Final Practicum Project Santa Rosa Clinic

Practicum Project: The Greater Los Angeles Lactation Center at the Santa Rosa Family Medical Clinic

Population Health Assessment

Windshield Survey Performed on East LA Community

Focus: education & initiation of BF/12 months post-partum

Access to HCS for lactation assistance

Cultural beliefs surrounding breastfeeding


Agency Visits

GLALC: 4055 Whittier Blvd. Los Angeles, CA 90023

Attached to a full-service clinic providing well-family, well-child care

Student visits 3x/week

Community Outreach/Engagement

Target Population

Families experiencing BF difficulties (intervention)

Families considering BF (promotion)

Families seeking ongoing support for current BF (maintenance)

Summary of the Problem

The American Academy of Pediatrics (AAP): “optimal method for feeding /promotes/ best health, developmental and psychosocial outcomes for children.”

US Dept. of Health and Human Svs (DHHS) 2010 BF goals: -increase BF in early postpartum to at least 74%. -increase BF 6 months or longer by 50%. -Increase BF 12 mo. Or longer by 25%

The population most likely to BF are middle/upper-class, Caucasian women.

Comparison to State, National, Global Communities

The BF Drop-Off

Challenges: BF after 6 mo.

Nursing Diagnoses

Readiness for enhanced knowledge about Breastfeeding practices (BF holds, BF troubleshooting, mastitis prevention)

Knowledge deficit r/t inability to access BF materials in native language

Focus and Name of Project

The Greater Los Angeles Lactation Center (GLALC) seeks to:

Provide Access



Culturally inclusive model


Supportive interventions (difficulties) – 1:1, NP visit, LC visit

Promote the benefits of for at least 12 months

– Distribution of edu. materials, presentations, forums

Encourage current efforts

– “safe talking space,” 1:1, forming peer bonds

Nola Pender’s Health Promotion Model Used to By GLALC

Health is a positive dynamic state, not just the absence of disease.

Health promotion reflects the multidimensional nature of persons as they interact with their environment.

***Persons commit to engaging in bx from which they anticipate deriving personally valued benefits.

Program Marketing

Farmer’s Market/Health Fair visits by Outreach Coordinators

Flyers in English and Spanish

Open House, August 2013

Cultural Diversity

English/Spanish speaking MMDSON students along with clinic educators

Educational materials in various languages

Educational materials for specific cultural groups: -African Americans -Latinas -Asian American -Native American women

Evaluation Methods

300 projected served in the first year June 2013-2014

Quarterly reports generated for the CA Endowment

Annual Report to Charles R. Drew, Office of Strategic Advancement

In-clinic monitoring of BF increases in overall clinic population and maintenance of >6 months

Agency Budget

Annual projected operating budget: $30,000

Major funding sources: CA Endowment, CDrew MMM Grant, Private donations and in-kind donations.

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