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Community Partnerships

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  • 1. Building and Sustaining Community Partnerships
    Accessing Communities Through Community Partnerships and Peer Support
  • 2. Outline
    Accessing communities through community partnerships
    • Community partnerships and breastfeeding
    • 3. Coalition building
    • 4. Normalizing
    Accessing communities through peer support
    • Peer support and breastfeeding
    • 5. Content of existing programs
    • 6. Disparities and Cultural Sensitivity
  • Objectives and Background
    The purpose of this tutorial is to
    Identify successful, proven ways to build and sustain community partnerships
    Relate these to LA, AR and MS to improve low rates of breastfeeding
    Background
    LA, AR and MS have some of the lowest rates of breastfeeding in the country
    Accessing communities through effective methods, like partnerships and peer support systems, can increase rates and contribute to improved health among MCH populations
  • 7. Accessing Communities through Community Partnerships
    Community partnerships are established alliances between people and organizations from multiple sectors, such as businesses and schools, working together to improve the conditions and outcomes of the health and well being of entire communities (Roussos & Fawcett, 2000).
  • 8. Community Partnerships and Breastfeeding
    Partnerships with people, businesses and organizations that have an established goal of improving breastfeeding rates
    Partnerships can include businesses, community organizations and health professionals
    Partnerships are created to assist with
    Raising public awareness and educating through available resources and advertising
    Normalizing breastfeeding
  • 9. Loving Support and Partnerships
    In 2003 WIC State agencies worked with community partners to develop strategies to address state specific barriers to breastfeeding
    State agencies developed implementation plans that addressed several components of a social marketing campaign:
    Community partnership building
    Public awareness
    Client and family education
    Health provider outreach
    http://www.nal.usda.gov/wicworks/Learning_Center/LS/2003States.pdf
  • 10. Loving Support in AR and LA (2003)
    Worked with the state media office to air breastfeeding PSA’s
    Established regional breastfeeding coalitions
    Included breastfeeding information displays and held classes at Health and Baby Fairs
    Wrote newspaper articles on breastfeeding topics
    Established partnerships with community-based organizations such as Head Start, Childcare and faith-based groups
  • 11. Normalizing Breastfeeding
    Normalizing breastfeeding within communities helps make breastfeeding a choice for women who never considered it, feel it is unattainable or embarrassing, or lack a support system at home (Shealy et al., 2005)
    Communities that welcome media and social marketing campaigns that support breastfeeding have more positive attitudes and perceptions about breastfeeding, and higher breastfeeding initiation and duration rates (Shealy et al., 2005)
  • 12. “Babies Were Born to Be Breastfed”A Social Marketing Campaign
    In June 2004, the U.S. Department of Health and Human Services Office on Women's Health teamed up with the Ad Council to launch a national campaign which encouraged first time mothers to breastfeed exclusively for six months
    Their target audience was the general population
    http://www.womenshealth.gov/breastfeeding/government-programs/national-breastfeeding-campaign/adcouncil/#a
  • 13.
  • 14.
  • 15.
  • 16. Results from “Babies Were Born to be Breastfed”
    38% of adults said they had heard, seen or read something about breastfeeding
    Increase from 24% in 2004
    64% of people felt that breastfeeding was the best way to feed (up from 54% in 2004 and 39% in 2003)
    59% of women who had seen the ads reported that they felt comfortable breastfeeding in public
    Versus 39% of those who had not seen the ads
  • 17. Examples of Breastfeeding Community Partnerships in Action
    The WIC program in Massachusetts promotes their program by distributing information packets to pediatricians, obstetricians, family practitioners and nurse practitioners across the state
    http://www.nal.usda.gov/wicworks/Learning_Center/bfshowcase.pdf
  • 18. Available Resources
    Chicago’s Center for Community Partnerships offers information for health related community partnerships
    http://www.cchsd.org/chicagohealthpartners.org/html/partnerships_index.html
    Wisconsin’s “Building Breastfeeding Friendly Communities” website is a collection of information designed to assist local communities in protecting, promoting and supporting breastfeeding
    http://www.dhs.wisconsin.gov/health/Nutrition/Breastfeeding/bffriendlycomm.htm
  • 19. Accessing Communities through Peer Support
    Peer Support is an extension of health-care services to include peers in the delivery of supportive interventions.
    Individuals with personal experience and knowledge are incorporated to complement professional health services and extend natural social networks (Shealy et al., 2005).
  • 20. Peer Support and Breastfeeding
    Individual counseling or mother to mother support that includes emotional support, encouragement, and education about breastfeeding
    Typically provided by women who are currently breastfeeding or have done so in the past
    Ideally of a similar economic background as the women they support
    Peer counseling has been found to be a significant factor in improving both initiation and duration rates of breastfeeding (Anderson et al., 2007)
  • 21. La Leche League
    In 1954, La Leche League pioneered the use of peer support for breastfeeding mothers. Today, 54 years later, it is the central focus of their organization
    In the 1970's, the peer counseling model turned towards low-income women in Augusta, GA
    Peer support is now an integral part of the breastfeeding support services provided by WIC Programs throughout the country
  • 22. Existing Programs
    Peer counseling programs employ a wide range of activities including one-on-one counseling, hospital or home visits, group classes and support groups, and referrals to appropriate health and social services.
    Peer support represents a cost effective, culturally competent way to promote and support breastfeeding for women of varying backgrounds (Shealy et al., 2005).
  • 23. Breastfeeding Disparities
    Disparities have been found in duration and exclusivity of breastfeeding among both ethnic and economic groups
    This proves there is a need for culturally sensitive interventions for populations in LA, MS and AR (Anderson et al., 2007)
  • 24. PRAMS Data on Breastfeeding Disparities (2004)
    Prevalence of Breastfeeding by Race/Ethnicity
    % CI
    (95%)
    Maternal Characteristic by Race/Ethnicity
    http://www.cdc.gov/reproductivehealth/ProductsPubs/PDFs/PRAMSandBreastfeeding-08.pdf
  • 25. Culturally Sensitive Peer Support
    Many studies have also demonstrated the powerful effect of peers from within the cultural group in helping women choose to initiate or continue breastfeeding
    This is especially true for women without previous breastfeeding experience, who are more likely to initiate breastfeeding if they receive positive messages from family and peer groups
    http://www.nal.usda.gov/wicworks/Learning_Center/research_brief.pdf
  • 26. Example of Culturally Sensitive Peer Support in Action
    • The Breastfeeding Heritage and Pride program in Hartford, CT provides low income Latina women breastfeeding peer support :
    http://www.hispanichealth.com/hhc/breastfeeding
  • 27. In Conclusion
    Raise breastfeeding rates by accessing communities through
    Encouraging coalitions and campaigns in the area
    Normalizing breastfeeding
    Raise breastfeeding rates by making peer support programs available that are
    Accessible, personable and informative
    Culturally sensitive
  • 28. Works Cited
    Anderson AK, Damio G, Chapman DJ, Perez-Escamilla R. Differential response to an exclusive breastfeeding peer counseling intervention: the role of ethnicity. J Hum Lact. 2007;23(1):16-23.
    Roussos, S. T., & Fawcett, S. B. (2000). A review of collaborative partnerships as a strategy for improving community health. Annual Review of Public Health, 21, 369-402. doi:10.1146/annurev.publhealth.21.1.369
    ShealyKR, Li R, Benton-Davis S, Grummer-Strawn LM. The CDC Guide to Breastfeeding Interventions. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005: 1-51.

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