MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
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table of contents 01 Letter from Leadership 02 How it Started 08 Recent Successes 16 2020 Flint Community Conversation Report 21 What is Next?
letter from leadership Dear Reader, What an abundance of listening, learning and growing these past four years have been - the highs and the lows, and everything in between. It’s been a true honor for MIBFN, humbly leaning into the pivot during these challenging times, alongside so many powerful leaders in the work. We are full of gratitude to share this report with you and have found ourselves filled with emotion in putting this together, finding only one word that seems fitting enough to describe it all: Resilence. This project was created to fill a gap in community-based lactation support in the Flint and greater surrounding area, as breastfeeding rates in the area lag behind national and state rates. Data supports that most families want to breastfeed, however, due to systemic racism, oppression and significant barriers to access, families oftentimes are unable to reach their individual breastfeeding goals. COVID-19 further magnified how racist our systems really are. Many believe the pandemic to have been unprecedented, however, for Flint families, noth- ing about this past year has been unprecedented at all. From the recession to the Flint water crisis and now COVID-19, Flint families have and continue to persist, trusting those that reflect the community and are deeply emboldened to the work of community, and service. The solutions have always been in the community. You Overcoming Lactation Obstacles (YOLO), InvolvedDad, Baby Cafe’, and Genesee County Breastfeeding Coalition have all been through so much, yet collectively each organization has pressed onward for the love of the families they serve. What an immense testimony to the servant leaders they each are! A core value of MIBFN is TRANSPARENCY and we are humbled to have the opportunity to share the remark- able work that has and continues to occur with Flint families at the center and specifically Black families at its core. We are incredibly grateful to the Community Foundation of Greater Flint for their commitment, dedication, and trust. The continued investment into the work of Black-led, community-based organizations is seen, deeply appreciated and is shifting the paradigm of leadership. Their significant support has been a critical driving component that has allowed this work to move forward for these past four years and beyond. To all of those reading who continue to serve, persevere and fight for justice, thank you for all that YOU do and for your consistent commitment to the work. You are seen and deeply valued. Onward. With Love, Strength, and Solidarity, Gayle Shipp, PhD, PHP, CLS Chairwoman, Board of Directors Shannon McKenney Shubert, MPH, CLC Executive Director Jennifer Day, IBCLC, RLC, CLS, BD Community Building Project Manager 01
How it started In response to the Flint water crisis in early 2016, MIBFN previous Board leadership, and Michigan WIC partnered to release Lead and Exposure Issue Statement and Recommendations and reached out to Genesee County Breastfeeding Coalition to work together on widespread implementation of breastfeeding messaging. MIBFN previous Board leadership, Coffective, and Michigan WIC began planning community-wide project to support Baby-Friendly Designation at local hospitals and community collaboration in 2016. With generous support from the Community Foundation of Greater Flint, MIBFN 310 Flint project began mid-2016.
MIBFN 310 Connect Logic Model (2016-2017) Overarching Goal: To change the culture of maternity care to improve health outcomes of mothers and infants in Flint. Guiding Principles: The Collective Impact Framework and the Baby-Friendly 10 Steps to Successful Breastfeeding SHORT-TERM INPUTS STRATEGIES OUTPUTS OUTCOMES (1 YEAR) SUPPORTERS • Educate & motivate HOSPITALS • All 3 Flint hospitals adopt Infant • Community pregnant women • # of staff trained in breastfeeding support Feeding Policy that outlines Foundation of prenatally about • # of hospitals implementing optimal feeding support and Greater Flint breastfeeding and the Coffective System the delivery of evidence-based • WK Kellogg evidence-based • # of hospitals that create & convene maternity care practices Foundation maternity care a Baby-Friendly Task Force • All 3 Flint hospitals engage in • Michigan in the hospital • # of hospitals engaged in 310 the Baby-Friendly pathway Department Connect community events Improved • Implement 10 • 80% of mothers and families of Health and Steps to Successful • # of new mothers receiving info about participate in evidence-based Maternal Human Services breastfeeding, evidence-based practices Breastfeeding in & community