Colorado

State Score: 38% (14.50 / 38.5)

Rank: Tied For 21st

WBTi United States and Territories

2017 Baseline Report

What does WBTi assessment show us?

The World Breastfeeding Trends Initiative (WBTi) aims to stimulate action, not simply to collect information. Having more information is not helpful unless there are strategies in place for translating the information into tools for change and for taking action to improve the situation. The WBTi aims to stimulate research, investigation, ask questions, and find out why optimal infant and young child feeding (IYCF) does or does not occur. It offers an opportunity for comprehensive analysis to stimulate action for change.

To see the full national report for the United States, please visit:
http://www.worldbreastfeedingtrends.org/GenerateReports/report/WBTi-United-States-2016.pdf
To see the full state report for Colorado, please visit: https://www.wbtiusa.org

Optimal IYCF is one of the ways to decrease infant and maternal mortality.

CHARTS/NUMBERS

INDICATOR 1 Is there a statewide policy that protects, promotes, and supports optimal IYCF/breastfeeding and if so, is the policy supported by a government program? Is there a mechanism to coordinate the statewide IYCF committee and a state-employed coordinator for the committee?	Criteria	Results
	1.1) A statewide infant and young child feeding (IYCF)/breastfeeding policy has been officially adopted/approved by the government. (1)	0.00
	1.2) The policy recommends exclusive breastfeeding for the first six months, complementary feeding to be started after six months and continued breastfeeding up to 2 years and beyond. (1)	0.00
	1.3) A statewide plan of action has been developed based on the policy. (2)	1.00
	1.4) The plan is adequately funded. (2)	1.00
	1.5) There is a Statewide Breastfeeding Committee/ IYCF Committee. (1)	1.00
	1.6) The statewide breastfeeding/IYCF committee meets, monitors, and reviews progress on a regular basis. (1.5)	0.00
	1.7) The statewide breastfeeding/IYCF committee links effectively with all other sectors like health, nutrition, information etc. (.5)	0.00
	1.8) There is a state-employed breastfeeding coordinator with a clearly defined role, including regularly communicating statewide policy. (1) (WIC only .5)	0.50
	Total Score	3.5/10

WBTiExpert Panel convened by Healthy Children Project, Inc.

www.centerforbreastfeeding.org

Colorado

State Score: 38% (14.50 / 38.5)

Rank: Tied For 21st

WBTi United States and Territories

2017 Baseline Report


INDICATOR 4 Are there laws or other measures that meet or go beyond the International Labor Organization (ILO) standards for protecting and supporting breastfeeding mothers, including those working mothers in the informal sector?	Criteria	Results
	4.1) Women covered by state legislation are allowed the following weeks of paid maternity leave: any leave less than 14 wks (.5), 14-17 wks (1), 18-25 wks (1.5), or 26 wks or more (2).	0.00
	4.2) Women covered by state legislation are allowed at least one breastfeeding break or reduction of work hours daily: unpaid break (.5) or paid break (1).	0.50
	4.3) State legislation requires private sector employers of women in the state to: give at least 14 wks paid maternity leave (.5) and/or paid nursing breaks (.5)	0.00
	4.4) There is provision in state legislation that provides for worksite accommodation for breastfeeding and/or childcare in work places in the formal sector: space for breastfeeding/breastmilk expression (.5) and/or onsite daycare (.5).	1.00
	4.5) Women in informal/unorganized and agriculture sector are: accorded some protective measures (.5) or accorded the same protection as women working in the formal sector (1).	0.00
	4.6) Information about maternity protection laws, regulations, or policies is made available to workers (.5) and/or there is a system for monitoring compliance and a way for workers to complain if their entitlements are not provided (.5).	0.50
	4.7) Paternity leave is granted in public sector for at least 3 days (.5) and/or in the private sector for at least 3 days (.5).	0
	Total Score	2/8.5


