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.
Start Date: February 2020
ID #: 86844
Principal Investigator: Anne Merewood, PhD, MPH, IBCLC
Organization: Boston Medical Center Corporation
Funding Round: HER Round 12
Child and Adult Care Food Program: Impacts of COVID-19 Differences in Reimbursement Rates on Family Childcare Home Providers, Children, and FamiliesThe Child and Adult Care Food Program (CACFP), the largest U.S. nutrition program for childcare, provides tiered reimbursements to family childcare homes (FCCHs) to serve healthy foods to a large proportion of children from households with low incomes. Due to COVID-19, all FCCHs on CACFP temporarily received the higher Tier I reimbursement rate. The aims More