- Flexible work scheduling to allow time for breast milk expression,
- Access to private, non-bathroom location for breast milk expression,
- Access to a clean, safe water source to wash hands and clean pumping equipment, and
- Access to hygienic options for workplace storage of expressed breast milk.
This intervention functions at two levels: at the state-level and at the worksite level. DSHS provides resources and support to worksites wanting to be designated and the worksites must implement their individual plans for achieving and sustaining designation.
Target Behavior: Breastfeeding
Intervention Type: PSE Change
Intervention Reach and Adoption
Target Audience: Pregnant/Breastfeeding Women, Parents/Mothers/Fathers, Adults
State-level: Statewide coordinating agency
- Completes formative assessment process to define and understand key audiences and effective strategies/messaging to motivate behavior change,
- Works with partners and stakeholders to align and integrate the program into existing infrastructures,
- Develops and formalizes criteria, guidelines, processes, and branding for worksite recognition (designation) program,
- Adapts or develops then tests, refines and disseminates resources to support worksite-level implementation,
- Maintains a directory of designated worksites throughout the state,
- Spearheads a targeted statewide media/communications campaign to increase community and employer awareness of and interest in the initiative,
- Cultivates strategic local-level partnerships to extend integration, dissemination and reach of the program, and
- Develops program monitoring and statewide surveillance to provide ongoing assessment of program.
Worksite-level: Worksites and worksite committees
- Apply for designation by submitting qualifying written and communicated policy (Develop policy using model policy guidance from statewide coordinating agency)
- Implement the policy in the worksite.
- For an effective and sustainable worksite lactation support program:
- Generate employee buy-in for the program by using resources from the statewide coordinating agency.
- Create a diverse committee to plan and implement program development and implementation steps.
- Complete baseline assessment to understand employees’ needs using resources from statewide coordinating agency.
- Plan for worksite lactation support program implementation and evaluation by using resources from the statewide coordinating agency.
- Implement the program/plan using implementation tools from the statewide coordinating agency.
- The Texas Mother-Friendly Worksite Employer Resources including materials that were developed, tested and refined to assist employers in implementing comprehensive, sustainable worksite lactation support programs. Includes resources such as Get People on Board, Communication Tools, Additional Resources, and FAQ sections here: https://www.dshs.texas.gov/maternal-child-health/programs-activities-maternal-child-health/texas-mother-friendly-worksite/employers
- The Texas Mother-Friendly Worksite Outreach Partner Tools assist community partners to spread awareness, interest and support the TFMW program located here: https://www.dshs.texas.gov/maternal-child-health/programs-activities-maternal-child-health/texas-mother-friendly-worksite/outreach-partners
Additional information support provided by partners at the Texas Health and Human Services Commission Texas WIC program website:
Breastmilk: Every Ounce Counts, a working mother’s one-stop breastfeeding resource: https://www.breastmilkcounts.com/
- 100% of employers adopted formal mother-friendly policies.
- 100% of employers had functional lactation rooms and/or plans for flexible provision of lactation space for all of their worksites.
- 73% of employers explicitly addressed provision of education and support in their mother-friendly policies.
- 100% of employers had work plans and activities for enhanced education and support.
Although some of these data are self-reported, reports were verified through site visits to most locations and many worksites provided photographs of the new lactation space.
The state continues to track worksites that submit and receive designation and has added questions related to breastfeeding to statewide surveillance systems. During the pilot from 2010 to 2012, the number of adopting worksites increased from 233 to 1,120. Data on awareness, attitudes, and practices related to women breastfeeding at work has been collected through questions added to the Texas Behavioral Risk Factor Surveillance System (BRFSS) and the DSHS-led Texas WIC Infant Feeding Practices Survey, last conducted in 2018: https://www.hhs.texas.gov/providers/wic-providers/wic-breastfeeding.
|Readiness and Capacity – Short Term (ST)||Changes – Medium Term (MT)||Effectiveness and Maintenance – Long Term (LT)||Population Results (R)|
|Environmental Settings||ST5, ST6||MT5||LT5|
|Sectors of Influence||MT7|
Texas Mother-Friendly Worksite Program Coordinator
Maternal and Child Health Unit
Texas Department of State Health Services
PO Box 149347, MC 1922 Austin, Texas 78714-9347
Phone: 512– 776-7373
*Updated as of November 2, 2023