Breastfeeding in Kansas - Kansas Public Health Association

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

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., 2001-2010 Desired Direction = Above Line

HP2020 60.6%

na na HP2020 = Healthy People 2020 na = not available Source: National Immunization Survey (birth year; 2007 and 2008 data are provisional.); Pediatric Nutrition Surveillance System (PedNSS)

na na

Indicators of Breastfeeding Support (CDC 2012 Breastfeeding Report Card)

6

Breastfeeding Initiation Rates 2008-2010 Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Jewell

Smith

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Brown

Jackson

Mitchell

Osborne

Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward

Chautauqua

Meade

Barber Comanche

< 70%

Labette

Cherokee

Sumner Harper

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

14

Action 1: Counties providing maternal support through KPHA grants Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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.

16

Action 3: La Leche League Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

17

Action 3: WIC Peer Counselors Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Marshall

Washington

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell

Trego

Logan

Gea r yWabaunsee

Lincoln Ellsworth

Dickinson

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

18

Action 3: Breastfeeding Support Groups at County Health Departments (KPHA grants) Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

19

Action 3: Mother-to-Mother Support Composite Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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” windowclings for businesses from the KBC

21

Action 4: Community-based organizations to support breastfeeding – KPHA grants Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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

25

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

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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.

27

Action 7. Maternity care improvement through KPHA grants (discharge bags & hospital policies) Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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.

29

Action 8: Continuity of Care from KPHA funding Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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.

31

Action 9: Education for HCP’s from KPHA funding Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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

33

Action 11: IBCLC’s in Kansas Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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.

35

Action 14: Business Case for Breastfeeding trainings Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson Osage

Wabaunsee

Douglas

Morris

Saline Greeley

Wichita

Scott

Lane

Ness

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

36

Action 14: Employer Assistance/Outreach from KPHA funding Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

37

Action 14: Composite of Employer Support for Breastfeeding Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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 KSTRAIN

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)

41

Action 19: Collecting breastfeeding rates Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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!!

43

Action 20: Local Breastfeeding Coalitions

Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

44

Composite of all Actions Rawlins

Cheyenne

Sherman

Thomas

Decatur

Norton

Sheridan

Graham

Phillips

Smith

Jewell

Republic

Washington

Marshall

Nemaha

Doniphan

Pottawatomie

Cloud

Riley Rooks

Osborne

Brown

Jackson

Mitchell Clay

Ottawa

Atchison Leavenworth Jefferson Wyandotte

Shawnee Gove Wallace

Ellis

Russell Lincoln

Trego

Logan

Geary

Ellsworth

Dickinson

Wabaunsee

Morris

Greeley

Wichita

Scott

Lane

Ness

Douglas Osage

Saline

Miami

Rush Barton

Lyon

Marion

Franklin

Rice

Hamilton

Kearny

Finney

Hodgeman

Coffey

McPherson

Pawnee

Anderson Butler

Ford Edwards Stanton

Grant

Woodson

Bourbon Allen

Pratt

Haskell

Wilson

Neosho

Sedgwick Kingman

Kiowa

Cowley

Clark Stevens

Greenwood

Reno

Gray

Morton

Linn

Chase

Harvey Stafford

Johnson

Crawford

Elk Montgomery

Seward Meade

Barber Comanche

Sumner Harper

Chautauqua

Labette

Cherokee

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