1. Wiscsonin10 Steps to Breastfeeding Friendly Childcare Provider Program
Amber France MS MPH IBCLC
Wood County Health Department (WI)

2. Development of the 10 Steps Toolkit and Training
2009 WI Department of Health Services developed 10 Steps Toolkit
2013 Wood County Health Department developed 10 Steps Training

3. Training Details Approved through The Registry (1.5 CEHs)
Introduction to breastfeeding
Benefits of breastfeeding (mom, baby, and childcare provider)
State laws
Breastfeeding data
Breastfeeding basics
Handling breastmilk
Breastfeeding friendly policies, environments, language
Supplies – books, animals, breastfeeding room equipment
Process
Training
Pre-assessment
Action Plan
Center-based and Home-based variations
Post-assessment

4. Statewide Initiative
2013 Partnership with Wisconsin Breastfeeding Coalition
2015 Wisconsin Adopted the 10 Steps to Breastfeeding Friendly Childcare Provider Initiative
2015 Statewide Workgroup Developed
Maternal Child Health Objective

5. Partnerships Childcare Resource and Referral YoungStar Rating System
Listed as “Breastfeeding Friendly”
YoungStar Rating System
Nutrition component
DPI - CACFP Meal Pattern
Changed language for breastfeed babies
Licensing

6. Statewide Training Online modules Partnership Agreement
Train the Trainer Toolkit Developed
Online Training and Materials for Trainers
Password needed

7. Data collection NAP SACC data collection tool (online data entry)
Pre-assessment
Post-assessment
Scoring rubric
26 total score possible for each

8. Recognition Recognized by WI for 2 years Recertify every 2 years
Tracked by WI Breastfeeding Friendly Childcare Initiative Workgroup
Currently:
122 providers recognized
Over 100 in process

9. Successes, Challenge, Lesson’s Learned
Childcare provider buy-in
Policy implementation
Collaboration with Child Care Resource & Referral
Go NAP SACC partnership
Developed into statewide program (developed state workgroup)
Development of toolkit
Maternal Child Health Objective 2016 and 2017
Challenges
Time
Different geographical areas and diversity
Communication of program changes
Lesson’s Learned
Doesn’t need funding – sustainable!
Online modules more effective
Need clear communication and training for trainers

10. Objectives Sustained All 3 objectives were sustained
By May 31, 2013, train 15 Childcare sites on the Ten Steps to Breastfeeding Friendly Child Care Centers.
Childcare providers are re-recognized every 2 years
Developed statewide database to track
By May 31, 2013, implement community education plan and campaign to support breastfeeding friendly childcare centers in Wood County.
Online modules – continuing education hours recognized by The Registry
Developed toolkit (uniform training/education throughout WI)
Listed as a searchable option in CCR&R database
Part of YoungStar and Licensing
Spanish version of the 10 Steps Toolkit created
By May 31, 2013, facilitate the adoption of evidence-based breastfeeding policies in 80% of facility-level intervention sites.
Policies are evaluated using Go NAP SACC data collection tool
Re-assessed every 2 years

11. Partner Organizations
Statewide workgroup with partner organizations
Wood County Health Department
Wood County Breastfeeding Coalition
Wood County WIC
Department of Health Services
Wisconsin Department of Public Instruction
Licensing
YoungStar (Wisconsin Department of Children & Families)
Childcare Resource & Referral
Wisconsin Early Childhood Association (Conferences)
Wisconsin Breastfeeding Coalition
Wisconsin Early Childhood Obesity Prevention Initiative

12. Resources to Help Sustain Work
Partnerships
Funding opportunities
Maternal Child Health Objective 2016 and 2017
Website with modules and resources
Train the Trainer Toolkit
Conference Presentations
All childcare provider
Statewide breastfeeding coalition, public health, DPI, and train the trainer conferences
National webinars/teleconferences

13. Questions…
Amber France (715)