Texas Mother-Friendly Worksite Designation and Comprehensive Lactation Support

1. Texas Mother-Friendly Worksite Designation and Comprehensive Lactation Support Julie Stagg, MSN, RN Department of State Health Services Office of Program Decision Support Julie.Stagg@dshs.state.tx.us

2. Learning Objectives • Describe three reasons employers should support employees to combine work and breastfeeding • Describe four minimum requirements to be recognized as a Texas Mother Friendly Worksite • Identify three resources for planning a worksite lactation support program

3. Breastfeeding promotion is “among the most cost-effective public health interventions, in terms of disability adjusted life years (DALYs) gained.” –World Bank

4. Health Implications for Babies • Obesity • Infectious disease • Skin conditions • Type 1 & Type 2 diabetes • Leukemia • Sudden Infant Death Syndrome

5. Health Implications for Mothers • Lower risk of: • Premenopausal breast cancer • Ovarian cancer • Type 2 diabetes • Faster recovery from pregnancy • Healthier employees ~ more productive

6. Texas Breastfeeding Rates

7. Women in the Workforce 60 % of women work outside home • Mothers = fastest growing segment of US workforce • 55 % with children < age 3 are employed • 62 % with children < age 6 are employed • 78 % employed full-time • Growth rate increased 80 % over the last 20 years

8. Breastfeeding and Employment • Full-time employment shortens breastfeeding duration • Most women wean before end of first month back at work • Full-time employment an economic necessity for many

9. Commonly Identified Barriers • Lack of flexibility in schedule to express milk • Lack of accommodations to express milk • Lack of secure place to store milk • Concerns about support from employer and/or co-workers • Real or perceived low/insufficient milk supply

10. Business Case for Breastfeeding • Win-Win for employers and employees • Return on Investment • Reduced Absenteeism and Turnover • Improved Health and Productivity • Greater Job Satisfaction

11. Worksite Lactation Support • Time • Space • Hygiene • Storage • Written Policy • Other

12. Mother-Friendly Worksite Program

13. Texas Breastfeeding Law

14. Phases of Program Development • Assessment • Planning • Implementation • Evaluation

15. Assessment • Identify Scope of Assessment • Gather Input • Identify Resources and Assess Options

16. Planning • Develop Strategy • Develop Capacity • Develop Policy • Develop Components • Establish Evaluation Criteria and Baseline

17. Implementation • Communication • Promotion • Launch • Maintenance

18. Evaluation • Process • Impact • Outcomes

19. Resources The Business Case for Breastfeeding www.womenshealth.gov/breastfeeding/programs/business-case

20. Resources Centers for Disease Control and Prevention Healthier Worksite Initiative: Lactation Support Program Toolkit http://www.cdc.gov/nccdphp/dnpa/hwi/toolkits/lactation/index.htm

21. Resources Building Healthy Texans Statewide Agency Wellness Program: Wellness Activity # 6. Improve Support for Breastfeeding Mothers http://www.wellness.state.tx.us/mothers.htm

22. Resources Texas Department of State Health Services Texas Breastfeeding Promotion and the Texas Mother Friendly Worksite Program www.dshs.state.tx.us/wichd/lactate

23. DSHS Breastfeeding Information • Mother-Friendly Worksite Program • DSHS Position Statement on Infant Feeding • Breastfeeding Publications and Promotional Items • Texas WIC Breastfeeding Audiovisuals • Breastfeeding Trainings • Statewide Lactation Support Hotline and Directory • Childcare Provider Breastfeeding Training • Breastmilkcounts.org, etc…

24. 200+ Texas Mother-Friendly Worksites…and counting! ABC Child Development Center…Akin, Gump, Strauss, Hauer & Feld, LLP... Advanced Micro Devices (AMD)…Avalon Wellness Center…Block Buster, Inc…Broil-R-Corp…C.H. Guenther & Sons, Inc…Clinics and physician’s offices …Dallas Symphony Orchestra…Dempsey Henley SAFP Unit Corrections… Devine Desserts…Duke Energy…Daingerfield-Lone Star ISD…Electronic Data Systems (EDS)…Exxon Mobile Exploration Company-Houston…Fixtures International…Freescale Semiconductor…GameStop, Inc…Guenther House Restaurant…Gulf & Basco Co…Huntsman Corp…Hospitals and Medical Centers… IBM Corp…Leander High School…Lucille Plane State Jail…MicroMain Corp… Mothers’ Milk Bank at Austin…Munsch, Hardt, Kopf, & Harr, PC...North Texas Mother’s Milk Bank...Occidental Oil and Gas Corp...Pecan Ridge School…Pioneer Flour Mills…Pioneer Frozen Foods, Inc…Pizza Hut, Inc…Pleticha Publishing, Inc…Raytheon Company Network Electronic Systems…Solectron Texas…Southern Warehouse Corp…Special Addition Maternity Boutique…State and local governmental agencies…SYSCO Food Services of Houston…Texas A&M University System... Texas Instruments…Texas Tech University Health Science Center-El Paso…Thompson & Knight LLP…TICOM Geomatics, Inc…Tree Top Learning Centers…University of Texas at Tyler…UT Health Science Center at Houston…Williams Gas Pipeline-Transco…

25. Texas Mother-Friendly Worksite Program Contact Julie Stagg: (512) 458-7111, ext. 6917 Julie.Stagg@DSHS.state.tx.us http://www.dshs.state.tx.us/wichd/lactate/mother.shtm