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nerable population.This RCT was registered (2012-00071) with ClinicalTrials.com on 6/28/2013. Cross-jurisdictional sharing is gaining traction as an option for increasing the effectiveness and efficiency of public health services in local health departments. Assess whether breastfeeding initiation among participants in the changed with the addition of a trained breastfeeding specialist funded by cross-jurisdictional integration. A longitudinal retrospective comparative difference in difference design using state-based program data, pre-
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