A Program Offered by the OU College of Nursing Funded by the George Kaiser Family Foundation

Healthy Women, Healthy Futures

Mapping Feto-Infant MortalityTulsa County,

All Eligible Babies, 2003-2007 Infant Mortality Rate (IMR)= 8.8

Maternal Health/ Prematurity 3.6 (41%)

Maternal Care 1.5 (17.5%)

Newborn Care 1.5 (17.5%)

Infant Health 2.2 (28%)

What is HWHF?

• A multicultural, interconception women’s health project based in the life course perspective

• Targets non-pregnant women in poverty with children enrolled in four Tulsa Early Childhood Education Programs

• Provides services for up to three years

Mission

Improve the physical, emotional, social, dental, and vision health of non-pregnant women living in

poverty to reduce premature birth and infant mortality

HEALTHY WOMEN, HEALTHY FUTURESRisks, Interventions & Outcomes

Women’s Environment of Poverty, Stress, Isolation & Lack of Support A Culture of Respect and Support

Healthy Outcomes

Decrease in Prematurity

Decrease in Low Birth Weight Infants

Decrease in Unintended Pregnancies

Decrease in NICU Admissions

Improvement in Women’s Knowledge, Behaviors and

Health Indicators

Medical Home and Dental Care

Health Promotion Education

Disease Prevention

Disease Management Education

Referrals for Mental Health and Treatment of Other Serious Health

Conditions

Assistance with Transportation and Translation

Nurse Educators, Health Navigators & Collaborating Programs

Behavioral Health

Substance Abuse

Domestic Violence

Depression & Other Mental Health Issues

Behavioral Health

Chronic Health Conditions

High Blood

Pressure

Diabetes Asthma High Cholesterol

Lifestyles

Smoking Poor Nutrition Lack of

Physical Activity

Ineffective Contraception

Dental Caries

Dental and Vision Care

Decreased Infant Mortality

Increase in Healthy Birth Spacing/ Reproductive Live Plans

Program Elements• Development of an individualized health plan by a “team”

consisting of site nurse educator, health navigator, and woman through home visitation and risk assessment.

• Assist women to establish a medical home, and /or reduce barriers to access to health services through community collaboration.

• Provision of individual and group education on healthy lifestyles, illness prevention, health promotion and other content areas

Program Elements

• Address chronic psychological or biological responses to stress and learn stress control methods

• Individual responsibility with a reproductive life plan

• Peer social support • Intervention and monitoring of women’s health

status and health behaviors for up to 3 years.

Program Objective One & Outcomes

Improve women’s knowledge of health promotion measures and disease prevention practices

Pre and Post Test Comparison

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Health

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Exerci

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Basic

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10

20

30

40

50

60

70

80

90

100

71.2

62.1

76

65.871.7 70

61.766.2

92.189.5 88.6

78.8

90.9 93.290

85.5

PretestPost-test

Participant Comments “ We learned information before, but didn’t

change. We now have an understanding and can apply it.”

“ That I am learning things (in detail) that I did not know before. I get amazed when I find out things that I can do to prevent diseases.”

“The knowledge I have gained in the program will stay with me for the rest of my life.”

Program Objective Two & Outcomes

Assist women to improve their health through development of healthy lifestyle practices, including a reproductive life plan, and by facilitating access to services.

Dietary Improvements

• 42% report eating low fat to very low fat diets. (change from 14%)

• 90% are eating low or moderate carbohydrate diets.

• 40% increased and have maintained their number of daily fruit and vegetable servings to 3 or more.

Lifestyle Changes

• Weight loss 37.5% have lost weight (5-23 pounds) (Avg 9.1) 18% changed BMI at least 1 point • Exercise 32% increased and maintained weekly

exercise of 3 or more days/week

Health Improvements • More than 62% lost 10 or more points of

total cholesterol typically through changes in diet and exercise.

• 58% improved their HDL (good cholesterol)

• Participants’ difficulty coping decreased from 33% to 24%.

Pregnancy Planning/Infant Outcomes to Date

• 18 women have become pregnant. All received first trimester care.

• 13 have delivered healthy term babies (37-41 weeks), weighing between 5lbs 9 oz and 9 lbs. 1 oz)

• 2 were born early, at 34-35 weeks weighing 4lbs12oz and 4lbs 15oz.

Contact Information

Su An Arnn Phipps R.N., Ph.D., C.N.EDirector-Healthy Women, Healthy FuturesUniversity of Oklahoma College of Nursing918.660.3955Su-Phipps@ouhsc.edu