1. Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014

2. Life Course Perspective Biological Behavioral Psychological Environmental Societal Political Risk and Protective Factors

3. Social Determinants of Health Circumstances and conditions in which people are born, grow up, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes.

4. Social Determinants of Health

5. An Analysis of South Side Infant Deaths PPOR data shows that the biggest contributor for South Side infant and fetal deaths are those in the maternal health and prematurity box Methods for reducing deaths in the maternal care box require more robust fetal death data  FIMR!!! Sleep-related deaths is a leading cause of death in the infant health box and that there is a lot being done in Franklin County around safe sleep promotion Maternal Health/Prematurity 3.1 Maternal Care 2.3 Newborn Care 1.4* Infant Health 1.9 * Unreliable rate 2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of Epidemiology

6. Where Do We Want to Focus Our Work? Maternal Health/Prematurity 3.1 Maternal Care 2.3 Newborn Care 1.4* Infant Health 1.9 2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of Epidemiology * Unreliable rate

7. Voting Results OPTION A –Intervention 1 and 2 targeting maternal health and prematurity OPTION B –Intervention 1 targeting maternal health and prematurity and intervention 2 targeting infant health XX

8. Where are we now? Assessment of health status problems Health services needs assessment Development and selection of interventions Setting objectives Programming and implementation Evaluation: monitoring progress towards achievement of objectives What is the problem? How will we fix it? Is what we’re doing working?

9. What is a Problem Analysis? A way to better understanding a health problem, factors that affect the health problem, and how we can prevent it An important step in program planning that links health problems to appropriate, effective, and impactful interventions

10. Example: Motor Vehicle Crash Injuries in Children 0-6 Years

11. Components of a Problem Analysis The problem Precursors –Build the framework for identifying alternative interventions that lower risk or make up for those that can’t be changed Consequences –Symptoms that cause the problem to be noticed Linkages

12. Precursors and Consequences Direct factors (Individual) –Age, sex, race –Describe individuals and may be biological, medical, or behavioral –Have the most influence on the problem Secondary factors (Family, Community, Neighborhood) –Attitudes, beliefs, behaviors –Include socioeconomic, psychological, and familial characteristics –Precursors to direct factors Tertiary factors (Society) –Include societal, policy, and environmental factors

13. Why We Need YOU! You know the South Side community best Your input helps refine the problem analysis Data is important, but a complete understanding of health problems requires a local perspective and lived experience

14. Next Steps Break up into small, DIVERSE groups Brainstorm the problem –Your facilitator will give more specific instructions Build a collective model or diagram which we will use as a map for tackling infant mortality for the duration of the next 2.5 years