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Strengthening the evidence for maternal and child health programs

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Displaying records 1 through 12 (12 total).

4.1 The percent of Puerto Rico Home Visiting Program (HVP) participants who ever breastfed by September 2017-2021 (ongoing) (Puerto Rico)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: At least 81.7% Puerto Rico Home Visiting Program participants report ever breastfed by September 2017 (ongoing).

Numerator: The number HVP participants report ever breastfed.

Denominator: The number HVP participants.

Significance: Mothers who receive post-partum breastfeeding support are more likely to continue to breastfeed beyond the neonatal period. Because increase in the number of mothers breastfeeding is one of the aims of the MCAH program, the HVN will promote and offer breastfeeding education and support to all participants. The efforts will be monitored by the number of mothers who achieve the goal of breastfeeding successfully. This monitoring is important to evaluate the success of the interventions and propose modifications to the strategies.

Data Sources and Data Issues: HVP Program Reports.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

4.1 Percentage of MIECHV home visiting staff who received education about best-practices for supporting breastfeeding among new mothers (Idaho)

Measure Status: Active

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

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: The MCH Program, in collaboration with the MIECHV and WIC Programs, will fund and host one meeting for home visitors focused on evidence-based strategies for providing breastfeeding education and support to new mothers.

Numerator: Percentage of MIECHV home visiting staff who received education about best-practices for supporting breastfeeding among new mothers

Denominator: Total number of MIECHV home visiting staff

Significance: According to the Centers for Disease Control's 2016 Breastfeeding Report Card, 92.9% of Idaho infants are reported to have ever been breastfed, yet only 28.1% are reported to have been exclusively breastfed through 6 months. The MIECHV program currently serves pregnant women and new mothers. According to the Association of Maternal and Child Health Programs, other states have realized success in increasing breastfeeding duration rates in home visiting programs when home visitors are trained on best practices for supporting breastfeeding moms. Other research (Hannula et al., 2008 and Oliveira et al., 2001) shows that home visits during the postnatal period were effective for addressing mothers’ concerns about breastfeeding, providing education, linking them with community resources, and involving other family members. For FY2017, the Idaho MCH Program plans on collaborating with the MIECHV Program to fund training for home visitors, which will be facilitated by WIC staff, on breastfeeding education, how to answer mother’s questions regarding breastfeeding, how to encourage fathers to support breastfeeding, and how to link families with community resources.

Data Sources and Data Issues: The MCH leadership team and BSU evaluation team will collect the number of home visitors who participated in the training. Attendance will be based on sign-in sheets or online logins (if the training is hosted remotely).

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

4.1 Number of home visitors trained to become ICBLC certified over the next 5 years. (Arizona)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase the number of early childhood professionals with training to support breastfeeding by 25 over the next five years.

Numerator: Number of home visitors supported to earn ICBLC certification

Denominator: N/A

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: 2018/2020

Unit Type: Count, Unit Number: 25

4.2 Percent of infants enrolled in Home Visiting breastfed through 6 months. (Northern Mariana Islands)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: By 2020, increase the percent of mothers reporting exclusive breastfeeding by 10%.

Numerator: Number of 6 month old infants enrolled in Home Visiting breastfed through 6 months.

Denominator: Number of 6 month old infants enrolled in Home Visiting.

Significance: MCH will work to improve infant/perinatal health outcomes by promoting early and adequate prenatal care services and promoting breastfeeding and safe sleep. Breast milk is the natural first food for babies, provides all the nutrients that infants need, and is linked to many positive health outcomes for both mother and baby. Studies have shown that breast milk promotes sensory and cognitive development and protects against infectious and chronic diseases.

Data Sources and Data Issues: MIECHV Home Visiting Efforts to Outcomes Data System

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

4.2 Number of women referred for breastfeeding peer counseling support. (District of Columbia)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Top level: direct services

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of infants breastfed up to six months and increased the percent of infants exclusively breastfed. Expand the availability and utilization for peer counselor support for low income women.

