Mobilizing Community Resources to Enhance Postdischarge Support for Breastfeeding in Massachusetts (USA): Results of a Catalyst Grant Approach

Background: The Massachusetts Department of Public Health’s (MDPH) Mass in Motion Program (MiM) facilitates the adoption of community-level strategies that promote healthy weight in 52 municipalities. MiM provided the platform for enhancing postdischarge continuity of care for breastfeeding. Objecti...

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Veröffentlicht in:Journal of human lactation 2015-11, Vol.31 (4), p.631-640
Hauptverfasser: Colchamiro, Rachel, Edwards, Roger A., Nordstrom, Christina, Eshelman, Jill, Ghiringhelli, Kara, Forgit, Julie, Tolan, Ellen, Mainello, Kristen, Foley, Judi
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container_end_page 640
container_issue 4
container_start_page 631
container_title Journal of human lactation
container_volume 31
creator Colchamiro, Rachel
Edwards, Roger A.
Nordstrom, Christina
Eshelman, Jill
Ghiringhelli, Kara
Forgit, Julie
Tolan, Ellen
Mainello, Kristen
Foley, Judi
description Background: The Massachusetts Department of Public Health’s (MDPH) Mass in Motion Program (MiM) facilitates the adoption of community-level strategies that promote healthy weight in 52 municipalities. MiM provided the platform for enhancing postdischarge continuity of care for breastfeeding. Objective: This study aimed to improve the continuity of breastfeeding care and support for mothers by enhancing postdischarge care infrastructure and supportive contacts for women and families. Methods: The MDPH awarded catalyst grants to community-based organizations (CBOs) that facilitated the formation of teams for improving breastfeeding support. The effort focused on populations that often experience disparities in breastfeeding outcomes such as minority women and women receiving Medicaid. The Added Value Model of Community Coalitions was used to qualitatively assess effect across multiple levels of the socioecological model of influence. Results: Six communities were awarded grants to enhance or convene Breastfeeding Continuity-of-Care Teams consisting of at least 3 CBOs, including 1 maternity hospital, the local Special Supplemental Nutrition Program for Women, Infants, and Children, and the local MiM representative. Teams implemented customized plans with performance indicators to create and strengthen infrastructure for supportive contacts with breastfeeding mothers. The project included Baby Café pilots in 3 additional MiM communities. Across all grantee communities, there was an average total increase of 491 contacts with mothers per month, an improvement of 8.5% over baseline. The project created 153 added value outcomes of community collaboration at 5 levels in the socioecological framework. Conclusion: The project demonstrated how cross-sector, coordinated efforts focused on vulnerable populations can leverage local strengths to establish/enhance breastfeeding support services customized to local needs.
doi_str_mv 10.1177/0890334415597680
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MiM provided the platform for enhancing postdischarge continuity of care for breastfeeding. Objective: This study aimed to improve the continuity of breastfeeding care and support for mothers by enhancing postdischarge care infrastructure and supportive contacts for women and families. Methods: The MDPH awarded catalyst grants to community-based organizations (CBOs) that facilitated the formation of teams for improving breastfeeding support. The effort focused on populations that often experience disparities in breastfeeding outcomes such as minority women and women receiving Medicaid. The Added Value Model of Community Coalitions was used to qualitatively assess effect across multiple levels of the socioecological model of influence. Results: Six communities were awarded grants to enhance or convene Breastfeeding Continuity-of-Care Teams consisting of at least 3 CBOs, including 1 maternity hospital, the local Special Supplemental Nutrition Program for Women, Infants, and Children, and the local MiM representative. Teams implemented customized plans with performance indicators to create and strengthen infrastructure for supportive contacts with breastfeeding mothers. The project included Baby Café pilots in 3 additional MiM communities. Across all grantee communities, there was an average total increase of 491 contacts with mothers per month, an improvement of 8.5% over baseline. The project created 153 added value outcomes of community collaboration at 5 levels in the socioecological framework. 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subjects Breast Feeding
Continuity of Patient Care - organization & administration
Female
Financing, Organized
Health Promotion - methods
Health Promotion - organization & administration
Health Status Disparities
Humans
Infant
Infant, Newborn
Massachusetts
Nursing
Postnatal Care - methods
Postnatal Care - organization & administration
Program Development
Program Evaluation
Qualitative Research
Social Support
title Mobilizing Community Resources to Enhance Postdischarge Support for Breastfeeding in Massachusetts (USA): Results of a Catalyst Grant Approach
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