I am Moving, I am Learning in Colorado Jodi Christopfel Early - - PowerPoint PPT Presentation

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I am Moving, I am Learning in Colorado Jodi Christopfel Early - - PowerPoint PPT Presentation

Oct 01, 2023 243 likes •603 views

I am Moving, I am Learning in Colorado Jodi Christopfel Early Childhood Obesity Prevention Projects Coordinator CDPHE jodi.christopfel@state.co.us Strategy for preventing and reversing childhood obesity Research based

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I am Moving, I am Learning in Colorado

Jodi Christopfel Early Childhood Obesity Prevention Projects Coordinator CDPHE jodi.christopfel@state.co.us

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  • Strategy for preventing and reversing childhood obesity
  • Research based
  • Developmentally appropriate
  • Stronger connections between physical fitness,

emotional wellness, and school readiness

  • Integrated into classroom and family routines
  • Not a “flavor of the month”
  • Not team about team sports or athletic competitions.
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IMIL Goals

  • 1. Increase the quantity of time spent in

moderate to vigorous physical activity (MVPA) during daily routines to meet national guidelines for physical activity.

  • 2. Improve the quality of structured

movement experiences intentionally facilitated by adults.

  • 3. Promote healthy nutrition choices.
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IMIL Video

https://www.youtube.com/watch?v=23gjvoJ_KO8&list=P L76YvrA21s_oLdc2LuLEg9ZR1fkB62Kf0&index=7

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How this relates to Healthy Colorado Plan

  • Strategy 2. Improve nutrition and physical activity

environments for children younger than 18 years via early childhood education centers and schools, especially those that serve low-income populations

  • Objective 4: Objective 4: By 2017, at least 300 of

the 1,190 licensed child care centers in Colorado will have physical activity as part of daily curriculum.

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What is CDPHE doing?

  • Funding from CDC began in 2014 (5 years)
  • Offered three trainings in year 1
  • Denver, Fort Collins, and Colorado Springs
  • Participants receive binders, continuing education hours, and IMIL

Music

  • Evaluation: Pre and Post Test, Post Implementation Survey, and Post

Observation

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Year 2 IMIL Expansion

  • CDPHE offered four trainings (Denver, Aurora, and

Jefferson County)

  • Contracted with Healthy Child Care Colorado (HCC)
  • HCC offered three trainings (Denver and Commerce City)
  • Training Trainers through Learning Circles
  • Trainers reimbursed for trainings
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Status Update for Year 1 and 2

  • 339 Providers trained
  • 138 Centers Trained
  • Finalizing Year 3 Contract
  • Trainers wrapping up their trainings
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Year 3 starting July 1, 2015

  • Contracting HCC
  • Regions 2, 4, and 5
  • Train the trainer
  • CDPHE offering

Technical Assistance

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LPHA’s Role?

  • Trainers
  • Quality Assurance
  • Evaluation
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Resources

http://padlet.com/jodi_christo/2hw9urmhdb7u

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Questions?

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Jodi Christopfel 303.692.2608 Jodi.christopfel@state.co.us

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COLORADO BREASTFEEDING UPDATE:

Colorado Baby-friendly Hospital Collaborative and Breastfeeding in Child Care Survey

Stacy Miller, PhD, RD Breastfeeding Specialist, CDPHE

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State Updates

 National Immunization Survey data  Colorado Baby-Friendly Hospital Collaborative  Breastfeeding in Child Care survey  CCPD grant program efforts

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Breastfeeding Report Card 2014

 Proportion of infants who are breastfed

Breastfed U.S National Colorado 2020 Target Ever 79.2% 81.0% 81.9% At 6 months 49.4% 55.2% 60.6% At 1 year 26.7% 29.3% 34.1% Exclusively through 3 months 40.7% 50.3% 46.2% Exclusively through 6 months 18.8% 25.8% 25.5%

CDC National Immunization Survey (NIS), 2011 births

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Year Two Updates

Colorado Baby-Friendly Hospital Collaborative

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Baby-Friendly Hospital Initiative

 Global program by WHO and UNICEF to

encourage and recognize hospitals and birthing centers that successfully implement the Ten Steps to Successful Breastfeeding

 4-D Pathway to designation:

 Discovery  Development  Dissemination  Designation

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Colorado Baby-Friendly Hospital Collaborative (CBFHC)

 Goal to increase breastfeeding supportive

maternity practices throughout Colorado

 State level support system of training, technical and

financial assistance towards Baby-Friendly Designation

 MCH and CDC grants fund CBFHC activities  2014 birth certificate data:

 Baby-Friendly Designated – 9.4% of live births  CBFHC – 49% of live births

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Colorado Baby-Friendly Hospital Collaborative

 Aspen Valley Hospital  Boulder Community Hospital  Delta County Memorial Hospital  Denver Health Medical Center  Estes Park Medical Center  Littleton Adventist  McKee Medical Center  Memorial Hospital University of

Colorado Health

 Parker Adventist Hospital  Parkview Medical Center  Penrose Saint Francis Medical

