Breastfeeding Surveillance Staff Training and Resources Breastfeeding Surveillance

Breastfeeding Surveillance Staff Training and Resources

Breastfeeding Surveillance *Completed each time FB’s are issued for infants who are receiving breastmilk at least once a day or more. *Everything except, vitamins, minerals, or medications need to be documented as “something other than breast milk. ”

Surveillance Data • Surveillance data is used to estimate breastfeeding rates and differentiate between “exclusively nursing” and “breastfeeding”. • This data is used to track the effectiveness of our services at reaching Healthy People 2020 goals.

Arizona Breastfeeding Rates Birth Year 2009 2010 2011 2012 2013 2014 2015 Ever Breastfed 76. 5% 78. 8% 78. 4% 76. 8% 83. 2% 81. 6% 82. 7% Breastfed at 6 months 45. 3% 49. 6% 52. 0% 43. 4% 49. 7% 47. 8% 55. 3% Breastfed at 12 months 22. 3% 25. 3% 22. 3% 27. 5% 25. 4% 23. 9% 35. 5% Exclusive breastfed until 3 mo 29. 7% 34. 5% 36. 1% 35. 3% 39. 4% 37. 5% 51. 8% Sources: Breastfeeding Report Card, United States 2012, 2013, 2014, 2015, 2016, 2017, 2018 Outcome Indicators Centers for Disease Control and Prevention

US and Arizona Side By Side Birth Year 2015 -AZ 2015 -US Ever Breastfed at 6 months Breastfed at 12 months Exclusively breastfed at 3 months 82. 7% 55. 3% 35. 5% 51. 8% 83. 2% 57. 6% 35. 9% 46. 9% Exclusively breastfed at 6 months 26. 3% 24. 9% Source: Breastfeeding Report Card, United States 2018: Outcome Indicators Centers for Disease Control and Prevention Department of Health and Human Services

Currently 2016 Breastfeeding Score Card Results 81. 1 85 51. 8 54. 8 44. 4 30. 7 Ever Breastfed BF at 6 months 30 22. 3 BF at 12 months USA 46. 3 EN at 3 months AZ 23. 8 EN at 6 months

Breastfeeding Surveillance If baby has ONLY received breastmilk, mark “not applicable, nothing given” If baby has been given ANY supplementation other than breast milk (formula, infant foods, sugar water, tube feeding or IV nutrition) identify what day/week/month of life it was first offered.

“Something other than breastmilk” includes: § § § Formula Sugar water Cereal Puree or Solid Foods Cow or Milk Alternative Tube feeding or IV nutrition “Something other than breastmilk” does not include: • Vitamins • Minerals • Medications

Special Scenarios • If data was not correctly gathered during a previous appointment the surveillance date can be changed to the correct data during follow-up appointments. • This screen will capture only the most current ‘Save’. If staff/client are unsure when the first date an infant was fed something other than breastmilk, staff should STOP and ‘Reset’ the screen. Confirm the previous data with Authorized Rep and then proceed with completing the screen appropriately and ‘Save’. •

See the FAQ for additional clarification