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ASTHO Healthy Babies Challenge. Maria A.L. Jocson, MD, MPH, FAAP Policy Development Branch Maternal, Child and Adolescent Health Division Center for Family Health California Department of Public Health CPSP Annual Meeting November 8, 2012. Background. May 2012:

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astho healthy babies challenge

ASTHO Healthy Babies Challenge

Maria A.L. Jocson, MD, MPH, FAAP

Policy Development Branch

Maternal, Child and Adolescent Health Division

Center for Family Health

California Department of Public Health

CPSP Annual Meeting

November 8, 2012

background
Background
  • May 2012:

CDPH Director, Dr. Chapman, accepts ASTHO Pres. Dr. Lakey’s

invitation for California to participate in Healthy Babies Challenge

  • Goal:

To improve birth outcomes by reducing infant mortality and

prematurity in U.S.

  • Specifically:

To reduce prematurity by 8% by 2014 (2009 data as baseline)

-- 2009 California percentage of preterm birth: 10.4%

-- 2014 target: 9.6%

overall objectives
Overall Objectives
  • Focus on improving birth outcomes as SHOs and state leadership teams work with partners on health and community system changes
  • Create a unified message that builds on the best practices from around the nation
  • Develop clear measurements to evaluate targeted outreach, progress, and return on investment
participating states
Participating States

VT

WA

MN

MT

ND

NY

OR

ME

WI

MI

Michigan

(upper peninsula)

SD

ID

PA

NH

MA

WY

IA

DE

OH

IL

NE

MD

RI

NV

CT

UT

KY

CO

NJ

CA

MO

KS

NC

TN

IN

WV

VA

SC

OK

DC

AZ

AR

NM

GA

AL

MS

LA

TX

FL

Alaska

PR

Hawaii

cdph mcah participation
CDPH-MCAH Participation
  • Partnership between ASTHO and March of Dimes
  •  CDPH Director, Dr. Chapman, signed a pledge to:
    • Publicly announce CDPH’s goal to reduce the rate of

premature birth by 8% by 2014

    • To the extent resources are available, initiate/support programs and policies that reduce preterm birth rate
    • Build wider awareness of CA’s prematurity rates and other related MCH indicators
common strategies
Common Strategies
  • Reduction of elective deliveries <39 weeks
  • Increasing access to preconception and interconception care
  • Improvement of perinatal regionalization
  • Smoking cessation
  • Preventing SIDS/SUID
  • Expansion of access to 17-P
cdph mcah activities
CDPH-MCAH Activities
  • Infant mortality/prematurity press release
  • March of Dimes Capitol Day
  • Letter to MCAH Directors
  • MCAH Scope of Work sample objectives on prematurity prevention
  • Black Infant Health-Tobacco Control Program Collaborative Project
cdph mcah activities1
CDPH-MCAH Activities
  • MCAH Action Education Day
  • CPSP Perinatal Services Coordinators’ Meeting
  • Letter to Preconception Health Council of CA
  • Public service announcements with MOD at the local level
mcah sow sample objectives
MCAH SOW Sample Objectives
  • Implementation of prematurity awareness campaign
  • Education of women of reproductive age
  • Quality improvement program/policy using the Elimination of Elective Deliveries <39W Toolkit
  • Improvement of prenatal care access
resources
Resources
  • AMCHP Compendium

Forging a Comprehensive Initiative to Improve Birth Outcomes and Reduce Infant Mortality (July 2012) http://www.amchp.org/programsandtopics/womens-health/infant-mortality/Pages/default.aspx

  • March of Dimes

http://www.marchofdimes.com/professionals/professionals.html

  • HRSA Infant Mortality Summit

http://mchb.hrsa.gov/infantmortalitysummit.html

  • ASTHO Healthy Babies Challenge

http://www.astho.org/healthybabies/

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