THE NATIONAL INITIATIVE ON PRECONCEPTION HEALTH AND HEALTH CARE Presenter’s name

Acknowledgements  The National Preconception Health and Health Care (PCHHC) Steering Committee Members  PCHHC Workgroup Members  Kay Johnson, former Senior Advisor to the PCHHC  Louise Floyd and Jasmine Humphreys, CDC

The Initiative  The National Initiative on Preconception Health and Health Care (PCHHC) is a public-private partnership that began in The PCHHC is comprised of a steering committee and five workgroups:  Consumer  Clinical  Public Health  Research and Surveillance  Policy and Finance

Vision  The vision of this work is multi-faceted and includes that:  All women and men of childbearing age have high reproductive awareness  All pregnancies are intended and planned  All women of childbearing age have health coverage and receive needed screenings and services before pregnancy to improve their health and reduce the risk of a poor birth outcome

Goals 1. To improve the knowledge, attitudes, and behaviors of men and women related to preconception health. 2. To create health equity and eliminate disparities in adverse maternal, fetal, and infant outcomes. 3. To assure that all U.S. women of childbearing age receive preconception care services that will enable them to achieve high levels of wellness, minimize risks, and enter any pregnancy they may choose to have in optimal health. 4. To reduce risks among women who have had a prior adverse maternal, fetal, or infant outcome through interventions in the postpartum/interconception period.

Recommendations  Individual responsibility across the life span  Preventive visits  Interconception care  Health coverage for low- income women  Research  Consumer awareness  Interventions for identified risks  Pre-pregnancy check ups  Public health programs and strategies  Monitoring improvements

Key Accomplishments  Guidelines & Agendas  Example: Developed Recommendations to Improve Preconception Health and Health Care (MMWR, 2006), the foundation for the National Preconception Movement  Resources  Examples: Developed an online preconception curriculum for clinicians at Before, Between and Beyond Pregnancy (beforeandbeyond.org)  Launched the National Preconception Resource Center

More Key Accomplishments  Journals  Example: Journal supplements in the MCH Journal, Women’s Health Issues, and the American Journal of Health Promotion  Policy & Practice  Example: Implemented Urban and Rural Public Health Practice Collaboratives in six cities  Advanced state policy, including interconception care waivers and Peer-2-Peer Medicaid learning projects

Meetings  National Summits were held in 2005, 2007 and 2011  Presentations and abstracts from the 3 rd National Summit are available at beforeandbeyond.org

Social Marketing Campaign  Developed Social Marketing Campaign Logic Model and Plan  Conducted an environmental scan and formative research, including a Message Bundling study to assess knowledge of preconception health among women of reproductive age  Developed brand identity and outreach plan

The New Strategic Plan  Consumer  Objective 1: Increase preconception knowledge, awareness, and behavior among women of childbearing age  KEY STRATEGY: Develop, implement and evaluate a preconception health social marketing campaign  Clinical  Objective 1: Arm providers with tools which encourage inclusion of preconception health promotion into the routine care of all women of reproductive age  Objective 2: Measure impact of incorporating preconception care into routine well-woman preventive care visits  Objective 3: Provide clinicians with the knowledge, skills and content needed to advance evidence-based postpartum visits and interconception care  KEY STRATEGY: Develop, implement and evaluate a preconception toolkit for providers

The New Strategic Plan  Public Health  Objective 1: Reduce chronic disease and improve preconception health among women of childbearing age  Objective 2: Support the development of the PCHHC Resource Center and enhance the quality and relevancy of public health program information available  Objective 3: Describe the application of the Life Course Approach to Preconception Health  KEY STRATEGIES: Advance collaboration between MCH and chronic disease prevention agencies around preconception health

The New Strategic Plan  Research and Surveillance  Objective 1: Develop the vision, framework, goals, and objectives for this Work Group  Objective 2: Develop a research and evaluation agenda that focuses on preconception health and includes perspectives of life course, social determinants of health, and health equity  Objective 3: Enhance and expand the use of existing surveys and surveillance systems  KEY STRATEGY: Promote awareness and use of core preconception indicator set

The New Strategic Plan  Policy and Finance  Objective 1: Support and advance implementation of coverage for women’s clinical preventive benefits, including preconception care in well-woman visits  Objective 2: Improve and expand implementation of interconception care policies, programs, and services  Objective 3: Support continued investment in preconception health and health care  KEY STRATEGY: Advance primary care capacity to deliver well-woman visits and pre- and interconception

Resources  New CDC preconception website ( ption/) with information for women and men, tools for health professionals, reproductive life planning, and more.  Includes the Preconception Health and Health Care Resource Center, an online directory of tools and resources.

Connect/Engage!  Subscribe to the PCHHC Initiative bi-monthly newsletter  Find archived newsletters at BeforeAndBeyond.org >> News.  Either click the “Join Our Mailing List” button in the most recent archived newsletter, or and request to  Join a Work Group!  New members are always welcome. Contact Sarah Verbiest at or  Promote the new Social Marketing Campaign and Provider Tool Kit when they are released in  Learn about the new Affordable Care Act and be proactive in sharing this information with low-income women in your state.  Share your work, resources and tools with others by sending information to the new Resource Center. Submit best practice programs to the AMCHP Innovations Station.

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