Purpose Breastfeeding has been linked to a host of positive health effects for women and children. However, disparities in breastfeeding initiation and duration prevent many low-income and African-American women from realizing these benefits. Existing breastfeeding promotion efforts often do not reach women who need support the most. In response, the Westside Healthy Start program (WHS), located in Chicago, Illinois, developed an ongoing multilevel approach to breastfeeding promotion. Description Key elements of our WHS breastfeeding model include individual education and counseling from pregnancy to 6 months postpartum and partnership with a local safety-net hospital to implement the Baby-Friendly Hospital Initiative and provide lactation support to delivering patients. Assessment In the year our model was implemented, 44.6% (49/110) of prenatal WHS participants reported that they planned to breastfeed, and 67.0% (183/273) of delivered participants initiated. Among participants reaching 6 months postpartum, 10.5% (9/86) were breastfeeding. WHS also had 2667 encounters with women delivering at our partner hospital during breastfeeding rounds, with 65.1% of contacts initiating. Community data was not available to assess the efficacy of our model at the local level. However, WHS participants fared better than all delivering patients at our partner hospital, where 65.0% initiated in 2015. Conclusion Healthy Start programs are a promising vehicle to improve breastfeeding initiation at the individual and community level. Additional evaluation is necessary to understand barriers to duration and services needed for this population.
Bryant, C., & Roy, M. (1997). Best start’s three-step counseling strategy. Tampa, FL: Best Start Inc.
Centers for Disease Control and Prevention. (2013). Strategies to prevent obesity and other chronic diseases: The CDC guide to strategies to support breastfeeding mothers and babies. Retrieved from http://www.cdc.gov/breastfeeding/pdf/BF-Guide-508.pdf.
Centers for Disease Control and Prevention. (2015). Graph showing breastfeeding among U.S. Children Born 2002–2012. National Immunization Surveys. Retrieved from http://www.cdc.gov/breastfeeding/data/nis_data/index.htm.
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. doi: 10.1016/j.jbi.2008.08.010. CrossRefPubMed
Health Resources and Services Administration. (n.d.-a). Healthy Start grant program. Retrieved from http://mchb.hrsa.gov/programs/healthystart/grants/index.html.
Health Resources and Services Administration. (n.d.-b). Maternal and child health discretionary grant information system. Retrieved from https://mchdata.hrsa.gov/dgisreports/ProgramData/ProgramReports.aspx?Report=PerinatalA.
HealthConnect, & One, Illinois Department of Human Services, & University of Illinois at Chicago. (2011). Illinois breastfeeding blueprint: A plan for change. Chicago, IL: Author.
Illinois Department of Public Health. (2012). [Table showing reported reasons for stopping breastfeeding]. Illinois PRAMS 2012. Retrieved from http://www.dph.illinois.gov/data-statistics/prams/datatables-2012. .
Illinois Department of Public Health. (2014). Community area infant birth and death data for North Lawndale, East Garfield, West Garfield, Austin: 2007–2009 [Data file]. Special data request.
Illinois Department of Public Health. (n.d.). Illinois hospital report card and consumer guide to health care: Mount Sinai Hospital 2015. Retrieved from http://www.healthcarereportcard.illinois.gov/hospitals/view/101162.
Kania, J., & Kramer, M. (2011). Collective impact. Stanford Social Innovation Review, 9(1), 36–41. Retrieved from http://ssir.org/articles/entry/collective_impact.
May, L., Borger, C., McNutt, S., Harrison, G., Weinfield, N., MacAllum, C., & Montaquila, J. (2015). WIC infant and toddler feeding practices study 2: Intention to breastfeed. Alexandria, VA: United States Department of Agriculture.
Ringel-Kulka, T., Jensen, E., Mclaurin, S., Woods, E., Kotch, J. B., Labbok, M., … Baker, S. (2011). Community based participatory research of breastfeeding disparities in African-American Women. ICAN: Infant, Child, & Adolescent Nutrition, 3(4), pp. 233–239. doi: 10.1177/1941406411413918.
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). (2014). Revisions in the WIC Food Package, 7 C.F.R. § 246. http://blog.apastyle.org/apastyle/2013/07/the-rules-for-federal-regulations-i-code-of-federal-regulations.html.
U.S. Department of Health and Human Services. (2011). The Surgeon General’ s call to action to support breastfeeding. Retrieved from http://www.surgeongeneral.gov/library/calls/breastfeeding/calltoactiontosupportbreastfeeding.pdf.
World Health Organization & UNICEF. (2009). Baby- friendly hospital initiative: Revised, updated and expanded for integrated care. Retrieved from http://www.who.int/nutrition/publications/infantfeeding/bfhi_trainingcourse/en/.
- A Multilevel Approach to Breastfeeding Promotion: Using Healthy Start to Deliver Individual Support and Drive Collective Impact
- Springer US