Diversifying the Lactation Workforce: A Strategy for Advancing Breastfeeding Equity in Los Angeles County.

Introduction: Breastfeeding disparities persist in Los Angeles County (LAC), particularly among communities of color, low-income families, and those with lower educational attainment. A key factor contributing to these disparities is the lack of racial and ethnic diversity among lactation professionals, particularly International Board-Certified Lactation Consultants (IBCLCs), limiting access to culturally congruent care. This study examines the demographic characteristics, certification status, and barriers to credentialing among lactation professionals in LAC. Methods: A cross-sectional survey was distributed by BreastfeedLA to lactation professionals serving LAC. The survey assessed sociodemographic information, lactation education, employment status, and barriers to certification. Descriptive analyses and chi-square tests were used to examine associations. Results: Among 483 respondents, the majority were White (60.5%) and female (83.7%). Lactation educators (47.2%) were the largest group, followed by peer counselors (24%) and IBCLCs (20%). Barriers to IBCLC certification included time constraints (24.8%), financial burden (13.4%), and family obligations (8.3%). Conclusion: Despite challenges, 78% of non-IBCLCs intended to pursue certification. Workforce diversity remains limited, reinforcing breastfeeding disparities. Expanding access to lactation training, financial support, and mentorship is critical for fostering a more inclusive workforce and improving breastfeeding outcomes in underserved communities.