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Hosted by:

AI/AN CHAMPS

Funded by:

The W.K. Kellogg Foundation &

W.K. Kellogg New Mexico

Sustainability and Support The Second Indian Country Breastfeeds Conference:

Monday, May 9, 2016 — Tuesday, May 10, 2016

CONFERENCE REPORT

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Table of Contents

Conference Details

o Overview

o Organizer

o Sponsor

o Collaborators

o Consultants

Conference Attendees

Appendix A: Facilities Represented

Appendix B: Agenda

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The Second Indian Country Breastfeeds Conference: Sustainability and Support was a two-

day conference. It drew together 160 participants and highlighted the past, present, and

future of maternity care and infant feeding in Indian Country. Overall, the conference

focused on sustaining breastfeeding practices, including Baby-FriendlyTM hospital

designation. Topics ranged from breastfeeding and illicit drug use, to data management (a

detailed agenda can be found on page 7).

American Indian/Alaska Native Communities and Hospitals Advancing

Maternity Practices (AI/AN CHAMPS) is a breastfeeding-focused initiative

geared toward improving maternal and child health outcomes through

the promotion of Baby-Friendly practices in American Indian and Alaska

Native Hospitals and the communities that surround them. All 13 federally

funded Indian Health Service (IHS) hospitals, and three tribally operated

hospitals, have gained Baby-Friendly designation. AI/AN CHAMPS will support AI/AN tribes

and hospitals in their goals for improving breastfeeding rates and achieving Baby-Friendly

designation.

AI/AN CHAMPS is a project funded by the W.K. Kellogg Foundation

(WKKF). Founded in 1930 as an independent, private foundation by

breakfast cereal pioneer Will Keith Kellogg, the WKKF is among the

largest philanthropic foundations in the United States. Guided by the

belief that all children should have an equal opportunity to thrive, WKKF works with

communities to create conditions in which vulnerable children can realize their full potential

in school, work, and life. WKKF is supporting this conference as part of its mission to promote

exclusive breastfeeding for 6 months and racial equity in breastfeeding. Additional support

for New Mexico-based attendees is being provided by W.K. Kellogg New Mexico. To learn

more, visit: www.wkkf.org

Conference Organizer

Sponsor

Conference Overview

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Baby-Friendly USA, Inc. (BFUSA) is the accrediting body and national authority

for the Baby-Friendly Hospital Initiative in the United States. In this capacity,

BFUSA is responsible for coordinating and conducting all of the activities

necessary to confer the Baby-Friendly designation.

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is

responsible for providing federal health services to American Indians and Alaska Natives. The provision of

health services to members of federally-recognized Tribes grew out of the special government-to-

government relationship between the federal government and Indian Tribes. The IHS is the principal

federal health care provider and health advocate for Indian people, and its goal is to raise their health

status to the highest possible level. The IHS provides a comprehensive health service delivery system for

American Indians and Alaska Natives. The AI/AN CHAMPS Team would like to thank the IHS for funding

Baby-Friendly Leads at Federal IHS Baby-Friendly hospitals to attend the conference!

The Native American Breastfeeding Coalition of Washington is a community group of

Native women and their allies who believe in the tradition of breastfeeding and that all

Native children deserve breast milk. Their mission is to provide culturally relevant

breastfeeding education and outreach to Washington’s Native women and their families;

provide unconditional support to women on their journey towards being/becoming a

breastfeeding woman; and help normalize breastfeeding among the Native community in Washington

State.

The mission of the Navajo Nation Breastfeeding Coalition is to "improve the nutritional status

and overall health of families on the Navajo Nation." In collaboration with local WIC offices,

other community groups, and health care providers, the Coalition works to promote public

acceptance of breastfeeding, increase public awareness of its benefits, and encourage

behavioral change to improve breastfeeding initiation and duration rates.

The New Mexico Breastfeeding Task Force is working to bridge the gap in breastfeeding

disparities and is committed to ensuring all families have the support they need to reach

their breastfeeding goals. Established in 1988, the New Mexico Breastfeeding Task Force

promotes breastfeeding across the state. They work to remove barriers to breastfeeding

and promote breastfeeding-friendly policies through advocacy and building local

capacity.