INDICATOR 9 Are policies and programs in place to ensure that mothers, infants, and young children will be provided adequate protection for IYCF during emergencies?	Criteria (0-No, 1-Some Degree, 2-Yes)	Results
	9.1) The state has a comprehensive policy on infant and young child feeding that includes infant feeding in emergencies (IFE) and contains all basic elements included in the IFE Operational Guidance. (0,1,2)	0.00
	9.2) Person(s) tasked with responsibility for statewide coordination with all relevant partners such as the Red Cross, FEMA, state EMA, donors, military and NGOs regarding infant and young child feeding in emergency situations have been appointed. (0,1,2)	0.00
	9.3) An emergency preparedness and response plan based on the practical steps listed in the Operational Guidance has been developed and put into effect in most recent emergency situations. (0,1,2)	0.00
	9.4) Resources have been allocated for implementation of the emergency preparedness and response plan. (0,1,2)	0.00
	9.5) Appropriate orientation and training material on infant and young child feeding in emergencies has been integrated and is taking place in pre-service and in-service training for emergency management and relevant health care personnel. (0,1,2).	0.00
	Total Score	0/10


INDICATOR 10 Are monitoring and evaluation systems in place that routinely collect, analyze, and use data to improve IYCF practices?	Criteria (0-No, 1-Some Degree, 2-Yes)	Results
	10.1) Monitoring and evaluation components are built into major infant and young child feeding program activities. (0,1,2)	2.00
	10.2) Data/information on progress made in implementing the IYCF program are used by program managers to guide planning and investments decisions. (0,1,2)	2.00
	10.3) Data on progress made in implementing IYCF program activities routinely collected at statewide levels. (0,1,2)	2.00
	10.4) Data/information related to infant and young child feeding program progress are reported to key decision-makers. (0,1,2)	1.00
	10.5) Monitoring of key infant and young child feeding practices is integrated into the statewide nutritional surveillance system, and/or health information system or statewide health surveys. (0,1,2)	2.00
	Total Score	9/10

WBTiExpert Panel convened by Healthy Children Project, Inc.

www.centerforbreastfeeding.org

Colorado

Sources and Comments

WBTi United States and Territories

2017 Baseline Report

Indicator

1.1

Source(s)

1. https://www.colorado.gov/pacific/sites/default/files/PF_BF_CO-State-BF-Laws.pdf

Comment(s)

1. State has breastfeeding in public protection law, RTW ? breastfeeding law, and a breastfeeding in relation to being ? excused from jury duty.

1.2

Source(s)

1. https://www.colorado.gov/pacific/sites/default/files/PF_BF_CO-State-BF-Laws.pdf

Comment(s)

1. Although the state return to work and breastfeeding law has ? language in the law that recommends breastfeeding for the first ? six months atlas until one year or as long as mutually decided. ? However, exlusivity and up to 2 years and beyond is not addressed

1.3

Source(s)

1. https://www.colorado.gov/pacific/sites/default/files/PF_BF_Breastfeeding-Action-Guide.pdf

2. https://www.colorado.gov/pacific/sites/default/files/OPP_2015-CO-State-Plan.pdf

Comment(s)

1. Colorado Department of health and environmental strategic plan ? list breastfeeding as a performance evaluation/strategy to for ? indicators of obesity.

2. Also, they have a plan to develop policies for their state ? healthy people 2020 goals.

3. Colorado also has the Maternal and Child Health (MCH) Action ? guide to help local health agencies and community partners ? develop SMART objectives to promote, protect and support ? breastfeeding. https://www.colorado.gov/pacific/sites/default/files/PF_BF_Breast? feeding-Action-Guide.pdf

1.4

Source(s)

1. http://www.astho.org/accreditation/colorado-strategic-plan/

Comment(s)

1. The Colorado Department of Health and Environment fund is $442 ? million. However, it does not reveal the exact amount of funding? delegated for infant nutrition.

