Weekly Wednesday Wire: June 7, 2017

USBC Updates

Coalition Spotlight: Appalachian Breastfeeding Network

The United States Breastfeeding Committee has released its June Coalition Spotlight entitled, "Breastfeeding Network: Starting From Scratch." The fourth installment of the USBC Coalition Spotlight shines a light on the Appalachian Breastfeeding Network, which was established in 2016. Organizing across state lines is a major challenge for this young organization, but they use technology to fill the gap. Learn how the ABN is spearheading the fight to close the breastfeeding rate gap in appalachian communities. Don't miss your chance to be featured in the monthly Coalition Spotlight! Submit your stories here!


Federal News

President's Budget, from The White House

The President's Budget for Fiscal Year 2018 was released on May 23, and the outlook for public health programs was largely deemed to be very poor. The budget proposes to:

  • Increase defense spending by $22 billion by cutting funding from all departments besides Defense, Homeland Security, and Veterans Affairs.
  • Cut the Department of Health and Human Services by 16% overall, or $12.7 billion (see DHHS budget).
  • Reduce health care spending by $866 billion over ten years primarily through limits to Medicaid.
  • Cut over $1.2 billion from the Centers for Disease Control and Prevention, including (see CDC budget justification):  
    • Elimination of several CDC agencies and programs including: nutrition, physical activity, and obesity; tobacco prevention and control; diabetes; heart disease and stroke; and arthritis.
    • In exchange, a $500 million block grant to the states is proposed, funded from the Prevention and Public Health Fund (PPHF), to “increase State, Tribal, and territorial flexibility on the leading chronic disease challenges specific to each State.” This is down from about $850 million in FY17 for those combined programs.  
    • Note that the elimination of funding for the CDC's Division of Nutrition, Physical Activity, and Obesity (DNPAO) includes the high-obesity county grants program, Racial and Ethnic Approaches to Community Health (REACH), Hospitals Promoting Breastfeeding, and Let's Move/National Early Care Collaborative.
  • Within the Health Resources & Services Administration, Maternal & Child Health Bureau (see HRSA budget justification):  
    • A $30 million increase to $667 million for the Title V Maternal and Child Health Services Block Grant, including level funding for the Special Projects of Regional and National Significance (SPRANS).
    • A $10 million increase to $128 million for the Healthy Start program.
    • Continuation of the Maternal, Infant and Early Childhood Home Visiting Program (MIECHV) at $400 million, an increase of $28 million.
  • Reduces funding for FDA's food safety by $117 million.
  • Reduces funding for the National Institutes of Health by $7.2 billion and reorganizes the Agency for Healthcare Research and Quality.
  • Cuts the U.S. Department of Agriculture by 21% overall, or $4.6 billion (see USDA budget), including a reduction in funding for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) by $188 million and elimination of a $1 billion carryover from prior years, resulting in a net funding loss of $5.15 billion.

While it's widely expected that the budget will not be adopted by Congress in its current form, it's important to understand it as a proxy for the Trump Administration's priorities. The action now moves to Congress through the spring and summer, where the Appropriations Committees will now begin their process to draft bills reflecting their priorities, with the goal of passing a final budget by the start of the next fiscal year on October 1, 2017.

Member and partner highlights included:

Paid Leave Plan Proposed within Trump Budget, from The White House

President Trump has released his FY2018 budget, which includes a proposal to provide six weeks of paid family leave to new mothers and fathers, including adoptive parents. Using the Unemployment Insurance (UI) system as a base, states would be required to provide six weeks of parental leave. The proposal gives states broad latitude to design and finance the program, and is offset by a package of reforms to the UI system. The proposal does not provide access to paid leave for people facing their own or a family members' illness and treatment. There is substantial concern that the proposal relies upon states' exceedingly limited unemployment insurance benefits programs.

Media highlights included:

Member and partner highlights included:

Fourth Meeting of the Secretary's Advisory Committee for HP2030, from HHS

Join the U.S. Department of Health and Human Services on Tuesday, June 27, from 1-5 p.m. ET for the fourth meeting of the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030. The Committee will discuss the development of the Nation's health promotion and disease prevention objectives, and receive updates from the subcommittees regarding the efforts they are undertaking. This Committee meeting will be held online via webcast and is open to the public.


Member News

Policy Recommendations to Help Children Thrive, from Nemours/Aspen Institute

Nemours and the Health, Medicine and Society Program of the Aspen Institute have released a policy paper entitled, "Supporting Parents to Help Children Thrive." In 2016, the National Academies of Sciences, Engineering and Medicine (NASEM) outlined a roadmap for the future of parenting policy, research and practice in the United States in the report, "Parenting Matters: Supporting Parents of Children 0-8." The goal of the report was to help achieve better outcomes for children and families across the dimensions of cognitive, social, emotional, behavioral, physical and economic health. Building on the NASEM report's recommendations, Nemours Children's Health System and the Health, Medicine and Society Program of the Aspen Institute convened a broad group of stakeholders in November 2016 to consider existing and new federal policies likely to promote effective parenting. The Guiding Principles and Policy Recommendations in this new policy paper were informed by that convening, which brought together experts in health care and education from nonprofit organizations, government and academia to exchange ideas and insights. Recommendations include: promote collaboration and innovation across government agencies and through public-private partnerships; strengthen parent supports through health care and home visiting; and support parents and providers who care for children.  

