1 / 22

Initiative to Increase Breastfeeding Rates in Kansas Communities

Initiative to Increase Breastfeeding Rates in Kansas Communities. 2012 Kansas Public Health Association Annual Conference October 1 - 3, 2012 Lisette T. Jacobson, MPA, MA, PHR, PhD(c) Ruth E. Wetta, RN, PhD, MPH, MSN Sonalli Kurlekar, BS. Overview.

elke
Download Presentation

Initiative to Increase Breastfeeding Rates in Kansas Communities

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Initiative to Increase Breastfeeding Rates in Kansas Communities 2012 Kansas Public Health Association Annual Conference October 1 - 3, 2012 LisetteT. Jacobson, MPA, MA, PHR, PhD(c) Ruth E. Wetta, RN, PhD, MPH, MSN Sonalli Kurlekar, BS

  2. Overview • Breastfeeding rates in Kansas compared to the United States • Purpose of the research studies • Study #1 – Process Evaluation (completed) • Purpose: To evaluate whether program goals and objectives are met • Research Design & Methodology • Analysis • Findings • Study #2 – Outcome Evaluation (on-going) • Purpose: To evaluate program effectiveness • Preliminary findings

  3. Breastfeeding Rates in Kansas

  4. ExclusiveBreastfeeding Rates in Kansas

  5. Purpose of Research • 2011 and 2012 Breastfeeding Initiatives in Kansas • To increase initiation and duration rates of breastfeeding in communities across the state of Kansas • Collaborative partners: • United Methodist Health Ministry Fund, Hutchinson, Kansas (UMHMF) • Kansas Public Health Association (KPHA) • University of Kansas School of Medicine-Wichita, Department of Preventive Medicine and Public Health (KUSM-W) • 19 to 23 Local public health departments (LHDs) • Kansas Department of Health and Environment (KDHE)

  6. Purpose of Research • Two research studies • Process Evaluation Study of Breastfeeding Programs • Intent of process evaluation: To inform administrators and stakeholders on the progress of a program while it is running so that program enhancements can be made • Outcome Evaluation Study of Breastfeeding Programs • Intent of outcome evaluation: To inform administrators and stakeholders on the effectiveness of a program • Addresses the question: “Does my program work?”

  7. Grant Application Process • United Methodist Health Ministry Fund (UMHMF), Hutchinson, Kansas, provided up to $10,000 for each breastfeeding grant to a total of about $200,000 per funding period • Funding period: January 1 – December 31 • Local public health departments (LHDs) across Kansas applied for the grant through a competitive process • Kansas Public Health Association (KPHA) administers grant • 19 Local public health departments received funds in 2011 • 23 Local public health departments received funds in 2012

  8. Study #1: Evaluation of Program Goals and Objectives Purpose of the study – A goal-based, process evaluation that addressed the extent to which each breastfeeding program met its goals and objectives The study consisted of two phases: • Evaluation of program goals and objectives after the first quarter of the funding period(conducted in spring 2011) • Evaluation of program goals and objectives after the last quarter of the funding period (conducted in spring 2012)

  9. Study #1: Evaluation of Program Goals and Objectives The study examined: • How wellprogramgoals and objectives were met • Progress made by grantee toward achieving the grant’s purpose • Problems encountered in an effort to achieve the grant’s purpose, and • Evaluation measures implemented to determine improvement

  10. Research Design and Methodology • Data was collected from 18 funded health departments in 2011 and 10 funded health departments in 2012 • Eligibility requirements for participants • Local public health departments that received funding for their breastfeeding program through KPHA between January 1, 2011 and December 31, 2011 • Study consisted of a scripted telephone interview lasting 30 to 45 minutes with one or two representatives from each participating health department • Approval secured from Human Subjects Committee with University of Kansas School of Medicine-Wichita

  11. Research Design and Methodology • All interview questions were open-ended (qualitative data) • Telephone interview consisted of 3 main components : (1) Program goals and objectives (2) Program involvement, use, and satisfaction (3) Available resources and projected program impact • Due to the different nature of goals and objectives for each health department, survey items selected were of a general nature so that findings could be standardized

  12. Survey Instrument Three Main Components

  13. Statistical Analysis • Data set was qualitative in nature and implementation, procedures, and data management was guided by Berg (2004) • Following completion of interviews and transcripts, underlying themes and consensus opinions were explored by research team members • Themes were utilized to assess whether program goals and objectives were met • A final report assessing convergence and divergence of themes across groups was assembled and reported to UMHMF and KPHA

  14. Findings Themes were categorized based on program strength, recommendations, and sustainability

  15. Study #2: Evaluation of Program Effectiveness Purpose of the study – An outcome evaluation that measures the effectiveness of breastfeeding programs Focus is on: “Does my program work?” Purpose of study accomplished through examination of: • Exploration of mothers’ attitudes, knowledge, and beliefs toward breastfeeding • Perceived barriers toward breastfeeding • Current breastfeeding practices

  16. Study #2: Evaluation of Program Effectiveness Preliminary findings – An increase in the awareness of the benefits of breastfeeding positively influences initiation and duration rates of breastfeeding in Kansas communities

  17. Concluding Remarks Across both studies, we can conclude: • Uniqueness of breastfeeding programs among health departments in Kansas • Due to program uniqueness, it is challenging to measure program effectiveness • Common concern: Program sustainability • Follow up: 2012/2013 Quality Improvement Training • Focuses on teaching each health department how to evaluate effectiveness of their own program • Training conducted on-line by Ruth Wetta and Lisette Jacobson, Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita

  18. Questions??? Thank you!!!! Contact information: Lisette T. Jacobson, MPA, MA, PhD(c) Ruth E. Wetta, RN, PhD, MPH, MSN Department of Preventive Medicine and Public Health University of Kansas School of Medicine-Wichita Phone: (316) 293-3484 (Lisette), (316) 293-3544 (Ruth) Email: ljacobson@kumc.edu, rwettaha@kumc.edu

More Related