Attachment I-Chart Review.pdf
PDF 206 KB Posted
- Attached to
- Breastfeeding Peer Counseling Services
- Solicitation number
- 25RFP-25-0904004-005
- Issued by
- Kingsbury County, South Dakota
About this file
This document is an Attachment I Chart Review related to a Breastfeeding Peer Counseling Services contract opportunity from the South Dakota Department of Health Special Supplemental Nutrition Program for Women, Infants and Children (WIC) Program. The contract requires the management of the Breastfeeding Peer Counseling Program, including administrative and supervisory responsibilities, fiscal management, and working with the Breastfeeding Coordinator. The Breastfeeding Peer Counselors are responsible for providing basic breastfeeding education, support, and encouragement to WIC pregnant and/or breastfeeding mothers, primarily through electronic interactions such as text, phone, email, virtual consultation, virtual help desk, and/or face-to-face visits. The goal of the program is to increase the number of WIC mothers who breastfeed and the duration of time they breastfeed.
The contract also requires the Breastfeeding Peer Counselors to assist the WIC Program in the overall promotion, protection, and support of breastfeeding through breastfeeding support groups, special projects, attendance at trainings and meetings, and word of mouth. The contract does not provide any information on pricing terms, set asides, incumbents, current environment, funding requirements and sources, or any other salient financial details.
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Text version
Attachment I
Date Reviewer Peer Counselor
BFPC Chart Review Client ID Number
Client Name WIC Category
Date of Certification Infant Date of Birth
Referral Date
1. Peer Counselor contacted mother within established timeframe after referral.
Y N NA Y N NA Y N NA
2. Peer Counselor contacts mother according to the Schedule of Contacts.
3. Peer Counselor documents in SDWIC-IT within 1 week of contact.
4. Peer Counselor provides updates to WIC staff when participant has been referred.
5. Peer Counselor uses approved materials to provide education to participants.
6. Peer Counselor works within the established scope of practice and makes appropriate referral.
7. The narrative in SDWIC-IT provides a complete overview of contact with participant.
8. Were approved abbreviations used when documenting in SDWIC-IT.
Additional Comments:
File details come from the government source that posted it. Updated .