Weekly Wednesday Wire: May 31, 2017

Please note: Inclusion of an item in this e-newsletter does NOT imply endorsement or support of such item by the United States Breastfeeding Committee, unless specifically noted.

Federal News

Score for House-passed AHCA, from CBO

On May 24, a new Congressional Budget Office (CBO) score was released on the American Health Care Act of 2017 (H.R. 1628), as passed by the House of Representatives on May 4. CBO estimates that the House-passed version would reduce the cumulative federal deficit over the 2017-2026 period by $119 billion, $32 billion less than the estimated net savings for the prior version. The estimated number of people with health insurance would be slightly higher, with the projection of those losing coverage falling from 24 million to 23 million. Average premiums for insurance purchased individually—i.e., nongroup insurance—would be lower, in part because the insurance, on average, would pay for a smaller proportion of health care costs. In addition, CBO expects that some people would use tax credits authorized by the act to purchase policies that would not cover major medical risks and that are therefore not counted as insurance.

Funding Opportunity Announcement, from OMH

The U.S. Department of Health and Human Services Office of Minority Health has announced that they expect to release a new funding opportunity on Thursday, June 1, entitled Empowered Communities for a Healthier Nation Initiative. The funding opportunity seeks to demonstrate the effectiveness of collaborations with academic research centers, prevention research centers, teaching hospitals, and Native American Tribes and Tribal organizations to reduce significant health disparities impacting minorities and disadvantaged populations through the implementation of evidence-based strategies with the greatest potential for impact. The program will serve residents in counties disproportionately impacted by the opioid epidemic; reduce the impact of serious mental illness at the primary care level for children, adolescents, and adults; and reduce obesity prevalence and disparities in weight status among disadvantaged children and adolescents. Each application may address only one of the three priority areas. The estimated application due date is Monday, July 31. 

Report and Resources on Disaster Health for Children, from ASPR

Since 2010, HHS has focused on finding ways to improve disaster health for children through the Children's HHS Interagency Leadership on Disasters (CHILD) Working Group. The group integrates the needs of children across all HHS disaster planning activities and operations, using an all-hazards approach, focusing on a wide array of emergency events including school violence, emerging infectious diseases, and natural disasters. The 2014-2015 Report of the CHILD Working Group details the significant progress made in integrating the needs of children into disaster health preparedness, response, and recovery activities. The report provides departmental updates within six themes, including (1) behavioral health; (2) medical countermeasures; (3) child physical health, EMS, and pediatric transport; (4) child care, child welfare, and human services; (5) pregnant and breastfeeding women and newborns; and (6) children at heightened risk. One key accomplishment is the Online Compendia of Health Resources Focused on Pregnant Women and Children: 1) Health Resources on Children in Disasters and Emergencies and 2) Health Resources on Pregnant Women in Disasters and Emergencies.

WIC Infant and Toddler Feeding Practices Study Infographic, from FNS

Earlier this year, the Food and Nutrition Service published a report on the WIC Infant and Toddler Feeding Practices Study 2 results on breastfeeding intention, initiation and duration, and the introduction of complementary foods. Learn more from our 2/8/2017 WWW issue. Westat, the contractor undertaking this work, has published an interactive infographic, which provides a fun, easy to understand method of communicating the research findings on the positive impact that WIC participation has on breastfeeding. Key findings include: WIC mothers are breastfeeding at much higher rates than they were 20+ years ago, with 83 percent now initiating breastfeeding as compared to 56 percent 20+ years ago, 62 percent breastfeeding at 1-month postpartum as compared to 33 percent 20+ years ago, and 18 percent still breastfeeding at 12 months as compared to 7 percent 20+ years ago; Study mothers report receiving extensive support from WIC for breastfeeding, including education from WIC, individual support calls, and guidance when encountering breastfeeding problems; Few mothers (20 percent) are introducing complementary foods before 4 months, as compared to at least 62 percent of mothers 20+ years ago. 

2017 Research and Evaluation Plan, from FNS

The Food and Nutrition Service has released the 2017 Research and Evaluation Plan. The annual plan is developed by FNS program and research staff and leadership to meet the information needs of FNS programs, including WIC and other child nutrition programs. The plan is a forecast of the studies FNS expects to initiate in fiscal year 2017, but it is subject to modification based on the Agency's budget and emerging program and policy priorities.

Member News

Chart Showing Integration of NWA Recommendations in NASEM Report, from NWA

In January, the National Academy of Sciences, Engineering, and Medicine published, "Reviewing the WIC Food Package: Improving Balance and Choice," which included recommendations for changes to the WIC food package as well as recommendations for research. Learn more from the 1/11/2017 WWW issue. The National WIC Association provided recommendations throughout the review process, and has compiled a chart comparing the recommendations it made to the Academies during the public comment period and the Academies' responses outlined in the report.

Partner News

PSA Video on President's Paid Parental Leave Proposal, from NPWF

The National Partnership for Women & Families has created a new PSA video on President Trump's paid parental leave proposal. The video highlights the people who would be left behind by any paid leave proposal that doesn't "check all the boxes" shown on an associated infographic. Advocates are encouraged to share these resources on social media using the hashtag #TimeToCare.

