BREASTFEEDING IN KANSAS: WHO’S DOING WHAT WHERE? Brenda Bandy, IBCLC Program Director, Business Case for Breastfeeding Kansas Breastfeeding Coalition, Inc. Martha Hagen, MS, RD, LD, IBCLC Breastfeeding Coordinator Nutrition and WIC Services
The NORMAL way to feed a baby!
Where Do We Stand?
Percent of Mothers Who Breastfeed Their Infants at 6 months Kansas and U. S. , 2001 -2010 Desired Direction = Above Line HP 2020 60. 6% na na HP 2020 = Healthy People 2020 na = not available Source: National Immunization Survey (birth year; 2007 and 2008 data are provisional. ); Pediatric Nutrition Surveillance System (Ped. NSS) na na
Indicators of Breastfeeding Support (CDC 2012 Breastfeeding Report Card)
6 Breastfeeding Initiation Rates 2008 -2010 Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Jewell Smith Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Linn Chase Anderson Greenwood Woodson Wilson Kingman Cowley Crawford Elk Montgomery Seward Barber Comanche < 70% Harper 70%-81. 8% Neosho Sedgwick Clark Meade Bourbon Allen Pratt Haskell Kiowa Stevens Johnson Franklin Reno Stafford Gray Morton Douglas Coffey Mc. Pherson Pawnee Edwards Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Russell Barton Finney Jackson Clay Ottawa Trego Logan Greeley Ellis Mitchell Osborne Brown Sumner Chautauqua Labette Cherokee > 81. 9% (HP 2020 goal)
Breastfeeding Data Sources • National Immunization Survey • Kansas Birth Certificate Data • Kansas WIC Data • Pediatric Nutrition Surveillance System Data
Surgeon General’s Call to Action to Support Breastfeeding Available at www. surgeongeneral. gov
Call to Action to Support Breastfeeding “Everyone can help make breastfeeding easier. ”
WHO’S DOING WHAT IN KANSAS…AND WHERE A look at breastfeeding initiatives and programs across the state of Kansas as they relate to the Surgeon General’s Call to Action to Support Breastfeeding
The “Who” (not the rock band) Kansas Breastfeeding Coalition § Business Case for Breastfeeding (workplace lactation support) § Coming in August – window clings for businesses § High 5 for Mom and Baby (hospital maternity care improvement) Women, Infant & Children (KDHE) § Peer counselors (mother-to-mother support) § Maternal & family education § Community awareness campaigns La Leche League of Kansas § Mother-to-mother support § Continuing education to health care professionals Kansas Public Health Association/County Health Depts. § County-level grants for a variety of breastfeeding interventions
The “Where” A look at the locations of breastfeeding support activities by county in relation to the Surgeon General’s Call to Action to Support Breastfeeding Clearer understanding of breastfeeding in Kansas
Action 1: Give mothers the support they need to breastfeed their babies. • 88% of hospitals in Kansas included breastfeeding in their prenatal patient education (“Maternity Practices in Infant Nutrition and Care Survey” (m. PINC), Centers for Disease Control and Prevention, 2011) • Kansas Public Health Association (KPHA) grant funding made possible: • Breast pump/aids in 12 counties • Breastfeeding prenatal classes in 6 counties • Spanish breastfeeding materials in two counties • High School education in Johnson County
14 Action 1: Counties providing maternal support through KPHA grants Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 3: Strengthen programs that provide mother-to-mother support and peer counseling. • La Leche League of Kansas has 56 volunteers providing mother-to-mother support in 20 counties. 1. 92 LLL Leaders/1000 live births (LBs) compared to 0. 95/1000 LBs nationally • 39 WIC Peer Counselors in 47 counties. • 13 breastfeeding support groups established with KPHA grants run by county health departments.
