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 then, MS CHAMPS has enrolled 93% of MS birthing hospitals and the number of WHO Baby-Friendly hospitals located in MS has risen from 0 to 13. This project will provide an evaluation of MS CHAMPS using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. In addition, the project will demonstrate and disseminate solutions to inequitable breastfeeding rates. The specific aims of this project include: analyzing, publishing, and disseminating the results of the MS CHAMPS RE-AIM analysis; sharing findings with community partners and stakeholders; and enabling CHAMPS to develop an increasingly effective, sustainable, and scalable breastfeeding equity model. Statistical analysis of hospital breastfeeding rates, by race, and tests for statistically significant improvements will be used. A thematic analysis approach will be used to analyze all qualitative data.
Improving the actionable research base for health equity in breastfeeding by assessing an intervention to increase rates in minority populations
Studying facilitators and barriers in coupon redemption for fruits and vegetables by Nutrition Program for Women, Infants, and Children participants
The Special Supplemental Nutrition program for Women, Infants, and Children (WIC) is a federally-funded nutrition assistance program supporting low-income women, infants, and children. The Farmers Market Nutrition Program (FMNP) provides WIC clients with coupons to purchase fruits and vegetables from approved farmers markets in addition to their regular WIC benefits. … More
Providing actionable evidence for equity-focused strategies to improve diet quality and food security for low-income pregnant women and for infants
Households with children ages 6 and younger are at a particularly high risk of food insecurity (14.3% food insecure). These are also the households in which new pregnancies are most likely to occur. The Special Supplemental Program for Women, Infants, and Children (WIC) is designed to improve the health of … More
Understanding the lost opportunity of the Child and Adult Care Food Program in improving child nutrition and reducing health inequities
The USDA Child and Adult Care Food Program (CACFP) plays a large role in supporting nutrition in child care settings, specifically targeting these benefits to low-income populations. Foods provided to children participating in CACFP programs must meet specific nutrition standards in order to be reimbursed with federal funds. This study … More