Data Collection and Evaluation

The four evaluation objectives form a multi-site case study that integrates quantitative care indicators with qualitative data. Quantitative analysis will use run charts, QI time series analyses, and GEE models to assess changes over time. Monthly chart audits are entered into a BCC learning management system that produces charts for site-level and collaborative-wide tracking. Qualitative analysis will use inductive qualitative descriptive content analysis with iterative codebook development and consensus meetings. The primary breastfeeding outcomes are exclusive breastfeeding at entry to community health service and at six months.