State & Local Burden

WIC Breastfeeding Peer Counseling Study

REVAPPX A-8 Community Collaborators Interview Guide

State & Local Burden

OMB: 0584-0548

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Community Collaborator Interview Guide

OMB Clearance Number: xxxx-xxxx

Expiration Date: xx/xx/xxxx

According to the Paperwork Reduction Act of 1995, an agency may not conduct or
sponsor, and a person is not required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information
collection is 0584-XXXX. The time required to complete this information collection is
estimated to average 60 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. If you have any comments
concerning the accuracy of time estimates or suggestions for improving this form, please
contact: U. S. Department of Agriculture, Food and Nutrition Service, ORNA, Alexandria,
VA 22302.

Introduction:
Thank you for taking the time today to participate in this interview. As part of the WIC
Breastfeeding Peer Counseling Study for the U.S. Department of Agriculture, Food and Nutrition
Service (FNS), we are interviewing key people involved in the implementation of the Loving
Support peer counseling program funded by FNS peer counseling grants. The purpose of this
study is to describe how Loving Support peer counseling is being implemented in various States
and local agencies across the country.
Please understand that your organization’s name and location will not be identified in reports
prepared for this study and in data files provided to FNS. None of your responses during the
interview will be released in a form that identifies you or any other staff member by name except
as required by law. Please note that this study is not part of an audit or management review of
WIC. Your participation in the interview is completely voluntary. Failure to complete the
interview will not affect your employment or your agency’s receipt of Federal WIC funds.
The estimated average total time to complete this interview is 60 minutes. This includes your
time and any other person you may need to bring in to respond to the questions.

Do you have any questions before we begin?

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Respondent Information

1.

Name and title of respondent(s):
______________________________________________________________________________

2.

Please tell us about your responsibilities at your agency/organization as they relate to the
promotion of breastfeeding.

______________________________________________________________________________

Organizational Activities to Promote Breastfeeding
We would like to learn about the WIC breastfeeding promotion activities supported in your organization
in addition to Loving Support peer counseling.
3.

Have you been involved in peer counseling programs to promote breastfeeding prior to
collaborating on the Loving Support peer counseling program?
‰ No
‰ Yes
**If yes, please tell me about the program and how it was similar to and different from Loving
Support peer counseling.

4.

Does your agency provide other breastfeeding promotion services or programs (e.g., support
groups, classes, educational materials) for women, including WIC participants in addition to
Loving Support peer counseling?
‰ No
‰ Yes

ƒ

Media campaigns and/or posting materials in public places.

ƒ

Making lactation consultants and other trained specialists available to WIC participants
and others

ƒ

Support groups or classes for WIC participants and others

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5.

ƒ

Equipment (e.g., breast pumps)

ƒ

Peer counseling or other counseling to WIC participants and others that is different than
Loving Support peer counseling

ƒ

Special training to nutritionists or other staff

ƒ

Warmline or hotline

ƒ

Other

Did you collect any evidence of effectiveness of these efforts? If yes, please describe what you
collected and what you found out.

Collaborating on the Loving Support Peer Counseling Program
Please describe the nature of the collaboration with the Loving Support peer counseling program.
6.

What are its objectives or purposes?

7.

When and how did it get formed?

8.

What are your major activities as they relate to Loving Support peer counseling?

9.

Please describe the number and responsibilities of the staff from your organization as they relate
to the Loving Support peer counseling program.

10.

Please describe the administrative coordination between the two organizations.

11.

What other organizations are involved in the collaboration?

12.

What have been the major accomplishments of the collaboration?

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13.

What have been its challenges and what has been done to overcome these challenges?

Ask Section for Local Hospital Staff Only
14.

We would like to hear more about your infant feeding policies. More specifically,
14.a

Has this hospital been designated a Baby-Friendly Hospital, as outlined by UNICEF and
the World Health Organization?
‰ Yes (Skip to Question 15.)
‰ No (If they have anything less than an official Baby-Friendly designation, such as a
letter of intent, do not skip to Q15.)
‰

14b.

Has the hospital applied for a Certificate of Intent for Baby-Friendly?
‰ Yes
‰ No

14c.

Is the hospital implementing any of the 10 Steps to Successful Breastfeeding outlined by
UNICEF as part of BFHI?
‰ Yes
‰ No

14.d.

Is there rooming in for newborns?
‰ Yes
‰ No

14.e.

Are mothers encouraged to breastfeed within the first hour after birth?
‰ Yes
‰ No

14.f.

Are breastfeeding infants given routine supplementation, including water?
‰ Yes
‰ No

14.g.

Are formula discharge packs, sample formula or formula company materials provided?
‰ Yes

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‰ No
**If yes, who provides the discharge packs?
14.h.

Are there lactation consultants on staff?
‰ Yes
‰ No

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14i.

Does the hospital have a breast pump rental program?
‰ Yes
**If yes, describe:
‰ No

14j.

Has the hospital provided breastfeeding training for nursing staff in the last three years?
‰ Yes
‰ No

14k.

