Weekly Wednesday Wire: Combo Issue December 13 & 20, 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.

USBC Updates

Executive Director Transition Announcement

Please see this message from Executive Director Megan Renner and Board Chair Mona Liza Hamlin about Megan's upcoming transition out of the Executive Director role on December 31, 2017. Per USBC's policy & procedure on "Executive Director Succession," following confirmation of Megan's resignation, the Board appointed Deputy Director Amelia Psmythe to assume the role of Interim Executive Director starting January 1, 2018. Amelia and Megan have been strategically preparing for a successful handoff, and Amelia is ready to step into this role with great zeal. 

2017 Policy Updates

The USBC has launched a special e-message series re-capping all that has happened in breastfeeding advocacy this year. Read the first two installments of the 2017 Policy Updates email blast series below and stay tuned for additional updates. 

Federal News

mPinc Survey Public Comment Opportunity, from CDC

The Centers for Disease Control and Prevention have released a public comment opportunity to collect feedback on proposed updates to the Maternity Practices in Infant Nutrition and Care (mPINC) Survey. The 2018 and 2020 mPINC surveys will closely match previous iterations in methodology and administration but CDC updated the content of the survey to reflect changes in maternity care over time. This is the first significant revision to the mPINC survey since its initial launch in 2007. Comments must be submitted on or before Monday, January 22.

500 Cities Project Data Update, from CDC

The Centers for Disease Control and Prevention have updated city and census tract estimates for 20 out of 27 measures in the 500 Cities Project. The 500 Cities Project is a partnership between the CDC Division of Population Health in the National Center for Chronic Disease Prevention and Health Promotion, the CDC Foundation, and the Robert Wood Johnson Foundation to provide city- and census tract-level small area estimates for chronic disease risk factors, health outcomes, and clinical preventive service use for the largest 500 cities in the United States. These small area estimates allow cities and local health departments to better understand the burden and geographic distribution of health-related variables in their jurisdictions, and assist them in planning public health interventions. 

New Women's Bureau Director, from DOL

The Department of Labor has announced that Dr. Patricia Greene will serve as the new Director of the Women's Bureau. Dr. Greene is a former Federal appointee to the national advisory board for the Small Business Administration's Small Business Development Centers. She has also served as the board chair for the Center for Women's Business Research. 

Member News

Resource Book on Maternal Health Disparities, from MomsRising

MomsRising has published a resource book titled "Raising Our Voices for Maternal Health." The booklet includes stories, articles, and statistics about racial disparities in maternal health and lifts up the work of the California Maternal Quality Care Collaborative as well as other resources on maternal health. This resource can be downloaded and shared with policymakers at national and state levels.

Partner News

Breastfeeding and Public Health Equity Webinar, from NACCHO

Join the National Association of County and City Health Officials on Monday, January 22, from 2-3:30 p.m. ET for a webinar titled "Charting the Course Together: Breastfeeding and Public Health Equity." In this first webinar of the Public Health Breastfeeding Partner Series, the Centers for Disease Control and Prevention and the Breastfeeding Public Health Partners, a group of national organizations that collaborate to support national public health priorities to improve the health and overall well-being of women, infants, children and families through individual and collective efforts, will discuss the significance of breastfeeding as a public health issue and explore the matter of equity in access and outcomes in breastfeeding. Presenters will share their public health breastfeeding work and highlight their efforts to advance equity in the field.

Report on Care Work and Child Care, from NWLC

The National Women's Law Center has published a report titled "Undervalued: A Brief History of Women's Care Work and Child Care Policy in the United States." The report provides a brief overview of the state of child care in the United States, traces public policy decisions that have influenced care work, and identifies policy solutions that could help the U.S. move toward a system that works for both families and child care providers. NWLC has also published a blog post written by one of the report authors that lifts up the importance of valuing care work from women, particularly women of color.

Report on Paid Leave and Caregiving, from PL+US

Paid Leave for the United States has released a report titled, "America's Caregiving Crunch: Are businesses ready?" that examines the effects of family caregiving policies in the United States. PL+US conducted independent research into family caregiving policies at the country's largest employers, and their research showed that while there is positive momentum on parental leave, but more support is needed for the 40 million people who are providing unpaid family care

National Day of Racial Healing, from WKKF

The National Day of Racial Healing, hosted by the W.K. Kellogg Foundation, is Tuesday, January 16. People, organizations and communities throughout the U.S. will come together to call for racial healing, celebrate their common humanity, and take collective action to create a more just and equitable world. WKKF has published an article from President and CEO La June Montgomery Tabron reflecting on the upcoming event and discussing the shared work of coalition building and racial healing. Join the conversation at hashtag #NDORH.

