BREASTFEEDING IN
KANSAS: WHO’S DOING
WHAT WHERE?
Brenda Bandy, IBCLC
Program Director, Business Case for Breastfeeding
Kansas Breastfeeding Coalition, Inc.
Martha Hagen, MS,RD,LD,IBCLC
Breastfeeding Coordinator
Nutrition and WIC Services
The NORMAL way
to feed a baby!
Where Do We Stand?
Percent of Mothers Who Breastfeed
Their Infants at 6 months
Kansas and U.S., 2001-2010
Desired Direction = Above Line
HP2020
60.6%
na
na
HP2020 = Healthy People 2020
na = not available
Source: National Immunization Survey (birth year; 2007 and 2008 data are provisional.); Pediatric Nutrition Surveillance System
(PedNSS)
na
na
Indicators of Breastfeeding Support
(CDC 2012 Breastfeeding Report Card)
6
Breastfeeding Initiation Rates 2008-2010
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Jewell
Smith
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Brown
Jackson
Mitchell
Osborne
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Chautauqua
Meade
Barber
Comanche
< 70%
Labette
Cherokee
Sumner
Harper
70%-81.8%
> 81.9% (HP 2020 goal)
Breastfeeding Data Sources
•National Immunization Survey
•Kansas Birth Certificate Data
•Kansas WIC Data
•Pediatric Nutrition Surveillance System Data
Surgeon General’s Call to Action to
Support Breastfeeding
Available at
www.surgeongeneral.gov
Call to Action to Support Breastfeeding
“Everyone can help
make breastfeeding
easier.”
WHO’S DOING WHAT IN
KANSAS…AND WHERE
A look at breastfeeding initiatives and programs across
the state of Kansas as they relate to the Surgeon
General’s Call to Action to Support Breastfeeding
The “Who” (not the rock band)
Kansas Breastfeeding Coalition
 Business Case for Breastfeeding (workplace lactation support)
 Coming in August – window clings for businesses
 High 5 for Mom and Baby (hospital maternity care improvement)
Women, Infant & Children (KDHE)
 Peer counselors (mother-to-mother support)
 Maternal & family education
 Community awareness campaigns
La Leche League of Kansas
 Mother-to-mother support
 Continuing education to health care professionals
Kansas Public Health Association/County Health Depts.
 County-level grants for a variety of breastfeeding interventions
The “Where”
A look at the locations of breastfeeding support activities by
county in relation to the Surgeon General’s Call to Action to
Support Breastfeeding
Clearer
understanding
of
breastfeeding
in Kansas
Action 1:Give mothers the support they
need to breastfeed their babies.
• 88% of hospitals in Kansas included breastfeeding in their
prenatal patient education (“Maternity Practices in Infant Nutrition
and Care Survey” (mPINC), Centers for Disease Control and Prevention,
2011)
• Kansas Public Health Association (KPHA) grant funding
made possible:
• Breast pump/aids in 12 counties
• Breastfeeding prenatal classes in 6 counties
• Spanish breastfeeding materials in two counties
• High School education in Johnson County
14
Action 1: Counties providing maternal
support through KPHA grants
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 3: Strengthen programs that provide
mother-to-mother support and peer counseling.
• La Leche League of Kansas has 56
volunteers providing mother-to-mother
support in 20 counties.
1.92 LLL Leaders/1000 live births (LBs) compared
to 0.95/1000 LBs nationally
• 39 WIC Peer Counselors in 47
counties.
• 13 breastfeeding support groups
established with KPHA grants run by
county health departments.
16
Action 3: La Leche League
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
17
Action 3: WIC Peer Counselors
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Marshall
Washington
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Trego
Logan
Gea
r
yWabaunsee
Lincoln
Ellsworth
Dickinson
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
18
Action 3: Breastfeeding Support Groups
at County Health Departments (KPHA
grants)
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
19
Action 3: Mother-to-Mother Support
Composite
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 4: Use community-based
organizations to promote and support
breastfeeding.
• KPHA grants funded:
• 24/7 warm helpline in two counties
• Breastfeeding events in three counties
• Healthy Start home visitors continue to serve breastfeeding
mothers
• Parents As Teachers educators receive specific training on
breastfeeding
• Formation of African-American peer support project in KC
• Coming soon…“Breastfeeding Welcome Here” windowclings for businesses from the KBC
21
Action 4: Community-based
organizations to support breastfeeding –
KPHA grants
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 5: Create a national [local]
campaign to promote breastfeeding
KPHA grants funded media campaigns in five counties.
Barton County Marketing Project
Included:
• Billboards
• Newspaper ads
• Radio spots
25
Action 5: Create a national [local]
campaign to promote breastfeeding
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 7. Ensure that maternity care practices
around the United States are fully supportive of
breastfeeding.
26% of birthing facilities in KS reported not giving out
discharge packs containing infant formula samples and
marketing products to breastfeeding patients. (2009 mPINC survey,
CDC)
NO “Baby Friendly” designated hospitals in Kansas.
Wesley in Wichita selected for “Best Fed Beginnings”
project.
KPHA grants funded:
• Breastfeeding discharge bags in 5 counties.
• Hospital policy improvement in 2 counties.
27
Action 7. Maternity care improvement through KPHA
grants (discharge bags & hospital policies)
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 8: Develop systems to guarantee
continuity of skilled support for lactation
between hospitals and health care settings in
the community.
