Published: May 2022

ID #: 77237

Journal: Matern Child Nutr

Authors: Merewood A, Burnham L, Berger J, Gambari A, Safon C, Beliveau P, Logan-Hurt T, Nickel N

See more related research


Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a public health initiative, operating in Mississippi since 2014, to improve maternal and child health practices and reduce racial disparities in breastfeeding. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, this study assessed CHAMPS, which used a Quality Improvement intervention at hospitals, and engaged intensively with local community partners. The study team assessed outcomes through quantitative data (2014–2020) from national sources, Mississippi hospitals, community partners and CHAMPS programme records, and qualitative data from focus groups. With 95% of eligible Mississippi hospitals enrolled into CHAMPS, the programme reached 98% of eligible birthing women in Mississippi, and 65% of breastfeeding peer counsellors in Mississippi’s Special Supplemental Nutrition Programme for Women, Infants and Children. Average hospital breastfeeding initiation rates rose from 56% to 66% (p < 0.05), the proportion of hospitals designated Baby-Friendly or attaining the final stages thereof rose from 15% to 90%, and 80% of Mississippi Special Supplemental Programme for Women, Infants, and Children districts engaged with CHAMPS. CHAMPS also maintains a funded presence in Mississippi, and all designated hospitals have maintained Baby-Friendly status. These findings show that a breastfeeding-focused public health initiative using broad-based strategic programming involving multiple stakeholders and a range of evaluation criteria can be successful. More breastfeeding promotion and support programmes should assess their wider impact using evidence-based implementation frameworks.

Related Research

February 2020

Improving the actionable research base for health equity in breastfeeding by assessing an intervention to increase rates in minority populations

Breastfeeding equity is a critical component of nutrition-related equity. Breastfeeding rates in the United States are strongly correlated with poverty and race. Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a multi-sectoral, policy, system, and environmental initiative which has significantly increased breastfeeding rates among black populations. CHAMPS was launched in Mississippi (MS) in 2014. Since More

April 2024

Height and Weight Measurement and Communication With Families in Head Start: Developing a Toolkit and Establishing Best Practices

Head start (HS) programs are required to collect children’s height and weight data. Programs also communicate these results to families. However, no standardized protocol exists to guide measurements or communicate results. The purpose of this article was to describe the development of a measurement toolkit and best practices for communication. HS programs contributed to the More

November 2023

State Agency Perspectives on Successes and Challenges of Administering the Child and Adult Care Food Program

The federal Child and Adult Care Food Program (CACFP) improves nutrition and reduces food insecurity for young children while helping cover food costs for care providers and families. Despite its important benefits, the program is underutilized. This report uses qualitative interviews with state CACFP administrators representing 28 states to explore federal and state policies and practices that support or discourage CACFP participation among licensed child More