Weekly Wednesday Wire: August 23, 2017

Federal News

Secretary's Advisory Committee Meeting on Healthy People 2030, from HHS

The Department of Health and Human Services has announced that the fifth meeting of the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 will take place on Wednesday, September 6, and Thursday, September 7. Individuals must pre-register to attend the meeting. The Committee will discuss the development of the Nation's health promotion and disease prevention objectives, discuss proposed recommendations and updates from each of the Committee's subcommittees, and hear oral testimony from the public on the proposed Healthy People 2030 framework. There will be an opportunity for members of the public and stakeholders to deliver two minutes of oral public comments regarding the proposed Healthy People 2030 vision, mission, overarching goals, foundational principles, and plan of action. Individuals interested in delivering oral public comments must register their intention and submit a written copy of their oral testimony no later than Wednesday, August 30. 

Healthy People 2030 Public Comment Period Open, from HHS

The Department of Health and Human services has opened an online public comment period for Healthy People 2030. The Healthy People team is requesting comments on the proposed framework for Healthy People 2030, which refers to the Healthy People 2030 vision, mission, foundational principles, plan of action, and overarching goals. Both individuals and organizations are invited to submit comments on the proposed framework. The public comment period ends Friday, September 29.

National Breastfeeding Month Bulletin, from CDC

The Centers for Disease Control and Prevention have released a National Breastfeeding Month bulletin. The bulletin highlights this year's National Breastfeeding Month themeCharting the Course Togetherand presents new data on breastfeeding rates. Among babies born in 2014, breastfeeding initiation exceeded the Healthy People 2020 (HP2020) target of 81.9% and is now 82.5%. Breastfeeding at 6 months increased 3.5 percentage points and is now 55.3%. Exclusive breastfeeding through 3 months exceeded the HP2020 target of 46.2% and is now 46.6%. In addition, data is now available for three U.S. territories: Puerto Rico, Guam, and the U.S. Virgin Islands. The bulletin also speaks to the work that still needs to be done to close the racial breastfeeding disparities. 

Printable Breastfeeding Resources, from NLM

The National Library of Medicine has released HealthReach, a national collaborative partnership to create quality multilingual, multicultural public health information for those working with or providing care to individuals with limited English proficiency. The resource features printable handouts as well as video and audio resources. Handouts include Breastfeeding Basics, Breastfeeding Problems, Getting Started Breastfeeding Your Baby, and Pumping and Storing Breast Milk

Public Health Grand Rounds Recording on Workplace Health, from CDC

The Centers for Disease Control and Prevention have released a recording of the August session of Public Health Grand Rounds, entitled "New Frontiers in Workplace Health." The webinar addresses comprehensive integrated approaches, best practices, and the role state health departments have in the support of workplace health and safety. The session highlighted CDC's new "Workplace Health Resource Center," a one-stop website for reliable and easy to use resources for employers and employees.

National Public Health Improvement Initiative Compendium, from CDC

The Centers for Disease Control and Prevention have released "Advancing Public Health: The Story of the National Public Health Improvement Initiative," a compendium that describes the successes and outcomes of the National Public Health Improvement Initiative (NPHII). This initiative represented an unprecedented opportunity for the CDC to support state, tribal, local, and territorial public health departments in building their performance capacity for more efficient and effective program and service delivery. The compendium contains stories about the activities undertaken by each funded health department. 


Member News

Open Letter to Request Meeting w/ Fed Is Best Foundation, from 1,000 Days & ROSE

On August 15, on behalf of over 40 signing organizations, 1,000 Days sent an open letter requesting a meeting with the co-founders of the Fed Is Best Foundation. Fed Is Best has engaged in a public campaign that draws links between the recommended practice of exclusive breastfeedingas well as its education and promotion by health care providersand the tragic deaths and injuries of babies. On August 22, Reaching Our Sisters Everywhere sent an updated version of the letter, now with over 60 signing organizations. The sign on form has been reopened indefinitely, to accommodate organizations that wish to sign on as the word spreads further.

