Find State ESMs

Displaying records 1 through 14 (14 total).

ESM 4.1 Percentage of infants who were breastfed at 6 months. (Northern Mariana Islands)

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: Systems level of pyramid

Essential Public Health Services: 1. Assess and monitor population health

Service Recipient: Activities directed to families/children/youth

Goal: Increase of the number of infants breastfed through 6 months

Numerator: Number of infants who were 3 months breastfed.

Denominator: Total number of infants

Significance: Although the goal is for mothers to exclusively breastfed their infants through 6 months, achieving this task is difficult specially if the population is showing a 6 months exclusively breastfed rate of 0% to 2% annually. Supporting mothers to breastfeed and targeting a period where we see drops in breastfeeding (around the timing for when most working mothers return to work) is critical for increasing the likelihood of longer breastfeeding duration. Studies have shown that mothers who are working full-time outside of the home is related to a shorter breastfeeding duration.

Data Sources and Data Issues: Women Infant and Children (WIC) program will provide data on infants ever breastfed

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.1 Percentage of home visitors trained in breastfeeding best practices (Guam)

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Training". Find other NPM 4 provider-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Emerging. Aligns with Brestfeeding web-based training course as documented by the BreastfeedingTraining.org (VA) 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) in AMCHP's Innovation Hub.

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

Service Type: Enabling services level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: Increase the number of home visitors trained in breastfeeding best practices

Numerator: Home visitors trained in breastfeeding best practices in the past year

Denominator: MIECHV home visitors

Significance: Advantages of breastfeeding are indisputable. The American Academy of Pediatrics recommends all infants exclusively breastfeed for about six months as human milk supports optimal growth and development by providing all required nutrients during that time. Breastfeeding strengthens the immune systems, improves normal immune response to certain vaccines, offers protection from allergies, and reduces the possibility of SIDs.

Data Sources and Data Issues: MIECHV Program

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.1 Percent of Public Health Nurses, WIC and Maine Families Home Visitors trained as Certified Lactation Counselors (Maine)

Evidence Level: Moderate. Aligns with MCHbest strategy "Lactation Consultants". Find other NPM 4 provider/patient-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Promising. Aligns with Hospital breastfeeding quality improvement and staff training as documented by the Birth and Beyond 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: Baseline for this measure is 48%. Each year there will be an increase in the percentage of services that have CLCs. By the end of five years, 75% of staff will be certified.

Numerator: Number of PHN, WIC and Maine Families Home Visitors trained as Certified Lactation Counselors.

Denominator: Number of PHN, WIC and Maine Families Home Visitors

Significance: Certified Lactation Counselors have the necessary skills, knowledge, and attitudes to provide clinical breastfeeding counseling and management support to families who are thinking about breastfeeding or who have questions or problems during the course of breastfeeding/lactation. The idea is to provide families with support after they are discharged to enable them to breastfeed through the baby's first 6 months of life. Public Health Nurses, WIC counselors, and home visitors engage with pregnant and postpartum women on an ongoing basis. By training staff from these programs as CLCs, we will increase the number of CLCs available statewide to support breastfeeding women.

Data Sources and Data Issues: PHN, WIC & Maine Families Home Visiting Data

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.1 Percent of births delivered at MDH Breastfeeding-Friendly Maternity Centers (Minnesota)

Evidence Level: Mixed. Aligns with MCHbest strategy "Hospital Policies" (https://www.mchevidence.org/tools/strategies/4-6.php). Find other NPM 4 hospital-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Emerging. Aligns with Hospital perinatal health quality improvement and staff training demonstration project as documented by the Baby Steps to Breastfeeding Success (AZ) program in AMCHP's Innovation Hub.

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

Service Type: Systems level of pyramid

Essential Public Health Services: 6. Utilize legal and regulatory actions

Service Recipient: Activities directed to families/children/youth

Goal: Increase the proportion of births that occur at Breastfeeding-Friendly Maternity Centers

Numerator: Number of live births that occurred at currently accredited MDH Breastfeeding-Friendly Maternity Centers

Denominator: Number of live births in calendar year

Significance: Most births in Minnesota occur in hospital settings. Maternity hospital practices and policies can undermine maternal and infant health by creating barriers to supporting a mother's decision to breastfeed. When hospitals implement the Baby-Friendly Ten Steps, they have the tools to give mothers the information, confidence, and skills necessary to successfully initiate and continue to breastfeed their babies. Women who get the support they need in the hospital are much more likely to continue once they return home. MDH’s Breastfeeding-Friendly Maternity Center Five-Star program tracks progress by hospitals in implementing evidence-based processes, provides technical assistance to hospitals applying for Stars, and provides intermediate recognition of work on the Ten Steps, without the costs associated with Baby-Friendly designation, which are a barrier to hospitals achieving BFHI designation. MDH’s program is intended to encourage hospitals to move toward BFHI designation. Hospitals can achieve designation are accredited for 3 years, or, in conjunction with Baby-Friendly USA designation, for 5 years. Each two Steps implemented earns one Star, for a possible total of Five Stars/Ten Steps achieved.

