Perinatal/Infant Health Domain
Breastfeeding Plan (October 2022 – September 2023)
National Performance Measure:
- Percent of infants who are ever breastfed.
- Percent of infants breastfed exclusively through 6 months.
Breastfeeding Strategy #1:
Promote & support laws and policies for pregnant & breastfeeding people in the workplace. Focus on populations with additional barriers.
ESMs:
4.1. Breastfeeding initiation among Non-Hispanic Black mothers.
4.2. Breastfeeding initiation among Non-Hispanic American Indian/Alaska Native mothers.
4.3. Exclusive breastfeeding at 6 months among Non-Hispanic Black mothers.
4.4. Exclusive breastfeeding at 6 months among Non-Hispanic American Indian/Alaska Native mothers.
State level activities/timeline:
- Increase awareness of current laws and policies that protect against discrimination during pregnancy and support breastfeeding via updating the breastfeeding webpage.
Timeline: 10/1/22 – 12/31/22
- Strengthen/develop partnerships with Bureau of Business and Industry, Oregon Law Center, community groups and others.
Timeline: 10/1/22 – 9/30/23
- Promote resources with grantees and provide TA as requested.
Timeline: 10/1/22 – 9/30/23
Local level activities/timeline:
- Coos County will engage workplace leaders to develop and implement breastfeeding workforce policies that promote a workplace culture of support for breastfeeding people.
Timeline: 10/1/22 – 9/30/23.
Breastfeeding Strategy #2:
Support advanced training, coaching and quality improvement activities for home visitors related to breastfeeding.
ESM:
4.5. Among local grantees who select breastfeeding, percent who report improved knowledge, skills, or policies based on provided technical assistance.
State level activities/timeline:
- Support grantees in identifying resources for advanced training and coaching for home visitors.
Timeline: 10/1/22 – 9/30/23
- Develop plan with MCH lead for continuous quality improvement in home visiting to assess or identify breastfeeding skills and training needs of home visiting staff and possibility for CQI project.
Timeline: 10/1/22 – 3/21/23
Local level activities/timeline:
- Six grantees will provide or sponsor home visiting staff to attend advanced training and receive coaching to promote and support breastfeeding best practices: Baker, Clatsop, Crook, Douglas, Jefferson, and Linn counties.
Timeline: 10/1/22 – 9/30/23.
Breastfeeding Strategy #3:
Ensure that providers who serve tribal members have training in culturally specific approaches to breastfeeding promotion and support.
ESM:
4.8. Number of providers engaged in anti-racism or cultural humility training.
State level activities/timeline:
- Strengthen partnerships with Northwest Portland Area Indian Health Board (NWPAIHB), Intertribal Breastfeeding Coalition, tribal health clinics and other tribal partners to support nutrition and infant feeding work.
Timeline: 10/1/22 – 9/30/23
- Engage with WIC programs in tribal health clinics to learn and develop cross-program collaboration.
Timeline: 10/1/22 – 9/30/23
Local level activities/timeline:
- The Confederated Tribes of Warm Springs will provide training on culturally specific approaches to providers who serve tribal members.
Timeline: 10/1/22 – 9/30/23.
Breastfeeding Strategy #4:
Support efforts to improve diversity in the workforce.
ESMs:
4.6. Completion of environmental scan of organizations and partners to facilitate determination of Title V’s role in increasing diversity in the perinatal workforce.
4.7. Number of OHA Office of Equity and Inclusion Certified Community Health Workers.
State level activities/timeline:
- Develop partnerships with community organizations who support training of community health workers, including doulas, lactation counselors, and peer-based care models.
Timeline: 10/1/22 – 9/30/23
Local level activities/timeline:
- Two counties (Multnomah and Harney) are promoting workforce diversity through participation on community-based coalitions, serving on a leadership council and providing culturally-specific, patient-centered lactation care.
Timeline: 10/1/22 – 9/30/23
Breastfeeding Strategy #5:
Ensure access to culturally responsive preventive clinical care for low income and undocumented women.
State level activities/timeline:
- Identify and promote anti-racist and culturally responsive breastfeeding resources with grantees.
Timeline: 10/1/22 – 9/30/23
- Identify and leverage breastfeeding peer support services through programs.
Timeline: 4/1/23 – 9/30/23
Local level activities/timeline:
- Clatsop, Harney, and Josephine counties are implementing care coordination and referral systems through partnerships and expanding access to peer support services.
Timeline: 10/1/22 – 9/30/23
Breastfeeding Strategy #6:
Establish community based perinatal, women's and infant health advisory groups to share best practices, strategize and impact policy change. Engage affected communities including people of color in leadership.
State level activities/timeline:
- Provide technical assistance and facilitate shared learning among Title V grantees in community engagement best practices.
Timeline: 10/1/22 – 9/30/23
- Identify opportunities to build partnerships with community-based organizations.
Timeline: 10/1/22 – 9/30/23
Local level activities/timeline:
- Four counties (Clatsop, Douglas, Grant, and Josephine) will convene and participate in community based perinatal, women's and infant health advisory groups.
Timeline: 10/1/22 – 9/30/23
Breastfeeding Strategy #7:
Evaluate the impact of breastfeeding programs and interventions.
State level activities/timeline:
- Complete qualitative program evaluation.
Timeline: 10/1/22 – 12/31/22
- Develop resources based on program evaluation to share with grantees.
Timeline: 1/2/23 – 9/30/23
- Plan and conduct key informant interviews with grantees as next stage in program evaluation.
Timeline: 10/1/22 – 9/30/23
Critical partnerships:
- All local grantees
- WIC program
- MIECHV program
- Nurturely
- Northwest Portland Area Indian Health Board
- Bureau of Labor & Industries (BOLI)
Other Title V Work in the Perinatal/Infant Health Domain
Title V will continue to provide leadership and technical assistance for linkages to prenatal care, oral health, maternal mental health, and other perinatal services; infant mortality reduction; PRAMS and ECHO surveillance systems; early hearing detection and intervention (EHDI); breastfeeding support; and integration of perinatal/infant health into programs and policies across state and local agencies. Other activities for the coming year include:
- MCH Title V will continue to partner with the Safe Sleep Advisory Committee on initiatives including providing mini grants to community-based organizations working in communities of color, and a communications campaign and website: safesleeporegon.org. Messages and communications outreach will reinforce safe sleep messages in a multitude of clinical and community settings including childcare.
- The EHDI and BASS teams are working with partners to develop innovations in Newborn Screening Inter-operability.
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