L.I.F.E.™ Support for COVID-19

The Carolina Global Breastfeeding Institute, Lactation and Infant Feeding in Emergencies (L.I.F.E.™) Initiative is a hub for research, technical assistance, health communications, policy, advocacy, and training for infant and young child feeding in emergencies at the Gillings School.

Information on Breastfeeding, Community, Mental Health, and Child Care may be found by clicking through the tabs below.

Click here for CGBI infographics and webinars.

“Ready Set Baby Live” Virtual Prenatal Education (offered during the pandemic)

Resources to Support ECE Professionals

Early Care and Education (ECE) professionals provide an important link between families, communities, and public health. Several national standards like The Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs (CFOC) and national organizations like The U.S. Centers for Disease Control and Prevention provide guidance on healthy child care, including safety and hygiene for infant feeding.

  • CGBI supports child care settings to implement recommended infant and young child feeding practices. Parents, including child care staff, who wish to nurse their child or provide expressed human milk for feedings in child care settings are encouraged to continue to do so during the COVID-19 outbreak.
  • 10 Steps to Breastfeeding Friendly Child Care: COVID-19 Considerations  Step by Step | Summary PDF

Standard hygienic feeding practices should be implemented per state child care health regulations. 

Strengthening COVID-19 Response

Infection prevention and control in child care settings are critical to community COVID-19 response. Below are links to resources that are recommended to assist ECE professionals in strengthening their response to COVID-19:

U.S. Centers for Disease Control and Prevention (CDC)

The following information serves as provisional guidance. Coordinate with local health officials to determine appropriate action steps for child care programs remaining open or re-opening. This guidance does not supersede state and local laws and policies for child care programs:

CDC page last reviewed: April 10, 2020

CDC page last reviewed: July 23, 2020

CDC page last updated: July 23, 2020


Guidance for Child Care Settings- North Carolina

Click to view flow chart (on last page of PDF document)

Communicable Diseases and Exclusion from Child Care

Daily Health Checks

Thermometers and Temperature Taking

Child Care Strong NC Public Health Toolkit: Interim Guidance

Important Updates and Action Needed for Child Care Facilities: COVID-19 Response

Click to view example door sign developed by NC DHHS

  • Facilities should encourage parents and caregivers to keep children at home with them if they are able. This will reduce the chance of spread.
  • Signs with screening criteria should be posted at the entrance to the facility.  English | Spanish
  • Only staff needed to maintain ratio compliance should be inside classrooms. Facilities should restrict teachers to one classroom with one group of children and should not use “floater” teachers. This is in order to reduce the number of people coming in and out of classrooms.

Please NoteBreastfeeding mothers access to the building/ classroom is an allowable exception to recommendations attempting to reduce the number of people coming in and out. This includes the program’s breastfeeding employees. (June 4, 2020) 



Guidance for Child Care Settings- South Carolina

School and Childcare Exclusion List

Interim COVID-19 Guidance for Child Care Providers: Management of Suspect and Confirmed COVID-19 Cases

COVID-19 Announcements-SC Division of Early Care and Education has created a page to help providers and parents stay up-to-date on the latest recommendations regarding the Coronavirus.

COVID-19 Resource Updates– SC Child Care Resource & Referral (CCR&R) has created a page with more information about resources for families and child care providers as it comes available.


Click to view Consideration for Child Care Closure Flowchart

Child Care Aware of America (CCAoA)

Pandemics (COVID-19) preparedness and response

News and Resources for Child Care Professionals, Families, and Policymakers



Coordination with Local Health Officials

Determine a course of action for closures or appropriate operation:

North Carolina:

  • Specific child care questions, please call the CCR&R line 1-888-600-1685.
  • General questions related to COVID-19, please dial 2-1-1 or 888-892-1162. Sign up for updates by texting COVIDNC to 898211.

South Carolina:

  • Child Care Administrators planning to close, expand your capacity, or with the ability to set up a temporary child care site contact Child Care Licensing by phone, 1-888-825-7174, or by email, centralofficechildcare@dss.sc.gov
  • General questions related to COVID-19, please call the DHEC Care Line 1-855-472-3432. Staff are answering calls 8:00 a.m.-6:00 p.m. every day.

Guidance When COVID-19 Infection is Neither Suspected nor Confirmed

When there are no persons with suspected or confirmed COVID-19 infection among children, staff, or their family members, child care providers are encouraged to follow recommendations on best practices to reduce the spread of infectious diseases in child care settings.

Caring for Our Children (CFOC)

Parents who are nursing or pumping milk for their infant or toddler at home are encouraged to continue nursing and to practice hygienic feeding practices when preparing to send expressed human milk or formula to a child care setting:

For more information contact cgbi@unc.edu. This page updated July 5, 2023.

Phone: (919) 966-3774
Fax: (919) 966-0458
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Carolina Global Breastfeeding Institute
Department of Maternal and Child Health
135 Dauer Drive
422 Rosenau Hall, CB #7445
Chapel Hill, NC 27599-7445