Increasing Breastfeeding Support at Erie Family Health Centers

By Misty Romero, BA, RN, IBCLC and Hrishikesh T. Shetty, Institutional Giving Manager, Erie Family Health Centers 

Through NACCHO’s Building a Breastfeeding Support Model for Community Health Centers’ eight-month project, Erie Family Health Centers, a community health center network comprising 13 sites, was able to standardize and improve breastfeeding support throughout the organization and make services more accessible to patients. To reflect Erie’s mission and evidence-based medical practice, we updated our organization-wide breastfeeding and employee pumping policies and procedures to align with state and federal standards. We reconvened our internal workgroup; The Erie Breastfeeding Committee (EBC) and increased Erie’s organizational capacity by training our lactation specialists as trainers, who then trained more staff. Finally, we improved our clinic environment to be supportive of breastfeeding. Continue reading

Leveraging Partnerships and Strengthening Connections to Support Breastfeeding Families

By Erica Peterson, MD, MPH, Internal Medicine and Pediatrics, Bluestem Health; Tami Frank, Partnership for Healthy Lincoln; and Karina Vargas, CLC, Bluestem Health

While the need to better support breastfeeding families in safety net clinics is well recognized, internal resources are often limited. Likewise, many community-based initiatives have difficulty engaging high- risk families who would benefit most from their efforts and supports. With funding from NACCHO’s initiative “Building a Breastfeeding Support Model for Community Health Centers”, the goal of the project’s cost-effective approach was to strengthen and leverage community partnerships, enhance internal systems, and provide ongoing training to all staff. Continue reading

Opioid Settlement Funds Must Go Where They’re Needed Most—Treatment and Prevention

By Dana Fields-Johnson, MPA, Program Manager and Sarah Mittermaier, Communications Coordinator, Prevention Institute 

As thousands of cities and counties hard-hit by the opioid crisis move closer to settlements with opioid manufacturers and distributors, it’s time to talk about how communities can use these funds to meet urgent needs for treatment and invest in what it will truly take to stop this epidemic: preventing people from becoming addicted to opioids in the first place.

As we face up to the magnitude of the opioid crisis—estimated to have cost the U.S. over $1 trillion from 2001 to 2017, with a human toll that can’t be calculated—we need to learn from what has and hasn’t worked in past public health settlements and set more stringent parameters around how opioid settlement funds will be used. Continue reading

Streamlining Breastfeeding Support and Education in a Federally Qualified Health Center in New York City

By Lindsay DuBois, MPH, CLC, Associate Director; and Melissa Olson, RD, Nutritionist, Community Healthcare Network 

In New York City, we have witnessed staggering inequities in maternal health outcomes, which is largely driven by racial discrimination.[1] This inequity extends to breastfeeding rates. Through NACCHO’s Building a Breastfeeding Support Model for Community Health Center grant, Community Healthcare Network (CHN) implemented a project to improve organizational policies and practices to help increase breastfeeding rates within our low-income, African American community. This eight-month (February to September–2019) breastfeeding initiative was a multipronged approach to address the core tenets of breastfeeding: promotion, protection, and support within our network of health centers. Continue reading

ADH Director Nate Smith Discusses his Leadership Style and Shares How He Plans to Lead as New ASTHO President

By George T. Roberts, Jr., MHA, FACHE, NACCHO President and Chief Executive Officer of the Northeast Texas Public Health District

Nate Smith, MD, MPH currently serves as the Director and State Health Officer for the Arkansas Department of Health (ADH) and President of the Association of State and Territorial Health Officials. As champion for science, Dr. Smith provides evidence-based leadership for the department. Under his leadership, ADH provides over 100 services through 90 local health units to 75 counties. Dr. Smith oversees several services and programs including immunizations, WIC, preparedness and emergency response, chronic disease prevention, injury and violence prevention, suicide prevention, and outbreak response. Continue reading

NACCHO Book Club — Evicted: Poverty and Profit in the American City

By Emily Yox, MPH, Global Health Program Analyst, NACCHO

Each month, we will bring you a new public health book, read and reviewed by NACCHO staff. We hope to provide a well-rounded reading list that you will find enjoyable as well as informative.

Our second book recommendation, Evicted: Poverty and Profit in the American City, was published in 2017 and written by sociologist Matthew Desmond. Evicted follows eight families as they struggle to find and maintain consistent housing in Milwaukee’s low-income rental market. As the book’s website states: “without a home, everything else falls apart.” Desmond explores both the political and cultural systems that create systemic poverty, the role that housing plays in this system, and the significant social and health effects that directly influence an individual’s ability to thrive. Continue reading

Three Leading National Public Health Organizations Ring the Alarm About All-Time Highs of STDs

Data released this week by the Centers for Disease Control and Prevention (CDC) show STDs have surged for the fifth consecutive year, reaching an all-time high in the U.S. These dangerous trends in chlamydia, gonorrhea, and syphilis show no sign of slowing and affect millions of lives each year in the United States. Particularly worrisome is the emerging trend of newborn syphilis (congenital syphilis) with a 40 percent increase in one year and the growing number of associated fetal and newborn deaths. Continue reading