Data Sources and Data Issues: Data Source: MN Vital Records and MDH’s Accreditation Database, tracked in Redcap. Accreditation process monitored by WIC breastfeeding unit staff and OSHII staff. Achievement of individual Steps is applied for and progress documented by hospital staff, with completed Steps reviewed and verified by MDH staff and partners from the Minnesota Breastfeeding Coalition. Limitations of Data: The expiration of accreditation is tied to completion of the 10th Step and other Steps may have been completed longer than 3/5 years prior. MN Vital Records are limited to births that occur to Minnesota Residents in Minnesota.

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.1 Number of home visitors trained to receive a lactation counseling or breastfeeding support certification over the next 5 years. (Arizona)

Evidence Level: Moderate. Aligns with MCHbest strategy 4.4 "Home Visits". Find other NPM 4 family-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) in AMCHP's Innovation Hub. Promising. Aligns with Provider education as documented by the On-deman Telesimulation in Maternal-Newborn Care and Clinical Lactation (MI) in AMCHP's Innovation Hub.

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

Service Type: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: Increase the number of early childhood professionals with training to support breastfeeding by 90 over the next five years.

Numerator: Number of home visitors supported to earn ICBLC certification

Denominator:

Significance: Through Arizona's home visiting programs, families receive support to understand the needs of their newborns and information on how to improve the quality of and access to preventive services. Providing support for home visitors to earn ICBLC certification will in turn provide support for home visiting clients to make and reach breastfeeding goals. Tracking the count of home visitors that have been supported to earn certification will allow Arizona to determine if the goal has been met.

Data Sources and Data Issues: In-house program data

Year: 2023

Unit Type: Count, Unit Number: 100

ESM 4.2 Percentage of providers and health educators who were more confident in providing breastfeeding education to pregnant women after receiving breastfeeding TA training. (American Samoa)

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Training" [https://www.mchevidence.org/tools/strategies/4-5.php]. Find other NPM 4 provider-level strategies [https://www.mchevidence.org/tools/strategies/search/results.php?NPM=4&Target_Audience=Provider/Practice)] in MCHbest.

Alignment with field-based evidence through Innovation Hub: Aligns with Innovation Hub's On-Demand Telesimulation in Maternal-Newborn Care and Clinical Lactation and BreastfeedingTraining.org https://amchp.org/wp-content/uploads/2021/05/On-Demand-Telesimulation_Practice-Handout-Promising.pdf https://amchp.org/wp-content/uploads/2021/05/Breastfeeding-Training_2015.pdf

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

Service Type: Enabling services level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: Increase the number of trainers to promote exclusive breastfeeding.

Numerator: Percent of infants who are breastfed.

Denominator: Percent of infants who exclusively breastfed.

Significance: The goal of peer support is to encourage and support pregnant women and those who currently breastfeed. Peer support, which is provided by mothers who are currently breastfeeding or who have done so in the past, includes individual counseling and mother-to-mother support groups. Women who provide peer support undergo specific training and may work in an informal group or one-to-one through telephone calls or visits in the home, clinic, or hospital. Peer support includes psychoemotional support, encouragement, education about breast- feeding, and help with solving problems.

Data Sources and Data Issues: SILAS

Year: 2023

Unit Type: Percentage, Unit Number: 100

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

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 Percent of infants receiving breast milk at 6 months of age enrolled in home visiting (Delaware)

Evidence Level: Moderate. Aligns with MCHbest strategy "Home Visits". Find other NPM 4 family-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Promising. Aligns with Nurse home visits and case management by CHIP nurses, in combination with a medical home and regular nurse consultations by Optima as documented by the Partners in Pregnancy (VA) program in AMCHP's Innovation Hub. Promising. Aligns with Nurse home visit as documented by the Welcome Family (MA) program in AMCHP's Innovation Hub. Best. Aligns with home visiting program as documented by the Every Child Succeeds (OH/VA) program in AMCHP's 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 percentage of infants enrolled in home visiting receiving breast milk

Numerator: Number of infants enrolled in home visiting receiving breast milk at 6 months of age

Denominator: Number of infants enrolled in home visiting at 6 months of age

Significance: Our home visiting programs enroll the most vulnerable families that are of lower socio-economic status. Mothers in this population have lower rates of initiating breastfeeding as well as difficulty continuing to breastfeed through 6 months of age.

