Strategies: Improving the Health of Women of Color 2/17/2017

History: HealthConnect One, Illinois For 30 years HC One has collaborated with grassroots material and child health and social services providers to design peer model programs to increase breastfeeding rates, strengthen mom-baby bonding, expand support for mothers and families, generate local jobs, and resources. Our team…WE are all diverse, different ages, different walks of life in our experiences with our own communities. What we do is we train, mentor, consult, collaborate and facilitate the development of community-based programs to support moms, babies and families. 2/17/2017

HC One: CHW Trainings-Maternal and Child Health Train variety of groups (parents, CHWs, and direct service providers) Facilitate experiential learning that leads to their own strengths, skills, and a sense of personal power. Develop formal partnerships to create a community-based program with five essential components. Replicate our peer models regional and out of state, involves formal partnership . They are 5 essential components that we require the site. Employ CHWs who are trusted members of the community being served Facilitate experiential learning using popular education and HC One’s training curriculum Extend and intensify the role with families from early pregnancy through the 1st months of postpartum Collaborate with community stakeholders/institutions and use diverse team approach Value the work with a living salary, supervision, and support. Assist in developing an interactive, intensive, 20 session course tailored to your strengths and nneds Guide you through the planning, training and implementation phrase Continue to provide TA throughout (We marry for life now divorce) 2/17/2017

HC One: Community-Based Doula Model Connects underserved women to women in their community who are specially trained to provide support during the critical months of pregnancy, birth and early months of parenting. Focuses on sensitive period in family’s life, when intervention makes the most difference, creates long-term linkages to support networks. Model succeeds because doulas are of and from the same community as their clients. True leaders in their communities…. 2/17/2017

HC One: Breastfeeding Peer Counselor Model Leads to dramatic increase in breastfeeding rates-especially in communities that may not be the norm. A woman who had breastfed and is interested in supporting other women in her community to nurse their babies. Offers culturally appreciate support and information. Identify and address common barriers in the local community. Offers strategies to manage breastfeeding challenges and helps women achieve their goals. Cultural beliefs are very important to respect/understand Myths are also important to understand where they came from… 2/17/2017

MHP Salud: Amor De Madre Brownsville, TX Eligible: First time moms living in rural colonias Women who are identified as having high risk pregnancies Women who do not have social support Utilizes Promotora-Doula: Ensures participants attend all prenatal care appointments Provide prenatal and postnatal education Encourage participants to ask questions during their doctor visits Provide support and comfort measures through entire birth Funding Sources: (HRSA) Title V/Foundation Grants/Individual and Corporate Givings Colonias are subdivisions of housing lacking basic physical infrastructure, potable water, sewer system, and durt roads. Utilizes-stray dogs/use their vehicles to take their participates to the doctor… 2/17/2017

MHP Salud: Amor De Madre 2/17/2017

Ann & Robert H. Lure Children's Hospital of Chicago Consider hospitals as communities/peers/beliefs… 2/17/2017

CHW Perinatal Training… Waukegan IL CHW men were interested in educating their peers about the importance pregnancy and the impact that they bring… 2/17/2017

HC One’s Peer Models… Stats: Among Latino Mothers Breastfeeding Duration PRAMS (Pregnancy Risk Assessment Monitoring System) Initiation: 96.38% 6 Weeks: 95.21% 3 Months: 85.87% 6 Months: 64.86% Initiation: 94.96% 6 Weeks: 62.03% 3 Months: 49.39% 6 Months: 28.70% PRAMS is a surveillance project of the Centers of Diseases Control and Prevention (CDC) and states health departments. This data tool collects specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy. 2/17/2017

HC One’s Peer Models… Stats: Among Latino Mothers Breastfeeding Exclusivity PRAMS (Pregnancy Risk Assessment Monitoring System) Initiation: 96.38% 6 Weeks: 90.06% 3 Months: 78.82% 6 Months: 61.76% Initiation: 94.96% 6 Weeks: 57.04% 3 Months: 44.45% 6 Months: 9.77% 2/17/2017

HC One’s Peer Models… Stats: Among African American Breastfeeding Duration PRAMS (Pregnancy Risk Assessment Monitoring System) Initiation: 76.83% 6 Weeks: 74.49% 3 Months: 56.94% 6 Months: 37.14% Initiation: 74.84% 6 Weeks: 53.43% 3 Months: 39.84% 6 Months: 16.81% 2/17/2017

HC One’s Peer Models… Stats: Among African American Breastfeeding Exclusivity PRAMS(Pregnancy Risk Assessment Monitoring System) Initiation: 76.83% 6 Weeks: 71.05% 3 Months: 51.85% 6 Months: 39.13% Initiation: 74.84% 6 Weeks: 56.19% 3 Months: 38.16% 6 Months: 7.39% 2/17/2017

HC One’s Peer Models… C-Sections Community-based model 24% PRAMS is 30% 2/17/2017

HC One’s Peer Models… Epidural Use (Vaginal Births Only) Purple: A/A 71.54% versus PRAMS 62.10% Purple: Latinos mothers 25.58% versus PRAMS 47.70% 2/17/2017

Telling their story… 2/17/2017

Thank you…. Additional Information… Wandy Hernandez, Program Director HealthConnect One 1436 W. Randolph Str. 4th Flr Chicago, IL Office: 312/878-7018 Email: wandyhdz@healthconnectone.org 2/17/2017