The United States Breastfeeding Committee (USBC) is an independent nonprofit

organization that was formed in 1998 in response to the Innocenti Declaration of 1990, of

which the United States Agency for International Development was a co-sponsor. Among

other recommendations, the Innocenti Declaration calls on every nation to establish a multisectoral

national breastfeeding committee comprised of representatives from relevant government departments,

non-governmental organizations, and health professional associations to coordinate national

breastfeeding initiatives. The USBC is now a coalition of more than 50 organizations that support its mission

to drive collaborative efforts for policy and practices that create a landscape of breastfeeding support

across the United States

Conference Collaborators

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We would like to thank CHAMPs consultants Camie Goldhammer and Beth Moody who

contributed many hours of work towards planning and executing the conference. We also

thank our AI/AN Consultants Amanda Singer and Kimberly Moore-Salas for their work

towards this conference; their insight and input were integral to the success of this event.

Conference attendance increased from 142 in 2014 to 160 in 2016. With donor support and

continued outreach we were able to welcome representatives from 16 states (14 in 2014), 31

tribes (20 in 2014), and 64 facilities (61 in 2014). This expansion in attendance, especially in

the diversity of tribes represented, allowed for a broadened reach and for a more engaging

dialogue and cross sharing among participants. Those working with Native American

institutions and communities received scholarships for registration costs. To facilitate even

greater participation, accommodation and travel scholarships were also made available.

In addition to a broad geographic and Tribal representation, the conference brought

together a variety of institutions and community groups (Appendix A). Twenty-four IHS and

Tribal hospitals sent participants, as did nine health centers, and 23 community groups,

including WIC. Eight other institutions and organizations took part, including representatives

from the Indian Health Service, National Institute for Children’s Health Quality, and Baby-

Friendly USA provided a national perspective.

Conference Consultants

Conference Attendees

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Appendix A: Facilities Represented

at Conference

Hospitals

1. Alaska Native Medical Center

2. Boston Medical Center

3. Chickasaw Nation Medical Center

4. Chinle Health Care Facility

5. Claremore Indian Hospital IHS/PHS

6. Crownpoint Healthcare Facility

7. Gallup Indian Medical Center

8. Hopi Health Care Center

9. Maricopa Integrated Health Systems

10. Mount Edgecumbe Hospital/SEARHC

11. Northern Navajo Medical Center

12. Norton Sound Health Corporation

13. Phoenix Indian Medical Center

14. Pine Ridge IHS Hospital

15. Quentin N. Burdick Memorial Health Care

Facility

16. Rehoboth McKinley Christian Health Care

Services

17. Rosebud IHS Hospital

18. Santa Fe Indian Health Hospital

19. SEARHC

20. St. Vincent Healthcare

21. TseHooTsooi Medical Center (FDIHB)

22. Tuba City Regional Healthcare Corporation

23. Whiteriver IHS

24. Zuni IHS Hospital

WIC/Community Groups

1. ACL WIC Program

2. Cherokee Nation WIC

3. Arctic Slope Native Association

4. Blackfeet tribe

5. Breastfeeding Friendly New Mexico

6. First Things First – Navajo Nation Region

7. Healthy Native Communities Partnership

8. Inter-Tribal Council of Arizona

9. Inter-Tribal Council of MI, Inc.

10. NABCW Birth and Family Center

11. Native American Professional Parent

Resources, Inc. (NAPPR)

12. Navajo Nation Breastfeeding Coalition

13. North Slope Borough Public Health

14. North Slope Breastfeeding Coalition

15. Nottawaseppi Huron Band of Potawatomi

16. Oregon Inter-Tribal Breastfeeding Coalition

17. PB&J Family Services

18. Rocky Mountain Tribal Leaders

19. San Felipe Pueblo

20. Southcentral Foundation

21. Tewa Women United/Rio Arriba New Mexico

Breastfeeding Taskforce

22. United States Breastfeeding Community

23. Vital Village Community Engagement

Network

24. Young Women United

Health Centers

1. Crow Health and Human Services

2. Dzilth-Na-O-Dith-Hle Health Center

3. Inscription House Health Center

4. Kayenta Health Center

5. Midwifery & Women’s Health Care

6. Pinon Health Care Center

7. Tsaile Health Center

8. Winslow Indian Health Care Center

9. Yellowhawk Tribal Health Center

Other

1. Albuquerque Area Southwest Tribal

Epidemiology Center

2. Baby-Friendly USA, Inc.

3. Indian Health Service

4. Kayenta Public Health Nursing Program

5. Navajo Area, IHS, PHS, DHS

6. NICHQ

7. Parker IHS

8. UNM: School of Education

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Appendix B: Conference Agenda

