Embracing a Life Course Framework for Maternal, Child, and Adolescent Health Program Operations Cynthia A. Harding, M.P.H. Los Angeles County Department.

Slides:

Advertisements

Similar presentations

The Los Angeles County Preconception Health Collaborative Project

Advertisements

1 Pre and Interconception Education and Counseling: Strategies from Florida Presented by: Betsy Wood, BSN, MPH Infant, Maternal & Reproductive Health Unit.

Fetal and Infant Mortality Review

MCAH and WIC MCAH and WIC An Ideal Partnership How the collaboration between Tulare County WIC and MCAH is a win-win for providers and clients alike. Presented.

Toward A National Strategy on Infant Mortality Michael C. Lu, MD, MPH Associate Administrator Maternal and Child Health Bureau Health Resources and Services.

An Expanded Approach to Maternal and Child Health: Preconception Health in the Context of a Life Course Perspective Cynthia A. Harding, M.P.H. Los Angeles.

TOOLS, PLANS AND PROGRAMS FROM ACROSS NORTH CAROLINA AND THE COUNTRY Resources for Our Work.

Translating Data into Action: Using PPOR, FIMR, and the LAMB Project to Reduce Infant Mortality Cynthia Harding, MPH Giannina Donatoni, PhD Los Angeles.

Reinventing Healthy Start Michael C. Lu, MD, MPH Associate Administrator Maternal and Child Health Bureau Health Resources and Services Administration.

Juanita Graham MSN RN Health Services Chief Nurse MS State Dept of Health.

The Life Course Approach

Healthy Start Interconception Care Learning Community (ICC LC) Using Quality Improvement for Better Preconception Care Preconception Care Summit June 14,

Interconception Education and Counseling: Strategies from Florida Presented by: Betsy Wood, BSN, MPH Infant, Maternal & Reproductive Health Unit Florida.

Integrating Preconception Health into Daily Practice: Strategies for Workforce Development Giannina Donatoni, M.T.(A.S.C.P.), Ph.D. Los Angeles County-

Perinatal services in Medi-Cal Managed Care: strategies to better serve our members 11/5/14 Perinatal Services Coordinator Annual Meeting Maternal, Child.

Collaborating Partners –Edward R. Roybal Comprehensive Health Center (East Los Angeles) –Hubert H. Humphrey Comprehensive Health Center (South Los Angeles)

Strategy Maps for Structuring Program Operating Plans: Maternal & Child Health and Environmental Health Examples Public Health Foundation Paul Epstein,

FROM THEORY TO COMMUNITY PRACTICE The Life Course Approach Carol Brady, MA Executive Director Northeast Florida Healthy Start Coalition, Inc. Every Woman.

Public Health Matters for Women and Families: A National Maternal and Child Health Perspective Brittany Argotsinger, MPH, PHPS Fellow Office for State,

A Program Offered by the OU College of Nursing Funded by the George Kaiser Family Foundation Healthy Women, Healthy Futures.

Welcome to the 1 st Annual Summer Early Childhood Public Policy Institute!

Health Disparities & Resources: Connecting the Community to Care Robert Gilchick, MD, MPH, FACPM Director, Child and Adolescent Health Program and Policy.

Kansas Prematurity Coalition Developing a statewide collaborative effort Diane M. Daldrup State Director of Program Services.

1 Jonathan E. Fielding, MD, MPH, MBA Director of Public Health and Health Officer L.A. County Department of Public Health Public Health Breastfeeding Policy.

Maternal and Child Health in Ohio: 2010 and Beyond Cuyahoga County CFHS Consortium 2009 Fall Meeting Jo Bouchard, MPH, Chief Bureau of Child and Family.

3 rd National Summit on Preconception Health and Health Care Improving Preconception Health in a New Era of Health Care June , 2011 Preconception.

CITYMATCH CONFERENCE 2008 SEPTEMBER 20-23, 2008 ALBUQUERQUE, NM Environmental health and maternal and child health: Healthy Start strategies Healthy Start,

Bright Futures in Practice: Nutrition. “New Morbidities”of the 21st Century Changing family structures Highly mobile populations Lack of access to health.

Building State and Local Partnerships to Promote Preconception Health: The Florida Experience Carol Brady, Executive Director, Northeast Florida Healthy.

