National efforts to support breastfeeding: A progress update on the Surgeon General's Call to Action
purpose: To review and record progress on SG-CTA recommendations by national and state-level agencies from 2011-2014.
methods: We collected descriptive information about breastfeeding activities from national and state-level organization websites and documents and reviewed research, organization publications, and new policies. We categorized and classified breastfeeding activities into the 20 SG-CTA action steps and each step’s associated implementation strategies.
results: All 20 action steps were represented by the range of breastfeeding activities recorded. In particular, national and state-level policies and programs have focused attention on SG-CTA action steps related to 1) improving maternity care practices (Steps 7 & 8), 2) supporting mothers in the workplace through lactation support programs (Step 14), and 3) improving access to community-level peer and professional breastfeeding support (Steps 3 & 4). The least number of activities were recorded for training a wide range of health professionals in breastfeeding (Steps 9 & 10), strengthening capacity and increasing funding for high-quality breastfeeding research (Steps 17 & 18), and promoting paid maternity leave policies (Step 13).
conclusion: National and state-level programs and policies are addressing all 20 action steps in the SG-CTA, but with varying levels of activity. This review highlights progress made on each SG-CTA step and identifies areas that may benefit from additional activity.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research
Social and behavioral sciences
Identify national and state-level activities and policies that indicate progress on the 20 action steps called for in the 2011 Surgeon General’s Call to Action to Support Breastfeeding Discuss examples of specific implementation strategies that are reflective of the activities identified for the 20 action steps.
Keyword(s): Breastfeeding, Maternal and Child Health
Qualified on the content I am responsible for because: I hold a PhD in public health with a research focus on breastfeeding. My dissertation research examined lactation consultantsâ perspectives about professionalsâ roles in breastfeeding management and support, the multiple levels of barriers they navigate, and their strategies for success. I am a CDC ORISE fellow; my research portfolio includes tracking the nationâs progress vis-Ã -vis the Surgeon Generalâs Call to Action to Support Breastfeeding and I participate in the Federal Interagency Breastfeeding Work Group.
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.