Standardizing Breastfeeding in Georgia Mapping the Roads of

Standardizing Breastfeeding in Georgia: Mapping the Roads of Initiation, Duration, and Sustainability Presented by: Angela Hammond-Damon, IBCLC Shlonda B Smith, CLC September 14, 2016

Breast Pumps • Increased access to breast pumps • Implemented a statewide breast pump policy in February 2016 • Created a statewide inventory system

Videoconference Trainings • Joint Collaboration with MCH • Used community partners and subject matter experts as trainers • Offered approximately seven trainings to over 600 WIC & District Public Health Staff statewide • Topics ranged from: o Promoting Exclusivity o Breastfeeding: A Public Health Issue o Workplace Pumping: Interpreting the Affordable Health Care Affordability Act o Creating a Breastfeeding Friendly Community • Upcoming session: o 9/21 Flexible Schedules to Maximize Productivity for Breastfeeding Mothers

Baby Behavior Training

Peer Counselor Database • • Enhance the Peer Counselor Program Secure web-based application Assists with organization of caseload activities Facilitates referral process to WIC lactation consultants

New Peer Orientation

Peer Counseling 124 Breastfeeding Peer Counselors in the State

Emory Breastfeeding Conference Atlanta, GA

International Lactation Consultant Association Chicago, IL

ROSE Summit

Express Your Super Power 5 K Dalton Health District

Georgia’s Breastfeeding Proclamation Signing

World Breastfeeding Week Walk Coastal Health District

The Global Big Latch On Cobb Douglass Health District

Loving Support Award of Excellence • Developed by USDA • Recognize and celebrate local WIC agencies that provide exemplary breastfeeding programs and support services • Encouraged all 19 health districts to apply • Seven (7) health districts recognized with awards

Loving Support Award of Excellence Levels of Excellence Gold Premiere Gold Elite 29 questions 16 additional questions Minimum exclusive breastfeeding rate 40% or higher infants exclusively breastfed

Loving Support Award of Excellence “Gold”

Recognition of Local Agencies • 2015 Award Year ü 55 WIC Agencies Nationwide 50 Gold Awards 5 Gold Premiere award. 6 SERO local agencies received Gold Awards • 2016 Award Year ü 83 WIC Agencies Nationwide 75 Gold Awards 8 Premiere Award 33 SERO local agencies received Gold Awards • The awards will be valid for four years; however, an agency may apply for an award of higher achievement after one year of receiving an award.

Loving Support Award of Excellence – SERO local agencies received 33 Gold awards out of 75 local WIC agencies across all 7 FNS regions (44% winners from SERO)

WIC Breastfeeding Data FFY Average: Percent of Infants who Initiate Breastfeeding (Performance Measure 6) 58 57. 8 37. 3 FFY Average: Percent of Infants who Breastfed for at least 6 Months (Performance Measure 7) 37. 11 36. 8 56 54. 29 54 36. 26 36. 3 36. 01 52 50. 12 50. 2 35. 8 50 35. 58 35. 3 48 FFY 2013 FFY 2014 FFY 2015 FFY 2016 YTD (March 2016)

2016 CDC Report Card Data 79. 2 81. 1 81. 9 70. 3 69. 2 60. 6 48. 9 49. 4 51. 8 40. 1 29. 8 26. 7 30. 7 34. 1 22. 4 20. 7 Ever Breastfed Georgia 2014 Breastfeeding at 6 mo. Georgia 2016 U. S. 2014 Breastfeeding at 12 mo. U. S. 2016 27. 1 19. 4 17. 1 14. 2 % receiving formula <2 days age Healthy People 2020 Target

2016 CDC Report Card Data http: //www. cdc. gov/breastfeeding/pdf/2016 breastf eedingreportcard. pdf

Breastfeeding Goal(s) • 2016 – 2019 Strategic Plan Improve the Georgia Breastfeeding 6 th month duration rate by 20% over 4 years, according to the CDC breastfeeding report card. The 6 th month duration rate would improve from 40% to 48% by 2019. • WIC State Plan

Support Statement Both the American Academy of Pediatrics & the World Health Organization recommends exclusive breastfeeding for a child’s first six months. Thereafter they should continue breastfeeding with the introduction of complementary foods, up to one (1) to two (2) years or beyond.

American Academy of Pediatrics “…Given the documented short- and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice. ”

WIC’s Charge Go into the new Year with a road map of how we as a collective TEAM will: • • • Normalize breastfeeding Make breastfeeding the standard Increase Duration Increase Initiation Leave more equipped to make a difference NEXT LEVEL!!!

Thank you for the WORK you do everyday to feed the moms and babies in Georgia!!!