OSDH WIC BREASTFEEDING PEER COUNSELING Amanda M. Morgan, RD/LD, IBCLC OSDH WIC Breastfeeding Peer Counseling Specialist

History

2004 4 clinics

2010 23 clinics

2016 31 clinics

Curriculum

• Loving Support© Through Peer Counseling: A JOURNEY TOGETHER

Training The WIC Peer

Counseling Program

• Becoming a WIC Peer Counselor

• Helping Moms say ‘YES’ to Breastfeeding

Counseling and Communication

Skills

• Helping Moms Overcome Common Barriers

• How to Talk with Moms About Breastfeeding

• Ways to Reach New Moms

Getting Started with Breastfeeding

• Encouraging Exclusive Breastfeeding

• Supporting New Breastfeeding Moms

• Helping Moms When Things Don’t Go as Planned

Talking with Mothers About Breastfeeding

• Talking with Pregnant Women About Breastfeeding

• Talking with Mothers About Breastfeeding in the First Month

• Talking with Mothers About Breastfeeding When Baby Grows

• Talking with Mothers About Breastfeeding When Mother and Baby are Separated

Keys To Program Success

• Loving Support© Model for a Successful Peer Counseling Program

What is a peer counselor?

• Paraprofessional • Recruited and hired from the target population

• Available outside usual clinic hours

Role of the Peer Counselor

• Support • Help prevent and manage common concerns

• Make referrals • Complement care

Basic Job Duties of Peer Counselors

• Contact moms at critical intervals

• Help with classes • Help with support groups

Defined Scope of Practice

• Simple • Basic information • Support • Encouragement • Referrals

Power of Mother-to-Mother Connection

• Seek people with shared experiences

• Talk through stressful situations

• Build network of trust

Peer Counselors Make a Difference

• Position of trust • Complement care • Added dimension

Model for Breastfeeding

• Positive role model • Reinforce recommendations

Bringing Baby to Clinic

• Infant in arms • Maintain breastfeeding • Role Model

Establish Connections

• Peers represent WIC mothers

• Build relationships • Flexible availability

Three Step Counseling Strategy

Step 1 •Ask

Step 2 •Affirm

Step 3 •Educate

Provide Ongoing Support

• Socially and culturally appropriate

• Unique connection

Help Moms with Common Concerns

• Assess normal breastfeeding

• Prevent and address common concerns

• Recognize challenges

Filling the Gap in Services

• Beyond the WIC clinic • Between hospital discharge and WIC appointment

YIELD

• No complex breastfeeding situations

• WIC Designated Breastfeeding Expert

• Referral System

When do peer counselors YIELD?

• Pregnancy Issues • Baby Concerns • Mother Concerns • Nutrition • Social • Illness in Mother or Baby

• Other Medical Situations

Job Settings

• Telephone visits home and/or clinic

• In-person in the WIC clinic

• Future: hospital

Cimarron 1 Texas 1 Beaver 1 Harper 2

Ellis 1

Roger Mills 1

Woodward 1

Woods 1 Alfalfa1

Major 1

Dewey 1

Washita 1

Greer 1

Kiowa 1

Blaine 1

Caddo 1

Grant 1

Garfield 1

Kingfisher 1

Kay 2

Noble 1

Payne 2 Logan 1

Canadian 2

OK 3

Cleveland 2/3

Grady 2

Pawnee 2

Osage

Creek 3

Lincoln 1

McClain 2

Har

mon

1

Jackson 1

Tillman 1

Comanche 1

Cotton 1

Stephens 1

Jefferson 1

Garvin 2

Carter 1

Murray 1

Love 1

Pontotoc 1

Sem

inol

e 2

Johnston 1

Marshall 1

Coal 1

Atoka 1

Bryan 1

Hughes 1

Okfuskee 1

Pittsburg 1

McIntosh 2

Pushmataha 2

Choctaw 1 McCurtain 1

Le Flore 1 Latimer

1

Haskell 1

Sequoyah 1 Muskogee 1

Tulsa 3/12 Wagoner

2 Cherokee 1 Adair

1

Ottawa 1

Rogers 1

Nowata Craig 1

Mayes 1 D

elaw

are 1

Beckham 2

Custer 2

WIC Breastfeeding Peer Counselor Program Sites

County with BF Peer Counselors

12/23/2015

Coal

Buy In

• Program Promotion • Support from staff

Community Partnerships

• Important to program success

• Building and strengthening

Thank you!

Amanda Morgan, RD/LD, IBCLC amandamm@health.ok.gov 1-888-655-2942 ext. 50017