Page 9 - Demo

Results from the drinking breast milk as an infant question dovetail with other report findings. Just as lower percentages of participants reported already doing or making progress in breastfeeding practices than other areas, the lowest percent of participants perceived a connection between drinking breast milk as an infant and a child’s growth and health.
Challenges. At follow-up, 66.6% of providers reported at least one challenge and close to 30% of participants reported having no challenges in creating healthy practices or routines in their child care program. The areas cited most frequently as an area of challenge at follow-up included:
 Lack of support from parents (34.7%)
 Not enough money to make changes (33.4%)
 Not enough equipment to make changes (20.4%)
 Not enough training to make changes (20.3%)
There were no significant changes in the percent of providers reporting each challenge from baseline to follow-up. However, when examining the mean number of challenges reported by provider, there were differences by site type and by coaching status such that center-based participants reported a greater number of challenges at follow-up than family child care providers, and participants who received coaching reported a greater number of challenges than participants who did not receive any coaching at follow-up. It is possible that participants experiencing greater challenges were more likely to seek out coaching, thus self-selecting into the coaching group, than participants who did not experience as many challenges at baseline.
At follow-up, 46.6% of participants identified at least one challenge and 37.0% of participants reported no challenges in creating written rules or guidelines in their child care program. At follow-up the most frequently cited challenges were:
 Lack of support from parents (21.6%)
 Not enough time to write rules or guidelines (17.9%)
 Not enough training to make changes (16.8%)
Furthermore, there were no statistically significant differences in individual items from baseline to follow-up. However, when summed at both baseline and follow-up, center-based participants reported more challenges in this area at follow-up than family child care providers, and participants who received CHLA CC coaching reported more challenges at follow-up than participants who did not receive coaching.
When asked what resource could help them the most in their efforts to create a healthy child care environment, more materials for parents and more printed information were the options
Improving Health in Child Care Settings: 2016 5