MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...

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MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
MIBFN 310
Connect
  flint
2016-2020 Project Report
MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
table of
                          contents

01   Letter from Leadership

02   How it Started

08   Recent Successes

16   2020 Flint Community Conversation Report

21   What is Next?
MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
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
MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
how it
started
MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
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 flint - 2016-2020 Project Report - Michigan Breastfeeding ...
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
MIBFN 310 Connect flint - 2016-2020 Project Report - Michigan Breastfeeding ...
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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