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The Los Angeles County Preconception Health Collaborative Project

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The Los Angeles County Preconception Health Collaborative Project

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  1. The Los Angeles County Preconception Health Collaborative Project Cynthia A. Harding, MPH Maternal, Child, and Adolescent Health Programs Los Angeles County

  2. Los Angeles, California 1 2

  3. Selected Perinatal Health Statistics, 2004Compared with HP 2010 Goals 3

  4. Alcohol consumption, (past month) Depression/depressive disorder Diabetes High blood pressure Obesity Smoking LAC1 48.9% 13.8% 3.0% 8.8% 17.1% 12.2% Selected Health Conditions and BehaviorsWomen 18 – 44 Years, 2005 • CA2 • 53.6% • - • 2.3% • 9.3% • 17.9% • 12.3% 12005 LA Health Survey 22005 California Health Interview Survey 4

  5. Efforts to Improve Birth OutcomesLos Angeles County • 2005 Perinatal Summit • Diverse stakeholders & leadership • Unified call to action • Recommendation to promote improved preconception health 5

  6. Preconception Care Council of California • Sponsored by CA Dept. of Public Health & March of Dimes CA Chapter • Statewide forum for planning and decision-making for the integration, development and promotion of preconception care • Clearinghouse for Preconception efforts across the State

  7. Los Angeles County Preconception Health Community Profile Foundations Churches Schools LAC Dept LAC Dept Parks & Recreation First5 LA Mental Health California Family Black Infant Breastfeeding Health Councils Health Program Hospitals Task Force of Greater Los Asthma Angeles Coalition MCH Access Service PHFE-WIC Planning Areas LA Best Physicians LAC Health March of Healthy Babies Midwives Dept of Public Plans Dimes Births Network Nurse Practitioners Social Services Learning Community Clinics LA Care Collaboratives Association Los Angeles County Public Health Department 6

  8. Los Angeles CollaborativeCore Members • California Family Health Council • LA Best Babies Network • LA County Public Health Department • March of Dimes • PHFE – WIC Program 7

  9. Collaborative Activities • Baseline preconception health (PCH) data • Speakers’ Bureau presentation on PCH • Curriculum to integrate pre- & interconception health into family planning clinics • Interconception Care - Case Management of High Risk Women in PHFE – WIC • Improve communication among stakeholders 8

  10. Short-Range Project Goals • Preconception brief • Speakers’ Bureau presentation • Toolkit to plan reproductive life plan • Integrate pre- interconception care into Title X family planning programs • PHFE-WIC case management to high-risk mothers 9

  11. Long-Range Project Goals • Policy/advocacy • Increase postpartum visits • Improve content of risk reduction/health promotion at postpartum visit • Decrease: Unintended pregnancies • Prepregnancy obesity • Infant mortality • Low birthweight births 10

  12. Putting the Pieces Together State Partners L. A. Public Health CDC

  13. Questions? Partners State L.A. Public Health C D C

  14. Cynthia A. Harding, MPH Director Maternal, Child, and Adolescent Health Programs Los Angeles County charding@ph.lacounty.gov 213-639-6400 12