Strategies to Breastfeeding-Friendly Community Health Center

Breastfeeding rates differ substantially by race, socioeconomic level, and other demographic factors. Community Health Centers are main providers of primary health care services for medically underserved communities and vulnerable populations. Promoting breastfeeding can be a key tool in reducing health inequalities and an effective, low-cost early intervention.

The California Department of Public Health, in partnership with the California Breastfeeding Coalition and California WIC Association has released guidelines for community health centers and outpatient care settings to assist in fully supporting breastfeeding mothers and infants. See below for the report and toolkit:

9 Steps to Breastfeeding-Friendly: Guidelines for Community Health Centers and Outpatient Care Settings Report and Online Toolkit

Lactation Supportive Environments (LSE) a project of the County of San Diego Health and Human Services Agency in partnership with UC San Diego Center for Community Health with funding from First 5 San Diego has been working on a breastfeeding-friendly community health center project. The project addressed key areas community health centers can focus on to promote breastfeeding. LSE supported six community health centers in enhancing lactation support services and reducing barriers faced by mothers initiating and maintaining exclusive breastfeeding. Click on the boxes in the above infographic or scroll down to access the tools and resources utilized in the LSE community health center project.

 

Workplace Lactation Accommodation Policy

Provide and maintain effective lactation accommodation for all employees within the organization to include a written policy, systems changes, communication plan, training, environmental changes, resources and education.

Sample lactation accommodation policy

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Working and Breastfeeding Resources for Employers and Employees

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Workplace Lactation: Step 7 of the Guidelines

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Infant Feeding Policy

Establish and routinely communicate to all clinic staff a written infant feeding policy that promotes, supports and protects breastfeeding and human milk as the normative standards for infant feeding and nutrition.

Sample Infant Feeding Policy

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Policy and Protocol: Step 1 of the Guidelines

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Breastfeeding-Friendly Office Environment

Establish, provide and maintain policies and procedures that support a breastfeeding-friendly environment.

Sample Breastfeeding-Friendly Office Environment Policy

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Sample Breastfeeding-Friendly Materials

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Breastfeeding-Friendly Office Environment Assessment

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Clinic Environment: Step 5 of the Guidelines

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Staff Education

Provide initial and ongoing breastfeeding education and training for ALL clinic staff to establish and maintain a breastfeeding-friendly environment. Utilize community partners, such as WIC, or online resources to assist in training staff.

BreastfeedLA Prenatal Breastfeeding Education Booklet

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Additional Staff Education Resources:

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Women, Infants, and Children Agencies

View Website (English)

United States Breastfeeding Committee Learning Communities

View Website (English)

UC San Diego Extension Lactation Education (Lactation Professional Training, IBCLC/CLEC)

View Website (English)

Staff Education: Step 2 of the Guidelines

View Website (English)

Patient Education: Step 3 of the Guidelines

View Website (English)

 

Clinical Services

Provide clinical services that promote and support breastfeeding for the mother-baby dyad as optimal infant nutrition. Train and/or hire staff to provide lactation services.

WIC Module 10 – Solutions for Common Breastfeeding Concerns or Questions

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UC San Diego Extension Lactation Education (Lactation Professional Training, IBCLC/CLEC)

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Enroll in UC San Diego Extension Lactation Education

Lactation Professionals Corner

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Clinical Services: Step 4 of the Guidelines

View Website (English)

 

Financial Sustainability

Develop a financial plan that maximizes the sustainability of breastfeeding support services for the mother-baby dyad. For CPSP providers, connect with your Medi-Cal billing representative and County CPSP Perinatal Services Coordinator to receive guidance and training on billing for breastfeeding services (see links below to find your representatives).

Breastfeeding Support through Medi-Cal: Steps to Provide Billable Service Training

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Reimbursement Procedures

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The Business Case for Lactation Supportive Environments Training

Coming Soon…

Feeding Assessment with Lactation Consultant

Download Document (English)

North County Health Services Breastfeeding-Friendly Policy Sample

Download Document (English)

Billing Support Staff

Download Document (English)

Financial Sustainability Forum

View Website (English)

Medi-Cal Provider Training and Education

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Comprehensive Perinatal Services Program (CPSP)

View Website (English)

CPSP Perinatal Services Coordinator Directory

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Ramping Up For Reform: Quality Breastfeeding Support in Preventive Care

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Financial Sustainability: Step 8 of the Guidelines

View Website (English)

 

Community Resources and Collaboration

Collaborate with local agencies and health professionals to ensure continuity of care and breastfeeding support in the community. Check out the Breastfeeding-Friendly Community Health Center forum to connect with other healthcare professionals working towards creating breastfeeding-friendly clinics.

Community Health Center Resource Guide

Coming Soon…

Breastfeeding-Friendly Community Health Center Forum

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Community Resources: Step 6 of the Guidelines

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Electronic Health Records and Evaluation

Establish systems of data tracking, quality assurance, continuous quality improvement and impact evaluation surrounding breastfeeding.

Breastfeeding Measurement in the Outpatient Electronic Health Record: Current Practices and Future Possibilities Report

Breastfeeding Measurement in the Outpatient Electronic Health Record Report

Electronic Health Records (EHR) Forum Discussion

Coming Soon…

Community Health Center Assessment Tool

Download Document (English)

Quality Improvement and Impact Evaluation: Step 9 Guidelines

View Website (English)

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