1. What we’ve Learned and Where we’re going™
What we’ve Learned and Where we’re going
Morgan Ervin, RDN, CLE
September 26, 2018
NWA

2. Fully Breastfeeding at 2 Months by Ethnicity
March 2015
African American -16.3%
Asian – 18.7%
Hispanic – 23.5%
White %
Here is a snapshot of our Breastfeeding Data at the PHFE WIC program
This is the chart that we reviewed as we begin looking internally at our breastfeeding gaps.
We noticed that consistent with the Data, African American Rates were lower than our other Sisters.
As you can see, our Asian and Hispanic sisters have decreased breastfeeding rates as well. This CinnaMoms model can be used to address their breastfeeding rates as well.
The Raptor system provides caseload analysis reports for California WIC Local Agencies
Birthrates are usually higher at birth
Asian sisters, Hispanic sisters. This model could work to address their unique needs…
PHFE WIC Internal Data System

3. Fully Breastfeeding at 2 Months by Ethnicity
March 2018
African American %
Asian – 22%
Hispanic – 20.4%
White – 20.2%
The CinnaMoms Effect.
Retention, families with the CinnaMoms intervention were more likely to breastfeed than those who were not in the intervention.
Keep in mind this is just a snapshot but the data is consistent with LA county- Health Indicators For Women in LA county 2017.
Percent of women with a recent live birth who report exclusively breastfeeding at 3 months in LA County was 31.5%.
Breastfeeding initiation for Black women increased from 68% in 2011 to 76% in 2015.
Health Indicators for women in LAC- 2017
3. Los Angeles County Department of Public Health, 2014 Los Angeles Mommy and Baby Survey (LAMB).
Estimates based on self-reported data by a stratified random sample of 6,035 Los Angeles County women

4. Inglewood Baldwin Hills/ Crenshaw
We need justification for creating CinnaMoms and program for African Americans at the PHFE WIC program.
We know that social determinants of health are quantified using categories such as income, racial or ethnic descriptors, or geographic descriptions.
When we created CinnaMoms, we decided to create breastfeeding support groups that would strategically target densely populated African American communities with low breastfeeding rates.
The six sites are located in:
Gardena
Inglewood
Rodeo
St. Andrews Place (South Los Angeles
Slauson
117th
All of which target different areas in metro Los Angeles and serve a high African American population.
At PHFE WIC we serve:
200,000 participants each month
~13,000 African American families (5.9%)
3,300 African American Infants
1,500 African American prenatal women
1,100 African American breastfeeding women
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5. CinnaMoms Safe Space Village of Support
Open Honest Dialogue about breastfeeding and motherhood
Narrative sharing
Sisterhood
Oral histories and traditions
The Village

6. #BlackWomenDoBreastfeed!
Breastfed infants
everywhere!
In case you did not know…

7. 2017 Packard Foundation Grant
Resources is very important is sustaining the work. We saw the data, we created an innovative program, now we needed resources to grow and expand
CinnaMoms received a
one year grant from the
Packard Foundation!
2017 Packard Foundation Grant

8. Diversifying the Lactation field
CinnaMoms Grant Goals
Diversifying the lactation field
Enhancing leadership skills & advocacy
Expanding CinnaMoms
Evaluation of CinnaMoms
We used this grant to enhance health equity through breastfeeding leadership opportunities.
Diversifying the Lactation field
1 CinnaMoms Facilitator completed IBCLC course and successfully passed the exam
2 CLE CinnaMoms (WIC ppts) completed CLE course and facilitated CinnaMoms support groups
1 CinnaMoms (WIC ppt) spoke at California WIC conference
- Enhancing leadership skills & advocacy
CinnaTeam attended various leadership & breastfeeding events and conferences
10 CinnaTeam members and 10 CinnaMom participants will attend the Breastfeed LA conference in October
Expand CinnaMoms
Toolkit for replication, Trademark, Website & having a presence on social media
Promote CinnaMoms at various conferences across
the nation
Several leadership and breastfeeding events
Webinars and community trainings
Due to the current Infant & Maternal Mortality Rate amongst AA we are now expanding to focus on both perinatal & postnatal health. i.e. preventing preterm labor, HTN, GDM & PPD. These are all barriers preventing AA women from successfully bf. August 30th event we are redefining black motherhood and it will continue to focus on this as we move forward.
Starting by raising awareness in our Agency on the Health Disparities affecting our AA participants. Encouraging all sites to refer their AA participants to CinnaMoms.
We are continuously evaluating CinnaMoms and its affect on our participants & the community which has led us to our new focus which I discussed previously. ™

9. RED TABLE TALK!!!
CinnaMoms Red Table Talk…… to honor the families and bet on Black which was the theme of the black breastfeeding week last year
Tranforming Into Me: Motherhood and Beyond

10. Glam Photo Shoot

11. Paint N’ Chat!

12. We know that dads are vital parts in the success of breastfeeding and beyond. CinnaMoms provides a space or Dads Cave for men and dads to come and discuss breastfeeding, fatherhood and much more.
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13. CinnaMoms Toolkit: Breastfeeding
Next Steps
CinnaMoms Toolkit:
Breastfeeding
Pregnant/Maternal/Infant Health Awareness
Trauma Care/Transgenerational Trauma
Self-Care
4 topics we will continue to talk about at our CinnaMoms circles of support.
We picked these topics because they cover the layers that need to be addressed before we can get to breastfeeding.
Breastfeeding: We saw the need in our community because of the low numbers in LA County
Pregnant(HTN, GDM)3 pn visits/Maternal(PPD)/Infant (PTB)Health Issues: These issues need to be detected & addressed early to prevent further health issues and complications w/bf
Trauma Care/Transgenerational Trauma Questions: (Trauma)We saw staggering numbers of Africans giving birth same rates as whites sisters which declined with first generation of African Americans. (TT definition) Historical troubles and negative consequences passed down and across generations and we see this everyday in our WIC offices
Self-Care Questions: We forget to take care of ourselves as we are busy taking care of others. We want to encourage & empower our moms to take time for themselves on a regular basis.

14. CinnaPartners Soul Food for Your Baby Black Infant Health
Baby Wearing LA
Claris Health
LA Care
DPSS
El Camino
Shields for Families
Kim Durdin
Leading Lady Nursing Bras
YMCA
Many, Many More

15. Visit our Website!!! (www.CinnaMoms.org)
If you have your phones, please visit our website now! 
Join our mailing list

16. Socialize with CinnaMoms
Follow us on Instagram, Twitter, Snapchat
PHFE WIC
Cinnamoms_
Cinnamoms15
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17. Meet the CinnaTeam!

18. THANK YOU! ™ Morgan Ervin, RDN, CLE CinnaMoms@phfewic.org
PHFE WIC Program ™