Start Date: February 2020

ID #: 77237

Principal Investigator: Anne Merewood, PhD, MPH, IBCLC

Organization: Boston Medical Center Corporation

Funding Round: HER Round 12

See more related research

Share


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.

Related Research

January 2024

Food Insecurity and the Child Tax Credit

Food insecurity puts people at risk for many poor physical and mental health outcomes. Food insecurity stayed stable during much of the COVID-19 pandemic but rose significantly from 2021-2022 among U.S. households with children. Many federal supports were offered during the COVID-19 pandemic. These included expansions in food assistance programs like SNAP, as well as 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

November 2023

Supporting the Wake Forest School of Medicine in implementing a WIC referral program within electronic health records to optimize WIC participation

The United States has an ongoing maternal and infant health crisis, characterized by stark disparities. The WIC program could equitably improve health outcomes, but it is underutilized. Identifying strategies for healthcare systems to efficiently connect pregnant patients with WIC is a public health and policy priority. This study will use the electronic health record (EHR) More