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
Additional Fruit and Vegetable Vouchers for Pregnant WIC Clients: An Equity-Focused Strategy to Improve Food Security and Diet QualityWomen with low household income and from racial/ethnic minority groups are at elevated risk of food insecurity. Food insecurity during pregnancy is associated with overall less healthy diets, lower intake of the pregnancy-supportive nutrients iron and folate, and significant variations in diet across the course of a month. The goal of this study was to More