The Ten Steps for Breastfeeding Friendly Child Care, and related materials and training on their use, comprise the core intervention in this program. Based on our assessment of the centers, key informant interviews in the community, review of existing materials, and ongoing feedback from community stakeholders, we refined the materials using the following guiding principles:
- Ease of use (color-coded according to target audience)
- Diverse, population-appropriate photographs
- Easily printable from .pdf files
1. Self-Assessment and Assessment Tools for Child Care Centers (blue border)
- BFCC Self-Assessment for Centers – The self-assessment is a training tool to help the child care cent determine current breastfeeding–friendly strengths and needs in order to improve its breastfeeding support. The self-assessment is based on the Ten Steps to Breastfeeding –Friendly Child Care.
- BFCC Self-Assessment for Centers-Instructions – Provides instructions for completing the “Breastfeeding-Friendly Child Care” Self-Assessment, including clarification of the questions and a list of definitions of terms.
- BFCC Action Planning Guide for Centers – The action plan is developed based on the responses to the self-assessment. The Trainer guides the director in determining the goals, specific actions, persons involved, and target dates for completion.”
- Ten Steps to Breastfeeding-Friendly Child Care – The Ten Steps are an evidence-based approach to improving support for breastfeeding families.
- Pre-Test and Post-Test – The pre- and post- tests include questions about the information in the early care provider training. This is a useful tool to highlight specific information and to show increased knowledge and understanding regarding breastfeeding.
2. Educational and Reference Materials for Child Care Centers (purple border)
- Sample Child Care Center Breastfeeding Policy – This sample policy provides examples of statements and procedures that may be used to guide the center’s decisions regarding breastfeeding support.
- Our Child Care Center Supports Breastfeeding Poster – This poster describes ways in which the center supports families who are breastfeeding or who are considering breastfeeding.
- Human Milk Storage Guidelines for Child Care Centers – This includes guidelines for child care centers regarding the handling of human milk. It was developed in consultation with NC Environmental Health and Safety.
- Supporting Breastfeeding Employees – Booklet that provides information about supporting breastfeeding in the workplace with guidelines for providing workplace accommodations.
- Breastfeeding Welcome Here – Poster – This poster displays mothers and babies together, underscoring the child care center’s commitment to welcome breastfeeding families by showing mothers and babies breastfeeding in natural environments.
- Breastfeeding-Friendly Books and Toys – This resource lists examples of items for the classroom that provide learning and play opportunities that include breastfeeding.
3. Educational Materials All Families (orange border)
- Infant Feeding Guide – This booklet contains information in the above breastfeeding booklet on common feeding myths, learning your baby’s cues, and feeding in response to those cues. There is also a section entitled “Even if you’re not a breastfeeding mother, consider learning more about breastfeeding.”
- Infant Feeding Plan – This interactive feeding guide helps child care providers encourage feeding on cue and appropriate timing of introduction of solids.
- Our Child Care Center Supports Breastfeeding – To be shared with all new families at the child care center. The text is a summary of the “Ten Steps for Breastfeeding-Friendly Child Care” developed for and by this project.
4. Educational Materials for Breastfeeding Families (green border)
- Breastfeeding and Child Care – Specific information about maintaining breastfeeding while you are away from your baby, as well as bringing milk to the child care center.
- Breastfeeding Making It Work Booklet – This was written to provide basic, general information on breastfeeding, particularly for mothers who anticipate regular separations from their babies.
- Supporting Breastfeeding Employees – Lists the benefits of supporting breastfeeding employees.
It is important to note that all of these materials were developed in conjunction with a training for early care providers, which is an integral part of the intervention. The training, because of its interactive (rather than didactic) nature, does not lend itself to inclusion in the toolkit. CGBI staff are available to provide training to trainers, and hope to develop options for remote and web-based trainings in the future. For more information about this, or about developing materials specific to your locality, contact the Project Director, Daina Huntley, at firstname.lastname@example.org.