Does the hospital have a breastfeeding policy?
‰ Yes
**If yes, describe:
‰ No

14l.

Does the hospital offer an outpatient breastfeeding clinic?
‰ Yes
**If yes, describe:
‰ No

15.

Do you track the rates of breastfeeding at hospital discharge? If yes, what are they? Have they
gone up or down recently? Why has this change occurred?

16.

Are Loving Support peer counselors able to meet with WIC participants after delivery while they
are still in the hospital? If no, why not? If yes, please describe the arrangements made to make
this possible.
**How you have handled patient privacy issues?

**How have you handled any liability issues?

Funding for Loving Support Peer Counseling Collaboration Activities
17.

Does your organization receive funding from the state or local WIC agency for Loving Support
peer counseling?
‰ Yes
** How much was this for Federal Fiscal Year (FFY) 07? $__________________________
‰ No

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18.

Does your organization commit resources that have not been received from the local WIC agency
to support your activities as they relate to the Loving Support Peer counseling program?
‰ Yes
‰ No (Skip to 20.)

19.

What are the sources of those resources or funding?

20.

Taking into account all sources of funding for Loving Support peer counseling, what percentage
of funding for your work on the Loving Support peer counseling program comes from the FNS
FNS peer counseling grant? (Select one.)
‰
‰
‰
‰
‰

100%
75 - 99%
50 - 74%
25 - 49%
Less than 25%

Training on Loving Support Peer Counseling
21.

Does any of your staff receive training related to the Loving Support peer counseling program?
‰ Yes
‰ No (Skip to 24.)

22.

Below is a table of the types of training that Loving Support peer counselors as well as WIC staff
could potentially receive. Please indicate whether relevant staff from your organization has
received this training.

Type of Training
a. Loving Support peer counseling training
b. Other locally and/or State-offered training
on breastfeeding and/or role of peer
counselors
c. Lactation management training approved
through IBCLSC Continuing Education
Recognition Points (CERPs)
d. Other lactation courses that award
certificates
e. Training in filling out paperwork or data

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Collaborating Organization
Staff…
Received more
Received once
than once

‰

‰

‰

‰

‰

‰

‰

‰

‰

‰

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entry
f.

23.

Other
________________________

(Specify:)

‰

‰

Has anyone from your organization offered any of the training sessions above?
‰ Yes
** Please describe
‰ No

Data Collection Related to the Loving Support Peer Counseling
Program
24.

Does your agency/organization collect information on breastfeeding indicators (e.g., initiation,
duration, exclusivity)?
‰ Yes
‰ No (Skip to 31)

25.

Which of the indicators do you collect and how do you define them?
‰ Breastfeeding initiation.
**How do you define this?
‰ Breastfeeding duration.
**How do you define this?
‰ Breastfeeding exclusivity
**How do you define this?

26.

On a scale of 1 to 5, 1 being the least accurate, please tell us a number that reflects how accurate
you think the data are for each of these items.
Breastfeeding initiation (circle one)

1

2

3

4

5

Breastfeeding duration (circle one )

1

2

3

4

5

Breastfeeding exclusivity (circle one)

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2

3

4

5

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27.

About which populations do you collect these data?
‰ All women receiving services by your agency/organization (Ask 26.a.)
‰ All WIC participants (Ask 26.a.)
‰ Loving Support peer counseling participants only (Skip to 27.)
26a.

Can a separate rate for Loving Support peer counseling participants be calculated?
‰ Yes
‰ No

28.

How are these data collected? Please list each the method for each of the indicators below (e.g.,
entered into a centralized or local data base, collected for periodic surveys, etc.).

A.
B.
C.
Other (Specify:) ___________________________________________
Other (Specify:) ___________________________________________
Other (Specify:) ___________________________________________

29.

Indicator
Breastfeeding
duration
‰
‰
‰
‰
‰
‰

Breastfeeding
exclusivity
‰
‰
‰
‰
‰
‰

Breastfeeding
initiation

Indicator
Breastfeeding
duration

Breastfeeding
exclusivity

‰

‰

‰

‰
‰
‰
‰
‰

‰
‰
‰
‰
‰

‰
‰
‰
‰
‰

Breastfeeding
initiation
‰
‰

Indicator
Breastfeeding
duration
‰
‰

Breastfeeding
exclusivity
‰
‰

‰
‰
‰
‰
‰

‰
‰
‰
‰
‰

‰
‰
‰
‰
‰

How are these kept?

Stored in a local electronic spreadsheet or data base (e.g., Excel,
ACCESS or other data base)
Available in electronic document formats
Available in paper only
Other (Specify:) ___________________________________________
Other (Specify:) ___________________________________________
Other (Specify:) ___________________________________________

30.

Breastfeeding
initiation
‰
‰
‰
‰
‰
‰

How often are these data collected?

On an ongoing basis (at each client contact)
Monthly
Less often than monthly but more often than once a year
Annually
Less often then annually
Other (Specify:) ___________________________________________
Other (Specify:) ___________________________________________
Other (Specify:) ___________________________________________

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31.