#IPumpedHere Petition Delivery Video, from MomsRising

MomsRising has released a video highlighting the delivery of stories, photos, and petition signatures gathered during the #IPumpedHere campaign to Members of Congress. The campaign aims to improve workplace support for breastfeeding moms.  


Partner News 

NAPPSS-IIN Announcement, from NICHQ

The National Insitute for Children's Health Quality has announced that they will lead a five year national initiative aimed at making infant safe sleep and breastfeeding the national norm. The National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN) engages champions within the systems that intersect with infant caregivers and families at risk to disseminate infant safe sleep and breastfeeding messages. Participants will develop and test a small set of evidence-based practices, known as a safety bundle, and guide implementation and refinement of the bundle across sectors to improve the likelihood that infant caregivers and families receive consistent, evidence-based instruction about safe sleep and breastfeeding.

Statement on Racial Healing, from WKKF

The W.K. Kellogg Foundation has released a statement on racial healing from its president and CEO. The statement calls for a new approach that penetrates the full consciousness of our society, draws in all communities, and focuses on racial healing and truth-telling. WKKF supports racial justice healing through the Truth, Racial Healing & Transformation framework.

New Funding Approaches to Support Multi-Sector Initiatives, from TFAH and Monitor Deloitte

Trust for America's Health and Monitor Deloitte have released a paper entitled, "Supporting Healthy Communities: How Rethinking the Funding Approach Can Break Down Silos and Promote Health and Health Equity." The paper discusses the Healthy Communities Funding Hub model, which offers a way to bridge a gap in many communities where there is no existing infrastructure for sustainably funding multi-sector and multi-funding-stream efforts to improve health. The hubs would be place-based organizations bringing together funding from federal, state, local, and philanthropic sources across the many sectors that affect health. Each hub would serve as a trusted intermediary and formal financial manager, equipped with the necessary financial capacities to coordinate health improvement funds, and be a single point of financial accountability to stakeholders.

Paid Leave and Preventive Care Report, from CLASP

The Center for Law and Social Policy has released a publication entitled, "Paid Leave Necessary for an Ounce of Prevention." The paper discusses the importance of paid leave for improving public health by allowing time for preventive care and highlights research showing that access to paid maternity leave leads to higher breastfeeding rates. Many workplaces do not provide paid leave and no federal paid leave laws exist. As a result, millions of Americans cannot obtain preventive care that could produce cost savings and better public health outcomes over the long term. 

Preventive Health Data by Congressional District, from TFAH

Trust for America's Health has released an updated version of "Special Analysis: How Healthy Is Your Congressional District?." The report provides a one-year snapshot of seven preventive health measures for each Congressional District and for each state and the District of Columbia. It uses data from the Centers for Disease Control and Prevention's 2015 Behavioral Risk Factor Surveillance System. Several descriptive charts and maps are available, including a listing of the range of healthiest to least healthy Congressional districts. 


News from the Field

Breastfeeding Education In Residency Article, from Breastfeeding Medicine

The journal Breastfeeding Medicine has published a paper entitled, "Breastfeeding Education and Support Services Provided to Family Medicine and Obstetrics–Gynecology Residents." A cross-sectional study was conducted using a web-based survey emailed to program directors of family medicine and obstetrics–gynecology residency programs in the United States to investigate breastfeeding education and support services provided to family medicine and obstetrics–gynecology residents in the United States. The results were compared with a 2011 study of pediatric residents. A median of 23 hours of breastfeeding education is provided to obstetrics–gynecology residents (4-year program) and 8 hours provided to family medicine residents (3-year program). In comparison, pediatric programs reported a median of 9 hours. The most commonly used settings included lectures with faculty and lactation consultants, similar to the pediatric study. Researchers concluded that better educating residents in prenatal and perinatal specialties may increase breastfeeding rates.

