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Review of local agency LAPs and nutrition services monitoring results show few local agencies have implemented the Make a Plan (MAP) checklist and documentation of specific actions to assist in breastfeeding success.

As a result, the State agency developed a required strategy for local agencies to implement the MAP checklist during prenatal second contacts. Indicators include FFY2019-2021: CT-WIC MIS (Management Information System).

*Beginning with 2022 State Plan submission, we will report available complete calendar year data based on previous calendar year. breastfeeding. The Nutrition Services monitor was able to validate that two of the three agencies reviewed utilize the Make a Plan (MAP) checklist during counseling. In one agency reviewed there were several findings that indicated staff are not providing early and frequent breastfeeding education and support to women during the prenatal period. Additionally, in FY 2024 the one enhanced breastfeeding review conducted showed 70% compliance with CT Guidelines for Breastfeeding Promotion and Support. (Short of the 80% benchmark) During the monthly Breastfeeding Coordinator calls, the State agency Breastfeeding Unit focused on implementing targeted prenatal breastfeeding counseling at second contacts to ensure participants meet their established feeding goals. Local agency breastfeeding coordinators worked together to develop guidance for training, implementation and quality assurance for the LAP breastfeeding initiation strategy.