Welcome to the State of California 

WIC Breastfeeding Peer Counseling Training Manual 

The new California WIC Breastfeeding Peer Counselor Training Manual "Mothers Helping Mothers" is now available to download. This manual was designed specifically to train peer counselors to provide breastfeeding support to WIC participants. Some agencies in California are using the manual to train their entire WIC staff, not just their peer counselors!

Highlights of the Manual:

  • Learner-centered activities including: facilitated discussions, small group discussions, role plays, hands-on activities
  • Provides many opportunities to build counseling skills
  • Approximately five four-hour sessions: Includes a Power Point presentation to enhance learning
  • Based on the latest scientific information
  • Pilot tested
  • Reviewed by numerous International Board Certified Lactation Consultants (IBCLC)

If you have any questions, please contact Karen Erickson at Karen.Erickson@cdph.ca.gov or by phone at
(916) 928-8568.

Comments and Reviews

There was so much energy in the room! We would highly recommend to other agencies that they include their entire WIC staff in the peer counselor training. The training is excellent and it is a great way to build a foundation for breastfeeding support among the entire WIC staff. Our challenge will be to keep up the momentum, which this training has generated!
Mary Woelfel, MPH, CLE Breastfeeding Program Manager Delta Health Care WIC California.

Facilitators Guide

  • Guide (PDF)"Opens a new browser window"
  • Power Point Trainers Tool

  • Session 1 (Power Point, 2.7MB, English)"Opens a new browser window"...| Spanish | Chinese
  • Session 2 (Power Point, 2MB, English)"Opens a new browser window"...| Spanish | Chinese
  • Session 3 (Power Point, English)"Opens a new browser window"...| Spanish | Chinese
  • Session 4 (Power Point, 1.5MB, English)"Opens a new browser window"...| Spanish | Chinese
  • Session 5 (Power Point, 2MB,  English)"Opens a new browser window"...| Spanish | Chinese
  • Manual Table of Contents

  • Introduction (PDF, English)"Opens a new browser window"...| Spanish
  • Binder Cover (PDF, English)"Opens a new browser window"...| Spanish
  • Session 1 (PDF, English)"Opens a new browser window"...| Spanish
  • Topic 1 Housekeeping and Introductions
    Topic 2 Session Expectations and Discussion Guidelines
    Topic 3 Overview of Peer Counselor Program
    Topic 4 Overview of Training
    Topic 5 Anatomy of the Breast
    Topic 6 Milk Production
    Topic 7 Best Start 3-Step Counseling Strategy
    Topic 8 Closing Activity and Preview

  • Session 2 (PDF, 2.5MB, English)"Opens a new browser window"...| Spanish
  • Topic 1 Welcome Back
    Topic 2 Formula and Its Disadvantages
    Topic 3 Recognizing When to Feed Baby
    Topic 4 Getting Breastfeeding Off to a Good Start
    Topic 5 Signs that Breastfeeding is Going Well
    Topic 6 Guest Speaker
    Topic 7 Closing Activity and Preview

  • Session 3 (PDF, English)"Opens a new browser window"...| Spanish
  • Topic 1 Welcome Back
    Topic 2 Early Breastfeeding Problems
    Topic 3 Medications and Herbal Remedies
    Topic 4 Birth Control Methods 
    Topic 5 Unhealthy Environments
    Topic 6 Closing Activity and Preview

  • Session 4 (PDF, English)"Opens a new browser window"...| Spanish
  • Topic 1 Welcome Back
    Topic 2 Helping Mothers with Special Challenges
    Topic 3 Helping a Grieving Mother
    Topic 4 Expressing Milk
    Topic 5 Weaning 
    Topic 6 Cultural Awareness
    Topic 7 Closing Activity and Preview

  • Session 5 (PDF, English)"Opens a new browser window"...| Spanish
  • Topic 1 Welcome Back
    Topic 2 Challenges to Breastfeeding
    Topic 3 Referral to a Lactation Specialist or Health Care Provider
    Topic 4 Documentation and Confidentiality
    Topic 5 Telephone Manners
    Topic 6 Topics to Cover When Talking to Mothers
    Topic 7 Practice Counseling
    Topic 8 Next Step and Feedback
    Topic 9 Closing Activity and Celebration

    Appendix

  • Handout #1   Open-Ended Questions (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #2   Find Someone Who... (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #3   How Does Formula Compare to Breastmilk (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #4   Your Baby's First Week of Breastfeeding (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #5   Crossword Puzzle Answer Key (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #6   Collecting and Storing Breastmilk (PDF, 1.6MB, English)"Opens a new browser window"...| Spanish
  • Handout #7   Birth Plan (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #8   Working and Breastfeeding (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #9   Reasons for Referral (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #10 Telephone Role Play (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #11 Telephone Counseling Suggestions (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #12 Suggestions for Topics to Cover with Mothers (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #13 Peer Counselor Program Evaluations (PDF, English)"Opens a new browser window"...| Spanish
  • Handout #14 Observer's Checklist WIC Breastfeeding Peer Counselor Training (PDF, English)"Opens a new browser window"...| Spanish
  •