racial equity & breastfeeding...protecting, maintaining and improving the health of all...
TRANSCRIPT
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PROTECTING, MAINTAINING AND IMPROVING THE HEALTH OF ALL MINNESOTANS
Helen Jackson Lockett-El
Racial Equity & Breastfeeding
MBC Conference, 10/25/19Racial Equity & BreastfeedingH. Jackson Lockett-El
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Center for Health Equity (CHE) Mission
The Center for Health Equity’s mission is to CONNECT, STRENGTHEN & AMPLIFY health equity efforts within MDH and across the state of MN.
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https://www.health.state.mn.us/communities/equity/about/handoutprograms.pdf
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Racial Equity & Breastfeeding Structure
www.healthconnectone.org/black-breastfeeding-after-a-history-of-trauma
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Mini exercise – shout it out!
What do you think of when you hear the words health equity?
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What is health equity?
Health equity means achieving the conditions in which all people have the opportunity to realize their health potential — the highest level of health
possible for that person — without limits imposed by structural inequities.
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Social and Economic
Factors40%
Health Behaviors
30%
Clinical Care10%
Physical Environment
10%
Genes and Biology
10%What
creates
health
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A type of health difference that is closely linked with social, economic, and/or environmental disadvantage.
Or
Disparities in health that are a result of systemic, avoidable and unjust social and economic policies and practices that create barriers to opportunity.
Health Inequity
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What does with race have to do with inequity?
Inequity & Race
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What does racial inequity have to do with breastfeeding?
Racial Inequity
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African American History
Key periods of Africans and their American descendants in the United States
Racism, African American Women, and Their Sexual and Reproductive Health: A Review of Historical and Contemporary Evidence and Implications for Health Equity - Health Equity Volume 2.1, 2018
.
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Historical Perspective
Slavery – Black women were forced to breastfeed white infants.
Wet nurse was the safest and most common alternative to mother’s breastmilk.
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Historical Perspective
Late 1800s: Commercially prepared formula in powdered form was born but was very expensive
• Iron-fortified formula introduced in the US in 1959
• Aggressive advertising to public 1970s and ‘80s
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Historical Perspective
September 26, 1972: A new law established a Special Supplemental Food Program for Women, Infants, and Children (WIC) as a 2-year pilot program
1992: To encourage breastfeeding, a WIC food package is specifically designed to benefit women who exclusively breastfeed their infants
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• What were some of the challenges facing African American women?
• What is the general attitude about African American women and their families?
African American Women & Medical Systems
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Community Myth
Why is the rate of breastfeeding lowest the African American community?
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Your role in supporting African American Breastfeeding
▪ Establish an “authentic” relationship and begin the conversation early to educate on the benefits of breastfeeding
▪ Don’t make assumptions about families, invite them to share their opinions
▪ Engage culturally appropriate peer and lactation educators to assist in overcoming potential barriers
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Your role in supporting African American Breastfeeding
▪ Does your membership/coalition reflect the community you serve?
▪ What are you willing to change?
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WWW.HEALTH.MN.GOV
Helen Jackson Lockett-El
651-201-5801
Thank you.