support prior to discharge practices on the birthing centers & Child STRATEGIC PARTNERS Flint area hospitals PRENATAL CLINICS, WIC AGENCIES, • 100% of pregnant women, new Health • Coffective, LLC • Increase & DIRECT SERVICE PROVIDERS mothers and their families are • Mother Nurture utilization of WIC, • # of staff trained in breastfeeding support referred to community-based Lactation College home visitation • # of clinics & agencies that support for breastfeeding • Genesee County programs, and implement the Coffective System MEDIUM-TERM Health Department community-based • # of staff/agencies engaged in 310 OUTCOMES (3-5 YEARS) COMMUNITY breastfeeding Connect community events PARTNERS support groups • # of pregnant women & new mothers who • Breastfeeding initiation • Flint Area Hospitals early in pregnancy receive info about breastfeeding, evidence- increases to 80% • Flint Area WIC and after discharge based practices, & community support • Breastfeeding exclusivity • Flint Area during postpartum hospital Prenatal Clinics stay increases to 70% • Flint Area Home Visitors... and more! • Breastfeeding continuation at 3 months increases to 50% www.mibreastfeeding.org
YEAR I SUCCESSES 240 hospital staff from all 3 birthing hospitals in Flint completed training on the evidence-based 36 community stakeholders attended benefits of breastfeeding and the MIBFN 310 Connect Kick- the maternity care practices that off Event that introduced the support it using the 20 hour Baby- collective impact project to the Friendly Coffective Complete community in January 2017 Curriculum 72 direct service providers (home 61 direct service providers attended visiting, outpatient clinic and an In-Person Breastfeeding WIC staff) completed the 5 hour Training that builds on the Coffective Core Curriculum Coffective Core Curriculum 70 home visitors attended Certified Lactation Counselor (CLC) training 05
year II SUCCESSES CLC HIP ADERS TRAINING E 70 Home CTL Visitor CLC’s NNE BF BASICS TRAINING CO 75 GISD 0 31 Participants ST. JOHN GLBW FN LACTATION FUND WEBINARS IB COLLEGE ED M 158 Genesee 2 IBCLCs in DIR Co. EC OM Training TL Participants Y FR RS GRAND PROVIDER B RT NE Y ROUNDS EDUCATION RT TH PO 3 Hospitals 10 Outpatient EC PA Clinics SUP OM IN-KIND MU INVOLVED- BABY CAFE’ YOLO NITY 14 Support DAD WIC Groups 40 Participants Participant Using goal of 50 FOUNDATION Coffective DSP QI GENESEE RS TRAINING JUMPSTART COUNTY BFC TNE 40 Home 3 Hospitals Re-launched! Visitors / R M PA IBF N CHILD CARE NETWORKING 31 SUPPER 0 EVENT 9 ECE Provid- NURSE C Participant O er Organiza- FAMILY goal of 50 NN tions PARTNERSHIP EC Using TF LIN Coffective T 2.0 - TNERS PAR MIBFN 310 LEVERAGING PARTNERSHIPS TO CONNECT CALHOUN SUPPORT STATE-WIDE WORK 06 COUNTY 3 FLINT AMBASSADORS TRAINED BATTLE CREEEK PARTNERS
Listening, Trusting and Investing in Black leaders and Black families (2018 and beyond) What began as a project centered around hospital & medical provider awareness, through learning and changes in leadership/partnership, has now grown into a community-driven, Black-led movement that centers Black families in reclamation of traditional breastfeeding practices for every family throughout Flint. “we are the change we’ve been waiting for.” Dr. Kimarie Bugg, President, CEO, and Change Leader of ROSE 07
recent successes MIBFN 310 Connect Flint lead collaborators: Black-led, Flint-based, trusted breastfeeding support organizations
You overcoming lactation Obstacles YEARS I-IV collaborator (YOLO) about YOLO Breastfeeding was founded in 2015 and was created to fill a gap in community-based lactation support in Genesee County and surrounding areas. YOLO’s mission is to improve breastfeeding initiation and duration rates by educating, empowering, and supporting families. Their vision is to improve access to skilled lactation services that are culturally competent and empower families to reach their breastfeeding goals. YOLO aims to make their services accessible to all families in Genesee County, regardless of economic status. YOLO currently provides breastfeeding education and skilled lactation consults for families in the Flint area. “ YOLO is excited to have the ability to serve families in Flint and Genesee County through our partnership with MIBFN. We appreciate the relationship we have established with MIBFN, it is embedded in trust and empowerment. Our organization over the years has felt heard, valued, and appreciated. We look forward to continuing to support breastfeeding families in years to come in our continued partnership with MIBFN.” - Shonte’ Terhune-Smith, BS, IBCLC, founder & director of YOLO Breastfeeding 09
“YOLO is an amazing business helping Genesee County mothers with any lactation need. The owner ensures she provides continuous support and knowledge from lactation, supply tips, and even motherhood. Shonte’ was my biggest supporter during COVID-19 with breastfeeding tips and knowledge.” - Chakara Wheeler 10
