Online Program

California: Breastfeeding Support in California Community Clinics

Tuesday, November 5, 2013 : 5:45 p.m. - 6:00 p.m.

Linda Cowling, MPH, RD, California Project LEAN, California Department of Public Health, Sacramento, CA
Through a competitive application process, the California Department of Public Health's (CDPH) CDC-funded California Obesity Prevention Program (COPP) funded 15 community health clinics serving families in high risk ethnic groups and communities with chronically low breastfeeding duration rates to create an environment that promotes and supports mothers' decision to breastfeed prenatally, as well as their intention to sustain breastfeeding post-hospital birth discharge. This project proposes to honor mothers' decision to breastfeed by building a better “Continuum of Care” for breastfeeding by providing culturally competent breastfeeding promotion, support and care services throughout the perinatal period: from prenatal education and informed decision-making, to initiation at birth, and into the first year of life—or until weaning occurs. Each of the funded community clinics was awarded $25,500 and: participated in the formation of a Collaborative Improvement and Innovative Network (COIN) of community clinics to develop staffing and billing systems for lactation services; Implemented a system(s) to provide and bill for professional breastfeeding support services and pumps as required by the Affordable Care Act; and contributed to the development of and pilot California's Model Breastfeeding-Friendly HealthCare Provider Criteria and Implementation Toolkit. To ensure successful outcomes with this pilot project, CDPH's COPP partnered with the California WIC Association and the California Breastfeeding Coalition, two organizations with extensive breastfeeding expertise and knowledge particularly among low-income women in California. The fifteen community clinics were selected because of their readiness to be “early adopters” in providing improved breastfeeding support, and include a Native American Health Clinic, and clinics in urban and rural areas providing services to low-income mothers of diverse background. Clinics are distributed within thirteen counties throughout the state: Alameda; Contra Costa; Kern; Los Angeles; Madera; Monterey; Orange; Sacramento; San Bernardino; San Diego; Santa Cruz; Sonoma; and Tulare.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research

Learning Objectives:
Describe best practices for using community-based organizations to improve post-discharge breastfeeding support for mothers. Identify novel approaches for integrating breastfeeding support with other nutrition and physical activity programs to create healthier communities.

Keyword(s): Breastfeeding, Community Capacity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have an MPH and am a registered dietitian with expertise in maternal and child health. I worked as a nutrition consultant with the California Nutrition Network for Healthy, Active Families. I collaborated on committees to develop public health-related guidance in California, and have presented MCH/public health sessions previously. I work in the California Department of Public Health and have extensive knowledge of the activities of the breastfeeding support program described in the presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.