Center for Health Equity, Education, and Research Launch, from CHAMPS/CHEER

The Boston Medical Center has launched the Center for Health Equity, Education, and Research (CHEER), which will serve as an umbrella organization for the ongoing, multi-year CHAMPS (Communities and Hospitals Advancing Maternity Practices) Initiative, as well as for funded projects on the prevention of opioid misuse in tribal communities; community breastfeeding support; community health assessments, and prevention of diabetes and of domestic violence. CHEER partners include ROSE (Reaching our Sisters Everywhere); the Rocky Mountain Tribal Epidemiology Center, and the Blackfeet tribe in Montana. CHAMPS content will be shifted over to the new CHEER site.

Community Health Improvement Week, from ACHI

The American Hospital Association's Association for Community Health Improvement will be celebrating Community Health Improvement (CHI) Week, June 4-10. The week is a national event that raises awareness, demonstrates impact and celebrates the individuals and organizations that work to improve the determinants of health in their communities. Each day new resources will be released around topic areas of importance to the field.

Maximizing Quality Improvement and State Health Agency Accreditation Efforts, from ASTHO and NICHQ

The Association of State and Territorial Health Officials and the National Institute for Children's Health Quality have released a new issue brief entitled, "Using Maternal and Child Health Quality Improvement Efforts to Advance State Health Agency Accreditation." Accreditation for health departments has been implemented to standardize the assessment and measurement of performance of public health departments at the state, local and tribal levels. Current efforts and initiatives like the Collaborative Improvement & Innovation Network to Reduce Infant Mortality (IM CoIIN) often intersect with state efforts to submit accreditation applications, allowing public health officials to combine approaches and activities for both. The issue brief highlights how the Oklahoma State Department of Health (OSDH) has aligned its participation in the IM CoIIN alongside earning accreditation from the Public Health Accreditation Board. 

News from the Field

Population Health Improvement Roundtable Briefing, from NASEM


The National Academy of Sciences, Engineering, and Medicine has released Proceedings of a Workshopin Brief from the Roundtable on Population Health Improvement public workshop Exploring the Infrastructure of Multisector Community Health Partnerships. At this workshop, participants explored multisector community health partnerships that aim to address inequities and improve the health and well-being of communities. Individual participants discussed different strategies used by community partnerships to engage residents in community health initiatives. The brief is intended to highlight topics that individual speakers identified as opportunities and challenges to engaging a range of residents and other stakeholders in community-driven social change.

New Mobile App, from Mamava

With the mission to make breastfeeding more accessible for moms on the go, Mamava has released their new mobile app, which provides a digital solution for the struggle endured by every breastfeeding mom: the lack of dignified space to express breastmilk. The new Mamava app supports moms on the go by locating Mamava lactation suites and over 1200 other Mamava-vetted public lactation rooms. Moms can celebrate as their new app navigates them away from family restrooms and into clean, private lactation spaces. The Mamava app has been designed by a team who intimately understands a mother's breastfeeding journey. The app features useful resources including a content feed of tips and information from Mamava's trusted partners, a breastfeeding goal tracker, a personal profile where moms can upload images of their babes for help with milk let-down, and a Mamava guided lactation meditation. Download the app today and share it with a breastfeeding mama in need!

Paid Leave Issue Brief, from Baker Institute for Public Policy


Rice University's Baker Institute for Public Policy has released an issue brief entitled, "Paid Family Leave: Balancing Acts" which outlines how national paid family leave would benefit the United States. The brief focuses on the benefits of paid leave programs in California, New Jersey and Rhode Island, and growing public support for a federal policy. The brief concludes that considering the length of leave, wage replacement rate(s), funding mechanism(s) and the way a federal program would interact with existing benefits is key to designing a strong paid leave program.

Breastfeeding and Maternal Responsiveness Literature Review, from Advances in Nutrition


The journal Advances in Nutrition has released an article entitled, "Associations between Breastfeeding and Maternal Responsiveness: A Systematic Review of the Literature." The systematic review synthesizes the accumulating bodies of evidence aimed at understanding associations between mother's feeding experiences and responsive feeding in an attempt to clarify the nature of associations between feeding mode and responsive feeding. Cross-sectional observational studies consistently reported greater responsiveness among breastfeeding mothers than among formula-/bottle-feeding mothers. In addition, longitudinal studies showed that longer breastfeeding durations predicted lower use of nonresponsive feeding practices during later childhood, and some, but not all, found that breastfeeding mothers showed greater increases in responsiveness across infancy than did formula-/bottle-feeding mothers. However, a limited number of longitudinal studies also reported that greater responsiveness during early infancy predicted longer breastfeeding durations. In sum, although there is consistent evidence for an association between breastfeeding and responsive feeding, more research is needed to better understand the mechanisms underlying this association.

Collective Impact Connection

Hacking Nonprofit Collaboration, from SSIR

The Stanford Social Innovation Review has released an article entitled, "Hacking Nonprofit Collaboration" which outlines nine important considerations for nonprofits looking to maximize social impact through collaboration.

News & Views

Reuters: "Under Obamacare, insurance companies provide more breast pumps."

NutraIngredients.com: "Infant nutrition: The business of 'selling sleep' and 'peace of mind'"

The Atlantic: "Why I Stayed on Antidepressants While Pregnant and Nursing"

The Los Angeles Times: "Op-Ed: Does a woman's right to choose apply to breastfeeding?"

Speak Freely (ACLU blog): "Frontier Airlines Made Me Choose Between Breastfeeding My Daughter or Doing My Job"


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