16 Action 3: La Leche League Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
17 Action 3: WIC Peer Counselors Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Hamilton Kearny Ellsworth Dickinson y Wabaunsee Morris Rush Marion Grant Edwards Anderson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Wilson Clark Stevens Woodson Pratt Gray Morton Greenwood Reno Haskell Kiowa Linn Chase Harvey Ford Johnson Franklin Coffey Mc. Pherson Pawnee Douglas Miami Lyon Butler Stanton Osage Saline Stafford Wyandotte Gear Lincoln Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Clay Ottawa Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
18 Action 3: Breastfeeding Support Groups at County Health Departments (KPHA grants) Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
19 Action 3: Mother-to-Mother Support Composite Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 4: Use community-based organizations to promote and support breastfeeding. • KPHA grants funded: • 24/7 warm helpline in two counties • Breastfeeding events in three counties • Healthy Start home visitors continue to serve breastfeeding mothers • Parents As Teachers educators receive specific training on breastfeeding • Formation of African-American peer support project in KC • Coming soon…“Breastfeeding Welcome Here” windowclings for businesses from the KBC
21 Action 4: Community-based organizations to support breastfeeding – KPHA grants Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
![Action 5: Create a national [local] campaign to promote breastfeeding KPHA grants funded media](https://present5.com/presentation/0c91168d1d0a9a50de840d81c3292672/image-22.jpg "Action 5: Create a national [local] campaign to promote breastfeeding KPHA grants funded media")
Action 5: Create a national [local] campaign to promote breastfeeding KPHA grants funded media campaigns in five counties.
Barton County Marketing Project Included: • Billboards • Newspaper ads • Radio spots
![25 Action 5: Create a national [local] campaign to promote breastfeeding Rawlins Cheyenne Sherman](https://present5.com/presentation/0c91168d1d0a9a50de840d81c3292672/image-25.jpg "25 Action 5: Create a national [local] campaign to promote breastfeeding Rawlins Cheyenne Sherman")
25 Action 5: Create a national [local] campaign to promote breastfeeding Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 7. Ensure that maternity care practices around the United States are fully supportive of breastfeeding. 26% of birthing facilities in KS reported not giving out discharge packs containing infant formula samples and marketing products to breastfeeding patients. (2009 m. PINC survey, CDC) NO “Baby Friendly” designated hospitals in Kansas. Wesley in Wichita selected for “Best Fed Beginnings” project. KPHA grants funded: • Breastfeeding discharge bags in 5 counties. • Hospital policy improvement in 2 counties.
27 Action 7. Maternity care improvement through KPHA grants (discharge bags & hospital policies) Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 8: Develop systems to guarantee continuity of skilled support for lactation between hospitals and health care settings in the community. KPHA grants funded: • Resource directories & referral systems in 8 counties. • Post-discharge follow-up visits to mothers in 7 counties. • Walk-in breastfeeding clinics in 5 counties.
29 Action 8: Continuity of Care from KPHA funding Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 9. Provide education and training in breastfeeding for all health professionals who care for women and children. KPHA grants funded: • 56 people from 12 counties to attend 3 day “Certified Breastfeeding Educator” (CBE) trainings • Education for health care professionals (HCPs) in 16 counties 250 HCPs from across Kansas attended La Leche League of KS Continuing Education Program in March 2012, funded in part by the Kansas Health Foundation. Save the Date – March 8, 2013 for next LLL of KS CE Program featuring Dr. Tina Smillie.
31 Action 9: Education for HCP’s from KPHA funding Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 11. Ensure access to services provided by International Board Certified Lactation Consultants (IBCLCs). • Currently 135 IBCLC’s in KS 3. 4 IBCLC’s in KS/1000 live births compared to 3. 24/1000 LBs nationally • 9 new IBCLC’s from KPHA grant funding
33 Action 11: IBCLC’s in Kansas Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 14. Ensure that employers establish and maintain comprehensive, high-quality lactation support programs for their employees. • The Kansas Business Case for Breastfeeding has trained over 160 people to help businesses create a workplace lactation support program in 13 counties. • Employer assistance in 9 counties provided with funding from KPHA grants.
