Protecting, Promoting And Supporting Breastfeeding: A Practical Workbook For Community- based Programs. Our shared vision.. Population health recognizes the social, physical, economic and individual factors that influence a woman's decision to breastfeed, and her ultimate success with breastfeeding. For almost 2. 0 years, the Canada Prenatal Nutrition Program (CPNP) has been dedicated to the promotion and support of breastfeeding among vulnerable populations across Canada. Title: Practical Evaluation of Public Health Programs Authors: Public Health Training Network Scope: This workbook will define program evaluation in. Evaluation at a glance webinar. Introduction to program evaluation for public health programs. Michigan Coalition Against Domestic and Sexual Violence. PRACTICAL EvaluatiOn FOR PUBLIC. PRACTICAL EvaluatiOn OF PUBLIC HEALTH Programs WORKBOOK. Preparing for an Evaluation. What is the overall goal of your environmental public health program. This evaluation plan can help you organize information about. Download and Read Health Program Planning And Evaluation A Practical. What is Program Evaluation: Beginner. Often not practical to do. Practical Evaluation of Public Health Programs: Workbook Public Health Training. Using Microsoft Excel for evaluation data By Public Health. Navigating around your workbook. Practical evaluation of public health. Practical evaluation of public health programs workbook. Evaluation of public health programs is often more. As a cornerstone of the program, thousands of hours of breastfeeding expertise have been both gained and shared at CPNP locations. This Workbook reflects that experience and provides an understanding of the challenges faced by those promoting breastfeeding in a community setting. Staff, volunteers and participants involved in community- based programs often have opportunities to influence and support wider community breastfeeding initiatives. A mother's ability to initiate and sustain breastfeeding is enhanced when service providers in her community work together. This workbook was created to encourage that and to promote community support and recognition of breastfeeding as an important public health issue with huge capacity to improve the health of Canadians. Both the first and second editions of this workbook were created through a partnership between CPNP and the Breastfeeding Committee for Canada (BCC). Throughout the process, numerous organizations and individuals involved in the protection, promotion and support of breastfeeding across Canada provided valuable feedback, comments and suggestions. Many thanks to all who contributed! For breastfeeding to be successfully initiated and established, mothers need the active support during pregnancy and following birth, not only of their families and communities, but also of the entire health system. Protecting, Promoting and Supporting Breastfeeding: the Special Role of Maternity Services. Geneva: a Joint Who/Unicef Statement, 1. As you read through the workbook, you may find that the language level varies and sometimes becomes quite technical. This is because many community based programs are delivered through collaborative teams that include a spectrum of both professional and lay workers. We hope we have designed an accessible workbook which will be useful to anyone, regardless of background or training. We also hope that you find the workbook stimulating and that it enhances your knowledge of the more complex issues related to breastfeeding. A sound knowledge of breastfeeding requires continuous learning. We hope you will bring to the workbook what you already know, and take from it what you need. Best wishes in your efforts to reach an important global goal: Exclusive breastfeeding for the first six months, and continued to two years or longer, with appropriate complementary foods. Though this is not yet the reality for most Canadian families, it is important to keep the ideal in mind so that eventually, the . For each strategy there follows a number of suggestions on how to apply it. Throughout the Workbook, a number of . The experience was gathered from a variety of sources: meetings; conferences; a National . While these responses represent current thinking on these issues, watch for further developments as we continue to expand on our knowledge and experience of breastfeeding. Evidence-Based Assessment Workbook. Services under contract by the Iowa Department of Public Health. Practical Evaluation Of Public Health Programs Workbook AnswersDefinitions. Protection of Breastfeeding.. All women are enabled to make informed decisions about infant feeding, free from the influence of formula or related industry marketing practices, and that their right to breastfeed anytime, anywhere is protected. Promotion of Breastfeeding.. Program staff, participants, the broader health system and the community are kept up- to- date on the importance of breastfeeding and find opportunities to promote it. Support for Breastfeeding.. Women receive information and support from all sectors of the community to overcome any barriers to breastfeeding they may experience or perceive. Canada Prenatal Nutrition Program: Guiding Principles. Mothers and Babies First. The health and well- being of the mother and baby will be the primary consideration in the planning, development and implementation of CPNP. Strengthening and Supporting Families. Families have the main responsibility for the care and development of their children. All parts of Canadian society share the responsibility for creating supportive environments for mothers and their infants. Equity