The Healthy Mothers, Healthy Babies Plan: An assessment of South Carolina’s efforts to reduce infant mortality and improve maternal and child health outcomes.

The Healthy Mothers, Healthy Babies Plan: An assessment of South Carolina’s efforts to reduce

infant mortality and improve maternal and child health outcomes

Amanda Terminello, MPHPublic Health Associate

Centers for Disease Control and PreventionOffice for State, Tribal, Local and Territorial Support

PHAP/PHPS Summer SeminarJune 2, 2015

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support

Outline

Background: Maternal and Child Health in S.C.

Introduction: Healthy Mothers, Healthy Babies Plan

Overview: Healthy Mothers, Healthy Babies Assessment

Implications for Practice and Public Health Impact

MATERNAL AND CHILD HEALTH IN SOUTH CAROLINA

Background

Infant Mortality in South Carolina

S.C. 2011 Infant Mortality Rate – 7.4 per 1,000 live births U.S. Rate: 6.1 per 1,000 live births

S.C. 2013 Infant Mortality Rate – 6.9 per 1,000 live births White: 5.5 per 1,000 live births African American/Black: 10.0 per 1,000 live births

Major Causes: Low Birth Weight / Premature Birth Birth Defects Sudden Infant Death Syndrome (SIDS) & Accidents

*South Carolina Department of Health and Environmental Control, 2013 South Carolina Residence Data

HEALTHY MOTHERS, HEALTHY BABIES PLAN

Introduction

Healthy Mothers, Healthy Babies Plan

First Released in 2013 Designed to be a comprehensive, state-wide effort Bridge existing efforts and build consensus

Goal: Present broad priority areas and specific strategies to impact the risk

factors that cause infant morality in a comprehensive plan Accumulated effects of the strategies implemented based on the

recommendations in the report to reduce infant mortality

HMHB Conceptual Model

HMHB Recommendations and Strategies

Improve Access to Systems of Care 6 strategies

Promote Use of Evidence-Based Practices 13 strategies

Promote Health across the Lifespan 4 strategies

Use Data to Inform Practice and Drive Decision-Making 6 strategies

Eliminate Disparities and Promote Health Equity 5 strategies

HEALTHY MOTHERS, HEALTHY BABIES ASSESSMENT

Overview: Introduction, Methods, and Results

Over 35 semi-structured interviews Understand current

activities Develop SMART objectives

Over 15 agencies Nonprofits / CBOs Public health organizations Healthcare organizations State agencies MCH coalition

Purpose to identify: Current partners and

activities Goals and progress Successes and areas for

improvement

Guide decision-making and resource allocation

Improve coordination (quality) of MCH services

HMHB Assessment Overview

HMHB Assessment Results

Priority Area Rankings (31) Current Active Engagements (11) Sustained Activities (7) Opportunities for Future Activity (6) Unable to be Categorized at this Time (7)

Recommendations for Future Action Continue to expand or target ongoing activities

• Guided by data • Health equity

Explore future opportunities for which current activities are minimal or not identified

Continuous and Ongoing Assessment

Further interviews to be conducted in priority areas unable to be categorized at this time

Identified additional partners to be included Focus on less-established partnerships

Input from public health leadership and stakeholders

Development of a regional resource inventory

IMPLICATIONS FOR PRACTICE AND PUBLIC HEALTH IMPACT

HMHB Assessment

Implications for Practice

State Health Department Enhances awareness of existing programs and services Builds relationships with stakeholders and organizations Directly contributes to state MCH needs assessment Identifies assets and existing capacity

Provides strategic planning opportunities for organizations

Improves coordination Provide key partner information according to priority areas

Public Health Impact

Allows decision makers to better understand strengths and opportunities for improvement of MCH services across S.C.

Guides resource allocation and capacity-building efforts

Facilitates collaboration and improves quality of services

For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support

4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: OSTLTSfeedback@cdc.gov Web: http://www.cdc.gov/stltpublichealth

The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Thank You! Any Questions?

Amanda Terminello, MPHyoz5@cdc.gov803-898-0384

Centers for Disease Control and Prevention

Office for State, Tribal, Local and Territorial Support