The Children’s Healthy Weight Collaborative Improvement & Innovation Network (CoIIN), is  designed to support Title V programs to promote nutrition, physical activity and breastfeeding through collaborative learning and quality improvement practices.

National Partners

This project is a collaboration among several organizations essential to success.

Breastfeeding

Drivers for Breastfeeding

States Participating in the Breastfeeding Workstream

Eleven states are participating in the Breastfeeding Workstream. Seven states are participating at the intensive learning level and four at the technical assistance level. The states, their focus and resources developed are listed below.

Intensive Learning States

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ARKANSAS

The purpose of our state’s Children’s Healthy Weight CoIIN project is to support breastfeeding mothers who have limited access to health care by conducting lactation accommodation training for up to 4 organizations in Arkansas’ Southeast/Delta region and other at-risk communities so that employers and communities learn, engage, and practice the support lactating women and change procedures/policies to provide accommodations. By allowing adequate space and time to pump, breastfeed, and store milk, we aim to increase duration of breastfeeding and exclusivity of breastfeeding in our intervention sites. Further, we hope that these advancements will begin to initiate a change in perception in culture and in communities where breastfeeding has not traditionally been accepted as a social norm.

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CALIFORNIA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to build capacity to support workplace and school lactation accommodation and reduce related infant feeding disparities in California by June 2019. The CoIIN will target individuals and organizations providing lactation accommodation education and resources to communities with low breastfeeding duration. Outcome: All California parents who return to work or school after giving birth and choose to breastfeed/provide human milk will be equally and adequately accommodated.

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IOWA

The purpose of Iowa’s Children’s Healthy Weight CoIIN project is to drive collaborative efforts for policy and practice that improve breastfeeding support across Iowa by October 1, 2019. Most of our most of our activities will be implemented statewide.

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LOUISIANA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to build the capacity of and expand the Louisiana Workplace Breastfeeding Support program statewide by August so that Louisiana worksites develop worksite cultures that support employees who choose to breastfeed after returning to work through organizational policy and practice change.

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NEVADA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to “Normalize Breastfeeding by Establishing Breastfeeding-Friendly Communities” by way of the Secondary Driver: “Family Support,” with measurable progress by January 1, 2021. We will target current and future breastfeeding women, infants, and children, their partners, and communities to increase statewide and community-level breastfeeding awareness and support. This will result in a subsequent increase in breastfeeding rates, including the rate of breastfeeding initiation and breastfeeding duration (of exclusively breastfed infants).

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NORTH DAKOTA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to identify breastfeeding needs and offer support for key stakeholders in tribal communities and urban Native American populations.

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WISCONSIN

The purpose of our state’s Children’s Healthy Weight CoIIN project is to assess and enhance efforts for workplace lactation support by August 2019 for local and tribal health agencies and coalitions so that there is coordinated and consistent statewide support, promotion, and implementation of workplace lactation strategies.

Technical Assistance Level

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INDIANA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to increase peer and professional support by Fall of 2018, for breastfeeding mothers so that hospitals and WIC agencies can collaborate to increase breastfeeding duration in Indiana families.

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NEBRASKA

The purpose of our State’s Children’s Healthy Weight CoIIN project is to establish a relationship between the Nebraska WIC Program’s Breastfeeding Peer Counselor program and a Nebraska hospital. The goal of the relationship is to create the ability to visit WIC moms in the hospital after they have given birth, as well as, create a system where the hospital will inform the WIC clinics when a birth has taken place. This relationship will be established by December 2018 for WIC moms so that they have early peer breastfeeding support which can potentially improve their breastfeeding experience.

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NORTH CAROLINA

To facilitate the development, implementation and/or integration of evidence informed policies and practices to support State Title V programs and NCDPH to improve health behaviors related to breastfeeding by August 2018 and to innovatively integrate nutrition into Title V MCH Block Grant and other MCH programs by August 2019 (adapted from ASPHN CHWC document—revised July 2018 via ASPHN). We are working to accomplish this purpose for present and/or future breastfeeding mothers (and their infants) in NC so that breastfeeding initiation and/or duration will increase.

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TEXAS

The purpose of the Texas Children’s Healthy Weight CoIIN is to expand cross-sector collaborations to integrate breastfeeding support in state programs, increase capacity to strategically promote worksite lactation support best practices/Texas Mother-Friendly Worksite designation to targeted employment sectors, and leverage expanded collaborations to identify opportunities for increasing continuity of breastfeeding support and community normalization of breastfeeding by Winter 2018.