and Accessibility. All children are entitled to equal rights and opportunities to develop to their full potential regardless of their culture, language and socio- economic status. As such, programming will be rights- based and sensitive to the social, cultural and linguistic diversity of the mothers and infants they are designed to serve. Community Based. The community plays a key role in the design and delivery of health promotion programs for pregnant women and their infant facing conditions of risk. Promising practices will be innovated and adapted at the community level to address persistent and emerging public health issues. Partnerships. Partnerships and collaborative activities at the community level are essential to the development of an effective and coordinated range of health promotion programs for pregnant women and their infant facing conditions of risk. CPNP will work in partnership with other services in the community. Complementarity. Program funding will be directed towards increasing access to and addressing gaps in the network of services and supports targeting children and their families facing conditions of risk, and will build on existing structures and processes. Flexibility. Programming will be flexible to respond to different needs in each community and to the changing needs and conditions of mothers and their infants in those communities. Evaluation. CPNP will include a strong national evaluation component to provide for the development of knowledge and expertise in community- based promotion, prevention and intervention programs for women facing conditions of risk. Chapter 2: Strategies for Protecting, Promoting and Supporting Breastfeeding. Strategies. Create breastfeeding friendly sites. Keep staff up- to- date. Empower mothers to make informed decisions. Respect the needs of mothers who choose not to breastfeed. Identify barriers and explore solutions. Sustain support beyond initiation. Include families, partners and friends. Encourage peer breastfeeding support. Engage the community as a partner. Taking Action on Strategies. Each strategy provides a number of practical suggestions on how to apply it, based on experience and best practice. You are not expected to do these all alone. In a population health approach, health is achieved through actions on the levels of individual, family, community, system and society. It is through collaboration and partnership with your community that your program can contribute to reaching our shared vision. Provide a comfortable space for breastfeeding participants and their families.. Provide a private space for breastfeeding for mothers not wishing to breastfeed in an open setting.. Ensure educational and promotional materials displayed or distributed follow the WHO/UNICEF International Code of Marketing of Breastmilk Substitutes (See: Chapter 5).. Display posters and written materials with positive breastfeeding images and messages.. Ensure staff are familiar with the Breastfeeding Committee for Canada's Integrated 1. Steps Practice Outcome Indicators for Hospitals and Community Health Services (See: Chapter 5).. Ensure that formula industry samples and gifts- -including free formula- -are not distributed by staff or volunteers to pregnant women and new mothers (See: . Encourage all staff and volunteers to express positive and enthusiastic attitudes towards breastfeeding.. Support all mothers who wish to breastfeed or express/pump breastmilk in the workplace or at school.. Create or acquire a list of community resources for breastfeeding and be familiar with referral procedures. From our stories we are learning... Your program gave me the support and information I needed to successfully breastfeed my child for 6 months and be reassured that I could do it. Her baby refused her breast, had a poor latch and began to lose weight. With the help of videos, books and demonstrations, the CPNP program provided what this mother needed to turn the breastfeeding relationship around. Strategy 2: Keep Staff up- to- Date.. Develop ready access to qualified resource people who are available in the community.. Include training related to breastfeeding attitudes, knowledge and skills in staff orientation and continuing education plans.. Provide staff access to accurate, up- to- date, easy to understand breastfeeding resources on- site.. Create opportunities for staff to discuss current breastfeeding issues (See: . Offer staff opportunities to resolve personal concerns about breastfeeding.. Familiarize staff with provincial/territorial guidelines, where they exist.. Promote partnerships to ensure consistent information and to share community based knowledge and experience. From our stories we are learning... We often have limited access to other breastfeeding resources such as lactation consultants and La Leche League groups in our region. As my knowledge and skills improve I feel so much more confident in the support I am giving to pregnant women and breastfeeding moms. Recently I had an opportunity to attend a workshop on breastfeeding in another province. I came back totally rejuvenated- -excited about my ability to help the moms in our program. Give women time to think about breastfeeding as a realistic option.. Discuss breastfeeding early and often throughout prenatal and postnatal contacts.. Keep facts about breastfeeding clear and simple.. Use hands- on, non- judgmental activities to build knowledge and skills (See: . Provide information about the importance of breastfeeding as well as the cost and risks of not breastfeeding..
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