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32 Breastfeeding Moms on What Works at Work. Emily Waldron Mel and Enid Zuckerman College of Public Health University of Arizona. Background. - PowerPoint PPT Presentation
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32 Breastfeeding Moms on What Works at Work
Emily Waldron
Mel and Enid Zuckerman College of Public Health
University of Arizona
Background
• Affordable Care Act amended section 7 of the Fair Labor Standards Act to require employers to provide “reasonable break time for an employee to express breast milk for her nursing child for 1 year after the child’s birth each time such employee has need to express the milk.”
• Employers are also required to provide “a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk.”
Arizona Specific Breastfeeding Policy
• Healthy Arizona Policy Initiative (HAPI)• Promote breastfeeding as a component of worksite wellness
• Strategy 7 of CDC Grant 1305 • Provides resources for ADHS to ensure workplaces are complying
with the federal lactation accommodation law (Section 4207 of the Affordable Care Act)
Internship Goal
Develop a workplace lactation guide designed for county health departments to distribute to local employers to assist with breastfeeding promotion at the workplace.
Objective One
• Perform a literature review to inform policy development recommendations and interview protocol• “The Business Case for Breastfeeding” by the United States
Department of Health and Human Services
• Texas Mother Friendly Worksite Initiative
• Texas Department State Health Services
• CDC Grant Communities Putting Prevention to Work-State and Territory Initiative-Special High Impact Initiative
• Businesses can apply to be designated as mother-friendly
Objective Two
• Develop interview questions, recruit interview participants, and conduct and analyze interviews with 30 women who are currently lactating or have lactated in the past two years • Interview questions developed from HRSA’s The Business Case for
Breastfeeding
• Recruitment Strategy
• Designed a recruitment flyer and distributed the flyer to 10 daycares and preschools in Tucson, Arizona and to lactation consultants at University of Arizona’s Medical Center
• Social Media: “Badass Breastfeeding Tucson Moms” Facebook group
Objective Two Continued
• Interview Methods• Conducted 30 interviews by phone, 2 in-person
• 29 interviews conducted with participants living in Tucson; 3 participants lived in Phoenix
• Answers recorded during the interview and coded immediately following the interview
Objective Three
• Create a handout on the benefits of breastfeeding for ADHS to distribute to Arizona businesses• Return on Investment
• Employee Perspective
• Qualitative Data
• How to Invest in Breastfeeding at Work (based on interview results)
Industry Number of Interviews
Education (University) 7
Non Profit 6
Healthcare 4
Government 4
Retail 2
Education (K-12) 2
Grocery 1
Transportation (Bus Driver)
1
Defense 1
Law 1
Accounting 1
Technology 1
Engineer 1
IntervieweeWorkplace
ResultsOverview
• 32 interviews conducted between June-August 2014
• Average Age: 32.7
• Average months spent pumping at work: 10.06
• 47% of workplaces had a designated lactation space; 53% did not
• 78% of interviewees used a public-shared refrigerator to store breast milk at work (scale of 1-4) 2.8 rating
• Support from colleagues (scale of 1-4): 3.34
• Support from supervisor (scale of 1-4): 3.32
Key Findings
• Three Key Findings• Employee Lactation Breaks
• Employee Lactation Rooms
• Workplace Lactation Education
Employee Lactation Breaks
• Positive• “No questions asked”
• “Took as long as I needed”
• “Trust”
• Negative• “ The only option to pump was in a male supervisor’s office. I had to kick my
supervisor out of his office every time I pumped”
• “Meeting with clients”
• “My lunch break was only 20 minutes long which was not enough time”
Employee Lactation Rooms
• Positive• “Comfortable chairs”
• “Sink in the lactation rooms”
• “Refrigerator for breast milk located in lactation room”
• “Quiet”
• Negative• “Wanted to put us in a bathroom. I had to explain the law to my employer”
• “The curtains on the lactation room were sheer. Co-workers could see”
• “Pumped in the car at off-site meetings”
• “I pumped in the greenroom at school where plants were being grown. Finally demanded a different pumping location when mushrooms began to grow”
Workplace Lactation Education
• Positive• “Online workplace community for new mothers”
• “Respectfulness from co-workers. Nobody has ever said anything”
• “Provided with a ‘back to work’ packet after returning from maternity leave with lactation room locations listed and a ‘know your rights’ insert”
• Negative• “Supervisor said he would not have hired me if he knew I was pregnant.”
• “Colleagues suggested going to the car to pump”
• “My boss asked me if I had a battery pack for my pump so I could use the bathroom to pump”
Next Steps
• Definition of “reasonable time” of the Fair Labor Standards Act
• A venue for employees to anonymously file workplace lactation complaints
• Enforcement of Affordable Care Act policies at the workplace
• Positive recognition for workplaces going above and beyond the basic lactation requirements
• Standardized lactation education for co-workers and employers
Thank You