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2/2/2018
1
Candace Knight, PhD, RN
Disclosures
I have no financial or other conflict of interest in relation to this program or presentation.
Objectives
• Following the presentation, participants will:• Identify aspects of the Nurse Family Partnership that improve
maternal child health outcomes• Identify ways that a partnership between UAB School of Nursing
and community programs like NFP benefit student outcomes and community health
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Jefferson County Zip Code Data2013 Statistics
Zip CodeLBW as % of
births in that zipPre-Term Births as a
% of births in that zipInfant
Mortality Rate% of population below the
poverty rate Geographic Area
35203 14.3% 0.0% 35.6% 52.31% No Bham by Civic Ctr
35218 20.8% 16.7% 19.6% 48.77% Ensley
35064 20.0% 20.0% 17.5% 16.78% Fairfield
35211 23.5% 26.5%16.3% 41.01%
Tarpley City/Elmwood Cemetery
35208 10.5% 0.0% 16.0% 26.61% Bush Boulevard
35207 4.8% 9.5% 15.9% 50.74% No Bham by ACIPCO
35217 17.2% 20.7% 15.7% 26.07% Tarrant
35206 13.0% 13.0% 15.3% 27.31% Ruffner Mtn by Woodlawn
35020 7.1% 7.1% 15.2% 36.32% Bessemer
35212 15.4% 7.7% 15.0% 47.60% Woodlawn
NFP of Central Alabama Funding Sources
Jefferson County Department of HealthGoodrich Foundation
Daniel Foundation
Community Foundation of Greater Birmingham
Blue Cross/Blue Shield Caring Foundation
Why NFPOur nurses change the
future for the most
vulnerable babies born into poverty in the
United States, and their mothers.
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EXPERT:Specially-trained nurses
PROVEN:Extensive and
compelling evidence
INTENSIVE:Pregnancy through
age 2
TIMELY:First 1000 days
The How
Improve Pregnancy Outcomes
Improve Child Health and Development
Improve Economic
Self-Sufficiency of the Family
NFP Goals
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Visit Schedule
• Up to 64 home visits over the course of 2.5 years in a standard schedule
• Flexibility for supporting client needs• Telehealth
• Initial enrollment, every week x 4 weeks, then biweekly until delivery• Weekly x 6 weeks after delivery then biweekly visits until 21 months• Monthly from 21-24 months
Inside a home visit•Assessments
• Physical• Social• Environmental• Family History• Home• IPV• GAD-7• PHQ-9• DANCE• ASQ
Inside a home visit
•Anticipatory Guidance• Pregnancy• Labor/Delivery• Breastfeeding• Safe Sleep• Infant Bonding• Infant Care• Car Seat Safety• Parenting• Family Planning
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Inside a home visit
•Interdisciplinary Referrals• Communication with the provider
• Social Worker
• Community resources• Working together with other community agencies to solve
MCH dilemmas in Jefferson County
NFP Projected OutcomesPIRE Report by Dr. Ted R. MillerBased on 177,517 pregnant women enrolled in NFP from 1996-2013, Miller projects that by 2031, NFP will prevent an estimated:
• 500 infant deaths• 10,000 preterm births
• 13,000 dangerous closely-spaced births• 42,000 child maltreatment incidents
• 36,000 intimate partner violence incidents
• 90,000 violent crimes by youth• 41,000 cases of youth substance abuse
Our success stories
Only small change is necessary• Reduction in substance use• Reduction in smoking• Connecting with other community
agencies to meet client needs• Housing
• Mental Health• Food insecurity
• Safe sleep
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