Hudson Valley Hudson Valley Perinatal NetworksPerinatal Networks

Prevention & Health Promotion: Prevention & Health Promotion: Increasing Access Before, During & Increasing Access Before, During &

After PregnancyAfter PregnancyCheryl Hunter-Grant, LMSWCheryl Hunter-Grant, LMSW

Executive Director, Lower Hudson Valley Perinatal Network (LHVPN)Executive Director, Lower Hudson Valley Perinatal Network (LHVPN)

Caren Fairweather, MPSCaren Fairweather, MPSExecutive Director, Maternal Infant Services Network of Orange, Sullivan & Executive Director, Maternal Infant Services Network of Orange, Sullivan &

Ulster Counties, Inc. (MISN)Ulster Counties, Inc. (MISN)

The PURPOSE ofThe PURPOSE ofPERINATAL NETWORKS:PERINATAL NETWORKS:

To improve pregnancy outcomes To improve pregnancy outcomes

and women’s and children’s health and women’s and children’s health

byby

Organizing consortiums of Organizing consortiums of health & human health & human services providersservices providers and and consumers consumers to to identify and address local issuesidentify and address local issues

THE VISION ofTHE VISION of PERINATAL NETWORKS PERINATAL NETWORKS

Every pregnancy is healthy and Every pregnancy is healthy and wanted, and all women and wanted, and all women and families receive the support and families receive the support and services they need in a respectful services they need in a respectful environment.environment.

NYS Perinatal Health NYS Perinatal Health InfrastructureInfrastructure

Clinical Services

Regional Perinatal Centers

Prevention Services

Perinatal Networks

Regional Perinatal Forum

Hudson Valley Perinatal NetworksHudson Valley Perinatal Networks Lower Hudson Valley Lower Hudson Valley

Perinatal NetworkPerinatal Network Serves a 4 county regionServes a 4 county region

DutchessDutchess PutnamPutnam RocklandRockland WestchesterWestchester

Maternal – Infant Maternal – Infant Services NetworkServices Network Serves a 3 county regionServes a 3 county region

OrangeOrange UlsterUlster SullivanSullivan

Risk Factors by Race & EthnicityRisk Factors by Race & Ethnicity

HP 2010 Goal = 4.5/1,000

Infant Mortality Rates - Hudson Valley Region 2004

(NYC & NYS Comparison)

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Rat

e p

er 1

,000

live

bir

ths

White 4.4 10.6 3.8 2.8 5.3 7.0 7.6 4.2 4.8

Black 26.1 0 11.3 12.1 9.8 0.0 0.0 9.7 10.7

Hispanic 0.0 13.2 6.1 2.7 9.3 20.1 0.0 4.3 4.8

Dutchess Putnam Rockland Westchester Orange Sullivan Ulster NYC NYS

Risk Factors by Race & EthnicityRisk Factors by Race & Ethnicity

HP 2010 Goal = 7.6%

Prematurity - Hudson Valley Region2004

(NYC & NYS Comparison)

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

County

% G

esta

tio

n <

37

wee

ks

White 9.5% 9.7% 8.4% 10.5% 10.1% 10.8% 10.6% 11.5% 11.1%

Black 14.9% 6.3% 17.6% 18.2% 17.2% 23.4% 5.7% 16.5% 16.6%

Hispanic 10.4% 10.9% 10.5% 10.4% 13.9% 19.0% 10.4% 13.2% 12.8%

Dutchess Putnam Rockland Westchester Orange Sullivan Ulster NYC NYS

Risk Factors by Race & EthnicityRisk Factors by Race & Ethnicity

HP 2010 Goal = 5%

Low Birth Weight in Hudson Valley Region2004

(NYC & NYS Comparison)

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

County

% B

irth

Wei

gh

ts <

250

0 g

ram

s

White 5.7% 7.1% 5.4% 7.0% 6.1% 6.0% 8.6% 7.2% 7.0%

Black 9.8% 11.8% 14.7% 14.5% 12.2% 16.9% 7.2% 12.3% 12.6%

Hispanic 4.8% 7.2% 8.1% 6.2% 7.6% 13.4% 8.2% 7.8% 7.5%

Dutchess Putnam Rockland Westchester Orange Sullivan Ulster NYC NYS

20 high risk zip codes20 high risk zip codes in in top 40% of Upstate zip top 40% of Upstate zip codes:codes:

8 in Orange8 in Orange 5 in Sullivan 5 in Sullivan 6 in Ulster6 in Ulster

MISN/LHVPN MISN/LHVPN Perinatal High Risk Zip CodesPerinatal High Risk Zip Codes

22 high risk zip codes22 high risk zip codes in in top 40% of Upstate zip top 40% of Upstate zip codes:codes:

14 in Westchester14 in Westchester 5 in Dutchess5 in Dutchess 3 in Rockland3 in Rockland

1 in Putnam (not included in 1 in Putnam (not included in NYS’ top 40%)NYS’ top 40%)

7 COUNTY REGION of7 COUNTY REGION ofMISN and LHVPNMISN and LHVPN

MISN:

3 Counties

20 Zip Codes

LHVPN:

4 Counties

23 Zip Codes

Note: Each star represents a zip code. Stars illustrate the number of zip codes with high risk pregnancies in each county, with their approximate locations.

Perinatal Networks AddressPerinatal Networks AddressHudson Valley Regional Perinatal ForumHudson Valley Regional Perinatal Forum

Regional Action Plan Priorities:Regional Action Plan Priorities:

Eliminate Ethnic & Racial DisparitiesEliminate Ethnic & Racial Disparities

BREASTFEEDING

ORAL HEALTH

NUTRITION &

EXERCISETOBACCO, DRUG

& ALCOHOL PREVENTION &

CESSATION EARLY PRE-NATAL

CARE

Healthy Lifestyles & Healthy BabiesHealthy Lifestyles & Healthy Babies

SPECTRUM of PREVENTION:SPECTRUM of PREVENTION:A Wholistic Approach to Disease PreventionA Wholistic Approach to Disease Prevention

State & LocalState & LocalAdvocacyAdvocacy

Health Literacy Health Literacy Study CircleStudy Circle

70 Community 70 Community CollaborationsCollaborations

ProfessionalProfessionalEducation Education for 2,000for 2,000

CHED thru218 Agencies

Reaching 2,700 people

5,000 5,000 ConsumersConsumers

ServedServed

Policy/LegislationPolicy/Legislation

OrganizationsOrganizations

CoalitionsCoalitions

ProvidersProviders

CommunitiesCommunities

IndividualsIndividuals

Perinatal NetworksPerinatal NetworksIncrease Access to Prevention, Increase Access to Prevention,

Health Promotion, andHealth Promotion, andHealth ServicesHealth Services

Reductions in Low Birth Weight Reductions in Low Birth Weight Fewer Premature BabiesFewer Premature Babies Early Prenatal Care Early Prenatal Care Families Connect with Health Providers. Families Connect with Health Providers.

(Misra, et al 2003, Lu, et al 2003, Misra, et al 2000)(Misra, et al 2003, Lu, et al 2003, Misra, et al 2000)