Coming Together for Young Children and Families.  What we know  Where we have been  Where we are today  Where we need to go.

Hudson Valley Perinatal Networks Prevention & Health Promotion: Increasing Access Before, During & After Pregnancy Cheryl Hunter-Grant, LMSW Executive.

Framework and Recommendations for a National Strategy to Reduce Infant Mortality July 9, 2012.

1 “Partners In Building A Healthy Maine: Bridging The Gap Between Education And Health ” Remarks presented to: The National Governors’ Association Interdisciplinary.

A NEW APPROACH TO MCH The Life Course Framework for the Early Childhood Systems Initiative.

What is B’more for Healthy Babies?

Promising Practices in Adolescent Preconception Health Integrating Life Course Theory into Local Health Department Adolescent Preconception Health Programs.

CDC’s Preemie Act Activities Wanda Barfield, MD, MPH, FAAP Director, Division of Reproductive Health National Center for Chronic Disease Prevention and.

Asthma Disparities – A Focused Examination of Race and Ethnicity on the Health of Massachusetts Residents Jean Zotter, JD Director, Asthma Prevention and.

MICHIGAN'S INFANT MORTALITY REDUCTION PLAN Family Impact Seminar December 10, 2013 Melanie Brim Senior Deputy Director Public Health Administration Michigan.

Strategic Opportunities for Improving Pregnancy Outcomes in Guilford County Marie Lynn Miranda, PhD Sharon Edwards, MS 31 August 2009.

Leveraging Opportunities for Prevention across the Life-Course: Utilizing Data to Target Risk Factors Cheryl Lauber, DPA, MSN Perinatal Consultant Michigan.

Perinatal Health: From a women’s health lifespan perspective Diana Cheng, M.D. Medical Director, Women’s Health Center for Maternal and Child Health 1.

1 Social Justice in Maternal and Child Health Practice ~ the View from a FIMR Project Mary Ostrem, DrPH Boston Public Health Commission January 20, 2005.

Padmini Parthasarathy, MPH Cheri Pies, MSW, DrPH Family, Maternal and Child Health Programs, Contra Costa Health Services Applying the Life Course Perspective.

Bright Beginnings: An Activity of Project Blossom Kimberlee Wyche-Etheridge, MD, MPH Nashville, TN CityMatCH Conference.

Healthy Weight in Women of Reproductive Age Action Learning Collaborative.

DOING PRECONCEPTIONAL HEALTH: LOCAL REALITIES Marjorie Angert, D.O., MPH, Director of Medical Affairs, Division of Maternal, Child and Family Health, Philadelphia.

Addressing Maternal Depression Healthy Start Interconception Care Learning Collaborative Kimberly Deavers, MPH U.S. Department of Health & Human Services.

Central Pennsylvania Center of Excellence to Improve Pregnancy Outcome Botti JJ, Weisman CS, Hillemeier MA, Baker SA The Central Pennsylvania Center of.

TITLE V OF THE SOCIAL SECURITY ACT MATERNAL AND CHILD HEALTH INFANT MORTALITY EFFORTS Michele H. Lawler, M.S., R.D. Department of Health and Human Services.

1 PPOR Level 2 Assessment Findings June 6, Questions addressed by PPOR assessment findings  How many individuals/agencies/cities in the CityMatCH.

The National Connection for Local Public Health Plain Talk in Local Health Departments Tasha Toby, MPH National Association of County and City Health Officials.

Promising Tools to Improve Birth Outcomes: PPOR, FIMR, and LAMB Project Shin Margaret Chao, MPH, PhD Kevin Donovan MPH, Cathleen Bemis, MS, Sungching.

Cheri Pies, MSW, DrPH Family, Maternal and Child Health Programs Contra Costa Health Services Preconception Care Summit October 30, 2007 Developing and.

The Role of the Federal Maternal and Child Health Bureau in Improving Adolescent Health May 14, 2009 LEAH/NAS Meeting Peter van Dyck, MD, MPH Department.

Maternal, Infant, and Child Health Healthy Kansans 2010 Steering Committee Meeting April 1, 2005.

Copyright © 2008 Delmar. All rights reserved. Chapter 25 Minority and Ethnic Populations.

Incorporating Preconception Health into MCH Services

Maternal and Child Health and Oral Health Integration Jared I. Fine, D.D.S., M.P.H. Dental Health Administrator Alameda County Public Health Department.

