Indiana

State Score: 47% (18.00 / 38.5)
Rank: 7th
 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 Indiana, 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)
1.00
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)
2.00
1.4) The plan is adequately funded. (2)
0.00
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)
0.50
1.7) The statewide breastfeeding/IYCF committee links effectively with all other sectors like health, nutrition, information etc. (.5)
0.50
1.8) There is a state-employed breastfeeding coordinator with a clearly defined role, including regularly communicating statewide policy. (1) (WIC only .5)
1.00
Total Score
5.5/10

WBTiExpert Panel convened by Healthy Children Project, Inc.

www.centerforbreastfeeding.org

Indiana
State Score: 47% (18.00 / 38.5)
Rank: 7th
 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).
1.00
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)
0.50
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).
0.50
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
2.5/8.5
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)
2.00
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
2/10
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)
1.00
Total Score
8/10

WBTiExpert Panel convened by Healthy Children Project, Inc.

www.centerforbreastfeeding.org   


Indiana
Sources and Comments    
 WBTi United States and Territories 2017 Baseline Report   
Indicator
1.1
Source(s)
1. www.ncs.org/research/health/breastfeeding-state-laws.aspx
2. www.breastfeedinglaw.com/state-laws/indiana
Comment(s)
1. Laws on workplace BF and public BF only; "The Indiana State Breastfeeding Plan a roadmap for statewide ? programming that links current initiatives, mobilizes key public ? health, hospital, and community stakeholders and identifies ? feasible high-leverage changes to improve breastfeeding rates ? across the state of Indiana."
1.2
Source(s)
1. https://www.in.gov/isdh/files/Indiana_State_Breastfeeding_Plan_Final_2016(2).pdf
Comment(s)
1. "This is an ambitious but feasible plan to increase rates of ? exclusive breastfeeding at three months, exclusive breastfeeding at six months, and any breastfeeding at ? six months among all mothers, as well as rates of exclusive breastfeeding at hospital discharge among ? underserved populations, by 2020." Does not address complementary feeding or two years and beyond
1.3
Source(s)
1. https://www.in.gov/isdh/files/Indiana_State_Breastfeeding_Plan_Final_2016(2).pdf
Comment(s)
1. Statewide plan of action based on importance of breastfeeding ? which is a key component of Indiana's effort to reduce infant ? mortality rates. No Policy, but clearly the "plan" agrees with ? IYCF
1.4
Source(s)
1. https://www.in.gov/isdh/files/Indiana_State_Breastfeeding_Plan_Final_2016(2).pdf
Comment(s)
1. No policy found
1.5
Source(s)
1. www.indianabreastfeeding.org
Comment(s)
1. State and county coalitions (38)
1.6
Source(s)
1. www.indianabreastfeeding.org/monthly-meetings.html
2. www.indianabreastfeeding.org/coalitions.html
Comment(s)
1. Each county has a coalition for 38 total! Monthly meetings but no evidence of monitoring and reviewing ? progress
1.7
Source(s)
1. https://www.in.gov/isdh/files/Indiana_State_Breastfeeding_Plan_Final_2016(2).pdf
Comment(s)
1. Indiana State Breastfeeding Plan includes coordination with many ? agencies; No evidence of effectiveness .,5
1.8
Source(s)
1. www.nwica.org/state/indiana
Comment(s)
1. Have a separate WIC and nutrition coordinator and a state ? breastfeeding coordinator who coordinates with perinatal network ? and coalitions
4.1
Source(s)
1. http://hr.blr.com/HR-topics/Discrimination/Pregnancy-Maternity/Indiana
2. https://www.legalmomentum.org/content/indiana-laws-relating-pregnancy
Comment(s)
1. The Indiana Civil Rights Law prohibits employment practices that ? discriminate on the basis of sex. This means that employers ? should ensure that their policies do not negatively impact one ? sex more than the other. The Law covers employers with six or ? more employees.
4.2
Source(s)
1. http://breastfeedinglaw.com/state-laws/indiana/
2. https://www.dol.gov/wb/maps/
Comment(s)
1. "IC 5-10-6-2 Paid breaks for expressing breast milk Sec. 2. (a) The state and political subdivisions of the state ? shall provide reasonable paid break time each day to an employee ? who needs to express breast milk for the employee's infant child.? The break time must, if possible, run concurrently with any ? break time already provided to the employee. The state and ? political subdivisions are not required to provide break time ? under this section if providing break time would unduly disrupt ? the operations of the state or political subdivisions. (b) The state and political subdivisions of the state shall make ? reasonable efforts to provide a room or other location, other ? than a toilet stall, in close proximity to the work area, where ? an employee described in subsection (a) can express the ? employee's breast milk in privacy. The state and political ? subdivisions shall make reasonable efforts to provide a ? refrigerator or other cold storage space for keeping milk that ? has been expressed. The state or a political subdivision is not ? liable if the state or political subdivision makes a reasonable ? effort to comply with this subsection. As added by P.L.13-2008, SEC.2."
