Categories associated with best practice:
Determinants of Health: Personal health practices and coping skills, Healthy child development
The Ka’nisténhsera Teiakotíhsnie’s program is a culturally based support initiative founded on community strengths that has successfully improved the rates of breastfeeding in this population. Program. It has been operating in the First Nations community of Kahnesatake community since 1995. This community based program emerged out of an observed need in the community to increase breastfeeding among new moms in the community. Out of this need program developers set about creating a program that would build on community strengths and address the barriers contributing to poor rates of breastfeeding observed among new mothers in the community.
Project developers aimed to increase breastfeeding initiation and duration by:
- Establishing a core group of successful breastfeeding women
- Raising community awareness about the benefits of breastfeeding
A locally hired and respected grandmother received training to work with new mothers and a peer group was established. Significant gains in initiation and duration of breastfeeding have been observed and have continued to be sustained. Although the evaluation was completed in 2005, the program continues to run in the community and is based out of the general hospital.
Primary Source Document
Jane Whelen Banks,, Ka’nisténhsera: A Native Community Rekindles the Tradition of Breastfeeding Ka’nisténhsera: A Native Community Rekindles the Tradition of Breastfeeding
Contact information of developer(s) and/or implementer(s)
|Intervention Goal / Objective||Level(s) Targeted||Equity Focus|
Establish a core set of breastfeeding women in the community
Increase community awareness of the benefits of breastfeeding for mothers and infants, families, and the community as a whole.
|People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.|
|Increase community awareness of the benefits of breastfeeding for mothers and infants, families, and the community as a whole.||People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.|
Health Issue(s) that is/are addressed by the Intervention
- Maternal and Infant Health
Specific Activities of the Intervention
- Educational health information offered
- Group process/program
Priority/Target Population for Intervention Delivery
- Infancy (birth to 2 years)
- Young adult (age 19-24 years)
- Adults (age 25-64 years)
- Health care setting
Expertise Required for Implementation within the Context of the Intervention
- Specialized skills training provided as part of the Intervention - The intervention does not require individuals or groups with highly specialized training, but requires that individuals or groups be trained as part of the implementation of the intervention.
Are there supports available for implementation
Are there resources and/or products associated with the interventions