Skip Navigation

Strengthen the Evidence for Maternal and Child Health Programs

Sign up for MCHalert eNewsletter

Find State ESMs

Displaying records 1 through 2 (2 total).

ESM 4.1 Number of eligible WIC participants who receive breastfeeding peer counselor services (North Carolina)

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

Alignment with field-based evidence through Innovation Hub: No similar strategies found in 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: By 2025, the number of eligible WIC participants who receive breastfeeding peer counselor services will be 31,425 (15% increase from FY19 baseline of 27, 587).

Numerator: Number of eligible WIC participants who receive breastfeeding peer counselor services (determined by having a signed Breastfeeding Peer Counselor Program Letter of Agreement in the Crossroads WIC System)

Denominator:

Significance: Systematic literature reviews have returned similar findings: “Dedicated lactation specialists may play a role in providing education and support to pregnant women and new mothers wishing to breastfeed and to continue breastfeeding (duration) to improve breastfeeding outcomes.”1 1 Patel, S., & Patel, S. (2016). The Effectiveness of Lactation Consultants and Lactation Counselors on Breastfeeding Outcomes. Journal of Human Lactation, 32(3), 530–541.

Data Sources and Data Issues: NC Crossroads WIC System

Year: 2023

Unit Type: Count, Unit Number: 100,000

ESM 4.3 Number of after-hours calls to Texas’ lactation support hotline (Texas)

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

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

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

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: To increase access to skilled lactation support through provision of 24/7 access to breastfeeding counselors and skilled clinical lactation specialists who provide information, counseling and referrals related to infant feeding for Texas families and

Numerator: Total annual number of calls received by the Texas Lactation Support Hotline after-hours service

Denominator:

Significance: The U.S. Surgeon General’s Call to Action to Support Breastfeeding calls for assurance of access to “to trained individuals with established relationships in the health care community who are flexible enough to meet mothers’ needs outside of traditional work hours and locations, and provide consistent information”, including access to services provided by International Board Certified Lactation Consultants.

Data Sources and Data Issues: Data Source: Monthly after hour hotline call logs The Texas Lactation Support Hotline provides callers with information, tele-consult services for lactation support, and referrals to local WIC services. The line provides access to international Board-Certified Lactation Consultants for any calls requiring lactation support or clinical lactation expertise. Calls received during daytime hours (typically 8 a.m.-4:30 p.m. on non-holiday weekdays) are fielded by WIC staff and funded by the Texas WIC Program. MCH funds coverage of the hotline during the remaining hours through a subcontract with a national lactation tele-consult service to ensure 24-hour per day, 7-day per week coverage. Data Issues: None anticipated

Year: 2023

Unit Type: Count, Unit Number: 100,000
   

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. 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.