How are these data used? (Select all that apply)
‰ Needs assessment
‰ For local evaluations of the breastfeeding promotion efforts
‰ Other (Specify:)

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32.

Loving Support Peer Counseling Program Data Do you collect any data about the Loving Support
peer counseling program?
‰ Yes
‰ No (Skip to 35)

33.

Which of these data items do you collect? (Select all that apply)
‰
‰
‰
‰
‰
‰
‰

Overall number of WIC participants in Loving Support peer counseling
Number of pregnant WIC participants receiving Loving Support peer counseling
Number of postpartum WIC participants receiving Loving Support peer counseling
Type of prenatal Loving Support peer counseling received by individual participants
Frequency of prenatal Loving Support peer counseling received by individual participants
Type of Loving Support peer counseling received by individual participants after delivery
Frequency of Loving Support peer counseling received by individual participants after
delivery
‰ Number of weeks or months over which postpartum Loving Support peer counseling services
are received by individual participants
‰ Demographic information about Loving Support peer counseling participants (e.g., race, age)
‰ Other (Specify:)

34.

How are these data used? (Select all that apply)
‰
‰
‰
‰
‰

35.

Needs assessment
Reporting to the local WIC agency
Reporting to the State WIC agency
For local evaluations of the Loving Support peer counseling program
Other (Specify:)

In addition to using the above data to monitor the performance of Loving Support peer
counseling, is your agency involved in an evaluation of the effectiveness of Loving Support peer
counseling?
‰ Yes
**Please describe
‰ No

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Beginning and Adapting the Loving Support Peer Counseling
Program
36.

When your organization/agency first began its collaboration on the Loving Support peer
counseling program, what changes were made in terms of the following?
**Staffing (e.g., new hires, changes in responsibilities of existing staff)
**General operations
**Purchase of new equipment
**Engaging staff in the initiative
**Changing policies to accommodate the needs of peer counselors and other program staff
**Other (Please specify)

37.

Have any of the types of changes listed below been made in your collaboration with the Loving
Support peer counseling program since it started? If yes, please describe the change and why it
was made.

Key Changes Made in Peer Counseling Program
Since Inception
‰

Expansion or contraction of Loving Support
peer counseling services.

‰

Staffing for the peer counseling program at your
organization

‰

Training content/procedures for Loving Support
peer counseling that your staff receives

‰

Coordination procedures with the local WIC
agency

‰

Additions or reductions in the organizations
involved in the local collaboration for the
Loving Support peer counseling program
Types of data/documentation maintained
regarding the peer counseling services

‰

‰

Funding (sources, amount, etc.)

‰

Other
(Specify)_____________________________

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Describe the change. Why was the
change made?

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38.

In the coming year, will any of the types of changes listed below be made in your local Loving
Support peer counseling program? If yes, please describe the change and why it will be made.

Key Changes Anticipated in Next Fiscal Year

Describe change. Why is the change
planned or anticipated?

Expansion or contraction of Loving Support
peer counseling services.
[If collaborating agency is discontinuing work on
the Loving Support peer counseling program, please
provide detailed information about reasons.]
‰ Staffing for the peer counseling program at your
organization
‰

‰

Training content/procedures for Loving Support
peer counseling that your staff receives

‰

Coordination procedures with the local WIC
agency

‰

Additions or reductions in the organizations
involved in the local collaboration for the
Loving Support peer counseling program
Types of data/documentation maintained
regarding the peer counseling services

‰

‰

Funding (sources, amount, etc.)

‰

Other (Specify)

Local Perceptions of Loving Support Peer Counseling Program
39.

Do you track the program’s effects and if so, what have you learned?

40.

What are the typical responses of WIC mothers to Loving Support peer counseling services they
receive overall and during various times before and after their baby’s birth? How have you
learned this? For example, anecdotal information, participant surveys?

41.

What are the reactions or attitudes of your organizations’ staff about the Loving Support peer
counseling program?

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** In terms of the importance of breastfeeding in general?
** In terms of the importance of the WIC program?
** In terms of the value or importance of peer counseling services to WIC mothers?
** In terms of the value or importance of peer counseling services to WIC infants?
** In terms of the quality of work peer counselors perform?
**In terms of how implementation of Loving Support peer counseling affects the
other work of your staff?

42.

What are your major achievements and major challenges of the Loving Support peer counseling
program since it began in this local WIC agency?

1.

2.

3.

43.

What are the lessons learned in this collaboration that you’d like to share with others who would
enter into a similar collaboration?

44.

Are there areas where you believe more guidance or technical assistance from the State WIC
agency or USDA would be useful?

1.

2.

3.

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45.

When you think about the Loving Support peer counseling program, is there a person you would
consider its champion—whose efforts and enthusiasm really make it work?
‰ Yes
If yes, Who is this person?
‰ No

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File TitleMicrosoft Word - WIC Peer C Community Collaborator Interview Guide 6.27.08.doc
AuthorNicholsonJ
File Modified2008-06-27
File Created2008-06-27

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