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

2. Purpose of the Women’s Health Partnership Identify and promote unique state and local MCH roles and opportunities to ensure and improve women’s health before and between pregnancies.

3. Initial Goal of WHP  Develop state and local partnerships to promote healthy weight among women of reproductive age to improve maternal health and birth outcomes.

4. Rationale  Obesity in pregnancy linked to maternal and infant morbidity and mortality  Research and best practice information and guidelines are available  Obesity impacts a large number of women and thus our efforts could affect a large number of pregnancies  Recognized public health and member priority

5. Adverse Outcomes Associated with Maternal Obesity  Infertility  Pregnancy, labor & delivery complications  Fetal, neonatal death  Birth weight/prematurity  Birth defects  Gestational diabetes  Decreased breastfeeding  Childhood obesity

6. Highlighted Activities  Document: Women ’ s preventive health framework for maintaining a healthy weight  Assessment of member needs & capacity to address healthy weight & related areas  Healthy Weight Action Learning Collaborative (HW ALC)

7. RFA for ALC, Summer 2006 Team composition:  State Title V/MCH director  MCH leadership from local health department  Data/analytic specialist  Professional from an existing community- based health initiative  Nutrition and/or physical activity and/or chronic disease professional

8. ALC Teams Selected  Los Angeles County, CA  Sonoma County, CA  Maricopa County, AZ  Salt Lake Valley, UT  Douglas County, NE  Minneapolis, MN  Boston, MA  Duval, Leon & Orange Counties, FL

9. Levels of Collaboration for Systems Change  Level 1: Team-based activities for institutional and community change  Level 2: Cross-team communication and collaboration, peer exchange and technical assistance  Level 3: All-teams Practice Collaborative activities to advance urban MCH practice

10. HW ALC Activities  Kick off October 2006  1 st on site meeting, December 2006 in Atlanta, GA  2 nd on site meeting, June 2007, in Salt Lake City, UT  All ALC technical assistance calls Lifecourse Framework, RE-AIM, Focus Groups, peer exchange

11. HW ALC Next Steps  Implementation of team plans  Evaluation  Dissemination & Recommendations