A Grant Proposal for Improving Breastfeeding Initiation, Duration, and Exclusivity Among African American Women Residing in Jefferson County, Mississippi through Continuity of Care Open Access
Mosley, Regina (Spring 2020)
Abstract
Breastfeeding is acknowledged as the best form of nutrition for babies. It is highly recommended for infants to be fed breast milk exclusively for the first six months of life. In addition, mothers are recommended to continue breastfeeding while slowly introducing solid foods until the child reaches one year of age. While breastfeeding is widely considered to be the best form of nutrition for infants and guidelines recommend one full year, the percentage of breastfed infants decreases as the length of life increases. Furthermore, the CDC identifies racial and geographic gaps in breastfeeding. African Americans are considerably less likely to breastfeed than any other racial or ethnic group. Additionally, geographic gaps are observed in the southern regions of the US. Mississippi is ranked last for state breastfeeding rates.
The proposed baby café program will combat breastfeeding disparities by providing free resources to mothers and families in Jefferson County, Mississippi and surrounding communities. The café will use evidence-based strategies to tackle disparities by providing a private environment, continuity of care, health literacy, encouragement, and a safe environment for peer and professional support.
Table of Contents
CHAPTER I - INTRODUCTION 1
Introduction and Rationale 2
Problem Statement 10
Theoretical Framework 10
Purpose Statement 13
Objectives to be Addressed by the Grant Proposal 14
Statement Significance 15
Definition of Terms 18
CHAPTER II – LITERATURE REVIEW 19
Introduction 20
Literature Review Strategy 20
Current Breastfeeding Initiation and Duration Recommendations 22
Benefits of Breastfeeding 23
Breastfeeding as a Public Health Priority 24
Looking Back Review of Healthy People, Healthy People 1990 and Healthy People 2010 27
Expansion of Breastfeeding Objectives Under Healthy People 2020 28
Looking Forward: Healthy People 2030 29
Current National Breastfeeding Initiation and Duration Trends 29
Barriers to Breastfeeding 32
Exploring Racial Disparities in Healthcare and Breastfeeding 34
Mississippi: Demographics, Current Breastfeeding Initiation and Duration Trends 41
Current National Approaches Aimed at Increasing Breastfeeding Initiation and Duration 45
Health Literacy 47
Peer Support Intervention 49
Baby Friendly Designation 51
Baby Cafés 55
Summary 56
CHAPTER III – METHODOLOGY 58
Introduction 59
Funding Agency 59
Request for Proposal 59
The Grant Review Process 61
Funding Application Scoring Rubric 62
Funding Application Scoring Criteria 63
Reviewer Open Ended Questions 65
Grant Proposal Reviewers 66
CHAPTER IV – INCORPORATION OF GRANT PROPOSAL REVIEWER COMMENTS 68
Reviewer 1 Comments: Johanna M. Hinman, MPH, MCHS 69
Reviewer 2 Comments: Natalie A. Fields, MPH 73
Reviewer 3 Comments: Renata Dennis, MPH, BSN, RN 77
Reviewer 4 Comments: Sharon Ingram-Cute, BSN, RN, CCRP 81
Reviewer 5 Comments: Kenisha Barron, MBA, CCRC 85
CHAPTER V – BABY CAFÉ PROGRAM PROPOSAL 89
Overview 90
Problem Statement 90
Proposal Overview 92
Organizational Capacity & Experience 96
Project Deliverables and Timeline 101
Budget Proposal 106
APPENDIX A: Request for Proposal 110
APPENDIX B: Email to Reviewers 119
REFERENCES 120
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