1.5

Source(s)

1. https://cobfc.org

Comment(s)

1.6

Source(s)

1. https://www.facebook.com/COBFC/photos/a10151081065173890.458624.106130333889/10155102460163890/?type=3&theater

Comment(s)

1. Although there are no minutes available via website displaying ? evidence of regular meetings, according to the state coalitions ? active Facebook account meetings are held monthly. Would advise ? coalition to submit policy and evidence of regular meetings.

1.7

Source(s)

1. https://www.colorado.gov/pacific/cdphe/colorado-breastfeeding-coalition

Comment(s)

1. "made up of health care professionals and breastfeeding ? supporters who promote and support breastfeeding. The coalition's? goal is to create a unified effort across the state."

1.8

Source(s)

1. https://www.nwica.org/states/colorado

Comment(s)

1. a state WIC breastfeeding coordinator duties limited to ? exclusively serve WIC

4.1

Source(s)

1. http://www.ncsl.org/research/labor-and-employment/state-family-and-medical-leave-laws.aspx

2. https://www.legalmomentum.org/content/colorado-laws-relating-pregnancy

Comment(s)

4.2

Source(s)

1. https://www.dol.gov/wb/maps/

2. https://www.legalmomentum.org/content/colorado-laws-relating-pregnancy

Comment(s)

1. An employer must provide a nursing employee reasonable daily ? unpaid break time, or allow her to use paid break or meal time, ? or both, to express breast milk for up to two years after ? childbirth. The employer must make reasonable efforts to provide ? the employee with a private space close to her work area, other ? than a toilet stall, to express milk. This requirement applies to? all employers. Colo. Rev. Stat. 8-13.5-101-104.

3. SCORE SHOULD BE 0.5

4.3.a

Source(s)

1. http://www.ncsl.org/research/labor-and-employment/state-family-and-medical-leave-laws.aspx

2. https://www.legalmomentum.org/content/colorado-laws-relating-pregnancy

Comment(s)

4.3.b

Source(s)

1. http://www.ncsl.org/research/labor-and-employment/state-family-and-medical-leave-laws.aspx

2. https://www.legalmomentum.org/content/colorado-laws-relating-pregnancy

Comment(s)

4.4.a

Source(s)

1. https://www.dol.gov/wb/maps/

Comment(s)

4.4.b

Source(s)

1. https://www.cdc.gov/breastfeeding/pdf/2016breastfeedingreportcard.pdf

Comment(s)

1. Data on employer provision of onsite daycare was not found.

4.5

Source(s)

1. https://www.dir.ca.gov/dlse/

2. https://www.colorado.gov/pacific/cdle/migrantfarmworkers

Comment(s)

4.6.a

Source(s)

1. https://www.colorado.gov/pacific/cdle/leave

2. https://www.colorado.gov/pacific/cdle/NursingMothers

Comment(s)

1. National DOL Interactive map quotes Colo. Rev. Stat. ? 24-34-402.3.and 3 Colo. Code Regs. 708-1:80. extending ? protections and accommodations to pregnancy & childbirth related ? conditions.

2. https://www.colorado.gov/pacific/sites/default/files/CCRD%20Notic? e%20re%20Pregnant%20Workers%20Fairness%20Act%20%282%29.pdf

3. SCORE SHOULD BE 0.5

4.6.b

Source(s)

1. https://www.colorado.gov/pacific/cdle/NursingMothers

2. https://www.colorado.gov/pacific/cdle/complaint-forms

Comment(s)

1. No clear process for filing complaints, although CO does have ? employer posters about pregnancy and breastfeeding workers' ? rights

4.7

Source(s)

1. http://family.findlaw.com/paternity/paternity-leave.html

2. http://www.nationalpartnership.org/research-library/work-family/paid-leave/state-paid-family-leave-laws.pdf

Comment(s)

1. Only federal protections

4.8

Source(s)

1. http://family.findlaw.com/paternity/paternity-leave.html

2. http://www.nationalpartnership.org/research-library/work-family/paid-leave/state-paid-family-leave-laws.pdf

Comment(s)

1. Only federal protections

4.9

Source(s)

1. https://www.colorado.gov/pacific/cdle/leave

2. https://www.colorado.gov/pacific/sites/default/files/CCRD%20Notice%20re%20Pregnant%20Workers%20Fairness%20Act%20%282%29.pdf

Comment(s)

1. ?????State DOL says CO has no laws or policies protecting ? pregnant workers???

