2015 PRAMS Data Released, from CDC
The Centers for Disease Control and Prevention have announced the release of 2015 Pregnancy Risk Assessment Monitoring System (PRAMS) data. Researchers can request the most recent year of data. PRAMS is part of the CDC's Safe Motherhood and Infant Health Initiative, developed in 1987 to help reduce infant morbidity and mortality by providing data that were not available elsewhere about pregnancy and the first few months after birth. These data can be used to identify groups of women and infants at high risk for health problems, to monitor changes in health status, and to measure progress towards goals in improving the health of mothers and infants. PRAMS data are used by researchers to investigate emerging issues in the field of reproductive health and by state and local governments to plan and review programs and policies aimed at reducing health problems among mothers and babies. Breastfeeding data can be found in the Infant Health section. PRAMS is funded in 51 sites and covers 83% of all live births in the United States.
Interim Update Opinion on Marijuana and Lactation, from ACOG
The American College of Obstetricians and Gynecologists has issued an interim update of a committee opinion about marijuana use during pregnancy and lactation. This Committee Opinion has been updated to reflect a limited, focused change in the language and supporting evidence regarding marijuana use and neonatal outcomes. The recommendations continue to state that insufficient evidence exists to determine the effects on infants when the mother uses marijuana during lactation and breastfeeding. However, the College suggests that marijuana use be discouraged and advises clinicians to educate breastfeeding women about the risks of marijuana metabolite exposure.
Policy Paper on Accountable Community for Health Model, from Nemours
Nemours Children's Health System has published a policy paper entitled, "Defining an Accountable Community for Health (ACH) for Children and Families." The policy paper makes the case for optimizing health for children and families, beginning in the early years, by presenting a vision for the future, identifying core elements for the Accountable Community for Health for Children and Families model, and outlining unique considerations for policymakers and funders who could play a critical role in testing the model.
Research Findings on Breastfeeding Attitudes of Primary Care Pediatricians, from AAP
The American Academy of Pediatrics has released new research that indicates primary care pediatricians' recommendations regarding breastfeeding have become more reflective of AAP policy over the last two decades based on data from the AAP Periodic Survey of Fellows. Each Periodic Survey was mailed to approximately 1,600 non-retired U.S.-based AAP members. Analyses were limited to pediatricians providing primary care to children 2 years old and younger. The authors found that 76% of pediatricians in 2014 recommended exclusive breastfeeding during the first month of life, up from 65% in 1995. Additionally, almost all pediatricians now recommend initiating breastfeeding within the first hour after delivery (92%) and keeping the newborn in the mother's room throughout the hospital stay (86%).
Local Health Department Landscape Report, from NACCHO
The National Association of County & City Health Officials has published a report entitled, "The Changing Public Health Landscape." The report contains new findings on the forces that are affecting the nation's local health departments. Findings show that although the economic situation is slowly improving for many local health departments, one in five still reported a lower budget in 2017 than in 2016.
Infant Mortality CoIIN Capstone Webinar, from NICHQ
Join the National Institute for Children's Health Quality on Wednesday, November 15, from 2-3 p.m. E.T. for a capstone webinar entitled, "Big Wins and Next Steps in Addressing Infant Mortality." During the webinar, NICHQ will share the results and impact of the national Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN) as well as strategies that led to success and key resources to address infant mortality.
Action Alert to Challenge Global Monitoring Mechanism Initiative, from IBFAN
The International Baby Food Action Network has launched a campaign urging public-interest actors to join in challenging the Global Monitoring Mechanism (GMM) initiative by the Bill and Melinda Gates Foundation. The GMM is a new project conceived as a multi-stakeholder partnership "based on the principle of progressive realization towards full Code compliance." It is facilitated by the Meridian Institute, but conceived and funded by the Bill and Melinda Gates Foundation. Multi-national and national baby food companies are foreseen as members of the project, together with the UN, governments, CSOs, donors and philanthropic foundations.
Community Programming Implementation Webinar, from NACCHO
Join the National Association of County and City Health Officials on Thursday, November 16, from 2-3 p.m. ET for a webinar entitled, "Community-level Breastfeeding Implementation: Live Technical Assistance Q & A webinar session." The webinar will provide an opportunity to learn from the NACCHO Breastfeeding Team as well as former grantees who were able to overcome difficulties while implementing breastfeeding programs. Participants can submit questions through the registration form.
