Weekly Wire: January 5, 2018

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

Happy New Year Message from Interim Executive Director and Board Chair

Happy New Year! As Board Chair and Interim Executive Director at the USBC, we want to thank you for all that you've done to support breastfeeding families in 2017. As we enter the new year, the USBC staff and leadership share the resolution of casting our visions forward, identifying ways to further connect, engage with, and support our member organizations and the field.

We are inspired each and every day by the hard work and dedication of individuals and organizations in the First Food field! The USBC strives for continued collaboration, working together with you to bring the voices of breastfeeding families to the halls of Congress, government agencies, workplaces, health care facilities, research institutions, and communities across the Nation. We look forward to connecting and growing with you through 2018!

- Mona Liza Hamlin, Chair

- Amelia Psmythe, Interim Executive Director

2017 Policy Updates

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

Federal News

Draft Report for Systematic Review on Breastfeeding Programs and Policies, from AHRQ

The Agency for Healthcare Research and Quality has posted the draft report for the "Systematic Review of Breastfeeding Programs and Policies, Breastfeeding Uptake, and Maternal Health Outcomes in Developed Countries." The purpose of the publication is to review the effectiveness of community, workplace and health care system-based programs and policies aimed at supporting and promoting breastfeeding as well as to determine the association between breastfeeding and maternal health. The draft report describes findings from the systematic review, and is available for review and feedback through Friday, January 26. 

MMWR Report on Breast Milk Use in NICUs, from CDC

The Centers for Disease Control and Prevention have published a Morbidity and Mortality Weekly Report (MMWR) entitled "Disparities in Hospital-Reported Breast Milk Use in Neonatal Intensive Care Units — United States, 2015." Data from CDC's 2015 Maternity Practices in Infant Nutrition and Care survey, which does not collect patient-level demographics, were linked to the 2011–2015 U.S. Census Bureau's American Community Survey to examine the use of breast milk in Neonatal Intensive Care Units (NICUs) based on demographic makeup of the hospital's postal code area. In postal codes with >12.3% black residents, 48.9% of hospitals reported using mothers' own milk in ≥75% of infants in the NICU, and 38.0% reported not using donor milk, compared with 63.8% and 29.6% of hospitals, respectively, in postal codes with ≤12.3% black residents.   

Member News

Children's Healthy Weight CoIIN Announcement, from ASPHN

The Association of State Public Health Nutritionists has announced that eighteen teams from thirteen different states will participate in the Children's Healthy Weight Collaborative Improvement and Innovation Network (CoIIN). The CoIIN will support the state teams' work towards reducing the percentage of overweight or obese children and adolescents. The first year states will work on the Breastfeeding and/or the Physical Activity Work Stream. The second year ALL states will continue working on their original Work Stream(s) AND the Innovative Nutrition Integration Work Stream. There are two different levels of participation, Technical Assistance (TA) and Intense Learning (IL). States participating at the TA level will be able to participate in webinars, get resources, and have access to experts. IL level states will also participate in an in-person learning session, receive coaching, and a small seed grant. States participating in the IL Breastfeeding Work Stream include California, Iowa, Louisiana, North Dakota, and Wisconsin. States participating in the TA Breastfeeding Work Stream include Arkansas, Indiana, Nebraska, Nevada, North Carolina, and Texas.

Joint Statement Opposing Prevention Fund Cuts, from APHA/TFAH/NACCHO/Prevention Institute/PHI

The American Public Health Association, Trust for America's Health, National Association of County and City Health Officials, Prevention Institute, and Public Health Institute have released a joint statement opposing cuts to the Prevention and Public Health Fund (PPHF) in the recent Continuing Resolution (CR) which will keep the government open through Friday, January 19. The CR extends funding for CHIP, National Health Service Corps and Community Health Centers for the first two quarters of FY 2018, but comes with a $750 million cut to the PPHF from FY19-FY22. 

Partner News

Memo on State and Local Family-Friendly Policies Going Into Effect in 2018, from NPWF

The National Partnership for Women and Families has released a memo titled "Key Measures to Support Women and Families Taking Effect in 2018." The memo highlights state and community-level family-friendly workplace policies like access to paid sick days and paid family and medical leave that go into effect this year. It also lifts up state and community victories from 2017.

News from the Field

Breastfeeding Position Statement, from TOS

The Obesity Society has released a position statement on breastfeeding and obesity which supports exclusive breastfeeding for the first six months of life with continued breastfeeding through the first year and beyond as age-appropriate complementary foods are introduced. The statement includes information on obesity-related outcomes for both children and mothers. Read the press release.      

Study on Effect of the Affordable Care Act on Breastfeeding Outcomes, from AJPH

The American Journal of Public Health has published a study on how the Affordable Care Act (ACA) requirement for most private health insurance plans to cover lactation-support services and breastfeeding equipment (without cost-sharing) affected breastfeeding outcomes. Using data from the US National Immunization Survey from 2008 to 2014, researchers estimated the effect of the ACA policy change on breastfeeding outcomes, including initiation, duration, and age at first formula feeding. The sample included children aged 19 to 23 months covered by private health insurance or Medicaid. The ACA policy change was associated with an increase in breastfeeding duration by 10% and duration of exclusive breastfeeding by 21% among the eligible population. Results indicate no significant effects on breastfeeding initiation and age at first formula feeding. 

Report on Maternal Death Surveillance, from Obstetrics & Gynecology

The journal Obstetrics & Gynecology have released a new report entitled "Challenges and Opportunities in Identifying, Reviewing, and Preventing Maternal Deaths." The report presents a brief history of maternal death surveillance in the U.S. and describes the three major systems of maternal death surveillance in the United States: the National Vital Statistics System, the Pregnancy Mortality Surveillance System, and maternal mortality review committees. In addition, the report discuses strategies to address the perennial challenges of shared terminology and accurate, comparable data among maternal mortality review committees. 

Fact Sheet on Health Impact of Tax Reform, from Families USA

Families USA has released a fact sheet on the health impact of tax reform. Beginning in 2019, the tax bill repeals the health reform "individual mandate," a section of the Affordable Care Act (ACA) with tax penalties that encourage individuals to buy health coverage. In addition, the fact sheet states that tax reform sets the stage for massive cuts to Medicaid, Medicare, and the ACA.  

State and Community News

Memorandum on Breastfeeding Mothers Reporting Marijuana Use, from Alaska

Alaska Governor Bill Walker has released a memorandum on breastfeeding mothers who report marijuana use. The memorandum encourages mothers who report using marijuana to continue breastfeeding and cites stronger associative evidence of potential adverse health outcomes related to pregnancy and marijuana use than that between marijuana use and breastfeeding. Providers can complete an order form to request supplies of patient handouts with acceptable messages on use of marijuana, alcohol and tobacco, during pregnancy and breastfeeding.

Collective Impact Connection

Article on Change Through Emerging Organizations, from SSIR

The Stanford Social Innovation Review has published an article titled "To Change the System, Look Outside the System." The article explores how emerging organizations, even if they're new and small, can help catalyze change in social services. The article describes examples of partnerships which pair inside and outside forces, and established and emerging organizations, to create real pressure for systems change.

News & Views

The Washington Post: "Congress will return to a full slate of difficult issues"

Center for American Progress: "Upholding the Dignity of Incarcerated Women

KWIT Public Media: "Ode: Breastfeeding in public

Press of Atlantic City: "Three bills before governor would build on NJ breastfeeding advances

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