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Promising Practices from the March of Dimes Reducing Disparities in Premature Birth Program

Promising Practices from the March of Dimes Reducing Disparities in Premature Birth Program. Workshop Agenda. 11:00 – 11:20 Powerpoint Presentation 11:20 – 11:30 Questions 11:30 – 11:40 Causes of Disparities? Discussion 11:45 – 12:10 Selecting Promising Strategies

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Promising Practices from the March of Dimes Reducing Disparities in Premature Birth Program

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  1. Promising Practices from the March of Dimes Reducing Disparities in Premature Birth Program

  2. Workshop Agenda 11:00 – 11:20 Powerpoint Presentation 11:20 – 11:30 Questions 11:30 – 11:40 Causes of Disparities? Discussion 11:45 – 12:10 Selecting Promising Strategies 12:10 – 12:30 Sharing and Wrap-Up

  3. Workshop Agenda Elissa Schuler Adair Manager, External Program Grants March of Dimes National Office Kelly Brumbaugh Health Communication Specialist Division of Reproductive Health, CDC Sabine Jean-Walker Director, Planning and Community Services March of Dimes National Office

  4. Program Aims • Promote safe motherhood for minority women before, during, and after pregnancy; • Eliminate racial and ethnic disparities in maternal health outcomes; • Reduce adverse reproductive outcomes; • Build relationships with State health departments and/or State coalitions and local affiliates; • Strengthen systems of services for minority women across their lifespan.

  5. Program Structure 6 Chapter Pilots • California • South Carolina • Illinois • Florida • Pennsylvania • Texas Conference Calls, Site Visits, In-Person Meeting, Share Findings with Partners

  6. Key Program Strategies • Raise Community Awareness • Improve Patient-Provider Communication and Trust • Increase Individual Knowledge • Encourage Positive Health Behaviors • Provide Social Support • Address Psychosocial Barriers to Change

  7. Social Marketing IL: Closing the Gap Project • Intense Images Created with Community Input • Mass Transit, Posters, Postcards and Wallets • Sequential Campaigns: Preterm Labor, Prenatal Care/SIDS, Individual Risk Reduction • Neighborhood outreach: stafffed by community health educators with formal training using a structured curriculum

  8. Faith-Based Outreach PA: Love Thy Neighbor • health programs by experts on specific topics with individual mentoring and monitoring CA: Healthy Mothers, Healthy Babies • “watch-one; do-one” curriculum format Alignment of goals – serve those in need and encourage a healthy lifestyle: body, mind, soul

  9. Group Prenatal Care FL: Group CARE • Care delivered in group setting to women of similar gestational age over 10 sessions • All elements of traditional care included • Women are assessed individually by provider

  10. Group Interconception Care SC: Strengthening My Foundation, Brick by Brick • Helps parents of “preemies” reduce their risk factors before their next pregnancy. • Participants determine discussion content. • Uses cardboard building blocks to represent modifiable risk factors • Individual action plans created with follow-up

  11. Psychosocial Barriers Hearing conflicting messages from trusted sources (ALL) An “I can’t attitude” and lack of hope (IL, PA) Fatalism: “God made this baby and God will take care of it” (FL) Feeling like you already know and don’t need instruction (SC, CA) Being stubborn; resisting health information (IL, PA, FL)

  12. System Gaps • Lack of individual AND community information • Inappropriate, inadequate care • Cultural disconnects with providers • Lack of provider-to-provider linkages • Transitions on-and-off publicly funded services • Coverage for undocumented Hispanic women

  13. Next Steps … More to come… • Testing of planning tools • Upcoming publication of promising practices • Replication to additional chapters This is Year 2 continuation funding for up to 5 years

  14. Acknowledgements This program receives funding through a cooperative agreement with the March of Dimes and the CDC’s Division of Reproduction Health; National Center for Chronic Disease Prevention and Health Promotion. This presentation is a product of the collaborative work of March of Dimes Chapters and partners, and of the feedback received from staff and participants in the funded pilot programs.

  15. National MOD: Scott D. Berns, MD, MPH; Vice President, Chapter Programs, Principal Investigator CA MOD: Carole Jordan-Harris, MD and Kynna Wright, PhD (African-American Advisory Committee Co-Chairs); Nathalia Allevato, Kiko Malin CA Black Infant Health Program of the Antelope Valley: McKinley Kemp FL MOD: Lori Reeves FL DOH: Deb Burch, RN, BS, CPCE IL MOD: Kathy O’Connell IL Westside Health Authority: Jeanine Lewis, MPH SIDS of IL: Nancy Maruyama RN, NCBF PA MOD: Dolores Smith PA Partners for Families of the Norristown Ministerium: Marie James, MS, BSN SC MOD: Holly Hayes SC Palmetto Healthy Start: Marie Meglen, RN, CNM; Kim Alston, Director TX MOD: Karen Littlejohn and Others too numerous to mention by name… Acknowledgements

  16. Questions for Us?

  17. Questions for YOU!

  18. Causes of Disparities THREE causes of disparities identified are: • Access to Care • Quality of Care • Community Knowledge and Capacity Which do you think is most important? Why?

  19. More Questions… What does the phrase you selected mean to you? What community knowledge did you draw on to determine which cause to prioritize? Is it appropriate to design programs which address all 3 causes simultaneously? Why or Why not?

  20. Pilot Site Assumptions Access to Care IL, (PA) Quality of Care FL, SC, TX Community Knowledge and Capacity CA, PA, (IL), (SC)

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