WHO/FAO Codex Alimentarius Commission Meeting, from IBFAN

The International Baby Food Action Network has published a press release titled "French and US Trade Delegations put child health at risk." The release details a meeting of the Codex Committee on Nutrition and Foods for Special Dietary Uses of the WHO/FAO Codex Alimentarius Commission, the UN body that sets standards for the global trade of foods and commodities. Discussion included whether a key World Health Assembly Resolution (WHA 69/9), "Maternal, infant and young child nutrition: Guidance on ending the inappropriate promotion of foods for infants and young children," passed in 2016, should be included in Codex documents. The press release identifies the United States and France as two problematic countries during this meeting with regard to their actions around formula marketing and formula safety. IBFAN is now renewing its call that Codex and governments end the Conflicts of Interest that affect all aspects of the Codex standard-setting process.

Community Benefit Expenditure Database, from RWJF

The Robert Wood Johnson Foundation, in partnership with RTI International and Public Health Institute, have launched communitybenefitinsight.org. The website promotes transparency by displaying how U.S. tax-exempt hospitals commit community benefit expenditures to fulfill their mission and meet requirements. The searchable database makes it possible to review the schedule H report on community benefit expenditures for all non-profit hospitals over the period from 2010-2014. Data from 2015 will be added soon.

Resources on Using Core Metrics at Local Level, from PHI

The Public Health Institute has published the Core Metrics Pilot Project Final Report, presenting research on applying the Institute of Medicine's 2015 report on "Vital Signs: Core Metrics for Health and Health Care Progress" to a local level. The report found that health information can be developed and the Core Metrics can be concretely specified at a local level and that the measures are practical, understandable, and usable. View the pilot project webinar recording, "Vital Signs Core Metrics: Learning from the California Demonstration Project." 

Webinar on Public Health Policy, from Dialogue4Health

Join Dialogue4Health on Tuesday, January 9, for a webinar entitled "New Year's Resolutions for Public Health: Reflecting back on 2018 and Moving Forward in 2017." The webinar will feature a discussion with national public health leaders on the state-of-play in public health policy, implications of successes and obstacles at the state and federal level over the past year, and a look ahead to the future. This Web Forum is recommended for professionals in public health, advocacy, business, community-based organizations, education, faith-based organizations, hospitals/health systems, insurers, and local and state health departments.

News from the Field

Clinical Trial on Effect of Financial Incentives on Breastfeding, from JAMA Pediatrics

The journal JAMA Pediatrics has published the results of a clinical trial on the effect of financial incentives on breastfeeding. The Nourishing Start for Health trial, a cluster randomized trial with 6 to 8 weeks follow-up, was conducted in 92 electoral ward areas in England with baseline breastfeeding prevalence at 6 to 8 weeks post partum less than 40%. The researchers found that offering a financial incentive resulted in a modest but statistically significant increase in breastfeeding prevalence at 6 to 8 weeks compared with usual care.  

Report on Sugar-Sweetened Beverage Consumption in Young Children, from NASEM

The National Academies of Science, Engineering, and Medicine have published a report on the proceedings of a workshop titled "A Workshop on Strategies to Limit Sugar-Sweetened Beverage Consumption in Young Children: Evaluation of Federal, State, and Local Policies and Programs." The report summarizes presentations and discussions that took place over the course of the workshop. Presentations included findings from the 2005–2012 National Health and Nutrition Examination Survey on the beverage consumption of children from 0 to 23.9 months of age and an analysis of data of children 0 to 47.9 months of age from the Feeding Infants and Toddlers Study 2016. Discussions also included the American Academy of Pediatrics breastfeeding guidelines and the role of early childhood care providers in supporting breastfeeding families. 

Report on Advancing Obesity Solutions, from NASEM

The National Academies of Science, Engineering, and Medicine have released a report on the proceedings of a workshop on "Advancing Obesity Solutions Through Investments in the Built Environment." The workshop explored how investments in the built environment can contribute to both preventing and treating obesity and the overall health of communities. The report highlights key points from workshop speakers and participants made during presentations and discussions.  