2. National DOL Interactive map quotes Colo. Rev. Stat. ? 24-34-402.3.and 3 Colo. Code Regs. 708-1:80. extending ? protections and accommodations to pregnancy & childbirth related ? conditions.

3. SCORE SHOULD BE 0.5

4.10

Source(s)

1. https://www.dol.gov/wb/maps/

2. https://www.legalmomentum.org/content/colorado-laws-relating-pregnancy

Comment(s)

1. unclear whether job protection is included

9.1

Source(s)

1. https://www.colorado.gov/pacific/c-seap/food-and-financial-services

2. https://www.colorado.gov/pacific/dhsem/preparedness-1

Comment(s)

2. https://www.colorado.gov/pacific/dhsem/plans

9.2

Source(s)

1. https://www.colorado.gov/pacific/dhsem/director-biography

2. https://www.colorado.gov/pacific/cdphe/emergency-preparedness-supplies-calculator

Comment(s)

1. Yes there is a director of homeland security and emergency ? management. However, there is no indication on the website of ? exact roles and responsibilities. Also, nothing is mentioned in ? reference to infant feeding. No policy focused on protecting breastfeeding. Only reference to "nursing mothers may need liquid formula."

9.3.a

Source(s)

1. https://www.colorado.gov/pacific/cdphe/planning-and-preparedness

Comment(s)

1. Colorado has policies and plans related to emergency response. ? However, there is no policy or plan specifically referencing ? emergency preparedness for infant feeding.

9.3.b

Source(s)

1. https://www.colorado.gov/pacific/cdphe/planning-and-preparedness

Comment(s)

1. No evidence found

9.4

Source(s)

1. https://www.colorado.gov/pacific/sites/default/files/OEPR5_HPP-PHEPFOA_SupplementalGuidance_ExecutiveSummary.pdf

Comment(s)

1. Financial resources are allocated for Emergency preparedness. ? However, no specific figure is mentioned and no infant feeding ? budget.

9.5.a

Source(s)

1. http://www.coemergency.com/p/training.html

Comment(s)

9.5.b

Source(s)

1. http://www.coemergency.com/p/training.html

Comment(s)

10.1

Source(s)

1. https://www.colorado.gov/cdphe/psd/ns

Comment(s)

1. This state has one major infant and young child feeding program, ? Special Supplemental Nutrition Program for Women, Infants and ? Children (WIC). Into the WIC program are built monitoring and ? evaluation components.

10.2

Source(s)

1. https://www.colorado.gov/cdphe/psd/ns

Comment(s)

10.3

Source(s)

1. https://www.colorado.gov/cdphe/psd/ns

Comment(s)

10.4

Source(s)

1. https://www.fns.usda.gov/pd/wic-program

Comment(s)

1. All states report program data to UDSA office. USDA is ? considered the key-decision maker. The majority of the ? information reported is program data ie client participation and ? program costs.

10.5

Source(s)

1. https://www.cdc.gov/prams/index.htm

2. http://www.chd.dphe.state.co.us/topics.aspx?q=Maternal_Child_Health_Data

Comment(s)

1. Colorado Child Health Survey - A child health survey module is ? used in conjunction with the Behavior Risk Factor Surveillance ? System (BRFSS) to fill in gaps of health data for children ages ? 1-14 years. Colorado adults who are interviewed for the BRFSS are? asked if a child is n the home and are later interviewed to ? assess a variety of health topics. Included are questions that ? address fruit and vegetable intake, sugar sweetened beveages, ? food insercuity and family meals. Questions about fruit and ? vegetable intake and family meals are often used as indicators ? for overall diet quality.

WBTiExpert Panel convened by Healthy Children Project, Inc.