1. Hudson Valley Perinatal Networks Prevention & Health Promotion: Increasing Access Before, During & After Pregnancy Cheryl Hunter-Grant, LMSW Executive Director, Lower Hudson Valley Perinatal Network (LHVPN) Caren Fairweather, MPS Executive Director, Maternal Infant Services Network of Orange, Sullivan & Ulster Counties, Inc. (MISN)

2. The PURPOSE of PERINATAL NETWORKS: To improve pregnancy outcomes and women’s and children’s health by Organizing consortiums of health & human services providers and consumers to identify and address local issues

3. THE VISION of PERINATAL NETWORKS Every pregnancy is healthy and wanted, and all women and families receive the support and services they need in a respectful environment. Every pregnancy is healthy and wanted, and all women and families receive the support and services they need in a respectful environment.

4. NYS Perinatal Health Infrastructure Clinical Services Regional Perinatal Centers Prevention Services Perinatal Networks Regional Perinatal Forum

5. Hudson Valley Perinatal Networks Lower Hudson Valley Perinatal Network Lower Hudson Valley Perinatal Network Serves a 4 county region Serves a 4 county region Dutchess Dutchess Putnam Putnam Rockland Rockland Westchester Westchester Maternal – Infant Services Network Maternal – Infant Services Network Serves a 3 county region Serves a 3 county region Orange Orange Ulster Ulster Sullivan Sullivan

6. Risk Factors by Race & Ethnicity HP 2010 Goal = 4.5/1,000

7. Risk Factors by Race & Ethnicity HP 2010 Goal = 7.6%

8. Risk Factors by Race & Ethnicity HP 2010 Goal = 5%

9. 20 high risk zip codes in top 40% of Upstate zip codes: 8 in Orange 8 in Orange 5 in Sullivan 5 in Sullivan 6 in Ulster 6 in Ulster MISN/LHVPN Perinatal High Risk Zip Codes 22 high risk zip codes in top 40% of Upstate zip codes: 14 in Westchester 14 in Westchester 5 in Dutchess 5 in Dutchess 3 in Rockland 3 in Rockland 1 in Putnam (not included in NYS’ top 40%) 1 in Putnam (not included in NYS’ top 40%)

10. 7 COUNTY REGION of MISN and LHVPN MISN: 3 Counties 20 Zip Codes LHVPN: 4 Counties 23 Zip Codes Note: Each star represents a zip code. Stars illustrate the number of zip codes with high risk pregnancies in each county, with their approximate locations.

11. Perinatal Networks Address Hudson Valley Regional Perinatal Forum Regional Action Plan Priorities: Eliminate Ethnic & Racial Disparities BREAST FEEDING ORAL HEALTH NUTRITION & EXERCISE TOBACCO, DRUG & ALCOHOL PREVENTION & CESSATION EARLY PRE-NATAL CARE Healthy Lifestyles & Healthy Babies

12. SPECTRUM of PREVENTION: A Wholistic Approach to Disease Prevention State & Local Advocacy Health Literacy Study Circle 70 Community Collaborations ProfessionalEducation for 2,000 CHED thru 218 Agencies Reaching 2,700 people 5,000Consumers Served Served Policy/Legislation Policy/LegislationOrganizations Coalitions Coalitions Providers Communities Communities Individuals Individuals

13. Perinatal Networks Increase Access to Prevention, Health Promotion, and Health Services Reductions in Low Birth Weight Reductions in Low Birth Weight Fewer Premature Babies Fewer Premature Babies Early Prenatal Care Early Prenatal Care Families Connect with Health Providers. Families Connect with Health Providers. (Misra, et al 2003, Lu, et al 2003, Misra, et al 2000)