MCHbest. NPM 4: Breastfeeding
Strategy. Family Leave, Workplace Policies, State Laws
Approach. Provide trainings and other supports on workplace Mother-Friendly breastfeeding support policies (e.g., employer-provided break time and private space to breastfeed) across the state/jurisdiction.
Overview. A promising study showed that after interventions related to educating and providing suppor for family leave, workplace policies and state laws, "Breastfeeding initiation rates significantly increased from preintervention (64.6%) to postintervention (74.2%) (p<.05)" and there was a "significant increase in exclusive breastfeeding at 6 months from preintervention (1.3%) to postintervention (3.6%)."1
Evidence. Emerging. There is some evidence of the effectiveness for training on the importance of family leave, workplace policies, and passing of state laws related to breastfeeding initiation and exclusivity at 6 months. Initial studies trend positive for these activities, yet more research is needed for conclusive results. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Employers/Workplaces; State/National.
Outcome. Initiation, Duration, and Exclusivity. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 6 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Provide trainings and other supports on workplace Mother-Friendly breastfeeding support policies across the state/jurisdiction,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Huang R, Yang M. Paid maternity leave and breastfeeding practice before and after California's implementation of the nation's first paid family leave program. Econ Hum Biol. 2015;16:45-59.