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DNPAO Breastfeeding Strategies

DNPAO Breastfeeding Strategies. Nutrition, Physical Activity, and Obesity Program  Annual Training Meeting March 17-19, 2010 Laurence M. Grummer-Strawn, PhD Chief, Nutrition Branch. Model for Data-Driven Action.

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DNPAO Breastfeeding Strategies

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  1. DNPAO Breastfeeding Strategies Nutrition, Physical Activity, and Obesity Program Annual Training MeetingMarch 17-19, 2010 Laurence M. Grummer-Strawn, PhDChief, Nutrition Branch

  2. Model for Data-Driven Action

  3. Figure 2. Percent of infants completely emptying the milk in the bottle/cup in late infancy by intensity of bottle use in early infancy (95% Confidence interval were indicated by the line on each bar) >2/3 of milk by bottle % Completely emptying the milks in late infancy 1/3 to 2/3 of milk by bottle <1/3 of milk by bottle Either formula or expressed milk (N=1531) Formula Only (N=1545) Expressed Milk Only (N=1531) Intensity of bottle use in early infancy

  4. D.C. >20% 10–20% >0–9.9% -10–0% <-10% Insufficient data Figure 1. Difference in percent ever breastfeeding between non-Hispanic whites and Hispanics, and between non-Hispanic whites and non-Hispanic blacks, National Immunization Survey for children born in 2003–2006. Non-Hispanic white vs. Hispanic Non-Hispanic white vs. non-Hispanic black D.C.

  5. FIGURE 1 Among women who initiated breastfeeding and intended to breastfeed for2 months, percentage who stopped breastfeeding before 6 weeks according to the number of Baby-Friendly Hospital Initiative practices they experienced.

  6. National Breastfeeding Trends Healthy People 2010 Goals Exclusive at 3 mo Data Source: Pre-1999 – Ross Mothers’ Survey 1999-present – CDC National Immunization Survey

  7. Breastfeeding rates by Race/Ethnicity Source: National Immunization Survey, 2007-2009 (2006 births)

  8. Percentage of infants ever breastfed* by county * Among infants born during the reporting period. 2008 GA PedNSS Table 7B

  9. Public attitudes regarding breastfeeding * 2003 data ** 2005 data Source: Healthstyles, 1999-2007

  10. State Mean Composite Quality Scores (Quartiles), 2007 DC PR DC PR

  11. Federal Policies on Breastfeeding 2010 SG Call to Action 2000 HHS Blueprint for Action on Breastfeeding 2010 Healthy People 2020 1984 Surgeon General’s Workshop on BF 1989 USDA sets 1st WIC BF standards 2001 USBC Strategic Plan on Breastfeeding 1998 Nat’l BF Policy Conference 1990 Healthy People 2000 BF Goals established

  12. Surgeon General’s Call to Action on Breastfeeding Public input Public comment April 1-May 31, 2009 Expert panel meeting April 28–29, 2009 Stakeholder hearing July 30, 2009 Stakeholder hearing August 13, 2009 Federal steering committee CDC (scientific editor) HHS/OWH (managing editor) HRSA/MCHB IHS NIH USDA/FNS

  13. Healthy People 2020 • Increase the proportion of infants who are breastfeed (NIS) • At birth • At 6 months • At 12 months • Exclusively at 3 months • Exclusively at 6 months • Increase the proportion of employers who have worksite lactation programs (SHRM) • Decrease the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life (NIS) • Increase the proportion of births that occur in hospitals and birth centers that provide all the recommended elements of care for lactating mothers and their babies (BFHI)

  14. State funding projects • Nutrition, Physical Activity and Obesity cooperative agreements • Previous funding (2003-2007): 35 breastfeeding interventions reported • Current funding (2008-2012): 11 states reported 17 breastfeeding interventions • Communities Putting Prevention to Work (nutrition, physical activity and tobacco) • 8 states planning Maternity Care interventions • 3 states planning Work Place interventions • 1 state planning Childcare intervention • 4 states planning general interventions

  15. CDC Guide to Breastfeeding Interventions • Evidence-base interventions • Maternity Care Practices • Workplace Support • Peer Support • Educating Mothers • Professional Support • Media and Social Marketing • Interventions Whose Effectiveness Has Not Been Established • Countermarketing and the WHO International Code • Professional education • Public acceptance • Hotlines and other information resources

  16. Model for Data-Driven Action

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