To better understand the issues and to inform its deliberation in formulating recommendations for policy, research, and practice, the Infant Mortality Commission asked experts in various fields related to maternal and child health and infant mortality to prepare background papers on specific issues. This background paper examines the critical relationship between breastfeeding and infant mortality among African Americans, the racial/ethnic group with the lowest rate of breastfeeding. The authors explore the benefits of breastfeeding and the issues associated with racial/ethnic disparities in breastfeeding, concluding with an action plan for closing the gap through promotion of breastfeeding based on education, training, awareness, support, and research. This analysis complements and reinforces the recommendations of other Courage to Love: Infant Mortality Commission background and framing papers on infant mortality and maternal nutrition; infant mortality and resilience; the historical framework of policies and practices to reduce infant mortality; the authentic voices of those affected by infant mortality; and infant mortality in a global context.

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