2. Cynthia Dean, Panelist March 25, 2010 Caring Communities For Young Children Rural Early Childhood Institute Overland Park, Kansas Putting All The Pieces Together: Missouri Bootheel Healthy Start Meeting Community Needs Through A Community Based Perinatal Project Putting All The Pieces Together: Missouri Bootheel Healthy Start Meeting Community Needs Through A Community Based Perinatal Project

3. Missouri Bootheel Healthy Start History Where We Are Who We Serve Core Services Community Interventions Grantee Organization History Where We Are Who We Serve Core Services Community Interventions Grantee Organization

4. 3 Happy Birthday MBHS ! Happy Birthday MBHS ! Isn’t She Cute!!! Born: September, 1997 Time: Not Soon Enough Weight: Light at first, but getting to be a heavyweight! Length: As long as possible

5. 4 Where Did MBHS Come From? “Our Family Tree” HRS A US Dept Health-Human Services SIDS – RDI Project MBHS MBRC, Inc. M -

6. 5 Where is Missouri Bootheel Healthy Start? State of Missouri

7. 6 Identified Problems of the Bootheel Poverty/Unemployment Perinatal Health of Women Infant Mortality Rates Substance Abuse (Meth Addiction) Perinatal Smoking /Obesity Poverty/Unemployment Perinatal Health of Women Infant Mortality Rates Substance Abuse (Meth Addiction) Perinatal Smoking /Obesity

8. 7 Strategic Ways to Educate the Community

9. Education Activities Healthy Baby Classes Male Involvement SHAPE- (Self-Esteem,Health AttitudePreparedness, and Empowerment) Mental Health Certification ( Grantee- MBRC, Inc.) 2009 Healthy Baby Classes Male Involvement SHAPE- (Self-Esteem,Health AttitudePreparedness, and Empowerment) Mental Health Certification ( Grantee- MBRC, Inc.) 2009

10. Community Interventions MBHS Regional Consortium MBHS Local Councils Local Health Systems Action Plan Community Interventions/ Partnerships Male Involvement MBHS Regional Consortium MBHS Local Councils Local Health Systems Action Plan Community Interventions/ Partnerships Male Involvement

11. Community Volunteers from the five county project area who use the community as a foundation for the improving the health care of infants, mothers and fathers associated with the elimination of disparities and infant mortality Community Volunteers from the five county project area who use the community as a foundation for the improving the health care of infants, mothers and fathers associated with the elimination of disparities and infant mortality 10 What is the MBHS Regional Consortium and Local Councils?

12. Required Core Service Component from Health Human Services Administration (HRSA) for 2005-2009 Grant Cycle Selected by Volunteers in 2005 as a a major health concern from group discussions, focus groups and consumer need assessments Required Core Service Component from Health Human Services Administration (HRSA) for 2005-2009 Grant Cycle Selected by Volunteers in 2005 as a a major health concern from group discussions, focus groups and consumer need assessments 11 History of Local System Action Plan

13. To address the adverse effects of obesity and prevention of pregnancy obesity through encouraging physical activity and nutrition 12 MBHS Regional Consortium Local Health Systems Action Plan 2005-2009

14. 13 LHSAP Facts Sheets developed by Consumers/Volunteers

15. 14 LHSAP Facts Sheet Developed Consumers and Volunteers

16. 15

17. Contracted Exercise Team Captains 16 Exercise Classes Walking Trail Nutrition Classes Video Library Health Screenings

18. Local Council’s Approach to Education Breast pump Loaner Program/Peer Mentoring Program Smoke Free Homes and Car Campaign Books for Newborn Project Breast pump Loaner Program/Peer Mentoring Program Smoke Free Homes and Car Campaign Books for Newborn Project

19. MBHS Mississippi County Local Council 2 nd Grade Healthy Kids Day  Target 2 nd Graders  Healthy eating and physical fitness activities starts early  Group effort to make this a success  Target 2 nd Graders  Healthy eating and physical fitness activities starts early  Group effort to make this a success

20. 2 nd Graders Healthy Kids Day Highlights

21. Thank You Letters from 2 nd Graders

22. 21

23. 22 Fatherhood First Program Male Involvement Fatherhood First Program Male Involvement

24. 23 Lessons Learned – Effective Community Involvement “Values and Benefits” Sense of Program Ownership Individual and Community Benefits Addressing Cultural Racial and Class Issues Program as reflection of community needs Sense of Program Ownership Individual and Community Benefits Addressing Cultural Racial and Class Issues Program as reflection of community needs

25. 24 Lessons Learned – Effective Community Involvement “Effective Recruitment Strategies” Consumer Involvement Nurturing new partnerships Identifying community leaders Outreach to community organizations Consumer Involvement Nurturing new partnerships Identifying community leaders Outreach to community organizations

26. 25 Lessons Learned –Community Involvement “ Pitfalls and Landmines” Be aware of time constraints Acknowledge and mediate power dynamics Lack of administrative support Unresolved racial and class issues Need for consistent training Be aware of time constraints Acknowledge and mediate power dynamics Lack of administrative support Unresolved racial and class issues Need for consistent training

27. Barriers Funding Access to Services – Transportation Isolation Cultural Issues ( County) Information Sharing Funding Access to Services – Transportation Isolation Cultural Issues ( County) Information Sharing

28. 27 In 2003 evolved as a non profit organization from Missouri Bootheel Healthy Start Regional Consortium, a community-based infant mortality program that addressed infant mortality since 1997 in the project region MBRC, Inc. Replaced Sudden Infant Death Syndrome – St. Louis (SIDS Resources) as the previous Grantee for the MBHS project in June 2005 MBRC, Inc is governed and staffed by residents from the S.E. Missouri Region In 2003 evolved as a non profit organization from Missouri Bootheel Healthy Start Regional Consortium, a community-based infant mortality program that addressed infant mortality since 1997 in the project region MBRC, Inc. Replaced Sudden Infant Death Syndrome – St. Louis (SIDS Resources) as the previous Grantee for the MBHS project in June 2005 MBRC, Inc is governed and staffed by residents from the S.E. Missouri Region Grantee Organization

29. 28 First Office: Sept, 1997 - 319 North St. Sikeston Second Office 127 E. Malone - Sikeston, Missouri Office History

30. 29 MBRC, Inc. Central Office 2007- Current

31. In conclusion…….. Missouri Bootheel Healthy Start Program continues to put together the pieces with innovative approaches to access to care. Thank you!!!! Missouri Bootheel Healthy Start Program continues to put together the pieces with innovative approaches to access to care. Thank you!!!!

32. Thank You! Contact Information: MBRC, Inc. Attn: Cynthia Dean P.O. Box 250 Portageville, MO 63873 Email Address: cdean@mbrcinc.org Toll Free: 1 (888) 317-4949, ext. 327 Fax #: (573) 379-2060 31