Data Sources and Data Issues: MCH/MIECHV program data

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 4.2 Number of home visitors who report increased knowledge of breastfeeding best practices (Georgia)

Evidence Level: Emerging. Aligns with MCHbest strategy "Provider Training". Find other NPM 4 provider-level strategies in MCHbest.

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

Measurement Quadrant: Quadrant 3: Measuring quantity of effect (# of "is anyone better off")

Service Type: Enabling services level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: Increase the number of home visitors who reported increase knowledge of breastfeeding best practices from trainings and coaching.

Numerator: Number of MIECHV and Healthy Start Home Visiting Staff who report increased knowledge of breastfeeding best practices

Denominator:

Significance: The American Academy of Pediatrics (AAP) recommends all infants (including premature and sick newborns) exclusively breastfeed for about six months as human milk supports optimal growth and development by providing all required nutrients during that time. Breastfeeding strengthens the immune system, reduces respiratory infections, gastrointestinal illness, and SIDS, and promotes neurodevelopment. Breastfed children may also be less likely to develop diabetes, childhood obesity, and asthma. Maternal benefits include reduced postpartum blood loss due to oxytocin release and possible protective effects against breast and ovarian cancer.

Data Sources and Data Issues: Data Source: Loving Support Training Pre-/Post-Test

Year: 2023

Unit Type: Count, Unit Number: 200

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

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

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.3 Percent of infants enrolled in an evidence-based home visitation program who were exclusively breastfed through six months of age (West Virginia)

Evidence Level: Moderate. Aligns with MCHbest strategy "Home Visits". Find other NPM 4 patient-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Emerging Practice. Aligns with home visitng strategy as documented by the Early Intervention Parenting Partnerships (EIPP) program in AMCHP's 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 percentage of infants enrolled in an evidence-based home visitation program who were exclusively breastfed through six months of age.

Numerator: Number of infants enrolled in an evidence-based home visitation program who were exclusively breastfed through six months of age

Denominator: Number of infants enrolled in an evidence-based home visitation program who have reached six months of age

Significance: Breastfeeding can reduce post neonatal mortality rate per 1,000 live births and reduce Sleep-related Sudden Unexpected Infant Death (SUID) rate per 100,000 live births

Data Sources and Data Issues: OMCFH home visitation programs

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.3 Number of MIECHV and Healthy Start women who are referred to WIC services (Georgia)

Evidence Level: Moderate. Aligns with MCHbest strategy "Home Visits". Find other NPM 4 patient-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Promising. Aligns with Web-based referral tool for implmenting and sustaining a coordinated referral network as documented by the Cultivating Connections Through Coordinated Referral Netowrks (KS) program in AMCHP's Innovation Hub.

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

Service Type: Direct 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 number of MIECHV and Healthy Start women who are referred to WIC services

Numerator: Number of MIECHV and Healthy Start women who are referred to WIC services

Denominator:

Data Sources and Data Issues: Data Source: Georgia Home Visiting Program (GHVP) Data

Year: 2023

Unit Type: Count, Unit Number: 1,000

ESM 4.4 Percentage of postpartum women who received a home-visit from any DOH personnel that works closely with this population, providing breastfeeding reminders and support (American Samoa)

Evidence Level: Moderate. Aligns with MCHbest strategy "Home Visits (Professionals Other Than Lactation Consultants or Peer Counselors)". Find other NPM 4 Provider/Practice level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Best. Aligns with Home visiting program to decrease prenatal alcohol and substance abuse strategy as documented by the Superior Babies Program (MN) in AMCHP's Innovation Hub. Promising. Aligns with Nurse home visits and case management strategy as documented by the Partners in Pregnancy (VA) program in AMCHP's Innovation Hub Emerging. Aligns with Home visiting program and group peer support strategy as documented by the Early Intervention Parenting Program (MA) in AMCHP's Innovation Hub. Promsing. Algihs with home visits strategy as documented by the Welcome Family (MA) program in AMCHP's Innovation Hub.

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

Service Type: Direct 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 number of women to breastfeed.

Numerator: Percent of infants who are ever breastfed

Denominator: Total number of women that gave birth.

Significance: Percent of infants who are ever breastfed

Data Sources and Data Issues: SILAS

Year: 2023

Unit Type: Percentage, Unit Number: 100