Abstract: Decreasing Racial Inequities in Mississippi through Implementation of the Ten Steps to Successful Breastfeeding (Society for Prevention Research 25th Annual Meeting)

Schedule:

Wednesday, May 31, 2017

Columbia A/B (Hyatt Regency Washington, Washington, DC)

* noted as presenting author

Anne Merewood, PhD, Associate Professor of Pediatrics, Boston University, Boston, MA

Kirsten Krane, MPH, Project Manager, Boston University, Boston, MA

Laura Burnham, MPH, Project Manager, Boston University, Boston, MA

Emily Taylor, MPH, Director, WISE QI, Boston, MA

Kimarie Bugg, MSN, Executive Director, ROSE, Atlanta, GA

Nathan Nickel, PhD, Assistant Professor, Manitoba Center for Health Policy, Manitoba, MB, Canada

Lori Feldman-Winter, MD, Director, Adolescent Medicine, Cooper Medical School, Camden, NJ

Background: CHAMPS (Communities and Hospitals Advancing Maternity Practices) is a foundation-funded initiative to improve and measure breastfeeding rates and hospital compliance with the Ten Steps to Successful Breastfeeding in the south, with a particular focus on Mississippi. Based on 2013 data, Mississippi has the lowest breastfeeding rate in the US.

Goals: (1) To reduce racial inequities in breastfeeding and maternal child health practices in the south, by increasing compliance with the Ten Steps to Successful Breastfeeding, and (2) To document changes in rates of any and exclusive breastfeeding, skin-to-skin, and rooming-in at CHAMPS-enrolled hospitals, by race, via data extraction from the medical record.

Methods: CHAMPS linked with community organizations, health insurers, state health departments and other key players, to provide intensive training and technical assistance at 33 hospitals in the South, 18 of which were in Mississippi. CHAMPS worked on changes in practices, as well as data entry and extraction utilizing medical records. Hospitals submitted monthly data on breastfeeding, skin-to-skin, and rooming-in, and received feedback from CHAMPS via quarterly data reports.

Results: Prior to CHAMPS enrollment, no hospitals were reporting data by race, and no hospitals were charting correctly-defined skin-to-skin or rooming-in. Between January and December 2015, 25/31 CHAMPS hospitals in Mississippi, Louisiana, Texas, and Tennessee collected and submitted data by race on skin to skin, rooming in, and breastfeeding initiation and exclusivity. Across all these states, after 1 year in the project, average breastfeeding initiation rose from 64% to 72% (all races), and from 50% to 61% in African Americans. Exclusive breastfeeding rose from 32% to 36% (all) and from 10% to 23% (blacks). In Mississippi CHAMPS-enrolled hospitals, breastfeeding initiation rates rose from 49% to 62%; from 69% to 77% among Whites and from 33% to 45% among African Americans.

Conclusion: In 1 year of intensive intervention, CHAMPS-enrolled hospitals reduced racial disparities in breastfeeding and increased breastfeeding rates, and are capturing these improvements via the medical record.

Abstract: Decreasing Racial Inequities in Mississippi through Implementation of the Ten Steps to Successful Breastfeeding (Society for Prevention Research 25th Annual Meeting)

249 Decreasing Racial Inequities in Mississippi through Implementation of the Ten Steps to Successful Breastfeeding