North Carolina Maternity Center Breastfeeding-Friendly

Designation:

A Model for Success

Key Strategy:Create a breastfeeding-friendly health care system

Promoting, Protecting and Supporting Breastfeeding in NC

Vision: North Carolina mothers will be enabled to begin their children’s lives by breastfeeding- the best possible foundation for infant and young child feeding.

Presenter Disclosures

(1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months:

Catherine S. Sullivan

No relationships to disclose

Background: N.C. Child Fatality Task Force Infrastructure

N.C. MCBFD Background

N.C. CFTF

NC Division of Public Health

(Lead Agency)

Formed WorkgroupFormed Review CommitteeDesigned MaterialsDay to day operationsTechnical assistance and referral

Review Committee:CFTF/Perinatal Health (2)NC Breastfeeding Coalition (2)DPH-Women’s Health (2)DPH-Nutrition Services (2)

Endorsements:

NC CFTFNC Hospital AssociationNC Pediatric Society

How does a facility receive the designation?

Must complete the NC NCBFD Application available at www.nutritionnc.comApplication requires the facility to review each of the Ten Steps, must provide documentation of implementation Applications are reviewed on a quarterly basisFor each two steps implemented the facility will be designated one star (max 5 stars)

How often can the facility apply?

Applications are accepted on a quarterly basis (Oct, Jan, April, July)A facility may apply more than one time in the three year designation period

e.g. a facility receives two stars and is able to implement additional steps and want to reapply for four stars

What happens after the designation is made?The maternity center receives the following:

A letter with the designation level awarded by the State Health DirectorA certificate of designationA CD with logos for the center level of designation (with instructions for use of the logos)A sample press releasePublic recognition on the nutritionnc.com website

N.C. MCBFD Progress

24 current designeesTechnical assistance provided to ~10 additional maternity centers146 webinar participants since August 2010Adopted by WashingtonAdapted by GeorgiaModel adapted for Breastfeeding-Friendly Child Care Designation (coming in 2012)

NC Kids Eat Smart Move MoreSpecial Nutrition Programs

DurhamAlamanceAlexander

Alleghany

Anson

Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

Buncombe

Burke

Cabarrus

Caldwell

Carteret

Caswell

CatawbaChatham

CherokeeClay

Cleveland

Columbus

Craven

Cumberland

DareDavidson

Davie

Duplin

Edgecombe

ForsythFranklin

Gaston

Gates

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir

Lincoln

McDowell

Macon

MadisonMartin

Mecklenburg

Mitchell

MontgomeryMoore

Nash

NewHanover

Northampton

Onslow

Orange

Pamlico

Pender

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rowan

Rutherford

Sampson

Scotland

Stanly

StokesSurry

Swain

Transylvania

Tyrrell

Union

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilkes

Wilson

Yadkin

Yancey

Pasquotank

Perquimans

North Carolina Maternity Center Breastfeeding-Friendly Designation Awardees BFHI & NICHQ Projects

Chowan

Camden

Currituck

NICHQ Best Fed Beginning ProjectNew Hanover Regional Medical CenterRowan Regional Medical CenterWomen’s Hospital of GreensboroCarolinas Medical Center-MainPresbyterian Hospital-Charlotte

Counties highlighted in heavy black border have at least on maternity center that has achieved fully Baby Friendly Designation from Baby Friendly USA

N.C. mPINC Scores 2007-2011

The Local Agency RoleWIC/Public Health

Collaborating on Steps 3,5,6,8,10Prenatal education: self advocacy, feeding on demand, anticipatory guidanceNo freebies/marketing

Training CentersWIC Regional BF Coordinator available for trainingCarolina Global Breastfeeding InstituteArea Health Education Centers (AHEC)

The Local Agency RoleWIC/Public Health

WIC Hospital Outreach HandoutState developed crib cardPeer Counselors

Service Delivery Model

“Alone we can do so little; together we can do so much.” -Helen Keller

For more information:

Catherine Sullivan, MPH, RD, LDN, IBCLCState Breastfeeding Coordinatorcatherine.sullivan@dhhs.nc.gov

252-321-7184