35 Action 14: Business Case for Breastfeeding trainings Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Osage Hamilton Kearny Rush Grant Stafford Edwards Marion Coffey Greenwood Woodson Kingman Crawford Elk Montgomery Seward Comanche Harper Neosho Sedgwick Cowley Barber Bourbon Allen Pratt Wilson Meade Linn Anderson Reno Clark Stevens Franklin Chase Haskell Kiowa Johnson Miami Mc. Pherson Pawnee Gray Morton Douglas Lyon Butler Stanton Wabaunsee Morris Harvey Ford Wyandotte Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
36 Action 14: Employer Assistance/Outreach from KPHA funding Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
37 Action 14: Composite of Employer Support for Breastfeeding Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 15: Expand the use of programs in the workplace that allow lactating mothers to have direct access to their babies. 14 State agencies in Kansas allow approximately 6850 employees to bring their babies to work. Over 270 babies have been brought to work to date. Source -Babies in the Workplace website – www. babiesatwork. org
Action 16: Ensure that all child care providers accommodate the needs of breastfeeding mothers and infants. In Johnson County -Training for childcare providers covering the latest breastfeeding guidelines from “Caring for Our Children: National Health and Safety Performance Standards” 3 rd edition, 2011 Working with Child Care Aware to provide training. Now available through KSTRAIN
![Action 19: Develop a national [local] monitoring system to improve the tracking of breastfeeding](https://present5.com/presentation/0c91168d1d0a9a50de840d81c3292672/image-40.jpg "Action 19: Develop a national [local] monitoring system to improve the tracking of breastfeeding")
Action 19: Develop a national [local] monitoring system to improve the tracking of breastfeeding rates as well as the policies and environmental factors that affect breastfeeding. Monitoring breastfeeding rates in 4 counties from KPHA grant funding. Currently breastfeeding rates come from: üKansas birth certificate data (2 years behind) üKansas WIC population (by county, timely) üNational Immunization Survey (3 years behind)
41 Action 19: Collecting breastfeeding rates Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
Action 20: Improve national leadership on the promotion and support of breastfeeding. Specifically, “to increase the capacity of…affiliated state coalitions to support breastfeeding. ” • 9 county/regional breastfeeding coalitions in Kansas (4 from funding from KPHA grants) • Listing of local coalitions - www. ksbreastfeeding. org/contactus/localcoalitions. aspx. • “Starting a Community Conversation” Summit on Coalition Building Nov. 9 th, at Wesley Medical Center, Wichita – FREE!!
43 Action 20: Local Breastfeeding Coalitions Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
44 Composite of all Actions Rawlins Cheyenne Sherman Decatur Sheridan Thomas Norton Graham Phillips Smith Jewell Republic Washington Marshall Nemaha Doniphan Pottawatomie Cloud Riley Rooks Gove Wallace Wichita Scott Lane Ness Mitchell Clay Ottawa Lincoln Geary Ellsworth Dickinson Hamilton Kearny Rush Marion Edwards Greenwood Woodson Wilson Kingman Crawford Elk Montgomery Seward Barber Comanche Harper Neosho Sedgwick Cowley Meade Bourbon Allen Pratt Clark Stevens Linn Anderson Reno Gray Morton Johnson Franklin Chase Haskell Kiowa Douglas Coffey Mc. Pherson Pawnee Stafford Wyandotte Miami Harvey Ford Grant Osage Lyon Butler Stanton Wabaunsee Morris Saline Rice Hodgeman Atchison Leavenworth Jefferson Shawnee Barton Finney Jackson Russell Trego Logan Greeley Ellis Osborne Brown Sumner Chautauqua Labette Cherokee
A BIG thank you to the United Methodist Health Ministry Fund! For contributing so generously to: • Kansas Public Health Association breastfeeding grants • Kansas Business Case for Breastfeeding • High 5 for Mom & Baby program
Resources • Kansas Breastfeeding Coalition, Inc. • www. ksbreastfeeding. org • Business Case for Breastfeeding • www. kansasbusinesscase. com • High 5 for Mom & Baby • www. kansashigh 5. org • La Leche League of Kansas • www. kansaslll. org
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