Center

 Saint Anthony North  Saint Joseph Hospital  Saint Mary's Hospital  Sky Ridge Medical Center  University of Colorado Hospital  Valley View Hospital

17 Hospitals members

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2013 and 2014 Birth Certificate Data

96.3 93.1 89.9 97.8 93.3 89.9 84.0 86.0 88.0 90.0 92.0 94.0 96.0 98.0 100.0

Percentage of live births breastfeeding at discharge

Percentage breastfeeding at discharge by hospital group in 2013 and 2014 live births

Baby-Friendly Designated Hospitals (n=3) CBFHC Hospitals (n=17) All Other Hospital- Based Births

2013 – Light colored 2014 – Dark colored

Source: Vital Statistics Program, CDPHE

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Birth Certificate 2010-2014

76.0% 58.9% 59.9% 16.7% 25.2% 23.0% 1.0% 6.8% 4.7% 4.4% 4.4% 3.9% 0.5% 0.8% 1.5% 1.4% 4.0% 7.1% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Other/unknown race/ethnicity American Indian Asian/Pacific Islander Black/African American White,Hispanic White,non-Hispanic

Mother’s ethnicity by hospital group 2010-2014

Baby-Friendly Designated (n=3) CBFHC Hospitals (n=17) All Other Hospital- Based Births

Source: Vital Statistics Program, CDPHE

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Birth Certificate 2010-2014

Mother’s household income by hospital group 2010-2014

10.5% 25.6% 21.9% 6.8% 10.9% 12.9% 7.7% 7.7% 10.4% 9.0% 7.9% 9.7% 17.4% 12.7% 12.7% 32.5% 25.7% 24.4% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

$75,000+ $50,000-$74,999 $35,000-$49,999 $25,000-$34,999 $15,000-$24,999 <$15,0000

Note: percentages do not total 100% due to missing data Source: Vital Statistics Program, CDPHE

Baby-Friendly Designated (n=3) CBFHC Hospitals (n=17) All Other Hospital- Based Births

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Birth Certificate 2010-2014

78.1% 53.2% 47.8% 19.8% 39.0% 37.5% 0.6% 5.0% 11.8% 1.3% 2.5% 2.0% 0.2% 0.4% 0.9% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Other/unknown payment source Self-pay Other goverment source Medicaid Private insurance

Source of payment for birth by hospital group 2010-2014

Baby-Friendly Designated (n=3) CBFHC Hospitals (n=17) All Other Hospital- Based Births

Source: Vital Statistics Program, CDPHE

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Breastfeeding in Child Care Survey

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Breastfeeding in Child Care

 57.3% of new mothers in the workforce, an increase of

80% in the past 20 years

 Most employed mothers return to work during the

infant’s first year of life

 Child care providers can play a critical role in helping

mothers to initiate and sustain breastfeeding

 Survey Goal: to identify child care staff knowledge,

attitudes and practices involving breastfeeding within a child care facility

 Identify gaps and needs to provide future focus areas

US Dept Labor Women’s Bureau. 2014.

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Breastfeeding in Child Care Survey

 437 respondents:

 72% home child care, 28%

child care center

 75% child care provider,

25% directors/assistant directors

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Breastfeeding in Child Care Survey

 Overall positive attitude towards breastfeeding

and breast milk in child care

 81% would want their own baby to get breastmilk  69% felt it was important for babies in their child care to

receive breast milk during the day

 Gaps:  Handling and preparing breast milk

versus formula

 Knowledge of breast milk health benefits for infants  Infant feeding cues and practices  Belief that could not influence mother’s feeding decision

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Next Steps

 Future focus area  Develop an action plan based upon survey results

for work to begin in July 2015

 Address knowledge gaps through trainings/education  Influence attitudes and beliefs – reinforce how

important a role child care providers have in promoting and continuing breastfeeding

 Develop Breastfeeding-Friendly child care

designation/recognition

 Advisory Committee will be essential to successfully

developing and completing all goals and plans

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Cancer, Cardiovascular and Chronic Pulmonary Disease grant program

CCPD Grants

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CCPD Grants

 CCPD grants: Amendment 35 – tobacco taxes  Three year grant cycle  Strategy 2 = Breastfeeding

 Workplace lactation accommodation  Breastfeeding-friendly child cares  Local resource/referral lists  Continuity of care development

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CCPD Grants

 Four new grantees:

 Boulder County  Chaffee County  Delta County with West Central Public Health

Partnership (6 counties – Delta, Gunnison, Hinsdale, Montrose, Ouray, and San Miguel)

 Northeast Colorado Health Department with Rocky

Mountain Center Health (6 counties – Logan, Morgan, Phillips, Sedgwick, Washington and Yuma)

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Workplace Lactation Accommodation

 Webinar July 16th 10-11 am

 Colorado state laws  Approaching employers to comply and accommodate

breastfeeding women

 Tips and resources

 Quarterly conference call sharing:

Thursdays 11-12 pm

 June 18th  September 17th  December 17th  Interested in participating??? Email me!

stacy.miller@state.co.us

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Thank you!

Resources available at www.breastfeedcolorado.com

Questions? Suggestions?

stacy.miller@state.co.us