TOOLS, PLANS AND PROGRAMS FROM ACROSS NORTH CAROLINA AND THE

COUNTRY

Resources for Our Work

A society's infant mortality rate is considered an important indicator of its health, because infant mortality is associated with socioeconomic status, access to health care, and the health status of women of childbearing age. (Congressional Budget Office, 1992)

Every day, two babies die in North Carolina!

Increased Risk

Minority women experience disparities in poor birth outcomes, in health as they age, and a shorter life expectancy compared to Caucasian women.

So, what’s been happening?

National Action Learning Collaboratives

AMCHP Perinatal Disparities Action Learning Lab (2003-2004) Lessons Learned from State Teams

Infant Mortality & Racism Action Learning Collaborative (2008-2010) Six Communities

Partnership to Eliminate Disparities in Infant Mortality

CityMatCH, AMCHP and the National Healthy Start Association have partnered

18-month Action Learning Collaborative.  This work resulted in a report that details the process and

experiences of the teams as well as a companion document on community action planning.

Special report to the W.K. Kellogg Foundation To read more about their projects and access these

reports http://www.citymatch.org/issuepub.php.

Minnesota: Innovative Solutions

Started their focus in 19892001-2011 Eliminating Health Disparities

Initiative Worked with community and tribal leaders 10 of 51 grantees

Doula, home visiting, education, and media awareness Community Health Worker Program – support &

mentoringMedia: Save 10 Campaign!

10 ways to have a healthy baby message Worked with men, women, churches, and

communities38% reduction in disparity rate

Minnesota Plan for the Future…

Continuous health care for all women of childbearing age and encourage health care homes

Preconception and interconceptional care for all women of childbearing age

Culturally appropriate family planning and child spacing efforts

Use data carefully to monitor disparities

Wisconsin’s 12-point Plan

Based on Life-Course Perspective (12 pt. plan)

(Lu, Kotelchuck, Hogan, Jones, Wright, Halfon)

Improve Healthcare for African American Women

Provide interconception care to women with prior adverse pregnancy outcomes

Increase access to preconception care Improve the quality of prenatal care Expand healthcare access over the Life course

Wisconsin continued…

Strengthen African American Families and Communities Strengthen father involvement in African American

families Enhance service coordination and systems integration Create reproductive social capital in African American

communities Invest in community building and urban renewal

Wisconsin

Address Social and Economic Inequities (reducing stress over the life course) Close the education gap Reduce poverty among African American families Support working mothers and families Undo racism

Wisconsin Plan Principles

Maximize cooperation, coordination and integration of efforts among diverse agencies and stakeholders

Creation of new strategies and life course approaches – not business as usual

Promote shared learning and mutual respectRecognize the critical voice of African American

families and community membersBuild upon or expand models that workIntegrate, support and strengthen existing effortsBuild and sustain public and political will for action

Michigan’s Focus

Michigan has held a series of stakeholder Summits (2001, 2004, 2008)

Incorporated the 12 pt. Life Course planFocus includes:

Smoking, Unintended pregnancies, Chronic disease management, High risk pregnancy delivery in appropriate facility; Good nutrition; Safe Sleep, etc.

Michigan held another Call to Action Summit – October 17th (Governor provided keynote)

Alameda County, California

Developed a diverse community coalition which included business leaders, faith leaders and community members.

Studied the impact of Place and Race on health outcomes.

Reviewed data about their county and where they were having poor health outcomes as well as where they were providing services. High service areas also had high poor health

outcomes. Signaled a necessity for using resource differently and taking a new approach.

North Carolina Efforts!

Healthy Beginnings 12 NC communities

NC Healthy Start Programs Healthy Start Corps & Baby Love Plus 15 communities in our state

Local Infant Mortality Coalitions Forsyth, Pitt, Guilford, Durham, etc.

Community Health Ambassador (OMHHD)Pregnancy Medical Home/Care Management

Breastfeeding PromotionSIDS / Safe SleepFolic Acid / Preconception HealthTobacco Cessation Recurring Preterm Birth PreventionShaken Baby PreventionHome Visiting

Nurse-Family Partnership, Healthy Families America, Parents As Teachers, Early Head Start

Statewide Efforts

North Carolina continues…

Healthy Women…Healthy Babies Preconception Health Campaign and other efforts A Healthy Baby Begins with You!

Community Transformation Grant Tobacco free living Active living and healthy eating High impact evidence-based clinical and other

preventive services

Other North Carolina Resources

Multiple academic and health care institutions with an interest in health inequities.

Strong faith communities and collaboratives focused on improving health.

More that we’ve probably missed! If your work is not represented here, please… Tell others about it during your break out group Tell us about it on the commitment form Share links and resources with team so we can

forward to others

Resources

We are NOT resource poor…other states and our federal partners are willing to share their expertise and tools!

National Partnership for Action to End Health Disparities

Ten Regional Health Equity Councils Toolkit for Community Action Guide to Health Disparities Resources

Unnatural Causes – DVD seriesWhy Place and Race Matter – Policy LinkFrameworks InstituteInstitute for Dismantling RacismMany, many others!

See Resources linked to www.mombaby.org – click on Health Equity Research (yellow section)

So, What Should We Be Doing Now?