Physical Activity

Drivers for Physical Activity

 

States Participating in the Physical Activity Workstream

Seven states are participating in the Physical Activity Workstream. Five states are participating at the intensive learning level and two at the technical assistance level. The states, their focus and resources developed are listed below.

Intensive Learning Level

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FLORIDA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to increase the number of schools implementing components of the CSPAP model by December 2019 for students, including those with disabilities, so that children are at a healthy weight.

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INDIANA

The purpose of Indiana’s Children’s Healthy Weight CoIIN project is to increase access to and knowledge of appropriate physical activity standards and activities with regards to the special needs population, by December 2019. Our purpose is to give the special needs population the opportunity to live healthier, active lifestyles by increasing capacity and knowledge of individuals that influence the behaviors of children.

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OREGON

The purpose of our state’s Children’s Healthy Weight CoIIN project is to accelerate progress in implementing new physical education standards and laws, adding more physical activity to the school day, and strengthening education and public health partnerships over the next two years so that we can improve the health and well-being of students and staff in Oregon schools.

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TEXAS

The purpose of the Texas Children’s Healthy Weight CoIIN is to create a School Physical Activity and Nutrition (SPAN) survey for distribution in school districts around the state and along the border to assess all children, including children with special needs, on BMI and physical activity and nutrition behaviors. The survey is to be completed by parents for children in 2nd grade and by the students in 4th, 8th and 11th grade. Texas will have achieved this goal of the CoIIN when an adequate sample of surveys have been completed and an accurate assessment of Texas children’s weight and physical activity and nutrition status has been identified.

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WISCONSIN

The Wisconsin team’s purpose is to expand an existing online physical activity training to include content relevant and useful for out-school-time programs with high staff turnover and limited resources for training. By July of 2019 we will produce an online physical activity resource that will enable out-of-school time teachers and staff to integrate physical activity into daily programming.

Technical Assistance Level

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NEBRASKA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to work with school nurses to encourage schools to include children with special health care needs in physical education. The first PDSA cycle will consider using such an approach as partnering the child with special health care needs with a high school student to help keep the child (in any grade K-12) with special health care needs active as tolerated. The second PDSA cycle will consider an approach to encourage family involvement in physical activity with all children. These two cycles will help children develop a relationship with their high school student partner and their family members which will help improve physical, emotional and mental health.

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NEVADA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to create a healthier school environment by increasing physical activity among students through implementing a Comprehensive School Physical Activity Program (CSPAP) and a physical activity awareness campaign to decrease the 38% of youth who are overweight or obese in Nevada.

Innovative Nutrition Integration

MORE INFORMATION COMING SOON

Drivers for Innovative Nutrition

Intensive Learning Level

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FLORIDA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to increase the number of schools implementing components of the CSPAP model by December 2019 for students, including those with disabilities, so that children are at a healthy weight.

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INDIANA

The purpose of Indiana’s Children’s Healthy Weight CoIIN project is to increase access to and knowledge of appropriate physical activity standards and activities with regards to the special needs population, by December 2019. Our purpose is to give the special needs population the opportunity to live healthier, active lifestyles by increasing capacity and knowledge of individuals that influence the behaviors of children.

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OREGON

The purpose of our state’s Children’s Healthy Weight CoIIN project is to accelerate progress in implementing new physical education standards and laws, adding more physical activity to the school day, and strengthening education and public health partnerships over the next two years so that we can improve the health and well-being of students and staff in Oregon schools.

Technical Assistance Level

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FLORIDA

The purpose of our state’s Children’s Healthy Weight CoIIN project is to increase the number of schools implementing components of the CSPAP model by December 2019 for students, including those with disabilities, so that children are at a healthy weight.

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INDIANA

The purpose of Indiana’s Children’s Healthy Weight CoIIN project is to increase access to and knowledge of appropriate physical activity standards and activities with regards to the special needs population, by December 2019. Our purpose is to give the special needs population the opportunity to live healthier, active lifestyles by increasing capacity and knowledge of individuals that influence the behaviors of children.

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OREGON

The purpose of our state’s Children’s Healthy Weight CoIIN project is to accelerate progress in implementing new physical education standards and laws, adding more physical activity to the school day, and strengthening education and public health partnerships over the next two years so that we can improve the health and well-being of students and staff in Oregon schools.

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