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P erinatal P eriods o f R isk

A City M at CH “How-to-Do” Workshop. P erinatal P eriods o f R isk. B4 U LEAP. Big Picture Planning Cycle. Community readiness and investment Stakeholders Vision Planning process Resources available or planned Timeframe Accountability. PPOR Community Readiness What does it mean?.

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P erinatal P eriods o f R isk

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  1. A CityMatCH “How-to-Do” Workshop Perinatal Periods of Risk B4U LEAP

  2. Big PicturePlanning Cycle • Community readiness and investment • Stakeholders • Vision • Planning process • Resources available or planned • Timeframe • Accountability

  3. PPOR Community ReadinessWhat does it mean? • Reasoning • Results • Roles • Risks/Rewards • Resources

  4. PPOR Community Readiness“5 Tent Poles” Reasoning:partners can communicate clear, compelling case for PPOR based on its value-add Results:partners can articulate what measurable results are expected from doing PPOR, and by when Roles: partners are willing and able to champion PPOR over time in their various roles in community Risks/Rewards: sufficient strategic balance exists between benefits and consequences for essential stakeholders to support PPOR implementation Resources: sufficient systems and resources to support full implementation

  5. Community Assessment • Previous assessments • Previous perinatal studies or surveillance • Fetal and infant mortality reviews • PRAMS or other surveys • Health system assessments • Asset mapping • Previous policy and program evaluations • Decision-making process

  6. Strong Leadership Agreement & Support? • Understands the feto-infant mortality problem • Understands the work plan • Commits to providing resources for the investigation • Commits to providing resources for community collaboration • Gives priority and champions the initiative

  7. PPOR Analytic Readiness: What does it means? • Data access/quality • Minimum number of events • Adequately trained analytic staff • Adequately trained communication staff • Analysis team including program staff • Sufficient staff hours • Strong leadership agreement & support

  8. Direct Data Access/Quality? • Fetal death files (no gest. age restrictions) • Linked birth—infant death certificate files • Unlinked infant death certificate files • Key data items missing or poor quality • Gestational age • Birthweight • Education • Race/Ethnicity

  9. PPOR Minimum? Overall, and every subpopulation or geographic region needs roughly 60 feto-infant deaths to have sufficient numbers to calculate rates.

  10. Adequately Trained Analytic Staff? • Analyze large data files • Familiarity with birth and death files • Assess data quality and reporting • Calculate and compare rates • Estimate confidence limits and p-values • Investigate causes and risk factors • Conduct multivariate analysis • Summarize analytic findings • Understand perinatal health issues

  11. Adequately Trained Communication Staff? • Determine Single Overriding Communication Objective • Develop compelling messages • Condense numbers and figures • Write reports and fact sheets • Produce graphic presentations • Tailor communications to the audience

  12. Analysis Team? • Data analyst • Policymaker or staff • Program or content specialist • Clinical specialist • Vital records specialist • Communication expertise

  13. Sufficient Staff Hours for Both Phases? • Preparation • Phase 1 analysis • Phase 2 analyses • Communication preparation • Participation in dissemination and follow up

  14. PPOR Readiness Check ListA Rapid Review… • Effective Community Leadership and Partnerships • Direct Access to the “Right” Data of Sufficient Quality • Sufficient Staff and Resources to Do Both Analytic Phases • Sufficient Staff and Resources to Do the Work over the Long Term • Sufficient Community Commitmentfor Sustainable Change

  15. For More PPOR Information, Log on to: www.citymatch.org

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