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Project Overview
Implementing The Business Case for Breastfeeding in Your
Community
Sponsored by:U.S. Department of Health and Human Services
(HHS)Health Resources and Services Administration
Maternal and Child Health Bureau
With additional support from:HHS Office on Women’s Health
Project Goals
Increase breastfeeding exclusivity and duration rates among employed breastfeeding women Increase worksite lactation support for
breastfeeding women Equip lactation consultants, breastfeeding
advocates, and Healthy Start programs for conducting effective outreach with employers
Increase collaboration between State Breastfeeding Coalitions and community Healthy Start programs
[www.healthystartassoc.org]
Train the Trainer Program
Training manual with PowerPoint presentation Speaker Notes and Handouts CD-ROM
Training focus: Communicating effectively with businesses Ways to improve support Strategy planning
Sneak Preview: Section 1
Topics Health implications of breastfeeding Rationale for supporting employed mothers Project overview
Resource The Business Case for Breastfeeding
Getting to Know You
Profits and People
Nearly 60% of women are in the work force; of these, 62% are of childbearing age
Women comprise nearly half of the U.S. labor force
Women with children are the fastest growing segment of the work force Over 70% of women with children are in the work force
Women in the Work Force
70.6
6359.9
70.1
6259.3
76.171
66.266.6
60.256.8
5248.1
60.5
0
10
20
30
40
50
60
70
80
With Children Children Under Age 6 Children Under Age 3
All Women Caucasian African American Asian Hispanic
17
U.S. Breastfeeding Rates
75
50
25
40
17
74.2
43.1
21.4
31.5
11.9
0
10
20
30
40
50
60
70
80
Initiation 6 months 12 months Exclus - 3mos
Exclus - 6mos
Healthy People 2010 Goal 2005 Rate
Source: Centers for Disease Control and Prevention
Why We Care
Breastfeeding initiation is high, but duration and exclusivity rates rapidly decline
Family-friendly policies assist in providing the support women need to meet their breastfeeding goals
Photo credit: Mutual of Omaha
Health Implications for Babies
NOT breastfeeding increases risk of: Obesity Ear infections Respiratory infections Gastrointestinal infections Skin conditions Type 1 and Type 2 diabetes Leukemia Sudden Infant Death Syndrome
(AHRQ 2007)
Increased Risks for Babies of Employed Mothers
Infants in child care centers are at 69% increased risk of hospitalization for respiratory infection (Kamper 2006)
Being in a child care setting doubles odds of needing antibiotics by age 1.5-5 years (Dubois 2005)
Exclusive breastfeeding at least 4 months had protective effect for 2.5 years
Among infants of employed mothers who were never sick during the first year, 86% were breastfed (Cohen 1994)
Health Implications for Employed Mothers
Mothers who breastfeed are at lower risk of: Premenopausal breast cancer Ovarian cancer Type 2 diabetes
(AHRQ 2007)
Breastfeeding mothers: Recover from pregnancy faster Enjoy a delayed menses
Healthier employees are more productive
Impact of Employmenton Breastfeeding
Full-time employment shortens breastfeeding duration (Fein and Roe 1998)
Most women wean before end of first month back at work (Cardenas 2005)
Full-time employment an economic necessity for many (Galtry 1997)
Direct Breastfeeding vs. Pumping at Work
Women who breastfeed baby at work breastfeed longer durations than mothers who only express milk at work (Fein 2008).
Women who do not breastfeed or express milk do not breastfeed as long.
Women in supportive worksite environments breastfeed as long as mothers who exclusively
breastfeed at the breast (Whaley 2002; Ortiz 2004)
Concerns of Special Population Groups
Concerns of African American mothers Lower breastfeeding rates More likely to work full-time and return to
work sooner (Caulfield 1998, Galtry 1997)
African American and Hispanic mothers tend to experience a higher rate of poverty and are more likely to be employed in low-wage job settings (Beers 2001)
Welfare Reform Act of 1996 has led to earlier return to work and significant issues maintaining lactation (Haider 2003)
Support in the Workplace
Maternity leave Flexible return to work options Onsite child care Private areas to breastfeed or express milk Managerial support
The Business Case for Breastfeeding
Funded by U.S. Department of Health and Human Services, Health Resources and Services Administration’s Maternal and Child Health Bureau
Research and Strategy Formation Worksite lactation resource kit National training and technical assistance
initiative for State Breastfeeding Coalitions and communities with Healthy Start programs
The Business Case for Breastfeeding
Targets varied groups who impact employed mothers
Packaged in 5 individual file folders Cover “box” designed for versatile
storage Select individual pieces for the
audience groups targeted Full kits and additional pieces are
available from MCHB at: www.ask.hrsa.gov
1-888-275-4772 (ASK HRSA)
“The Business Case for Breastfeeding”
Folder #1 Target: Employers Key content:
Bottom line benefits to supporting breastfeeding employees
Quick overview of components of a lactation support program
“Easy Steps to SupportingBreastfeeding Employees”
Folder #2 Target: Human Resource Managers Key content:
Lactation support program options Strategies for implementing Gaining buy-in Promoting the program
“Tool Kit”
Folder #3 Target: Human Resource Managers Key Content: CD-ROM with reproducible
templates Worksite policy Assessment and feedback forms Promotional items Resource Guide Employer Snapshots
“Employees’ Guide to Workingand Breastfeeding”
Folder #4 Target: Pregnant and Breastfeeding
Employees Key content:
Tips for combining breastfeeding and employment Ways to talk with supervisor and colleagues about
breastfeeding needs
“Outreach Marketing Guide”
Folder #5 Target: Outreach Workers Key content:
Strategies for conducting effective outreach with businesses
Strategies for supporting working mothers “Outreach Marketing Resources” CD-ROM
PowerPoint presentation Templates for outreach letters Sample legislative language Lesson plans
Project Expectations
Develop a plan for utilizing The Business Case for Breastfeeding to conduct outreach with businesses in your community
Identify appropriate businesses to target for outreach, and partners who can help
Conduct outreach with targeted employers
Train others in your community who can assist you with this outreach effort
Technical Assistance
Ongoing technical assistance via telephone, email and teleconferences for 1 year
Toll-free hotline: 1-866-435-4808 Web site:
www.hcdi.com/hrsa/worksitelactationsupport/index.html
