Emerging Issues in MCH: Integrating MCH into Public Health Preparedness Plans Using Integrated Public Health Methods to Identify and Effectively Provide All-Hazards Preparedness Education to Underserved and High Risk Populations Conference call outline (August 3, 2006) Witold Migala PhD, MPH City of Fort Worth Public Health Department

BACKGROUND Health Department is divided into 5 Divisions, including Outreach and Epidemiology/Assessment Health Department is divided into 5 Divisions, including Outreach and Epidemiology/Assessment Massive Community Needs Assessment conducted every five years; provides reliable, detailed data Massive Community Needs Assessment conducted every five years; provides reliable, detailed data Diverse metropolitan municipality of over 618,000 Diverse metropolitan municipality of over 618,000 Fertile environment for integrating all hazards and public health by identifying and targeting high risk and/or underserved populations Fertile environment for integrating all hazards and public health by identifying and targeting high risk and/or underserved populations

History of Community Linkage Optimize effectiveness of interventions through community collaborations Optimize effectiveness of interventions through community collaborations Cooperative and supportive relationship with other city departments Cooperative and supportive relationship with other city departments Partnerships with external organizations, including community centers Partnerships with external organizations, including community centers Proven record of effective community integration and cooperation* Proven record of effective community integration and cooperation*

Data Driven Programming Mobilizing for Action through Planning and Partnership (MAPP) / High Risk Workbook Mobilizing for Action through Planning and Partnership (MAPP) / High Risk Workbook GIS Capabilities of Community Needs Assessment Data allows for identification of un-served and underserved high-risk groups (inc. geo-spatial ID) GIS Capabilities of Community Needs Assessment Data allows for identification of un-served and underserved high-risk groups (inc. geo-spatial ID) Proven Bioterrorism and Health Emergency Preparedness Program (BHEP) Proven Bioterrorism and Health Emergency Preparedness Program (BHEP) Culturally and linguistically appropriate service and information modalities Culturally and linguistically appropriate service and information modalities

Project Description Target Population Reliably Identified Via Community Needs Assessment Target Population Reliably Identified Via Community Needs Assessment Target Population Identified Geo-Spatially Target Population Identified Geo-Spatially Target Population Served at Community Clinics; Specifically, the Galvan Clinic Target Population Served at Community Clinics; Specifically, the Galvan Clinic Relationship with Galvan Clinic Established Relationship with Galvan Clinic Established Support of Clinic Secured Support of Clinic Secured Outreach Presence and Rapport Established in the Clinic and Within the Target Population Outreach Presence and Rapport Established in the Clinic and Within the Target Population

Project Description (cont…) Focus Groups and Planning Sessions with Community Partners and Stakeholders to Identify Issues and Preferred Programs Focus Groups and Planning Sessions with Community Partners and Stakeholders to Identify Issues and Preferred Programs Focus Groups with Community Members Representative of the Target Population Focus Groups with Community Members Representative of the Target Population Develop Preferred Modalities for Service Delivery (Preparedness/Health Education) Develop Preferred Modalities for Service Delivery (Preparedness/Health Education) Pre/Post-Evaluation re: Behavior Change Pre/Post-Evaluation re: Behavior Change

Supporting Activities Focus Group Analyses by Grantee Epidemiologists to Direct/Redirect Program Focus Group Analyses by Grantee Epidemiologists to Direct/Redirect Program Clinical Personnel Training Clinical Personnel Training Outreach Assisted Liaison and Linkage to Other Services as Needed by Participants Outreach Assisted Liaison and Linkage to Other Services as Needed by Participants Kick-Off and Culmination / Summit Events Kick-Off and Culmination / Summit Events Quarterly and Final Report Quarterly and Final Report

Conclusion Data Driven Project Specifically Identifies and Targets Participants Data Driven Project Specifically Identifies and Targets Participants Multi-Disciplinary Planning, Development and Implementation Multi-Disciplinary Planning, Development and Implementation Multi-Dimensional Modes of Presentation Multi-Dimensional Modes of Presentation Synergistic Benefit (Health / Preparedness) Synergistic Benefit (Health / Preparedness) Pilot Program Can Be Replicated Based on Best Practices as Indicated by Evaluation Process Pilot Program Can Be Replicated Based on Best Practices as Indicated by Evaluation Process