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Colorado Maternal and Child Health Program
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Positive Child and Youth Development Logic Model
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Overarching Goal: All Colorado children and youth have developmentally appropriate and culturally responsive relationships, and have access to the environments and opportunities they need to physically and emotionally thrive.
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INPUTSSTRATEGIESOUTPUTSSHORT-TERM OUTCOMESMEDIUM-TERM OUTCOMESLONG-TERM OUTCOMESIMPACT
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Accomplished in
6 months - 1 yr
Accomplished in 1-3 yrs.Accomplished in 3-5 yrs.5-10+ years
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ABCD
Advisory committees
Community engagement (YPH/CAB/Other relevant groups)
CDHS
CDE
CDEC
Child care health consultants
Community colleges
CSU, MSU other higher ed institutions
CSU farm to institution surveys
CO Baby-Friendly Hospital Collaborative (CBFHC)
CO Food Systems Advisory Committee (COFSAC)
Community orgs/spaces
Cooking Matters
Early care and education providers
Early childhood councils
Early Childhood CO Partnership
Employers
Faith based orgs
Farm to Child Collaborative
Food producers
Food distributor
HCPF
Home visitor programs
Hospitals/Hospital systems
Nourish Colorado
LPHAs
Medical offices
Non-profit orgs
Youth Programs/4-H/Boys&Girls club
Schools
State Nutrition Action Committee (SNAC)
State and local breastfeeding coalitions
Other MCH Implementation teams
MCH Issue Briefs
Early Child Colorado Framework - http://earlychildhoodframework.org
Strengthening Families - https://cssp.org/our-work/project/strengthening-families Strengthening Families 101 - https://docs.google.com/presentation/d/1dX7nIxw_jdehaKXstSWL6QLLyILbBywWl9jXd02JaYE/edit?usp=sharing
Positive youth development approach - https://sites.google.com/state.co.us/pydinaction/home
Colorado Partnership for Thriving Families
Build nutrition security through increased access to breastfeeding supportive environments in communities facing the greatest racial/ethnic disparities.Hospital summit evaluated.

Plan for restructure CBFHC post-COVID developed.

# hospitals received TTA on Ten Steps to Successful Breastfeeding practices.

# hospitals with at least 6 of the Ten Steps to Successful Breastfeeding practices implemented.

# of state/system level policies that incentivize/promote breastfeeding supportive practices in hospitals.

# breastfeeding-friendly policies at community locations (e.g., ECEs, medical offices, community programs, employers, schools, public spaces)

# breastfeeding-friendly environments and/or systems created at community locations to support breastfeeding families.

# trained community-based breastfeeding peer counselors representative of communities facing the greatest racial/ethnic disparities.
% of births in Baby-Friendly Hospitals post-COVID-19 is maintained



More policy options for state agencies' and hospital systems' (e.g. Centura) are identified to promote, support and protect breastfeeding.



Increased # of community systems/locations (e.g., youth programs, schools, medical offices) informed/trained on why and how to become breastfeeding-supportive environments.
Increased # of hospitals in CBFHC

Increased # of hospitals on the Baby-Friendly pathway that have greater than 40 percent of births paid by Medicaid

Increased # of hospitals designated Baby-Friendly

Increased % of births to people facing greatest racial/ethnic disparities occur in BFHs
Increased percent of infants who are ever breastfed. (National Performance Measure 4A)

Increased percent of non-White infants (or infants of color) breastfed at discharge from hospital.

Increased percent of infants breastfed exclusively through 6 months. (National Performance Measure 4B)









Increased number of institutions and programs report procuring locally grown foods through systems (e.g. Food Hubs, farmers markets, CSAs, local grocery stores).






Increased number of CYSHCN with access to appropriate nutrition resources and supports.




Increased consumption of healthier foods.
Communities experience a decrease in racial inequities and reduced health and economic disparities.






Families are food and nutrition secure.
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Build nutrition security through increased access to nutrient rich locally grown food in communities facing the greatest racial/ethnic disparities and children and youth with special health care needs. # of institutions or programs that integrate at least one "farm to" componentIncreased state level policies and/or activities that increase participation in Farm to Child.Increased number of systems to support institutions and programs in using locally grown foods.
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# of resources connecting food and mood and inclusive nutrition and feeding practices for CYSHCNIncreased number of partners serving CYSHCN who participate in training.Increased state and community partners working to support food and mood and inclusive nutrition and feeding practices for CYSHCN.
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participation and/or redemption rates for at least one fruit and vegetable incentive programIncreased access to healhtier food.Increased purchasing and distribution of healthier foods.
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This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
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June 2024