Health Equity Digital Art Gallery, from NAM

The National Academy of Medicine has launched a digital art gallery titled "Visualizing Health Equity." NAM called on artists from different mediums to visualize what health equity looks, sounds, and feels like to them. The gallery includes paintings, photographs, spoken word, murals, and other forms of art. Topics range from: access to healthy food or safe neighborhoods, good education or a living wage, clean drinking water or affordable housing, and connection to cultural heritage. Individuals are invited to view the art pieces and share comments on what health equity means to them. 

Cardiovascular Disease in Pregnancy and Postpartum Toolkit, from CMQCC

The California Maternal Quality Care Collaborative has published a new toolkit entitled, "Improving Health Care Response to Cardiovascular Disease in Pregnancy and Postpartum." Developed by CMQCC's Cardiovascular Disease in Pregnancy and Postpartum Task Force, the toolkit is a resource for providers of prenatal or postpartum care. It includes key points about racial and ethnic disparities among cardiovascular disease, strategies for cardiovascular disease based on risk and presenting symptoms, and clinician resources on cardiovascular medicine and breastfeeding. Join CMQCC on Friday, January 19,  from 3-4:30 p.m. ET for the "Introducing new California Maternal Quality Toolkit on Cardiovascular Disease in Pregnancy" webinar. 

White Paper on Universal Access to Health Promotion, from ASHPI

The Art and Science of Health Promotion Institute has released a white paper titled "Universal Access to Health Promotion: A Sustainable Strategy to Reduce Health Disparities, Improve the Health of an Entire State, and Accelerate the Evolution of Health Promotion." The white paper recognizes that universal access to health promotion is an important and cost effective part of reducing health disparities and illustrates how an extensive ongoing campaign can be self-funded after seed funding by capturing a small portion of the funds flowing to implement it. In addition, the paper walks through a process states can follow to improve the health of their populations and uses data from Colorado as an illustration. Readers are invited to share comments with the authors.

State and Community News

Report on Breastfeeding Support in Medi-Cal Program, from California

The California Breastfeeding Coalition and California WIC Association have published a report entitled "Breastfeeding Support in the Medi-Cal Program: A Large Return on a Small Investment." The California WIC Association engaged Milliman to conduct an actuarial analysis to evaluate the impact on insurance premiums of providing comprehensive breastfeeding support benefits. The analysis evaluated commercial insurance claims data to estimate the use of support, supplies, and counseling services, and adjusted the utilization rates to reflect the higher proportion of women of childbearing age in Medi-Cal. According to the analysis, the cost of providing comprehensive breastfeeding support services is negligible relative to the benefits of increasing breastfeeding rates. Based on existing utilization rates, the Medi-Cal program could realize savings between $405,000 to $940,000 per 100,000 women by providing breastfeeding services and support.

Hospital Breastfeeding Data Fact Sheets and Report, from California

California WIC Association, with UC Davis Human Lactation Center and the California Breastfeeding Coalition, has released "Charting a New Course to Improve the Quality of Perinatal Care." California hospital breastfeeding rates have increased by nearly 13% since 2010, benefiting tens of thousands of mothers and babies. The fact sheets show that California hospitals continue to adopt comprehensive breastfeeding policies as part of their efforts to improve perinatal care. These 2016 data also show that substantial improvements have been made across all ethnic groups and across the entire state. Over the last six years, California maternity hospitals have seen breastfeeding rates increase by 12.8% overall (representing more than 54,000 mothers), while the number of designated Baby-Friendly hospitals in the state has risen to nearly 100. This is the 9th annual release of California hospital breastfeeding data fact sheets.

Collective Impact Connection

Top 5 Reads of 2017, from Collective Impact Forum

The Collective Impact Forum has published their top five reads of 2017. Highlights include the Forum's community engagment toolkit, the video and transcript from a discussion on community organizing and collective impact, a toolkit on leading collective impact working groups, a featured example on systems change strategies, and the collective impact backbone organization starter guide.

News & Views

The National Law Review: "Eleventh Circuit Upholds Alabama Cop's Win in Pregnancy and FMLA Case

The Huffington Post: "The Case For Rethinking Breastfeeding Goals

The Huffington Post: "We Must Build—Not Undermine—Strong Foundations for Children"

Insights (NICHQ Blog): "The Photo of my Baby that Almost Killed Us

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