA grants
21
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 5: Create a national [local] campaign to promote breastfeeding
KPHA grants funded media campaigns in five counties.
Barton County Marketing Project
Included:•Billboards•Newspaper ads•Radio spots
Action 5: Create a national [local] campaign to promote breastfeeding
25
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 7. Ensure that maternity care practices around the United States are fully supportive of breastfeeding. 26% of birthing facilities in KS reported not giving out discharge packs containing infant formula samples and marketing products to breastfeeding patients. (2009 mPINC survey, CDC)
NO “Baby Friendly” designated hospitals in Kansas.
Wesley in Wichita selected for “Best Fed Beginnings” project.
KPHA grants funded:• Breastfeeding discharge bags in 5 counties.• Hospital policy improvement in 2 counties.
Action 7. Maternity care improvement through KPHA grants (discharge bags & hospital policies)
27
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 8: Develop systems to guarantee continuity of skilled support for lactation between hospitals and health care settings in the community.
KPHA grants funded:•Resource directories & referral systems in 8 counties.•Post-discharge follow-up visits to mothers in 7 counties.•Walk-in breastfeeding clinics in 5 counties.
Action 8: Continuity of Care from KPHA funding
29
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 9. Provide education and training in breastfeeding for all health professionals who care for women and children.
KPHA grants funded:•56 people from 12 counties to attend 3 day “Certified Breastfeeding Educator” (CBE) trainings•Education for health care professionals (HCPs) in 16 counties
250 HCPs from across Kansas attended La Leche League of KS Continuing Education Program in March 2012, funded in part by the Kansas Health Foundation.
Save the Date – March 8, 2013 for next LLL of KS CE Program featuring Dr. Tina Smillie.
Action 9: Education for HCP’s from KPHA funding
31
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 11. Ensure access to services provided by International Board Certified Lactation Consultants (IBCLCs).
• Currently 135 IBCLC’s in KS 3.4 IBCLC’s in KS/1000 live births compared to 3.24/1000 LBs nationally
• 9 new IBCLC’s from KPHA grant funding
Action 11: IBCLC’s in Kansas
33
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 14. Ensure that employers establish and maintain comprehensive, high-quality lactation support programs for their employees.
• The Kansas Business Case for Breastfeeding has trained over 160 people to help businesses create a workplace lactation support program in 13 counties.
• Employer assistance in 9 counties provided with funding from KPHA grants.
Action 14: Business Case for Breastfeeding trainings
35
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 14: Employer Assistance/Outreach from KPHA funding
36
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 14: Composite of Employer Support for Breastfeeding
37
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 15: Expand the use of programs in the workplace that allow lactating mothers to have direct access to their babies.
14 State agencies in Kansas allow approximately 6850 employees to bring their babies to work. Over 270 babies have been brought to work to date.
Source -Babies in the Workplace website – www.babiesatwork.org
Action 16: Ensure that all child care providers accommodate the needs of breastfeeding mothers and infants.
In Johnson County -Training for childcare providers covering the latest breastfeeding guidelines from “Caring for Our Children: National Health and Safety Performance Standards” 3rd edition, 2011
Working with Child Care Aware to provide training.
Now available through KS-
TRAIN
Action 19: Develop a national [local] monitoring system to improve the tracking of breastfeeding rates as well as the policies and environmental factors that affect breastfeeding. Monitoring breastfeeding rates in 4 counties from KPHA grant funding.
Currently breastfeeding rates come from:Kansas birth certificate data (2 years behind)Kansas WIC population (by county, timely)National Immunization Survey (3 years behind)
Action 19: Collecting breastfeeding rates
41
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Action 20: Improve national leadership on the promotion and support of breastfeeding.Specifically, “to increase the capacity of…affiliated state coalitions to support breastfeeding.” •9 county/regional breastfeeding coalitions in Kansas (4 from funding from KPHA grants)
•Listing of local coalitions - www.ksbreastfeeding.org/contactus/localcoalitions.aspx.
•“Starting a Community Conversation” Summit on Coalition Building Nov. 9th, at Wesley Medical Center, Wichita – FREE!!
Action 20: Local Breastfeeding Coalitions
43
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Lyon
Logan
Linn
Lincoln
Leavenworth
Lane
Labette
Wyandotte
Kiowa
Woodson
Kingman
Wilson
Kearny
Wichita
Johnson
WashingtonJewell
Wallace
Jefferson
Wabaunsee
Jackson
Trego
Hodgeman
Thomas
Haskell
Sumner
Harvey
Stevens
Stanton
Hamilton
Stafford
Greenwood
Smith
Greeley
Sherman
Gray
Sheridan
Grant
Shawnee
Graham
Seward
Gove
Sedgwick
Geary
Scott
Franklin
Saline
Ford
Russell
Finney
Rush
Ellsworth
Rooks
Ellis
Riley
Elk
Rice
Edwards
Republic
Douglas
Reno
DoniphanRawlins
Dickinson
Pratt
Decatur
Pottawatomie
Crawford
Phillips
Cowley
Pawnee
Comanche
Ottawa
Coffey
Osborne
Cloud
Osage
Clay
Norton
Clark
Ness
Cheyenne
Neosho
Cherokee
Nemaha
Chautauqua
Morton
Chase
Morris
Butler
Montgomery
Brown
Mitchell
Bourbon
Miami
Barton
Meade Barber
McPherson
Atchison
Marshall
Anderson
Marion
Allen
Harper
Composite of all Actions
44
A BIG thank you to the United Methodist Health Ministry Fund!
For contributing so generously to:•Kansas Public Health Association breastfeeding grants•Kansas Business Case for Breastfeeding•High 5 for Mom & Baby program
Resources• Kansas Breastfeeding Coalition, Inc.
• www.ksbreastfeeding.org
• Business Case for Breastfeeding• www.kansasbusinesscase.com
• High 5 for Mom & Baby• www.kansashigh5.org
• La Leche League of Kansas• www.kansasLLL.org