The Perinatal Periods of Risk Approach Ten Things You Should Know Jennifer Skala, MEd CityMatCH 2003 Healthy Start Grantee Meeting.

Prepared by: Program Inventory / Assessment: Summary of Findings Adapted from AMCHP Birth Outcomes Compendium Tools.

Newborn Home Visiting program-Shelter Based Initiative

Smoking Cessation Services in a Baltimore County Title X Family Planning Program CityMatCH Urban Maternal and Child Health Leadership Conference Albuquerque,

Presented by: Shaleana Eubanks-Worlds, MS Project Coordinator SAVE OUR BABIES An Orange County Healthy Start Coalition Program.

Healthy Weight in Women of Reproductive Age Action Learning Collaborative An activity of the Women’s Health Partnership funded by CDC.

HEALTHY START HEALTHY START Maribeth Badura, M.S.N., Director Division of Healthy Start and Perinatal Services (DHSPS) Maternal Child Health Bureau (MCHB)

Patty Hayes, Director of Public Health – Seattle & King County BLUE RIBBON COMMISSION A PUBLIC HEALTH PERSPECTIVE.

Aging & Public Health: The Case for Working Together Wisconsin Institute for Healthy Aging Learning Forum Karen Timberlake, Director UW Population Health.

Conceptual Framework: Health Disparities in African-American Women

Building Economic Security Today (BEST):

Presentation transcript:

Embracing a Life Course Framework for Maternal, Child, and Adolescent Health Program Operations Cynthia A. Harding, M.P.H. Los Angeles County Department of Public Health Maternal, Child and Adolescent Health Programs

Today’s Presentation  From preconception health to life course trajectory  Mapping programs and services to the life course  Putting a life course framework into practice

Infant Mortality Refocuses MCAH Programs Infant Death Rate by Race/Ethnicity Antelope Valley vs. Los Angeles County, Preconception Health Health Disparities

 No health insurance  Poverty  Depression  Low educational attainment  Racism  Perceiving a neighborhood as unsafe Barriers to Favorable Birth Outcomes and Health Trajectories

Adapted from Lu MC, Halfon N. Racial and ethnic disparities in birth outcomes: a life-course perspective. Maternal and Child Health Journal 2003; 7: LAC MCAH Programs Change Life Course Health Trajectories DepressionPoor EducationPoverty Racism Uninsured Maternal Nutrition Bottle Feeding Lead Exposure Physical Inactivity Asthma Poor Diet CLPPP Child Obesity Prevention Obesity and Associated Chronic Conditions NFP CPSP ALC Adverse Maternal & Child Outcomes Preconception - Interconception

Nurse Family Partnership  Mental health assessment, referrals to resources and services Comprehensive Perinatal Services Program  Two-hour provider trainings on perinatal depression and PHQ9 screening tool Depression Screening

♥Gang prevention ♥Family resource centers ♥Federal funding initiatives Neighborhood Revitalization

MCAH Nutrition for a Good Life 8 InfancyChildhoodPubertyAdulthood Life Course Health Trajectory Breastfeeding Support NFP CPSP  Pregnancy  HWWALC Obesity Prevention, CLPPP Bottle Feeding Lead Exposure Sedentary Asthma Poor Diet Poor Maternal – Child Outcomes Obesity Related Conditions Asthma Coalition  Health Before-Between-After Pregnancy 

~ Childhood Lead Poisoning Prevention Program ~ Healthy Homes Assessment

The Partnership to Eliminate Disparities in Infant Mortality (PEDIM)  PEDIM a joint project of CityMatCH, the Association of Maternal and Child Health Programs and the National Healthy Start Association  Action Learning Collaborative (ALC) an 18 month program of PEDIM  W.K. Kellogg Foundation Funded

Challenges  Overcoming staff perceptions that life course framing is either “nothing new” or more work  Risk of giving up control or losing identify when partnering with others  Staff and resource shortages

Key Points: A Life Course Framework for MCAH Program Operations  Data to identify gaps at crucial periods in the life trajectory for intervention  Educate staff on life course model  New partnerships to connect MCH programs with community efforts to improve physical and social environment  Focus on promoting health before and between pregnancies

Los Angeles County Department of Public Health Maternal, Child, and Adolescent Health Programs Cynthia A. Harding, M.P.H. Director