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Strengthen the Evidence for Maternal and Child Health Programs

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Find State ESMs


Displaying records 1 through 3 (3 total).

ESM 4.1 Percent of Baby-Friendly designated birthing hospitals in Michigan (Michigan)

Evidence Level: Mixed. Aligns with MCHbest strategy 4.6 "Hospital Policies" (https://www.mchevidence.org/tools/strategies/4-6.php). Find other NPM 4 Practice-level strategies in MCHbest.

Alignment with field-based evidence through Innovation Hub: Best. Aligns with Hospital breastfeeding quality improvement and staff training demonstration project as documented by Baby Steps to Breastfeeding Success (AZ) 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: 6. Utilize legal and regulatory actions

Service Recipient: Activities related to systems-building

Goal: By increasing the number of Michigan birthing hospitals with Baby-Friendly designation, the proportion of live births that occur in Michigan birthing hospitals that provide recommended care for lactating mothers and their babies will increase.

Numerator: Number of Michigan birthing hospitals with Baby-Friendly designation

Denominator: Number of Michigan birthing hospitals

Significance: Baby-Friendly designated birthing hospitals and centers 1) promote breastfeeding as the best method of infant feeding; 2) implement evidence-based practices to support breastfeeding and lactation; 3) facilitate informed health care decision-making for mothers and families; 4) ensure health care delivery that is sensitive to cultural and social diversity, 5) protect mothers and families from false or misleading product promotion and advertising, and 6) educate parents on safe and appropriate methods for formula mixing, handling, storage, and feeding when a mother has chosen not to breastfeed or has chosen to supplement. The Baby-Friendly Hospital Initiative is a global program launched by the World Health Organization and the United Nations Children’s Fund in 1991 to encourage and recognize hospitals and birthing centers that provide the best level of care for infant feeding and mother/baby bonding. Baby-Friendly designation is built on the implementation of Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast-Milk Substitutes, which empowers birthing facilities to examine maternity care policies and procedures, requires training and skill building for all levels of staff, and involves the development of quality assurance mechanisms within all aspects of maternity care operations. Baby-Friendly designated birthing hospitals and centers support healthy outcomes for both baby and mom, and can help to reduce breastfeeding disparities, especially within communities of color and low socioeconomic status communities.

Data Sources and Data Issues: Baby-Friendly USA, Inc. (BFUSA)

Year: 2023

Unit Type: Percentage, Unit Number: 100

ESM 4.1 Number of hospitals receiving technical assistance, educational offerings. Policy review from public health (LHD or state program) about the 10 steps to successful breastfeeding (Kentucky)

Evidence Level: Mixed. Aligns with MCHbest strategy "Hospital Policies". 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 certification program as documented by Baby Steps to Breeastfeeding Success (AZ) program 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 related to systems-building

Goal: Increase by 5% the number of infants exclusively breastfed through 6 months by 2025.

Numerator: Number of birthing hospitals who are implementing all 10 steps to successful breastfeeding

Denominator:

Significance: Promotion of 10 steps to successful breastfeeding to KY birthing hospitals, with policy/systems level engagement by the birthing providers during hospitalization and after discharge helps improve initiation and duration of breastfeeding.

Data Sources and Data Issues: MCH Breastfeeding Program Data Reports (Nutrition Services Branch)

Year: 2023

Unit Type: Count, Unit Number: 48

ESM 4.1 Number of credentialed lactation professionals within WIC (Tennessee)

Evidence Level: Moderate. Aligns with MCHbest strategy "Lactation Consultants". Find other NPM 4 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: Systems level of pyramid

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

Service Recipient: Activities directed to professionals

Goal: To increase the number of credentialed lactation professionals within WIC (e.g., IBCLC, CLC, and CLS)

Numerator: Number of credentialed lactation professionals within WIC

Denominator:

Significance: One barrier to breastfeeding is the lack of access to lactation professionals. Breastfeeding promotion and support is an integral part of the WIC Program. Increasing the number of trained lactation personnel will assist WIC mothers to make the best decision regarding infant feeding.

Data Sources and Data Issues: WIC monitoring reports

Year: 2023

Unit Type: Count, Unit Number: 250

   

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