1. Women’s Health Now and Beyond Pregnancy Terry Kruse, Wisconsin Division of Public Health Terry.Kruse@wisconsin.gov Leslie Borne, Price County Health Department Leslie.Borne@co.price.wi.us

2. Women’s Health Now and Beyond Pregnancy Purpose Integrate women’s health and preconception services into existing public health services Promote folic acid consumption Promote healthy spacing of pregnancies Put into practice the standard of care that assures women have access to family planning supplies in 3rd trimester of pregnancy

3. Women’s Health Now and Beyond Pregnancy Objectives Increase the number of women who: Have access to birth control and dual protection supplies prior to delivery Have a medical home for reproductive health Enroll in the Family Planning Waiver or other Medicaid program Consume multivitamins with folic acid in the postpartum period

4. Women’s Health Now and Beyond Pregnancy Framework 5 Pilot sites Medicaid Prenatal Care Coordination benefit Technical assistance Supplies

5. Women’s Health Now and Beyond Pregnancy Project Activities Activities occur at 3 times: 3 rd trimester, early postpartum and 6 months after delivery Provide condoms for dual protection Provide Emergency Contraception Assure access to primary method Support enrollment in the Family Planning Waiver Provide multivitamins with folic acid Provide women’s health education

6. Select CDC Recommendations to Improve Preconception Health and Health Care Individual responsibility across the lifespan Consumer awareness Interconception care Health Insurance coverage for women with low incomes Public health programs and strategies

7. Women’s Health Now and Beyond Pregnancy Outcomes Women’s Health Now and Beyond Pregnancy Toolkit Educational materials for participants Provider resources Collaboration between Family Planning and Prenatal Care Coordination providers Data

8. Women’s Health Now and Beyond Pregnancy Partners Wisconsin Division of Public Health Reproductive health, women’s health, perinatal, birth defects prevention programs Health Care Education and Training Health Depts. and Family Planning programs Price County Oneida County Pierce County Juneau County City of Milwaukee

9. Women’s Health Now and Beyond Pregnancy Implementation Initiating Discussion about Postpartum Contraception Start in the third trimester Identify a Reproductive Life Plan Provide information to allow for informed choices

10. Women’s Health Now and Beyond Pregnancy Implementation Getting Supplies to Project Participants Coordinate with medical providers regarding client’s postpartum contraceptive plan Arrange for supplies and/or appointments

11. Women’s Health Now and Beyond Pregnancy Benefits Established relationship with client Face-to-face Assures reproductive health is addressed prior to sexual activity

12. Women’s Health Now and Beyond Pregnancy Barriers Lack of knowledge of contraception Inability to establish relationship with Family Planning Providers Potential lack of resources

13. Women’s Health Now and Beyond Pregnancy Overcoming Barriers Provider education Technical assistance to establish partnership with family planning Contraceptive supplies provided by family planning Vitamins with folic acid provided by project Women’s Health Now and Beyond Pregnancy Toolkit

14. Resource Toolkit http://www.hcet/resource/nandb.htm http://www.hcet/resource/nandb.htm Identifying a Reproductive Life Plan Folic Acid EC Fact Sheet EC Instructions Birth Spacing Birth Control after Childbirth Birth Control while Breastfeeding Condoms and Birth Control after Childbirth Need Supplies…Have Questions? Women’s Health brochures Wisconsin Family Planning Waiver Sample Memorandum of Understanding

15. Women’s Health Now and Beyond Pregnancy Key Messages Normalize family planning as a core component of public health programming Promote folic acid as an evidence-based practice to improve birth outcomes Use brief interventions to integrate women’s health and preconception health into existing public health services