SDCBC BREEAST PROGRAM
Our sincere thanks to Rest Haven Children’s Health Fund 2010-2011, 2011-2012 and 2012-2013 http://resthavenchf.org
Our Primary Goal: To meet the needs of mothers and infants at high risk of breastfeeding failure in a cost-effective manner by providing or arranging for breastfeeding equipment and supplies, education, support, referral and coordination.
If you know a breastfeeding mother or family who needs a breast pump, education or support, contact us at firstname.lastname@example.org or 1-800-371-MILK (6455)
What is the Problem? Three quarters of women who initiate breastfeeding in the hospital have discontinued breastfeeding by nine weeks post-partum. The pattern of infant feeding observed in California – many women initiating breastfeeding, but few continuing beyond a few weeks – indicates that women are not receiving adequate support in their efforts to breastfeed and produce breastmilk for their infants. Although the affluent part of our San Diego and Imperial County population can afford non-reimbursed expenditures for lactation consultant services, breast pumps and other supplies, our less affluent county residents, especially our Hispanic, Asian, African-American and teen parents cannot afford these extra costs. Our most vulnerable children, both medically and socially high risk infants, lack access to the healing and developmental benefits of their mother’s milk because their families lack access to breastfeeding equipment, education and support.
Some populations are at higher risk for not breastfeeding or for failure to complete secondary education after the birth of a baby. Case workers with San Diego County Adolescent Pregnancy and Parenting Program (SANDAPP) cite breastfeeding as a significant barrier to returning to school after giving birth. That is, some teens do not return to school because they want to breastfeed their baby. Mothers of young infants and shelters do not have the resources to purchase pumps and equipment that allow them to give their infants breastmilk and return to the workforce, or even provide breastmilk if their infant is unable to feed effectively at the breast.
Infants born prematurely, with congenital abnormalities and or other medical conditions often do not have the strength, stamina, or coordination to effectively breastfeed. In order for them to receive breastmilk their mothers must use a breast pump to express milk to give to their infant. In addition, as these infants become stronger they need expert support in transitioning to feeding at mother’s breast.
Over the last 16 years the SDCBC has become very aware of unmet needs in our community. A recent preliminary assessment of hospital lactation services, neonatal intensive care units (NICU), schools, womens’ shelters, public health services and community clinics confirms the need for additional breastfeeding equipment, education and support. There are many medical and social high risk situations that prevent or limit appropriate breastfeeding:
- Preterm infants in the NICU
- Other ill and high risk infants
- Teenage mothers
- Homeless mothers, families
- Socially disadvantaged families
The SDCBC is addressing the needs of these socially and medically disadvantaged infants and their mothers through the BREEAST program. Our goal is to improve the health of our community by increasing both the incidence and duration of breastfeeding in high risk populations.
Specific Request- Outcomes and Goals and Details of Expenditures
To improve the health of our community by increasing both the incidence and duration of breastfeeding in high risk populations.
Assessing the current breastfeeding needs of underserved and high-risk populations in our community. These populations include, but may not be limited to:
a. Infants born to teen mothers attending SD County High Schools
b. Infants born to mothers living in SD County shelters
c. Infants born prematurely
d. Infants born with congenital defects or other serious medical problems
2. Meeting the needs of mothers and infants at high risk of breastfeeding failure in a cost-effective manner by providing or arranging for:
a. Breastfeeding equipment and supplies
c. Support & Coordination
3. Creating a “Model Program” for regional lactation support” that can be replicated elsewhere in California and the US
Objective 1: To thoroughly assess the current breastfeeding needs of underserved and high-risk populations in our community and possible resources available to meet those needs.
SDCBC will convene a Community Partners Forum/Meeting to thoroughly assess the current breastfeeding needs of underserved populations in our community and to assess possible resources available to meet those needs. Participants in this meeting would include WIC agencies; SD Public Health Services; community clinics; representatives from high schools who have expressed an interest, representatives from SD County birthing facilities, hospitals, and neonatal intensive care units; lactation consultants and lactation programs; representatives from County shelters; public health nurses; representatives from breast pump companies and others interested in serving the breastfeeding needs of our community.
Grant monies will be expended for meeting administration and coordination, marketing the meeting to community partners, printing meeting materials, continental breakfast and lunch for participants, a stipend for any additional needed surveys, a stipend for preparing the meeting report, and printing a limited number of reports (major distribution electronically). We are hoping for a donated venue, and will leverage Resthaven funds with additional donations wherever possible.
Objective # 2: To meet the needs of mothers and infants at high risk of breastfeeding failure in a cost-effective manner by providing or arranging for breastfeeding equipment and supplies, education, support, referral and coordination.
2.1: Breastfeeding equipment and supplies:
SDCBC will purchase and distribute breast pumps and pump kits to SD County breastfeeding mothers with no resources who have high risk infants in County NICUs or attending the Premature Infant Nutrition Clinic (PINC). In addition, appropriate pumps will be supplied to case workers for mothers attending high school, mothers living in shelters and correctional facilities as appropriate. Appropriate pumps and pump supplies will be distributed to community clinics and to other facilities identified by our needs assessment. Pump kits and coolers for storage of pumped breast milk will also be provided. It is anticipated that a few small refrigerator-freezers may also be needed for breastmilk storage for some facilities housing high-risk mothers.
2.1: Education, Referral, Support and Coordination:
SDCBC has already developed basic breastfeeding educational flipcharts in English and Spanish at a 6th grade reading level to be used in Comprehensive Perinatal Support Program clinics (CPSP) and elsewhere. We anticipate additional flipcharts will need to be printed, assembled and distributed to accompany the breast pumps and supplies above. In order to be sure appropriate, evidence-based breastfeeding education is being provided to our high-risk populations, SDCBC will organize and host an event to train and educate key persons assisting the high-risk populations we are targeting, eg. case workers for San Diego Pregnancy and Parenting Program (SANDAPP). Thus education and support will be provided to both members of the high-risk populations and their caretakers. Funds will be needed for the flipcharts, other educational materials and a training event.
For premature infants and their mothers, support includes referral and follow-up at the Premature Infant Nutrition Clinic (PINC). SDCBC will provide funds for the PINC to expand service to high risk infants who are un- or underinsured. Rest Haven Children’s Fund provided funding for its initial year of operation (2008-2009). PINC is now in a position to accept infants from any hospital or provider in San Diego County, a true community effort.
The SDCBC already provides extensive referral and support for all breastfeeding families through our web site, Resource Guides in English and Spanish and our 1-800-371-MILK line. Armed with the needs assessment and resources report above, we believe the SDCBC BREEAST program will be able to leverage Resthaven funds by referring to other available resources such as WIC, hospital grant pump programs, and other resources.
To accomplish all of the above in a cost-effective manner, coordination and competent administration are essential. SDCBC will require some additional equipment (laptop, software, digital projector) and staff time. In addition, additions to the web site and appropriate marketing will need to be done to assure those in need are aware of the services available. Once the system is established, minimal expenditures are expected to maintain it within the existing SDCBC structure.
Objective # 3: To create a “Model Program” for regional lactation support” that can be replicated elsewhere in California and the US.
SDCBC hopes to develop a Regional Lactation support program for high risk infants and mothers that can be used in other regions of California and the US. We will allow ready access to this program through meetings and the internet. This requires additional time to document every step in our program and its development, outcomes and concerns as well as producing a manual for other regions to follow.
Grant Coordinator (Position Description)
Final Report – September 2011