2. All employers with twenty-five or more employees must, to the ? extent reasonably possible, provide a private location, other ? than a toilet stall, where an employee can express milk during ? any time away from the employee's assigned duties. Such employers? must also, to the extent reasonably possible, provide a cold ? storage space for employees to keep expressed milk, or allow ? employees to provide their own portable refrigerator for such a ? purpose. Ind. Code  22-2-14-2. Public employees receive ? supplemental protections. Public employers must provide ? reasonable daily paid break time, to run concurrently with any ? other break time, for employees to express breast milk, unless ? doing so would unduly disrupt the employer's operations. Public ? employers must also make reasonable efforts to provide a private ? room near an employee's work area, other than a toilet stall, ? where she can express milk. Ind. Code  5-10-6-2.
4.3.a
Source(s)
1. http://hr.blr.com/HR-topics/Discrimination/Pregnancy-Maternity/Indiana
2. https://www.dol.gov/wb/maps/; https://www.legalmomentum.org/content/indiana-laws-relating-pregnancy
Comment(s)
1. Only federal protections apply
4.3.b
Source(s)
1. http://breastfeedinglaw.com/state-laws/indiana/
2. https://www.dol.gov/wb/maps/
Comment(s)
1. "IC 5-10-6-2 Paid breaks for expressing breast milk Sec. 2. (a) The state and political subdivisions of the state ? shall provide reasonable paid break time each day to an employee ? who needs to express breast milk for the employee's infant child.? The break time must, if possible, run concurrently with any ? break time already provided to the employee. The state and ? political subdivisions are not required to provide break time ? under this section if providing break time would unduly disrupt ? the operations of the state or political subdivisions. (b) The state and political subdivisions of the state shall make ? reasonable efforts to provide a room or other location, other ? than a toilet stall, in close proximity to the work area, where ? an employee described in subsection (a) can express the ? employee's breast milk in privacy. The state and political ? subdivisions shall make reasonable efforts to provide a ? refrigerator or other cold storage space for keeping milk that ? has been expressed. The state or a political subdivision is not ? liable if the state or political subdivision makes a reasonable ? effort to comply with this subsection. As added by P.L.13-2008, SEC.2."
2. All employers with twenty-five or more employees must, to the ? extent reasonably possible, provide a private location, other ? than a toilet stall, where an employee can express milk during ? any time away from the employee's assigned duties. Such employers? must also, to the extent reasonably possible, provide a cold ? storage space for employees to keep expressed milk, or allow ? employees to provide their own portable refrigerator for such a ? purpose. Ind. Code  22-2-14-2. Public employees receive ? supplemental protections. Public employers must provide ? reasonable daily paid break time, to run concurrently with any ? other break time, for employees to express breast milk, unless ? doing so would unduly disrupt the employer's operations. Public ? employers must also make reasonable efforts to provide a private ? room near an employee's work area, other than a toilet stall, ? where she can express milk. Ind. Code  5-10-6-2.
3. SCORE SHOULD BE 0.5
4.4.a
Source(s)
1. http://breastfeedinglaw.com/state-laws/indiana/
2. https://www.dol.gov/wb/maps/
Comment(s)
1.
3. SCORE SHOULD BE 0.5
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. http://www.in.gov/dol/files/osha3165.pdf
2. http://www.in.gov/dwd/2455.htm
Comment(s)
1. Only federal protections
4.6.a
Source(s)
1. http://www.in.gov/dol/files/osha3165.pdf
Comment(s)
1. Unclear if safety information and reportng process made available? to worker
4.6.b
Source(s)
1. http://www.in.gov/dol/files/osha3165.pdf
Comment(s)
1. Unclear if employers are required to make available
3. SCORE SHOULD BE 0.5
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. http://www.in.gov/dol/files/osha3165.pdf
2. https://www.dol.gov/wb/maps/
Comment(s)
1. Only federal protections
4.10
Source(s)
1. http://www.in.gov/dol/files/osha3165.pdf
2. https://www.dol.gov/wb/maps/
Comment(s)
1. Unclear whether job protection is included; also unclear whether ? law applies to breastfeeding period.
9.1
Source(s)
1. www.in.gov/isdh/25522
2. www.in.gov/isdh/files/surgeongeneral/checklist
Comment(s)
1. No policy found
9.2
Source(s)
1. www.in.gov/isdh/25522
2. www.indianabreastfeeding.org
Comment(s)
1. No evidence found
9.3.a
Source(s)
1. www.indianabreastfeeding.org
2. www.in.gov/isdh/25522
Comment(s)
1. No evidence found
9.3.b
Source(s)
1.
Comment(s)
1. No evidence found
9.4
Source(s)
1. www.in.gov/isdh/25522
Comment(s)
1.
9.5.a
Source(s)
1.
Comment(s)
1. No evidence found
9.5.b
Source(s)
1. www.in.gov/dhs
2. myoracle.in.gov/hs/training/public/calendar.do
Comment(s)
1.
10.1
Source(s)
1. https://secure.in.gov/isdh/19691.htm
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://secure.in.gov/isdh/19691.htm
Comment(s)
1.
10.3
Source(s)
1. https://secure.in.gov/isdh/19691.htm
Comment(s)
1.
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
Comment(s)
1.
2. No statewide toddler feeding survey found.

WBTiExpert Panel convened by Healthy Children Project, Inc.

www.centerforbreastfeeding.org