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Strengthen the Evidence for Maternal and Child Health Programs

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Find State ESMs

Displaying records 1 through 4 (4 total).

ESM 4.2 Percent of non-Hispanic Black infants ever breastfed (Wisconsin)

Evidence Level: This ESM is population-based (measures access to/receipt of care), thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Alignment with field-based evidence through Innovation Hub: No similar strategies found in Innovation Hub.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of non-Hispanic Black infants ever breastfed according to Vital Records from 51% to 56.1% (+10%) by 2025.

Numerator: Number of non-Hispanic Black infants ever breastfed in Wisconsin

Denominator: Number of non-Hispanic Black infants born alive in Wisconsin

Significance: Breastfeeding offers both short and long term benefits for the mother and child. Breastfeeding is also a protective factor for Sudden Unexpected Infant Death. Disparities persist in Wisconsin related to breastfeeding initiation and duration rates for the African American community.

Data Sources and Data Issues: Vital Records will be the main data source for this ESM. One issue is that Vital Records is often missing information. Additionally, “ever breastfed” is filled out by health care workers at time of hospital discharge, so there are gaps in this information. The strength of this data source over others such as PRAMS or Home Visiting data is that Vital Records is more reflective of the entire population. It is also reported in a timely manner, and collects information on a larger number of individuals than other sources.

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.2 Number of MCH staff and community health workers attended the Certified Lactation Counselor training. (Marshall Islands)

Evidence Level: Moderate. Aligns with MCHbest strategy "Lactation Consultants" (https://www.mchevidence.org/tools/strategies/4-1.php) and Emerging evidence MCHbest strategy "Provider Training" (https://www.mchevidence.org/tools/strategies/4-5.php). Find other NPM 4 mother/provider-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Emerging. Aligns with Breastfeeding web-based training course as documented by the BreastfeedingTraining.org (VA) program in AMCHP's Innovation Hub. Promising. Aligns with Provider education as documented by the On-Demand Telesimulation in Maternal-Newborn Care and Clinical Lactation (MI) program in AMCHP's Innovation Hub.

Measurement Quadrant: Quadrant 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Systems level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To increase the percent of infants who have ever been breastfed and continues until 6 months.

Numerator: Number of MCH Staff and community health workers who attended the Certified Lactation Counselor training.

Denominator: Total number of MCH Staff and community health workers.

Significance: Receiving health education prior and during pregnancy can motivate mothers to breastfeed their babies. But an on-call staff or community health outreach worker who takes calls anytime or makes home visits to assist with mom who needs counseling and coaching through a hard time can also motivate them to keep breastfeeding.

Data Sources and Data Issues: MCH Program Report.

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.3 Percent of non-Hispanic American Indian/Alaska Native infants ever breastfed (Wisconsin)

Evidence Level: This ESM is population-based (measures access to/receipt of care), thus doesn’t align with a specific evidence-based strategy. Consider developing an ESM for one of the specific strategies in your state action plan to measure performance. Check MCHbest for examples to connect to the evidence.

Alignment with field-based evidence through Innovation Hub: No similar strategies found in Innovation Hub.

Measurement Quadrant: Quadrant 4: Measuring quality of effect (% of "is anyone better off")

Service Type: Enabling services level of pyramid

Essential Public Health Services: 7. Assure effective and equitable health systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of non-Hispanic American Indian/Alaska Native infants ever breastfed according to Vital Records from 65.4% to 70.3% (+7.5%) by 2025.

Numerator: Number of non-Hispanic American Indian/Alaska infants ever breastfed

Denominator: Number of non-Hispanic American Indian/Alaska infants born alive

Significance: Breastfeeding offers both short and long term benefits for the mother and child. Breastfeeding is also a protective factor for Sudden Unexpected Infant Death. Disparities persist in Wisconsin related to breastfeeding initiation and duration rates for the Indigenous community.

Data Sources and Data Issues: Vital Records will be the main data source for this ESM. One issue is that Vital Records is often missing information. Additionally, “ever breastfed” is filled out by health care workers at time of hospital discharge, so there are gaps in this information. The strength of this data source over others such as PRAMS or Home Visiting data is that Vital Records is more reflective of the entire population. It is also reported in a timely manner, and collects information on a larger number of individuals than other sources.

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.7 Number of OHA Office of Equity and Inclusion certified community health workers and doulas. (Oregon)

Evidence Level: This ESM is the same as ESM 1.4

Alignment with field-based evidence through Innovation Hub: Aligns with Innovation Hub's The HealthConnect One Community-Based Doula Program. https://amchp.org/wp-content/uploads/2021/05/HealthConnect.pdf

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 8. Build and support a workforce

Service Recipient: Activities directed to professionals

Goal: To increase diversity of the workforce that serves perinatal populations.

Numerator: Number of OHA Office of Equity and Inclusion certified community health workers and doulas.

Denominator:

Significance: The certification of community/traditional health workers and doulas is a key strategy towards increasing the diversity of the workforce that serves perinatal populations.

Data Sources and Data Issues: OHA Office of Equity and Inclusion Tracking

Year: 2023

Unit Type: Count, Unit Number: 1,000
   

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