2nd Maternity Care and Infant Feeding in Indian Country Conference Albuquerque, New Mexico

May 9-10, 2016

Day 1 –Monday May 9th

9:00a – 10:00a Registration, Poster setup, and Breakfast

10:00a – 10:10a Opening Prayer

10:10a – 10:30a Welcome Anne Merewood, PhD, MPH, IBCLC, Project Director, AI/AN CHAMPS

10:30a – 11:15a Mothering through Trauma

11:15a – 11:30a Break

11:30a – 12:15p Hot Topics in Breastfeeding - Panel Diabetes Updates

Breastfeeding and Illicit Drug Use

Poka and Wee’ Friendly Communities

Group Prenatal Care

12:15p – 12:45p Roundtable Special Interest Discussions on Panel Topics and More Breastfeeding and Illicit Drug Use

Diabetes and Breastfeeding

Data and GPRA

Breastfeeding-Friendly Communities

Sustaining the BFHI in Indian Country

Centering Pregnancy

Food Sovereignty

US Breastfeeding Committee

Public Health and Community Nursing

12:45p – 1:30p Lunch

1:30p – 2:30p Self-Care First: Utilizing Our Sacred Teachings Camie Jae Goldhammer, MSW, LICSW, IBCLC, Founder and Chair, Native American

Breastfeeding Coalition of Washington Birth and Family Center; Beth Moody, RN, MSN,

CNM, Cultural Historic Preservation Office Manager, Nottawaseppi Huron Band of the

Potawatomi

2:30p – 2:45p Break

2:45p – 3:45p Talking Circles

3:45p – 4:00p Break

4:00p – 4:45p General Session: Wrap Up from Talking Circles

5:00p – 7:00p Evening Reception

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2nd Maternity Care and Infant Feeding in Indian Country Conference Albuquerque, New Mexico

May 9-10, 2016

Day 2 – Tuesday May 10th

7:45a – 8:30a Breakfast

8:30a – 8:40a Welcome

8:40a – 9:10a The Indian Health Service: Becoming and Sustaining Baby-Friendly Designation-

New Directions for IHS and Baby-Friendly in the US Anne Merewood, PhD, MPH, IBCLC, Project Director, AI/AN CHAMPS

9:10a – 9:50a Sustaining the BFHI Trish MacEnroe, BS, CDN, CLC, Executive Director, Baby-Friendly USA

9:50a – 10:05a Break

10:05a – 10:50a Panel—Sustainment Strategies from IHS Hospital

10:50a – 11:35a Reforming Breastfeeding Education: A Fresh Look at How Mainstream

Breastfeeding Education is Failing to Serve the Needs of AN/AI Populations and

What We are Going to do About It Camie Goldhammer, MSW, LICSW, IBCLC, Founder and Chair, Native American

Breastfeeding Coalition of Washington Birth and Family Center

11:35a – 12:05p Beyond Food, Nourishing Healthy Pregnancy Kirsten Krane, RDN, MS-MPH, Project Manager, AI/AN CHAMPS

12:15p – 1:00p Networking Lunch

1:00p – 2:00p Supporting Vulnerable Mothers – Panel

2:00p – 2:15p Break

2:15p – 3:15p Breakout Sessions Shawls – Starting Your Own Project

Beth Moody, RN, MSN, CNM, Cultural Historic Preservation Office Manager,

Nottawaseppi Huron Band of the Potawatomi

Workshop: A Chance to Give Input for Reforming Breastfeeding Education

Camie Goldhammer, MSW, LICSW, IBCLC, Founder and Chair, Native American

Breastfeeding Coalition of Washington Birth and Family Center

Supporting Vulnerable Mothers (In-Depth Follow-up to the Panel)

Breastfeeding Friendly Communities

3:15p – 3:30p Break

3:30p – 4:30p Breastfeeding Awareness Shawls and the Connection to ALL Things Beth Moody, RN, MSN, CNM, Cultural Historic Preservation Office Manager,

Nottawaseppi Huron Band of the Potawatomi