YO S LO S E SU CCES 100 families served 10 10 700+ views on Facebook breast pumps given breast pumps given educational interviews with varying needs to Hurley Lactation to Hurley Lactation with a local midwife, including latching Consultants to support Consultants to support birth doula, hypno- issues, issues with the breastfeeding families breastfeeding families birthing trainer, and breast, referrals, and after discharge after discharge yoga instructor nursing items Conducted community-wide outreach of Served with Represented Flint services to Nurse Presented Great Southeast Michigan in the founding of Family Partnership, Lakes Breastfeeding IBCLCs of Color, Mi Milk Collective Hurley Maternal Webinar on including in virtual and co-hosted Infant Health “Breastfeeding in support groups the reading of the Program, Genesys Color” curriculum and Mama’s Mobile Black Breastfeeding Hospital, and Milk Week proclamation Hurley Medical Center 20 8 families provided 12 9 care baskets prenatal breastfeeding one-on-one distributed to families participants utilized education in breastfeeding classes that needed baby or the self-paced online partnership with Metro taught in-person and household items breastfeeding class Detroit Hypno-birthing virtually launched the Took part in the “She’s Ready” Participated in virtual Community breastfeeding box MDHHS workgroup Chaired the Conversation and also creating/ as Flint Genesee County in partnership selling “My Milk representative Breastfeeding with Michigan Matters” t-shirts Coalition Breastfeeding Network 6 5 pregnant women in a 2 6 families provided lactation spaces breastfeeding cheat church group took part sheets created for pumps via porch furnished in breastfeeding class dropoffs families
involveddad YEARS I-IV collaborator about InvolvedDad empowers men to be engaged fathers by providing training, coaching, and peer support in a safe environment to other men. InvolvedDad’s mission is to EMPOWER and promote males to become actively engaged fathers or father figures in the life of every child; to ERADICATE fatherlessness by turning the heart of the father back to the heart of children, one father at a time; to MOTIVATE fathers to become active in the lives of their children, leading the way, making a difference; and, to TRAIN fathers in the best parenting practices to thereby empower and influence their children to walk in continual success. “ Whenever I needed to get some of my questions answered from some of my fathers on how a father can support a mom during her breastfeeding trials, her successes, how to celebrate, how to support her, how to walk side by side, that was not initially my lane, but (MIBFN) made it my lane. They equipped me with some of the strategies and tools, not just through words, but through trainings, and webinars, and seminars... I have a model, and I always say this, don’t be aver- age, you might as well be elite, because the 310 Network and MIBFN is definitely elite.” - Shon Hart, BS, founder of InvolvedDad 12
involveddad successes - Michigan State University, “Preventing burnout while working with fragile families” - MIBFN Great Lakes Breastfeeding Webinar, “Engaging 8 Fathers to create a strong family” - Genesee County Health Systems, “ How to engage fragile fatherhood families’’ engagement - State of Michigan Friend of the Court, “How to support trainings conducted men to create strong and healthy families’’ 76 61 M2M peer-to-peer support group 18 phone consultations fathers went through the workshops hosted completed Man2Man averaging 7-10 University program fathers weekly “InvolvedDad has been amazing to my son and I. Prior to enrolling in InvolvedDad, I did not know how to strengthen my relationship with my son without the interference of his mom. InvolvedDad helped me with legal support, peer to peer support groups, and parenting education to get through the challenges... We need more organizations like InvolvedDad that focus on strengthening families through fatherhood support and education.” - Isaac Kemp 13
Baby cafe’ of YEARS I-IV genesee county collaborator about Baby Cafe’ of Genesee County provides weekly breastfeeding support for pregnant and breastfeeding moms, dads, and/or families. “ Working with moms and families at Baby Cafe actually doesn’t feel like “work” at all. It’s a safe nonjudgmental space where we come together mom to mom. A space where we share our experiences, laugh and even cry together. For me having the opportunity to help ease breastfeeding concerns is merely the icing on the cake.” - LaTashia Perry, CLC, MSU Extension breastfeeding educator SUCCESSES Pivoted during 46 81% 39 the COVID-19 pandemic to provide Baby contacts self-reported as being breastfeeding Cafe’ referrals to African American mothers YOLO and MSUE 6 1 for representative community- based skilled pregnant women support person breastfeeding support. 14
