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Peer Counseling: Making a Difference for WIC Families

Peer Counseling: Making a Difference for WIC Families. Improves health outcomes for infants Fewer infections and disease Improved IQ Lower rates of obesity and diabetes Improves health outcomes for mothers Faster recovery from pregnancy Lower risk of breast cancer

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Peer Counseling: Making a Difference for WIC Families

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  1. Peer Counseling: Making a Difference for WIC Families

  2. Improves health outcomes for infants Fewer infections and disease Improved IQ Lower rates of obesity and diabetes Improves health outcomes for mothers Faster recovery from pregnancy Lower risk of breast cancer Reduces health care costs Breastfeeding: A WIC Priority

  3. Risks of Not Breastfeeding Adapted from Surgeon General’s Call to Action. http://www.surgeongeneral.gov/topics/breastfeeding/

  4. Breastfeeding… saves money Reduces cost of care in baby’s 1st year of life • 25% fewer ear infections • 60% fewer cases of diarrhea • 200% fewer admissions for pneumonia • Formula cost for 1 year $1,800 Reduces cost of care for lifetime – Mother/Child • Less cancer, obesity and heart disease in mothers • Less SIDS, infection, obesity , diabetes, asthma in children • If 90% of mothers exclusively breastfed at 6 months • Save $13 billion/year in the US • Prevent 911 deaths Bartick M, and A Reinhold. The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics. 2010 May;125(5):e1048-56. Epub 2010 Apr 5.

  5. Breastfeeding Rates - 2013 http://www.cdc.gov/breastfeeding/pdf/2013BreastfeedingReportCard.pdf

  6. WIC Breastfeeding Rates MN rates CDC Breastfeeding Report Card, 2013. National Immunization Survey Data from 2010. MN WIC rates from WIC Summary Statistics Supplemental Report-Breastfeeding, Sept. 2010.

  7. Improves initiation and duration rates among women in: Disadvantaged populations Varied cultural groups Urban and rural settings Peer counseling has been used effectively in many WIC State and local agencies across the U.S. Peer CounselingMakes A Difference!

  8. Experienced breastfeeding mothers Ideally a current or previous WIC client Ideally from the same population group as the that served by WIC Enthusiastic about breastfeeding, and helping other mothers enjoy a positive experience Provide basic breastfeeding information and support to WIC mothers Who Are Peer Counselors?

  9. The Power OfMother-To-Mother Connections “That’s what it’s all about…moms helping moms. WIC Peer Counselor

  10. Serve as a model for breastfeeding Establish a connection with the family Help mothers prevent and manage common concerns with breastfeeding Provide ongoing encouragement to help mother meet her breastfeeding goals Link to breastfeeding help beyond the usual 8-to-5 services Fill the gap in services immediately after hospital discharge for seamless continuity of care How Peer Counselors Help

  11. As part of the WIC healthcare team, peer counselors: Free up staff time by taking time to help mothers explore and address barriers and concerns Make referrals to WIC staff if mother has questions or concerns outside her scope Promote WIC with participants and family members, encouraging participation Provide information for WIC team that affect health and nutritional status of client and her children WIC Healthcare Team

  12. Institutionalize peer counseling as a core service in WIC Provide leadership and resources to equip State and local WIC agencies with implementing peer counseling programs Two training curricula for WIC agencies “Using Loving Support to Manage Peer Counseling Programs” “Loving Support Through Peer Counseling” USDA’s Vision ForPeer Counseling

  13. Accept referrals of pregnant and breastfeeding WIC clients for follow-up Contact women at critical intervals Monthly during pregnancy Frequently during early days of breastfeeding Monthly as long as baby is breastfeeding Be available to mothers beyond usual WIC clinic hours Document all contacts with mothers Make referrals of women with concerns Basic Job ResponsibilitiesFor Peer Counselors

  14. Job Settings • Telephone calls from home and the clinic • Clinic visits • Home visits • Hospital visits

  15. Peer Counselor Training • Attend training aboutbreastfeeding basics and how to provide support • Personal study • Observe/shadow a lactation professional (such as an IBCLC or senior peer counselor) • Observe WIC nutritionist • Ongoing training

  16. Paid hourly for all contacts made with WIC participants, including documentation 5 – 12 hours per week $10 – 18 per hour Complete bi/weekly activity reports and submit to supervisor - timesheets Compensation

  17. Supervision Peer counselors are: • Supervised by local agency coordinator • Receive weekly contacts from supervisor • Attend regular Peer & WIC staff meetings • Complete contact logs • Have work pot checked

  18. MN WIC Agency Peer Programs: Hennepin St. Paul Ramsey NE MN (6 counties, Grand Portage) Anoka Bloomington Fillmore/Houston Fond du Lac Band Goodhue Olmsted Scott Carver CAP Freeborn Mille Lacs County SWHHS (6 counties)

  19. Partnerships! • WIC Peer Counselor & CHW role • Agencies that have CHWs • Hospitals • MVNA • Community clinics • Serving pregnant and new mothers • WIC Training

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