Sherry L. Payne MSN RN CNE IBCLC DIVERSIFYING THE RANKS OF LACTATION PROFESSIONALS.
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Transcript of Sherry L. Payne MSN RN CNE IBCLC DIVERSIFYING THE RANKS OF LACTATION PROFESSIONALS.
Sherry L. Payne MSN RN CNE IBCLC
DIVERSIFYING THE RANKS OF LACTATION
PROFESSIONALS
WHY DO WE NEED MORE DIVERSIFICATION?
According to the CDC:African- American women are much less likely than any other ethnic group to breastfeed their babies, and that this lack of exposure to their mother’s milk allows for increased risk of morbidity and mortality.
http://www.cdc.gov/nchs/data/databriefs/db74.htm#summary
CENTERS FOR DISEASE CONTROL
“Work to increase the number of racial and ethnic minority IBCLCs to better mirror the U.S. population. Racial and ethnic minority communities tend to be underserved by lactation consultants. More students from these communities could be trained in human lactation to increase careers in lactation consultation. Area Health Education Centers could be encouraged to establish community-based training sites in lactation services.”
SURGEON GENERAL CALL TO ACTION
NEXT STEPS:Dismantle structural systems of oppression that lock
women of color out of opportunities- each organization must examine its on own culture and policies
Continue to examine equity issues through both a personal and organizational lens- strive to see the stumbling blocks for women of color
Give practical assistance, not just lip service- women of color need mentors, and scholarships, reimbursement for continuing education, ongoing practical support that sees them all the way through the process
h t tp : / / w w w. i l ca . o rg / fi l e s / E xe cu t i v e %20Summary _ 2014Lac ta t i onSummi t - F INAL%20( 1 ) .pd f
2014 LACTATION SUMMIT
Average mPINC Score 75Percent of live births occurring at Baby-
Friendly Facilities 7.79Percent of breastfed infants receiving
formula before 2 days of age 19.4Number of La Leche League Leaders per
1,000 live births 0.90Number of CLCs* per 1,000 live births
3.84Number of IBCLCs* per 1,000 live births
3.48State’s child care regulation supports
onsite breastfeeding 7
US BREASTFEEDING REPORT CARD
OTHER VOICES
Breastfeeding and Racial Disparities in Infant Mortality; Celebrating Successes and Overcoming Barriers
Clinical Lactation, 2014
http://www.cl inical lactation.org/sites/default/fi les/art iclepdf/s1-CL%205-1_PTR_A1_007-008.pdf
KATHLEEN KENDALL TACKETT
Lactation Consultants Need to Diversify Yesterday
By Kimberly Seals Allers
Women’s eNewsThursday, August
2, 2012
KIMBERLY SEALS ALLERS
CYNTHIA GOOD MOJAB
Equity in Breastfeeding; Where do we go From Here?
Lessons Learned from African American Women who Breastfeed
Can’t we all Just Get Along?
Pandora’s Box is Already Open; Answering the ongoing call to dismantle institutional oppression in the field of breastfeeding
JOURNAL OF HUMAN LACTATION 2015
CURRENT RANKS
According to the IBLCE website, there are 26,660 IBCLCs in 96 countries around the world
13,848 are in the United States (roughly half)
Racial categories are not currently tracked by IBLCE
Most IBCLCs are Caucasian, registered nurses or registered dietitians, female, and tend to be older rather than younger
CURRENT RANKS OF IBCLCS
CLC stands for Certified Lactation Counselor, not Certified Lactation Consultant
CLCs are often used to bridge the gap between WPCs and IBCLCs
There is a gap between the CLC credential and the IBCLC credential that is not easily breached, especially for those not holding a healthcare related degree or any degree
WHAT ABOUT THE CLC CREDENTIAL
WIC is strongly correlated with NOT Breastfeeding
The breastfeeding promotion within WIC is largely accomplished by WIC Peer counselors, the lowest paid, lactation supporters
Some WIC offi ces ‘encourage’ PCs to become IBCLCs, others support the progression of credentials
CLCs are often used to bridge the gap between WPCs and IBCLCs
There is a gap between the CLC credential and the IBCLC credential that is not easily breached
WIC PEER COUNSELORS
WIC PARTICIPANTS
CULTURE SPECIFIC INTERVENTIONS
MissionTo increase perinatal and infant health equity in the urban coreVisionFor every family, a healthy baby;For every baby, a healthy village
UZAZI VILLAGE
BREASTFEEDING AND BABYWEARING AT UZAZI VILLAGE
Building health equity through culturally specific interventions
NPR storyhttp://kcur.org/post/kc-group-fights-breast-feeding-disparities-education-support
THE VALUE OF CULTURALLY SPECIFIC CARE
Program started in 2014
Sliding scale fees depending on hours needed and pathway
Partnership with local hospital
Candidates work in walk-in clinic alongside mentors (all volunteer LCs are also approved mentors)
LACTATION MENTORSHIP PROGRAM
1)increase the numbers of Lactation Consultants of Color serving the metropolitan area
2)improve and increase access to pathways to becoming an International Board Certifi ed Lactation Consultant
3)utilize the expertise of seasoned IBCLCs and off er them
an opportunity reproduce themselves in students of color
4)improve breastfeeding initiation and duration in previously underserved communities of color who have had historically limited access to any lactation professionals
5)decrease infant mortality and morbidity rates (as they are impacted by breastfeeding) through the promotion of breastfeeding in the urban core
PROGRAM GOALS
African-American specific
Facilitator Certification
La Leche League Peer Counselor Training
A ‘Sacred Space’
CHOCOLATE MILK CAFE
OTHER EFFORTS TO INCREASE THE RANKS OF IBCLCS OF COLOR
ROSE MASTER TRAINERS
Mother Nurture Lactation College and Lactation Cohort
Paid internships funded by Kellog Grant over 3 years
College: 1 completed, 2 enrolled currently
Cohort: 6 last year, 11 this year
BLACK MOTHERS BREASTFEEDING ASSOCIATION
Sherry L. Payne MSN RN CNE IBCLCExecutive Director of Uzazi Village
[email protected]/payneBlog: Urban Village Midwife913-638-0716
CONTACT INFO