Children's Health Weight CoIIN, from ASPHN

The Association of State Public Health Nutritionists has announced that the Children's Healthy Weight CoIIN will support state Title V programs' efforts to promote nutrition, physical activity, and breastfeeding. ASPHN is asking states interested in learning more about the Children's Healthy Weight CoIIN to send an email expressing interest to Sandy Perkins at sandy@asphn.org. ASPHN is recruiting states to join this CoIIN by going through two phases. By entering Phase I, a state commits to learning the details of the CoIIN and commits to developing a work plan consistent with breastfeeding and/or physical activity work streams. There is no commitment to apply at this point. During Phase II an application would be submitted. Only states in Phase I are eligible to apply for Phase II. States interested in or intrigued by the Children's Healthy Weight CoIIN need to submit a very simple application by Monday, July 10.  


Partner News

Sign On Letter to Oppose Cuts to Women's Bureau Budget, from NPWF

The National Partnership for Women & Families has launched a sign on letter for organizations and individuals to speak out against the Trump Administration's proposed defunding of the Department of Labor, Women's Bureau. Trump's proposed budget will cut the Women's Bureau's budget by almost 70%, eliminating all of the regional offices and compromising the agency's mission of empowering women to achieve economic security. The deadline to sign on is Friday, June 9. In addition, individuals are encouraged to respond to the White House survey, Reorganizing the Executive Branch, by Monday, June 12. Under Select Cabinet Agency, click Department of Labor: Full Department. Then, under the "Share your idea, your proposal..." box simply state: The Women's Bureau should be fully funded, so that all of the regional offices can remain open, fully staffed and functioning. Be careful NOT to select the Women's Bureau under the question asking which agencies should be eliminated. You can select "None or N/A" for the remaining questions. Complete your personal contact information, then submit.             

World Environment Day Statement, from WABA/PANAP

The World Alliance for Breastfeeding Action and Pesticide Action Network Asia and the Pacific has released a statement for World Environment Day. The statement calls for the elimination of environmental pollutants that disrupt our nature and harm our bodies and states that by working together, we can achieve sustainable development by protecting, promoting and supporting breastfeeding and agroecological food production that are good for humans and nature. 

Dialogue4Health on Health Reform and President's Budget, from PHI

Join the Public Health Institute on Wednesday, June 14, from 3–4 p.m. ET for a Dialogue4Health Web Forum exploring the status of the House's health care replacement bill and the President's budget, both of which pose significant threats to health funding. Tune in to learn how you can take concrete steps in your state and community to protect vital resources that improve the health and well-being of vulnerable communities.

Accountable Communities for Health Peer Learning Lab Report, from PHI

The Public Health Institute has released the Vermont Accountable Communities for Health (ACH) Peer Learning Lab Report. With a $45 million federal State Innovation Model (SIM) grant, the Vermont Health Care Innovation Project (VHCIP) funded proposals to improve health care delivery, develop health information technology, and to test new models for paying providers. With guidance from the Population Health Work Group, state leadership chose to explore their investment through the Accountable Communities for Health model and partnered with the Prevention Institute and the Public Health Institute's Population Health Innovation Lab (PHIL) to advance this critical work. The Learning Lab employed a systems approach, providing tools to collaboratively see, understand, and thoughtfully address the complexities in communities that stand between providers and better health outcomes. The Learning Lab report offers recommendations on policies and guidance that could support further development of ACHs in Vermont. 

Health Equity Discussion, from PHI

Join the Public Health Institute on Monday, June 19, from 1–2 p.m. ET for the next Network Commons discussion on advancing health equity efforts. Hosted by PHI's Build Healthy Places Network, three leading experts with federal-level experience will share strategies and points of leverage for organizations and individuals who seek to continue their efforts to promote health equity in a changing policy environment. 

Building Sustainable Projects Webinar, from NACCHO

Join the National Association of County and City Health Officials on Monday, June 19, from 2-3:30 p.m. ET for a webinar entitled,"Breastfeeding in the Community: Building Sustainable Projects." The sixth, and final, webinar of the NACCHO Public Health Breastfeeding Series, will address how community level organizations can implement micro-level Policy, Systems and Environmental (PSE) changes and work collaboratively to integrate and co-locate lactation support services into existing programs. Participants will also hear from two former NACCHO Breastfeeding Project grantees who used their NACCHO grant funds to implement PSE changes to influence breastfeeding in their communities. 


News from the Field

Population Health Improvement Roundtable Briefing, from NASEM

The National Academy of Sciences, Engineering, and Medicine has released "Health Communication with Immigrants, Refugees, and Migrant Workers: Proceedings of a Workshop—in Brief." The NASEM Roundtable on Health Literacy convened a workshop focused on facilitating health communication with people from immigrant, refugee, and migrant worker populations. To achieve the aim of providing care that is equitable and does not vary in quality because of personal characteristics such as gender, ethnicity, language, or socioeconomic status, it is important that health literacy approaches be used to align system demands with individual skills and abilities. The workshop was organized to explore the application of health literacy insights to the issues and challenges associated with addressing the health of immigrants, refugees, and migrant workers. Presentations and panel discussions explored issues of access and services for these populations as well as outreach and action.


Collective Impact Connection

Hacking Nonprofit Collaboration, from SSIR

The Stanford Social Innovation Review has released an article entitled, "Barriers to Funder Collaboration and the Will to Overcome Them." Foundation leaders know the social sector needs more and better collaboration for impact, but four barriers often get in the way: "biznification" of philanthropy, misaligned measurement incentives, power dynamics, and ego.


News & Views

USA Today: "American moms don't breastfeed long. Here's why."  

The Washington Post: "Women who breast-feed may be lowering their risk of endometrial cancer"

Forbes (opinion): "Don't Want To Breastfeed? The Case For Formula Feeding As An Informed Choice

The Washington Post (opinion): "I chose not to breast-feed. That doesn't make me a bad mom.

BBC: "Do mums really need breastfeeding help from technology?

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