Find State ESMs

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 Hospital breastfeeding quality improvement and staff training demonstration project as documented by the Birth and Beyond (CA) program in AMCHP's Innovation Hub. Emerging. Aligns with Hosptial perinatal health quality improvement certification program as documented by the Baby Steps to Breastfeeding Success (AZ) program 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: By 2025, have at least 85% of the 330 available 10-Steps to Successful Breastfeeding training slots utilized annually by staff and providers from the state's birthing hospitals.

Numerator: Number of training slots utilized by staff and providers from the state's birthing hopsitals

Denominator: Total number of available training slots (330)

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: Women's Health 5-STAR Initiative Program Data

Year: 2023

Unit Type: Percentage, Unit Number: 100

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: 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 families/children/youth

Goal: Increase the number of Idahoans who receive information about best practices related to breastfeeding through attendance at the annual Idaho Breastfeeeding Summit.

Numerator: Number of professionals and parents who attend annual Idaho Breastfeeding Summit.

Denominator:

Significance: The MCH leadership team will support an annual statewide breastfeeding summit to provide healthcare providers training on best practices for breastfeeding initiation and duration. The Kansas Breastfeeding Coalition (KBC), established the Community Supporting Breastfeeding (CBS) program, which incorporates varied approaches that assist breastfeeding mothers, promote initiation and duration of breastfeeding by including the formation of a local breastfeeding coalition, offering a course for healthcare providers to learn about supporting breastfeeding, and provide resources and information to reduce barriers and increase the perception of breastfeeding (Association of Maternal & Child Health Programs [AMCHP], 2016). Program participants indicated that the coalition cultivated engagement, leadership development, and community support, as well as increased involvement from organizations and government officials that support and advocate towards breastfeeding by enhancing the sustainability and engagement of existing programs, and allocating breastfeeding coalitions in areas where they are not provided (AMCHP, 2016). Additionally, Colorado has had success in increasing breastfeeding rates through statewide training of hospital personnel and informing parents about beneficial breastfeeding practices through Local Public Health agencies such as Women, Infants and Children (WIC) (AMCHP, 2012). Colorado experienced notable increases in breastfeeding initiation and duration rates following the five-key breastfeeding strategy, Colorado Can Do 5, which offers five beneficial breastfeeding practices to hospitals and medical centers (Colorado Department of Public Health and Environment, 2011).

Data Sources and Data Issues: Idaho Breastfeeding Coalition

Year: 2023

Unit Type: Count, Unit Number: 1,000

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

Evidence Level: This ESM is based on state data and 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 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 improves access to culturally responsive care for marginalized communities.

Numerator: Number of providers engaged in anti-racism or cultural humility training.

Denominator:

Significance: As part of an increased focus of addressing health equity and racial/ethnic disparities in breastfeeding rates, perinatal providers will be engaged in anti-racism and cultural humility training.

Data Sources and Data Issues: State tracking

Year: 2023

Unit Type: Count, Unit Number: 1,000