Numerator: Number of women referred for breastfeeding peer counseling support

Denominator: N/A

Significance: The 2014 Breastfeeding Report Card reports 77.6% of infants in the District of Columbia initially breastfed. Breastfeeding rates drop dramatically by six months (53%) and twelve months (30%). Only 17% of women in the District are exclusively breastfeeding at six months. In DC, the breastfeeding initiation rates can be as low as 28% at WIC clinics in predominantly African American areas of the city.

Data Sources and Data Issues: 1. Maternal. Infant, and Early Childhood Home Visiting (MIECHV) 2. District of Columbia Breastfeeding Coalition (DCBFC)

Year: 2018/2020

Unit Type: Count, Unit Number: 100,000

4.2 Number of technical assistance offerings provided to hospitals around breastfeeding best practices. (Maine)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: Provide technical assistance to hospitals around breastfeeding best practices.

Numerator: N/A

Denominator: N/A

Significance: Although Maine has one of the highest rates of exclusive breastfeeding at 6 months of age, there is room for improvement since only 1 in 3 infants are exclusively breastfed at this age. To improve the duration of breastfeeding among new mothers in Maine, we are focused on working with providers, such as WIC, home visiting and public health nurses who maintain contact with women with young infants throughout their first year of life, as well as hospitals who can support practices that promote long-term breastfeeding.

Data Sources and Data Issues: Program records.

Year: 2018/2020

Unit Type: Count, Unit Number: 100

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

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: To increase the number 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: 2018/2020

Unit Type: Percentage, Unit Number: 100

4.3 Percent of families enrolled in an evidence based home visitation program who received safe sleep education from a trained home visitation provider (Guam)

Measure Status: Active

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

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Provide Safe Sleep education to families enrolled in a evidence based home visitation program

Numerator: Number of families (with a child less than 1 year of age) enrolled in a evidence based home visitation program who received Safe Sleep education from a trained home visitor

Denominator: Number of families enrolled in a evidence based home visitation program with a child aged less than 1 year during the reporting period

Significance: Increasing the number of families who receive Safe Sleep education will help to reach those families who did not receive education in the hospital and will also serve to reinforce the message for those families who did receive the education prior to hospital discharge. Many families feel more comfortable having conversations and asking questions with their trusted home visitor with whom they have built a good relationship. Safe Sleep education delivered during home visits will help to overcome barriers related to sleep practices.

Data Sources and Data Issues: Guam MECHV Program

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

4.3 # of home visitors who are certified by the International Board of Lactation Consultants (Delaware)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to professionals

Goal: Increase the number of MIECHV home visitors who become certified.

Numerator: Number of MIECHV home visitors who become certified

Denominator: N/A

Significance: The MIECHV program serves high risk pregnant women and/or women who have recently given birth. Home visitors are trusted by their clients and are in a prime position to provide breastfeeding support, encouragement and linkages to additional resources such as support groups.

Data Sources and Data Issues: MIECHV program data

Year: 2018/2020

Unit Type: Count, Unit Number: 12

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

Measure Status: Active

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

Service Type: Bottom level: public health services and 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: 2018/2020

Unit Type: Percentage, Unit Number: 100

4.4 Number of staff that completed breastfeeding education training. (District of Columbia)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Middle level: enabling services

Service Recipient: Activities directed to professionals

Goal: Increase breastfeeding education among MIECHV home visitors, Healthy Start perinatal support workers, and DCBFC lactation peer educators.

Numerator: Number of staff that completed breastfeeding education training.

Denominator: N/A

Significance: The 2014 Breastfeeding Report Card reports 77.6% of infants in the District of Columbia initially breastfed. Breastfeeding rates drop dramatically by six months (53%) and twelve months (30%). Only 17% of women in the District are exclusively breastfeeding at six months. In DC, the breastfeeding initiation rates can be as low as 28% at WIC clinics in predominantly African American areas of the city.

Data Sources and Data Issues: 1. Maternal. Infant, and Early Childhood Home Visiting (MIECHV) 2. Healthy Start 3. District of Columbia Breastfeeding Coalition (DCBFC)

Year: 2018/2020

Unit Type: Count, Unit Number: 100,000

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

Measure Status: Active

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

Service Type: Middle level: enabling services

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: 2018/2020

Unit Type: Percentage, Unit Number: 100

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.