KPHA grants funded:
• Resource directories & referral systems in 8 counties.
• Post-discharge follow-up visits to mothers in 7 counties.
• Walk-in breastfeeding clinics in 5 counties.
29
Action 8: Continuity of Care from KPHA
funding
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 9. Provide education and training in
breastfeeding for all health professionals who
care for women and children.
KPHA grants funded:
• 56 people from 12 counties to attend 3 day “Certified
Breastfeeding Educator” (CBE) trainings
• Education for health care professionals (HCPs) in 16 counties
250 HCPs from across Kansas attended La Leche League of KS
Continuing Education Program in March 2012, funded in part by
the Kansas Health Foundation.
Save the Date – March 8, 2013 for next LLL of KS CE Program
featuring Dr. Tina Smillie.
31
Action 9: Education for HCP’s from
KPHA funding
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 11. Ensure access to services provided
by International Board Certified Lactation
Consultants (IBCLCs).
• Currently 135 IBCLC’s in KS
3.4 IBCLC’s in KS/1000 live births compared to 3.24/1000 LBs nationally
• 9 new IBCLC’s from KPHA grant funding
33
Action 11: IBCLC’s in Kansas
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 14. Ensure that employers establish and
maintain comprehensive, high-quality lactation
support programs for their employees.
• The Kansas Business Case for Breastfeeding has trained
over 160 people to help businesses create a workplace
lactation support program in 13 counties.
• Employer assistance in 9 counties provided with funding
from KPHA grants.
35
Action 14: Business Case for
Breastfeeding trainings
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Osage
Wabaunsee
Douglas
Morris
Saline
Greeley
Wichita
Scott
Lane
Ness
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
36
Action 14: Employer
Assistance/Outreach from KPHA funding
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
37
Action 14: Composite of Employer
Support for Breastfeeding
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 15: Expand the use of programs in the
workplace that allow lactating mothers to have
direct access to their babies.
14 State agencies in Kansas allow approximately
6850 employees to bring their babies to work.
Over 270 babies have been brought to work to
date.
Source -Babies in the Workplace website –
www.babiesatwork.org
Action 16: Ensure that all child care providers
accommodate the needs of breastfeeding
mothers and infants.
In Johnson County -Training for childcare providers
covering the latest breastfeeding guidelines from
“Caring for Our Children: National Health and Safety
Performance Standards” 3rd edition, 2011
Working with Child Care Aware to provide training.
Now available
through KSTRAIN
Action 19: Develop a national [local] monitoring
system to improve the tracking of breastfeeding
rates as well as the policies and environmental
factors that affect breastfeeding.
Monitoring breastfeeding rates in 4 counties from KPHA
grant funding.
Currently breastfeeding rates come from:
Kansas birth certificate data (2 years behind)
Kansas WIC population (by county, timely)
National Immunization Survey (3 years behind)
41
Action 19: Collecting breastfeeding rates
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
Action 20: Improve national leadership on the
promotion and support of breastfeeding.
Specifically, “to increase the capacity of…affiliated state
coalitions to support breastfeeding.”
• 9 county/regional breastfeeding coalitions in Kansas (4
from funding from KPHA grants)
• Listing of local coalitions -
www.ksbreastfeeding.org/contactus/localcoalitions.aspx.
• “Starting a Community Conversation” Summit on Coalition
Building Nov. 9th, at Wesley Medical Center, Wichita –
FREE!!
43
Action 20: Local Breastfeeding Coalitions
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
44
Composite of all Actions
Rawlins
Cheyenne
Sherman
Thomas
Decatur
Norton
Sheridan
Graham
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Doniphan
Pottawatomie
Cloud
Riley
Rooks
Osborne
Brown
Jackson
Mitchell
Clay
Ottawa
Atchison
Leavenworth
Jefferson
Wyandotte
Shawnee
Gove
Wallace
Ellis
Russell
Lincoln
Trego
Logan
Geary
Ellsworth
Dickinson
Wabaunsee
Morris
Greeley
Wichita
Scott
Lane
Ness
Douglas
Osage
Saline
Miami
Rush
Barton
Lyon
Marion
Franklin
Rice
Hamilton
Kearny
Finney
Hodgeman
Coffey
McPherson
Pawnee
Anderson
Butler
Ford
Edwards
Stanton
Grant
Woodson
Bourbon
Allen
Pratt
Haskell
Wilson
Neosho
Sedgwick
Kingman
Kiowa
Cowley
Clark
Stevens
Greenwood
Reno
Gray
Morton
Linn
Chase
Harvey
Stafford
Johnson
Crawford
Elk
Montgomery
Seward
Meade
Barber
Comanche
Sumner
Harper
Chautauqua
Labette
Cherokee
A BIG thank you to the United Methodist
Health Ministry Fund!
For contributing so generously to:
• Kansas Public Health Association breastfeeding grants
• Kansas Business Case for Breastfeeding
• High 5 for Mom & Baby program
Resources
• Kansas Breastfeeding Coalition, Inc.
• www.ksbreastfeeding.org
• Business Case for Breastfeeding
• www.kansasbusinesscase.com
• High 5 for Mom & Baby
• www.kansashigh5.org
• La Leche League of Kansas
• www.kansasLLL.org