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Project Overview. Implementing The Business Case for Breastfeeding in Your Community Sponsored by: U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration Maternal and Child Health Bureau With additional support from: HHS Office on Women’s Health.
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Implementing The Business Case for Breastfeeding in Your CommunitySponsored by:U.S. Department of Health and Human Services (HHS)Health Resources and Services AdministrationMaternal and Child Health BureauWith additional support from:HHS Office on Women’s Health
Project Goals • Increase breastfeeding exclusivity and duration rates among employed breastfeeding women • Increase worksite lactation support for breastfeeding women • Equip lactation consultants, breastfeeding advocates, and Healthy Start programs for conducting effective outreach with employers • Increase collaboration between State Breastfeeding Coalitions and community Healthy Start programs [www.healthystartassoc.org]
Train the Trainer Program • Training manual with • PowerPoint presentation • Speaker Notes and Handouts • CD-ROM • Training focus: • Communicating effectively with businesses • Ways to improve support • Strategy planning
Sneak Preview: Section 1 • Topics • Health implications of breastfeeding • Rationale for supporting employed mothers • Project overview • Resource • The Business Case for Breastfeeding
Profits and People • Nearly 60% of women are in the work force; of these, 62% are of childbearing age • Women comprise nearly half of the U.S. labor force • Women with children are the fastest growing segment of the work force • Over 70% of women with children are in the work force
U.S. Breastfeeding Rates Source: Centers for Disease Control and Prevention
Why We Care • Breastfeeding initiation is high, but duration and exclusivity rates rapidly decline • Family-friendly policies assist in providing the support women need to meet their breastfeeding goals Photo credit: Mutual of Omaha
Health Implications for Babies • NOT breastfeeding increases risk of: • Obesity • Ear infections • Respiratory infections • Gastrointestinal infections • Skin conditions • Type 1 and Type 2 diabetes • Leukemia • Sudden Infant Death Syndrome (AHRQ 2007)
Increased Risks for Babies of Employed Mothers • Infants in child care centers are at 69% increased risk of hospitalization for respiratory infection (Kamper 2006) • Being in a child care setting doubles odds of needing antibiotics by age 1.5-5 years (Dubois 2005) • Exclusive breastfeeding at least 4 months had protective effect for 2.5 years • Among infants of employed mothers who were never sick during the first year, 86% were breastfed (Cohen 1994)
Health Implications for Employed Mothers • Mothers who breastfeed are at lower risk of: • Premenopausal breast cancer • Ovarian cancer • Type 2 diabetes (AHRQ 2007) • Breastfeeding mothers: • Recover from pregnancy faster • Enjoy a delayed menses • Healthier employees are more productive
Impact of Employmenton Breastfeeding • Full-time employment shortens breastfeeding duration (Fein and Roe 1998) • Most women wean before end of first month back at work (Cardenas 2005) • Full-time employment an economic necessity for many (Galtry 1997)
Direct Breastfeeding vs. Pumping at Work • Women who breastfeed baby at work breastfeed longer durations than mothers who only express milk at work (Fein 2008). • Women who do not breastfeed or express milk do not breastfeed as long. • Women in supportive worksite environments breastfeed as long as mothers who exclusively breastfeed at thebreast (Whaley 2002; Ortiz 2004)
Concerns of Special Population Groups • Concerns of African American mothers • Lower breastfeeding rates • More likely to work full-time and return to work sooner (Caulfield 1998, Galtry 1997) • African American and Hispanic mothers tend to experience a higher rate of poverty and are more likely to be employed in low-wage job settings (Beers 2001) • Welfare Reform Act of 1996 has led to earlier return to work and significant issues maintaining lactation (Haider 2003)
Support in the Workplace • Maternity leave • Flexible return to work options • Onsite child care • Private areas to breastfeed or express milk • Managerial support
The Business Case for Breastfeeding • Funded by U.S. Department of Health and Human Services, Health Resources and Services Administration’s Maternal and Child Health Bureau • Research and Strategy Formation • Worksite lactation resource kit • National training and technical assistance initiative for State Breastfeeding Coalitions and communities with Healthy Start programs
The Business Case for Breastfeeding • Targets varied groups who impact employed mothers • Packaged in 5 individual file folders • Cover “box” designed for versatile storage • Select individual pieces for the audience groups targeted • Full kits and additional pieces are available from MCHB at: www.ask.hrsa.gov 1-888-275-4772 (ASK HRSA)
“The Business Case for Breastfeeding” • Folder #1 • Target: Employers • Key content: • Bottom line benefits to supporting breastfeeding employees • Quick overview of components of a lactation support program
“Easy Steps to SupportingBreastfeeding Employees” • Folder #2 • Target: Human Resource Managers • Key content: • Lactation support program options • Strategies for implementing • Gaining buy-in • Promoting the program
“Tool Kit” • Folder #3 • Target: Human Resource Managers • Key Content: CD-ROM with reproducible templates • Worksite policy • Assessment and feedback forms • Promotional items • Resource Guide • Employer Snapshots
“Employees’ Guide to Workingand Breastfeeding” • Folder #4 • Target: Pregnant and Breastfeeding Employees • Key content: • Tips for combining breastfeeding and employment • Ways to talk with supervisor and colleagues about breastfeeding needs
“Outreach Marketing Guide” • Folder #5 • Target: Outreach Workers • Key content: • Strategies for conducting effective outreach with businesses • Strategies for supporting working mothers • “Outreach Marketing Resources” CD-ROM • PowerPoint presentation • Templates for outreach letters • Sample legislative language • Lesson plans
Project Expectations • Develop a plan for utilizing The Business Case for Breastfeeding to conduct outreach with businesses in your community • Identify appropriate businesses to target for outreach, and partners who can help • Conduct outreach with targeted employers • Train others in your community who can assist you with this outreach effort
Technical Assistance • Ongoing technical assistance via telephone, email and teleconferences for 1 year • Toll-free hotline: 1-866-435-4808 • Web site:www.hcdi.com/hrsa/worksitelactationsupport/index.html