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Appendix E: Excerpts from Comments Received on the Institute of Medicine's Website for the Workshop to Update the USDA National Breastfeeding Campaign
Pages 101-114

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From page 101...
... They have been edited for length, in some cases with some minor copyediting. Question 1: How does FNS build on the success of the current Loving Support Makes Breastfeeding Work campaign to promote breastfeeding among WIC participants?
From page 102...
... Provide support and funding for clinics to offer comprehensive prenatal breastfeeding classes and ongoing breastfeeding support groups. Fund at least one breast feeding expert for every clinic and recommend that states hire IBCLCs.
From page 103...
... From a WIC state supervisor: Fund the WIC Peer Counselor Program so that there will be a minimum of one WIC Peer Counselor in every WIC local agency to provide peer to-peer latch and position support to all WIC breastfeeding women. Ensure that all local agencies have competent professional authorities with certification to better support WIC participants toward successful breastfeeding up to and beyond 12 months postpartum.
From page 104...
... From a peer counselor: Our peer counseling program has taken steps to network with the lo cal lactation experts to bring better service to our clients. This includes hospitals, independent lactation consultants, schools, and home visit nurses.
From page 105...
... If a national online training existed, it would provide more standardization, and accessibility to training would become more flexible. From a lactation program coordinator: Utilizing International Board Certified Lactation Consultants for educa tion and support of breastfeeding has shown to result in better breast feeding duration rates for areas.
From page 106...
... I would then recommend creating a very straightforward logic model that lays out the goal and objectives of the campaign, the strategies you will use, and how you will measure success based on the outcomes you expect. The logic model, if very simple, will be an excellent educational tool for state and local programs.
From page 107...
... Expand the WIC Peer Counseling Program and integrate WIC programs and hospital services so that there is seamless care throughout the perinatal period. Change needs to occur not only among mothers, but also among em ployers, healthcare facilities, schools, faith-based communities, and
From page 108...
... Provide targeted breastfeeding promotional materials for fathers, grandparents, schools, employers, community leaders, and healthcare providers. Lack of ac cess to accurate, comprehensive breastfeeding information is a barrier to breastfeeding, at least in my community.
From page 109...
... in hospital setting to work with moms on first-hour latch, more hands-on staff trainings, and aggressive media and ad campaigns to promote breastfeeding; also increasing community partnerships and collaborations may help. From a peer counselor: I am a huge advocate for using technology.
From page 110...
... From a hospital staff member: The Health Care Act of 2010 made time and a place for pumping at work mandated in companies with 50 or more employees This should be shared with WIC participants. From a WIC client: I have to say that the key to my success was accurate information about milk production and babies, but also my mother-in-law works for a WIC program certifying women and children, and she breastfed 3 boys in her day.
From page 111...
... From a WIC program: A "Text4Baby" format with exclusively breastfeeding messages for moms would be ideal. Any formal policy guidance for utilizing social media formats to support breastfeeding within WIC is appreciated.
From page 112...
... I think it should be mandatory that all prenatal clients receive an instructional breast feeding class regardless of whether they plan to breastfeed or not. Performance bonuses for peer counselors would be helpful in retaining effective peer counselors.
From page 113...
... Can peer assignments develop a stronger bond prenatally? From a social marketing consultant: These questions are best answered through formative research.
From page 114...
... I believe future changes in the Loving Support Program need to address the "scope creep" that can occur as the peer counselors get more experience and feel more confident in their "scope of practice." Continuing educa tion needs to remain limited to the "normal" breastfeeding condition. Understanding the WIC program does not enrich the peer counselor's knowledge as much as understanding the same struggles that our cli ents experience.


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