Integrating Preconception Health into Daily Practice: Strategies for Workforce Development Giannina Donatoni, M.T.(A.S.C.P.), Ph.D. Los Angeles County-

Integrating Preconception Health into Daily Practice:

Strategies for Workforce Development

Giannina Donatoni, M.T.(A.S.C.P.), Ph.D.

Los Angeles County- Department of Public HealthMaternal, Child and Adolescent Health Programs

Thank you to

Denise Gee, R.D., M.P.H.

Cynthia Harding, M.P.H.

Victoria Lombardo, M.S.N., R.N.

Maryjane Puffer, B.S.N., M.P.A.

Diana Ramos, M.D., M.P.H.

Naveen Sangwan, M.B.A., M.P.H.

Today’s Presentation

Setting the stage

From data to training

Strategies for workforce development

Los Angeles CountyPreconception Health Collaborative

California Family Health CouncilLA Best Babies Network

LA County Department of Public HealthMarch of Dimes

PHFE – WIC ProgramPerinatal Advisory Council –

Leadership, Advocacy, and ConsultationVA Greater Los Angeles Healthcare System

Los Angeles CountyPreconception Health Community Profile

Immunization

Children's Medical Services

Lead Prevention

Maternal, Child, and Adolescent Health

Physical Activity

Office of Aids Programs/Policies

Alcohol/Drug Prevention

Communicable DiseasesHealth Assessment &

Epidemiology

Sexually Transmitted Disease

Planning/Evaluation/ Development

Chronic Disease

Women's Health

Child Health & Disability Prevention

Medical Case Management

Los Angeles CountyPublic Health Department

Foundations Churches Schools LAC Dept LAC Dept Parks & Recreation First5 LA

Mental Health California Family Black InfantBreastfeeding Health Councils Health Program HospitalsTask Force ofGreater Los AsthmaAngeles Coalition

MCH Access

Service PHFE-WICPlanningAreas

LA Best Physicians LACHealth March of Healthy Babies Midwives Dept of PublicPlans Dimes Births Network Nurse Practitioners Social Services

Learning Community ClinicsLA Care Collaboratives Association

Public Health workforce

Importance and relevance to the life course

Key time to address

Strategies to address

Preventive services to address

Speakers’ Bureau Presentation

Speakers’ Bureau PresentationContent

Abuse

Behavioral

Chronic Disease

Diet, Drugs, and Dads

Environmental Exposures

STIs, Shots, and Screening

Speakers’ Bureau Presentation Post-Training Evaluation

99% knew components of preconception health

20% could identify optimal opportunities to address preconception health

16% could not determine how to incorporate preconception health into their work

Define preconception health and its components

Describe at least two models of integrating preconception health into practice

Identify specific strategies to put into daily practice

Engage with Data

http://publichealth.lacounty.gov/ha/reports/habriefs/2007/Preconception_Final_sec.pdf

Preconception Health UpdatePost-Training Evaluation

72% address healthy weight 69% address contraception

63% folic acid 70% promote

breastfeeding 72% use online

resources

Preconception Health Collaborative Web Site

http://publichealth.lacounty.gov/mch/ReproductiveHealth/PreconceptionHealth/PreconceptionHealth_rev.htm

Interconception and Preconception Health Summit

Interconception Care Project of California algorithms and patient education materials

Relate maternal and infant health, birth outcomes, and interconception/preconception health

Link to life course

Strategies for Workforce Development

Preconception health components and life course

Provide action steps for integration into daily practice

Pre/post test questionnaires to assess quality and effectiveness of training

Commitment cards to motivate and suggest activities

Los Angeles County

Department of Public Health

Maternal, Child, and Adolescent Health Programs

Giannina Donatoni, M.T.(A.S.C.P.), Ph.D.

[email protected]