Duncan Rebecca, Coleman Jabina, Herring Sharon, Kawan Meg, Santoro Christy, Atre Meghana, Mason Aleigha, Moore Shawana, Kumar Aparna
Breastfeeding Awareness and Empowerment (BAE), Philadelphia, PA 19132, USA.
Obstetrics and Reproductive Sciences, Temple University, Philadelphia, PA 19140, USA.
Societies (Basel). 2022 Feb;12(1). doi: 10.3390/soc12010028. Epub 2022 Feb 18.
1 BACKGROUND: Critical gaps in the U.S. healthcare system perpetuate adverse reproductive health outcomes for Black people. Grounded in reproductive justice and trauma-informed care, Breastfeeding Awareness and Empowerment (BAE) has developed a program titled BAE Cafe to directly address these gaps by providing community-based lactation and perinatal mental health support. A literature review identified key programmatic gaps, namely, access to knowledge relevant to troubleshooting breastfeeding, peer support, community support and healthcare system support, and system-level factors that impede families and communities from accessing lactation support.
2 METHODS: This paper describes BAE Cafe through a group process observation and participant survey.
3 RESULTS: The observation of groups highlighted the core elements of the BAE Cafe model: knowledge, support and mental health support in a peer driven format. Participant survey feedback was overwhelmingly positive and highlighted the critical importance of lactation support for Black women by Black women and BAE's role in participants' decisions to continue breastfeeding.
4 CONCLUSIONS: BAE Cafe is a replicable, scalable, peer-driven and low-barrier intervention that has the potential to improve outcomes for Black families. Additional research and investment are now needed to assess large-scale implementation to reduce disparities and address health inequity across different contexts and settings.
背景：美国医疗保健系统中的重大差距使黑人的不良生殖健康结果长期存在。基于生殖正义和创伤知情护理，母乳喂养意识与赋权组织（BAE）开发了一个名为“BAE咖啡馆”的项目，通过提供基于社区的哺乳和围产期心理健康支持来直接解决这些差距。一项文献综述确定了关键的项目差距，即获取与解决母乳喂养问题相关的知识、同伴支持、社区支持和医疗保健系统支持，以及阻碍家庭和社区获得哺乳支持的系统层面因素。
方法：本文通过小组过程观察和参与者调查来描述“BAE咖啡馆”。
结果：对小组的观察突出了“BAE咖啡馆”模式的核心要素：以同伴驱动的形式提供知识、支持和心理健康支持。参与者的调查反馈总体上是积极的，并强调了黑人女性对黑人女性哺乳支持的至关重要性，以及BAE在参与者决定继续母乳喂养方面所起的作用。
结论：“BAE咖啡馆”是一种可复制、可扩展、同伴驱动且障碍较低的干预措施，有可能改善黑人家庭的状况。现在需要进行更多的研究和投资，以评估大规模实施情况，以减少差异并解决不同背景和环境下的健康不平等问题。