genesee county breastfeeding coalition (GCBC) successes 70 providers attended the 4 collaborative sessions with Center for Breastfeeding’s Terry Wisner of Partnering Healthy Children Project for Success, LLC to CLC training reimagine and reboot GCBC 3 Officers of the Executive 2 community-wide events Committee were elected, hosted during 2019, to expand the elected including Milk & Cookies leadership from 1 (chair) at the CRIM festival of to 3 (chair, secretary, and races and Chocolate Milk treasurer) Documentary Screening and the Flint Public Library 15
2020 flint community conversation report
what is next? COVID-19 has forever changed the way we work. Breastfeeding is not a lifestyle choice. It is central to birth justice. As we move forward, access to commu- nity-based, family-centered birth and breastfeeding support must be at the center of everything we do.
flint work informs statewide strategy statewide work informs flint strategy 22
Black families are dying at alarmingly high Clinical practices and hospital systems are not rates. centering their needs. what is happening in michigan Governor Whitmer signed Executive Orders Hospitals are creating their own policies ensuring that a partner and doula may restricting doula support, which is dangerous for accompany a laboring parent. families, especially Black and Indigenous families. At a time when lactation support is needed the Families continue to need lactation support most, there are reports across the state of during the pandemic. lactation support programs at hospitals and health departments being downsized. This separation limits breastfeeding in the Families are being separated unnecessarily. maternity care setting and perpetuates centuries long oppression of Black and Indigenous families. Michigan WIC does not have grocery This creates barriers and unnecessary danger delivery or pick-up options for participants. for already high-risk families to access their food. Breastfeeding supporters are forming new Independent IBCLCs are seeing clients and status of services doula programs. are available via telehealth and in-person. Doulas are convening to create collaborative MIBFN is here as a key collaborator to support power to dismantle oppressive systems. grassroots organizations and partners to meet the needs of families in their communities. equitably distribute resources center Black and Indigenous families in streamline breast pump communication all covid-19 interventions with insurance, WIC, families and also physically transferring breast pump to recommendations families create universal birth and breastfeeding establish family-supportive solve care access problems for some standards that center Black and Indigenous hospital policies increasing access to families due to barriers including no internet families lactation support access and distrust due to the current and historical exploitation of health information of Black and Indigenous peoples increase access to internet and hipaa- ensure collaborative care across providers compliant telehealth for lactation support and intentional communication on who is providing services in each community equitably compensate skilled lactation as the pandemic unfolds, continue to care provide accessible opportunities to educate families, free from financial burden, on breastfeeding and covid-19 this document was created based on the conversations at the april 2, may 7, and november 12, 2020 local breastfeeding supporter meetings. learn more at mibreastfeeding.org/local-meetings.
REPRESENTATION MATTERS!
the work continues! amplifying and supporting growth of yolo: - Birth and postpartum doula support - Childbirth education baby cafe’: - In-home and virtual skilled breastfeeding support - Booby Trap Shop, featuring: Mocha Box, Prenatal Gift Box, Connecting families with Mocha Breastfeeding Box, and She’s Ready for Breastfeeding resources in the community Box as they reach out for support - Our Voice, Our Health advocacy campaign - Trap Chat every Friday at 7pm est on Facebook Live - Village Model - Breastfeeding Friendly Workplace Initiative - Ongoing Community Conversations - IBCLC Mentorship Program - And, more! gcbc: Leveraging Carrying on with hosting the great lakes coalition meetings and breastfeeding events for Genesee County webinars to participants demonstrate how this model is moving involveddad: Continuing to provide fatherhood engagement trainings, support group workshops, and Man2Man University for fathers
a special thanks to the 310 connect flint families, collaborators, and community foundation of greater flint for making this work possible. mibreastfeeding.org
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