Supporting and Promoting Breastfeeding: Obesity Prevention Begins at Birth

1. Supporting and Promoting Breastfeeding: Obesity Prevention Begins at Birth Childhood Obesity Conference June 30, 2015

3. The Road to Healthy RC • Public health under City purview • City Council goal & formal adoption of resolution • City-wide initiative to encourage healthy and sustainable lifestyles • Comprehensive and integrated approach • Multi-departmental effort • Broad definition of health • Impacted by how we develop our communities

4. Institutionalization & Sustainability City Council Goal & Adoption of Resolution Multi-departmental effort coordinated by the City Manager’s Office Minimize reliance on General Fund – GRANTS! Mobilize public-private resources – build local capacity Health-in-ALL-Policies approach – “How we do business” Recognized Brand

5. Building Communities • Everyone has a role • Everyone has a voice • Raise awareness of Healthy Cities initiative • Balance internal and external governance and participation

6. Healthy Rancho Cucamonga – a community where all generations lead vibrant, healthy, happy lives

7. Collective vs. Isolated Impact IsolatedImpact Collective Impact When organizations have the vision, leadership and resources to engage the relevant stakeholders in a structured process to address a specific social problem When individual organizations demonstrate a successful intervention and then encourage others to replicate

8. Collective Impact: Five Key Elements Common Agenda 1 Shared Measurement 2 Mutually Reinforcing Activities 3 Continuous Communication 4 Backbone Support 5 Source: Channeling Change: Making Collective Impact Work, 2012; FSG Interviews and Analysis

10. Funding • First 5 San Bernardino • California Department of Public Health California Obesity Prevention Program • Funds for development of policies and programs

11. Health Benefits • Breast milk is the optimal food for growth and development • Correlated with lower rates of childhood obesity and cardiovascular disease • American Academy of Pediatrics • Recommends exclusive breastfeeding for the first 6 months • Breastfeeding with the introduction of complimentary foods to continue for at least 12 months

12. City and Economic Benefits • Family: • $1200-$1500 in the first year of baby’s life by breastfeeding • Employee morale: • Enables women to reach their breastfeeding goals and successfully transition back to work • Human resources: • Lower health care costs and medical insurance claims • Less absenteeism • Higher productivity • Higher employee retention rates • Financial value: • $3 to 1 return on investment

13. Barriers • Approximately 2/3 of women who are employed when they become pregnant return to the work force by the time their children are six months old • Lactation support in the workplace is a major factor in a mother's decision to initiate or to continue breastfeeding

14. State Legislation 1997, California Civic Code 43.3 Allows for a mother to breastfeed in any location, where the mother and child are authorized 2002, California Labor Code 1030-1033 Provides that employers need to allow a break and provide a room for a mother who desires to express milk in private Establishes a civil penalty for violation Federal Legislation 2010, Patient Protection and Affordable Care Act Time: Reasonable break time for an employee to express breast milk for 1 year after the child’s birth Location: Provide a place, other than a bathroom, for an employee to express breast milk Lactation Accommodation

15. Multi-departmental team Led by the City Manager’s Office Community Services, Human Resources, City Clerk’s Office, Fire, and Public Works Services Experts Loma Linda University and Loma Linda University Medical Center County of Riverside Department of Public Health WIC San Antonio Community Hospital Process: Assess current environment Gather and analyze employee feedback Develop policy recommendations Recommendations for “Mother’s Rooms” Process

16. Key Informant Interviews Department representatives Lactation Management Experts Hospitals Focus Group Site Visits Surveys (300+) Distributed to all part-time and full-time female employees Comprehensive Assessment

17. General Findings from Employees Need to have support for working mothers Environmental, colleague, and managerial support Designated spaces and permanent “Mother’s Rooms” Balanced work life and family life Assessment Results

18. Survey Responses Worksite Challenges: • “No dedicated space for expressing milk.” • “A private location is important to express the milk, but more important is a storage location…” • “….time away from desk and a space to do it were my biggest challenges.” • “Not enough awareness by all of the time and effort it takes to pump.” Recommendations: • “Training and awareness, to all, including the community of just what it takes for a mom to return to work and what it takes to maintain the milk supply.” • “Simple information for supervisors to use and distribute would be helpful.” • “Make City Hall “Mother’s Room” a little more cozy atmosphere.”

19. Time and Scheduling Facilities Compliance with State and Federal Law Every City facility will have a designated space available, permanent or temporary and not a toilet stall, bathroom, or closet 2 permanent “Mother’s Rooms” for employee usage and the public equipped with necessary equipment and supplies Lactation Accommodation Policy & Program

21. Employee Responsibilities Employee Education Train supervisors and managers on state, federal, and City policies Maintain resource library with materials on breastfeeding, parenting, and maintaining a balanced work and family life Provide information and resources to all employees (male and female) Community Education Information promoting breastfeeding education, support, and locations of Mother’s Rooms to be made available at all City facilities, on the City website, the mobile application (RC2GO), and Grapevine Signage at all City facilities Proclaim August as breastfeeding awareness month Lactation Accommodation Policy & Program

22. Lactation Accommodation Policy & Program • Atmosphere of Support • Foster a supportive (physical and social) environment • Provide support for employees transitioning back to work • Maintain a balanced work and family life • Compliance • Ensures adherence to policy • Outlines resources and options for employees who feel that they have been discriminated or harassed

23. QUESTIONS?

24. For More Information about Healthy RC Visit the Healthy RC Website: www.HealthyRC.info Contact: Michael.Parmer@CityofRC.us (909) 477-2700 ext.2046