BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case...

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BREASTFEEDING IN KANSAS: WHO’S DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc. Martha Hagen, MS,RD,LD,IBCLC Breastfeeding Coordinator Nutrition and WIC Services

Transcript of BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case...

Page 1: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 2: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

The NORMAL way to feed a baby!

Page 3: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Where Do We Stand?

Page 4: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 5: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Indicators of Breastfeeding Support(CDC 2012 Breastfeeding Report Card)

Page 6: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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)

Page 7: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Breastfeeding Data Sources

•National Immunization Survey

•Kansas Birth Certificate Data

•Kansas WIC Data

•Pediatric Nutrition Surveillance System Data

Page 8: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Surgeon General’s Call to Action to Support Breastfeeding

Available at www.surgeongeneral.gov

Page 9: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Call to Action to Support Breastfeeding“Everyone can help make breastfeeding easier.”

Page 10: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 11: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 12: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 13: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 14: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 15: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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.

Page 16: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 17: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 18: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 19: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 20: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 21: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 22: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Action 5: Create a national [local] campaign to promote breastfeeding

KPHA grants funded media campaigns in five counties.

Page 23: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

Barton County Marketing Project

Included:•Billboards•Newspaper ads•Radio spots

Page 24: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.
Page 25: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 26: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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.

Page 27: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 28: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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.

Page 29: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 30: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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.

Page 31: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 32: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 33: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 34: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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.

Page 35: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 36: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 37: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 38: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 39: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 40: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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)

Page 41: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 42: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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!!

Page 43: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 44: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 45: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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

Page 46: BREASTFEEDING IN KANSAS: WHOS DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc.

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