New Formula Marketing Code, from Hong Kong

The government of Hong Kong has issued a voluntary code of marketing of formula milk and related products. The HK Code aims to contribute to the provision of safe and adequate nutrition for infants and young children by protecting breastfeeding and ensuring the proper use of designated products, on the basis of adequate and unbiased information and through appropriate marketing. Drafted by the Taskforce on Hong Kong Code of Marketing of Breastmilk Substitutes, the Code offers guidance for manufacturers and distributors on marketing to the public, in health care facilities, and to health workers.

Health and Early Childhood Care and Education, from NASEM

Join the National Academies of Sciences, Engineering, and Medicine's Roundtable on Population Health Improvement on Thursday, September 14, for a one-day workshop that explores the intersection of health and early childhood care and education (ECE), two key social determinants of health. The workshop will provide a brief overview of the science, including effective interventions, programs, and practices that can be supported by health and ECE sectors. 

Equity in Multisector Community Health Partnerships Workshop Proceedings, from NASEM

The National Academies of Sciences, Engineering, and Medicine have released, "Exploring Equity in Multisector Community Health Partnerships: Proceedings of a Workshop." The workshop explored multisector community health partnerships that engage residents, reduce health disparities, and improve health and well-being. Speakers shared strategies that they have learned make partnerships effective and described the challenges that residents and other stakeholders have had to overcome in order to create change in their communities. The workshop included demonstrations of interactive activities used to engage a diversity of residents in developing, leading, and sustaining equitable community partnerships.

Research on Continuous Support During Childbirth, from CDSR

The Cochrane Database of Systematic Reviews has released research findings in an article entitled, "Continuous support for women during childbirth." The primary objective was to assess the effects, on women and their babies, of continuous, one-to-one intrapartum support compared with usual care, in any setting. Women allocated to continuous support were more likely to have a spontaneous vaginal birth and less likely to report negative ratings of or feelings about their childbirth experience and to use any intrapartum analgesia. In addition, their labors were shorter, they were less likely to have a caesarean birth or instrumental vaginal birth, regional analgesia, or a baby with a low five-minute Apgar score. There was no apparent impact on other intrapartum interventions, maternal or neonatal complications, such as admission to special care nursery, and exclusive or any breastfeeding at any time point.


State/Community News

New Protections for Pregnant and Breastfeeding Workers, from Massachusetts

Governor Charlie Baker of Massachusetts has signed the Massachusetts Pregnant Workers Fairness Act into law. The legislation will prohibit workplace and hiring discrimination related to pregnancy or a condition related to pregnancy, including lactation, and require employers to provide reasonable accommodations for expectant and new mothers in the workplace. Read the press release

Assessment of School District Support for Breastfeeding Employees, from Kansas

The Kansas Breastfeeding Coalition has published a report entitled, "Statewide Baseline Assessment of Kansas School Districts' Support for Breastfeeding Employees." The coalition worked in partnership with the Kansas Department of Health and Environment and the Kansas State Department of Education to assess school districts' employment practices with regard to support of their breastfeeding employees. The assessment examined policies, scheduling of employees to allow time for milk expression breaks, accommodations in district buildings for milk expression breaks, and education of co-workers about the importance of supporting breastfeeding employees. 


Collective Impact Connection

Learning From Organizing, from Collective Impact Forum

The Collective Impact Forum has released a blog post entitled, "What Can Collective Impact Learn from Organizing?." The article explores three lessons collective impact practitioners can learn from community organizers. While community organizing and collective impact are distinct change strategies, with quite different approaches and contexts in which they make sense, the themes addressed in the post can help strengthen the way we apply collective impact as an approach to achieving social change.


News & Views

The New York Times: "Working to Close the Breast-Feeding Gap

The Huffington Post: "How Governments Are Failing Breastfeeding Moms"

Medium: "No One Breastfeeds Alone: Alive & Thrive's Successful Model"

The National Academy of Medicine: "The Interplay of Community Trauma, Diet, and Physical Activity"

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