Health Resources and Services Administration Maternal And Child Health Bureau Healthy Start, Perinatal and Womens Health: Whats Happening Maribeth Badura, M.S.N. Dept. of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB) Division of Healthy Start and Perinatal Services (DHSPS) February 2009

February 2008 HEALTHY START AND PERINATAL SERVICES TARGET AUDIENCE Women Across the Lifespan *particularly those of reproductive age and their infants

February 2008 HEALTHY START AND PERINATAL SERVICESFocus Risk Reduction Infrastructure Building Family/Consumer Involvement Disparities

RACIAL & ETHNIC DISPARITIES INFANT MORTALITY # Per 1,000 Live Births NCHS 2006 Year 2010 Goal: 4.5 per 1,000

February 2008 HEALTHY START AUTHORIZING LEGISLATION Title III, Section 330H of the Public Health Service Act (42 U.S.C. 254c-8) Make grants for project areas with high annual rates of infant mortality Factors that contribute to infant mortality, such as low birthweight. Require partnership with statewide systems and with other community services funded under the Maternal and Child Health Block Grant. Have or plan to have a Community Consortium including, but not limited to Title V, consumers of project services, public health departments, hospitals, C/MHC, & other significant sources of health care services The extent to which applicants for such grants facilitate a community-based approach to the delivery of services; and a comprehensive approach to women's health care to improve perinatal outcomes.

February 2008 ELIMINATING DISPARITIES IN PERINATAL HEALTH Seventy-four Grantees Twelve Grantees Six Grantees ELIMINATING DISPARITIES IN PERINATAL HEALTH- BORDER, ALASKAN AND NATIVE HAWAIIAN COMMUNITIES Three Grantee Three Grantees Two Grantees HEALTHY START AND PERINATAL SERVICES

February 2008 INNOVATIVE APPROACHES TO PROMOTING A HEALTHY WEIGHT IN WOMEN HEALTHY WEIGHT & MENTAL HEALTH ( CT, IL, OH) HEALTHY WEIGHT DURING PREGNANCY AND POSTPARTUM ( 1 Year after Delivery) Year 1 (NE, CA) Year 2 (5 Additional States/August 2009)

February 2008 THE COMMUNITY-BASED DOULA PROGRAM Purpose: to provide first time motherhood demonstration programs to urban and rural communities to support community-based Doulas. This approach identifies and trains indigenous community workers to mentor pregnant women during the months of pregnancy, birth and at least twelve (12) weeks post-partum, (optimally one year post-partum).

February 2008 THE COMMUNITY-BASED DOULA PROGRAM HRSAs Maternal and Child Health Bureau was allotted $1.4 million to launch the Community-Based Doula Initiative through the Consolidated Appropriations Act 2008 (P.L ) Community-Based Doula Leadership Training Institute (IL HealthConnectionOne) 3 Urban: Atlanta GA, Chicago IL, St. Louis MO 3 Rural: Ojibwe/Onamia MN, Tewa Women/Espanola, NM, Migrant Health/Weslaco TX

February 2008 FIRST-TIME MOTHERHOOD NEW PARENT INITIATIVE Purpose: Develop, implement, evaluate and disseminate novel social-marketing approaches that: Concurrently increase awareness of existing preconception/interconception, prenatal care, and parenting services/programs, Address the relationship between such services, health/birth outcomes, and a healthy first year of life. Include women and men who are from populations disproportionately affected by adverse pregnancy outcomes in their community including racial/ethnic minorities as well as their providers.

February 2008 FIRST-TIME MOTHERHOOD NEW PARENT INITIATIVE HRSAs Maternal and Child Health Bureau was allotted approximately $4.8 million for this activity through the Consolidated Appropriations Act 2008 (P.L ). State-based Awards 2009: AZ, CA, CT, FL, MA, NC, NE, NV, OR, PA, UT, WI 2010: AZ, CA, CT, FL, MA, ME, NC, NE, NV, OR, PA, UT, WI

February 2008 HEALTHY START AND PERINATAL SERVICES SYNTHESIS OF EMERGING PRACTICES AND LESSONS LEARNED Alcohol Screening and Alcohol Replications Grants and Technical Assistance Contract Domestic Violence and Family Violence Grants and Technical Assistance Contract Innovative Approaches Womens Wellness Grants Behavioral Risk Assessment Grants Healthy Start Depression Screening

February 2008 BUSINESS CASE FOR BREASTFEEDING: WORKPLACE LACTATION SUPPORT TRAIN THE TRAINER 2009: AK, AZ/Navajo Nation, IA, KS, MI, NY, PA, SC, VT, WV 2008: US Breastfeeding Coalition, AL, CA, CT, DC, GA, HA, IN, LA, MD, OR, RI, TX, UT

February 2008 DEPRESSION DURING & AFTER PREGNANCY: A RESOURCE FOR WOMEN, THEIR FAMILIES AND FRIENDS

February 2008 TAKING CARE OF MOM BRIGHT FUTURES FOR WOMENS HEALTH & WELLNESS

February 2008 HEALTHY START AND PERINATAL SERVICES NATIONAL LEADERSHIP ACTIVITIES Advisory Committee on Infant Mortality Select Panel on Preconceptional Care Steering Committee on Preconceptional Care National Hispanic Prenatal Hotline National Healthy Start Leadership Institute HHS/OMH National Partnership for Action National Fetal Infant Mortality Review Resource Center

February 2008 HEALTHY START AND PERINATAL SERVICES NATIONAL LEADERSHIP ACTIVITIES Interagency Coordinating Committee on Fetal Alcohol Syndrome National Folic Acid Campaign Smoke Free Families Bright Futures For Womens Health and Wellness Perinatal Focus: Adaptation and Emotional Wellness Steering Committee on Preconceptional Care Stakeholder Workgroup on Transforming Maternity Care

February 2008 HEALTHY START AND PERINATAL SERVICES Healthy Women Healthy Infants Healthy Families Healthy Communities Healthy Nation