Safe Sleep CoIIN Launched, from NICHQ
The National Institute for Children's Health Quality has launched the Safe Sleep Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality, a targeted initiative on infant safe sleep practices. NICHQ will work with four state teams in Arkansas, Mississippi, New York, and Tennessee to improve safe sleep practices and decrease SUID and overall infant mortality rates. This initiative builds on the work of the Infant Mortality CoIIN, which ended in September 2017.
News from the Field
Financial Commitment to Support Gloabl Breastfeeding Efforts, from Family Larsson-Rosenquist Foundation
The Family Larsson-Rosenquist Foundation has committed to spending up to $100 million over the next five years to support the global goal of reaching at least 50% exclusive breastfeeding for the first 6 months in every country. The Foundation made the pledge at the Global Nutrition Summit in Milan. The support will establish a multidisciplinary and collaborative research network of highly regarded experts to provide tools, resources and critical knowledge for governments and organizations to scale up their breastfeeding promotion, protection, and support programs. In addition, the funding will underwrite enduring professorships in human lactation across a range of disciplines and fund additional permanent positions in multiple low and middle-income countries (LMIC) to focus on translational and implementation research, education, and consistent knowledge transfer. Funds will also be used to build a centralized, global knowledge hub dedicated to breastfeeding and human milk where evidence-based research results and resources can be shared, researchers can meet and collaborate virtually, governments and decision-makers can access information for capacity-building and systems-strengthening, and health professionals can have easy access to education.
Report on Women in the Workplace, from Lean In
Lean In and McKinsey & Company have released a new report entitled, "Women in the Workplace 2017." The report focuses on the state of women in corporate America, with a particular focus on racial equity. This year, 222 companies employing more than 12 million people shared their pipeline data and completed a survey of HR practices. In addition, more than 70,000 employees completed a survey designed to explore their experiences regarding gender, opportunity, career, and work-life issues. The report found that women remain underrepresented at every level in corporate America, despite earning more college degrees than men for thirty years and counting. While company commitment to gender diversity is at an all-time high for the third year in a row, progress continues to be too slow—and may even be stalling. When companies take a one-size-fits-all approach to advancing women, women of color end up underserved and left behind. The report seeks to better understand the distinct challenges women of color face, shaped by the intersection of gender and race.
Updated Guidelines for Primary Health Care Facilities, from WHO
The World Health Organization has released updated guidelines entitled,"Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition: Updates for the integrated management of childhood illness (IMCI) - Guideline." The guidelines include as a best practice statement that caregivers and families of infants and children aged less than 5 years presenting to primary health-care facilities should receive general nutrition counselling, including promotion and support for exclusive breastfeeding in the first 6 months and continued breastfeeding until 24 months or beyond.
State and Community News
MIECHV Funding Award, from Arkansas
Arkansas has been awarded funding to support families through the Health Resources and Services Administration's Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. These grant funds allow the Arkansas Department of Health to continue to provide voluntary, evidence-based and promising practice home visiting services to women during pregnancy, and to parents with young children up to kindergarten entry. Families in 53 counties are served by the MIECHV grant through 32 local implementing agencies and seven of ADH's local health units.
First Ever State Breastfeeding Plan Launched, from Michigan
Michigan has launched the state's first Breastfeeding Plan. The plan sets the common agenda necessary for a collaborative approach among state, local and tribal government; health care professionals and organizations; employers; child care providers and educational institutions; community organizations; and, most importantly, individuals and families. The state has reached its Healthy People 2020 goal but racial and socioeconomic disparities still exist. Breastfeeding goals for Michigan are to eliminate disparities, advance breastfeeding rights, build community support, change organizational practice and strengthen individual skills.
Collective Impact Connection
Article on the Definition of Diversity, Equity, and Inclusion, from General Assembly
General Assembly has released an article entitled, "What's the difference between diversity, inclusion, and equity?" The article seeks to establish shared, fundamental understandings of these terms and their meanings. It also provides questions to help the reader explore their own understanding of each of these terms and how they interact with each other.
News & Views
The National Law Review: "Eleventh Circuit: Pregnancy Discrimination Act Prohibits Discrimination Related to Breastfeeding"