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Pre-Application Assessment: NCBC Mother-Baby Breastfeeding-Friendly Award- updated August 2020

Pre-Application Assessment Purpose

Pre-Application Assessment for the North Carolina Breastfeeding Coalition's (NCBC) Mother-Baby Friendly Award for Outpatient Healthcare Clinics (referred to now by NCBC as the Mother-Baby Friendly Clinic Award)

The purpose of this Pre-Application Assessment is twofold:
  • to collect baseline data (at a state and clinic/local level) of interested/potentially applying outpatient healthcare clinics in NC on their current use of evidence-based, high quality breastfeeding support practices for pregnant and/or postpartum women, infants, children and families.
  • to assist clinic/local level staff who plan to eventually apply for the NCBC Mother-Baby Friendly Clinic Award by identifying which award criteria their clinic currently meets and more importantly identifying the criteria they don't meet so that an action plan can be developed . The questions in this Pre-Application Assessment are taken directly from the Application Instructions and Criteria for Successful Designation for the NCBC Mother-Baby Friendly Clinic Award  (which was updated in August 2020) which can be found at

Data entered into this Pre-application are to be used locally by you and your organization to document baseline and process indicators and to assist with developing and implementing an action plan to address needs identified through the Award application review.  Essentially after completing this Pre-Application assessment you will know how ready (or not) your organization is to apply for the Award from NCBC and what areas (based on the award criteria) you and your clinic will need to work on before actually completing the online award.

At the end of this Pre-Application Assessment you will be given the option to have the responses you entered into this online form emailed to you for your own use as well as save and/or print a PDF version of your responses. 

Data entered into this Pre-Application Assessment will be used by the NC Division of Public Health to potentially identify and address technical assistance, training and/or resource needs of interested/applying organizations.  If you have questions about this Pre-Application Assessment please email Diane Beth (

For more information on the award, please contact the NCBC committee leadership listed under the "What if I need more information?" tab on the Mother-Baby Friendly Clinic Award site: and/or send an email to  NCBC  applications are due February 1 and July 1 each year.