The National Connection for Local Public Health Plain Talk in Local Health Departments Tasha Toby, MPH National Association of County and City Health Officials (NACCHO) CityMatCH Urban MCH Leadership Conference August 28, 2007
The National Connection for Local Public Health
Plain Talk in Local Health Departments
Tasha Toby, MPH
National Association of County and City
Health Officials (NACCHO)
CityMatCH Urban MCH Leadership
Conference
August 28, 2007
Thursday, January 28, 2007
NACCHO Mission
NACCHO is the national organization representing local
health departments. NACCHO works to support efforts that
protect and improve the health of all people and all communities
by promoting national policy, developing resources and programs,
seeking health equity and supporting effective local public health
practice and systems.
Thursday, January 28, 2007
Presentation Summary
Role of Local Health Departments in Teen Pregnancy and
STI/HIV Prevention
NACCHO Teen Pregnancy and HIV/STI Prevention Initiative:
Promotion of Plain Talk
Local Health Department Plain Talk Sites
Additional NACCHO Activities
Thursday, January 28, 2007
Role of Local Health Departments at the Community Level
Unique role of local health departments (LHDs) within the
community 1
Engaging community to address health issuesPreventing, minimizing and containing adverse health
effects Implementing health promotion programsAddressing health disparitiesProviding science-based, timely and culturally competent
health information
[1] National Association of County and City Health Officials. Operational Definition of Functional Local Health Department. (2005). Also available at www.naccho.org
Thursday, January 28, 2007
Role of Local Health Departments in Teen Pregnancy and HIV/STI Prevention
Regularly engage in direct service or assurance activities serving
youth at high risk for teen pregnancy and/or HIV/STI infectionApprox. 50% of LHDs provide primary prevention services for unintended pregnancy 1
62% provide of LHDs provide HIV/AIDS screening 1
64% of LHDs provide STD screening 1
61% have teen pregnancy and STI/HIV prevention programs 2
[1] National Association of County and City Health Officials. (2006) 2005 National Profile of Local Health Departments. Washington, DC: NACCHO. [2] National Association of County and City Health Officials. (2007) Teen Pregnancy Prevention and Teen HIV/STI Prevention Activities of Local Health Departments: Preliminary Survey Results
Thursday, January 28, 2007
NACCHO Teen Pregnancy and HIV/STI Prevention Initiative
2007-2008 Funding from the Annie E. Casey Foundation
Goal: Assist LHDs in improving their teen pregnancy and
HIV/STI prevention programs through promotion of Plain Talk
Assess existing teen pregnancy and STI/HIV prevention activities and knowledge of Plain Talk among members
Disseminate information about Plain Talk
Highlight and promote existing LHD Plain Talk activities
Thursday, January 28, 2007
LHD Teen Pregnancy & HIV/STI Prevention Activities: Preliminary Survey Findings
Current Activities 1
Surveillance/Data Collection: Teen Pregnancy (60%), HIV/STI (77%)
Health education: Teen Pregnancy prevention (60%), HIV/STI prevention (81%)
Linkage to clinical services: 86%Social marketing campaigns targeting youth: 33%Professional training: 42%Community needs assessment: 63%
[1] National Association of County and City Health Officials. (2007) Teen Pregnancy Prevention and Teen HIV/STI Prevention Activities of Local Health Departments: Preliminary Survey Results
Thursday, January 28, 2007
LHD Teen Pregnancy & HIV/STI Prevention Activities: Preliminary Survey Findings
Plain Talk: Level of Knowledge and Interest 1
78% unfamiliar with program59% interested in learning more about program
Barriers to implementing new teen pregnancy and HIV/STI
prevention initiatives at local level 1
Limited staff resourcesLimited funding
[1] National Association of County and City Health Officials. (2007) Teen Pregnancy Prevention and Teen HIV/STI Prevention Activities of Local Health Departments: Preliminary Survey Results
Thursday, January 28, 2007
Plain Talk: Roles of Local Health Departments
Funding agency: LHDs have partnered with Plain Talk’s
implementation agencies and contributed to the initiative’s
implementation budget.
Information and services resource: LHDs have created formal
referral networks to assure that the Walkers & Talkers are armed
with the information required to link families to available support
services.
Implementation partner: In some Plain Talk sites the LHD has taken
a more hands-on approach in implementing the program.
Thursday, January 28, 2007
Local Health Department Plain Talk Sites
Toledo-Lucas County Health Department: Toledo, OH
South Valley Health Department: Albuquerque, NM
City of Milwaukee Health Department (WI)2002: Second highest percentage of births to mothers <20 years old among 50 largest US citiesCollaboration between Milwaukee Health Department and local CBOs
Lead partnering agency: New Concept Self Development Center, Inc.
Initiated in Milwaukee’s Midtown neighborhood
Thursday, January 28, 2007
Milwaukee Plain Talk Initiative
Community mapping phase Conducted by adults and teensOver 30 hours of extensive training from P/PVSurveyed 334 adults and approx. 300 teens170 teens & adults signed up to participateYouth “secret shopping” trips
Currently planning home health
partiesCulturally appropriate methods for African American male and Hmong communities in Midtown
Thursday, January 28, 2007
Additional NACCHO Activities
Key Informant Interviews of LHDs regarding Plain Talk and
current teen pregnancy and HIV/STI prevention initiatives
NACCHO Issue Brief highlighting current LHD Plain Talk sites
Compendium of LHD evidence-based teen pregnancy and
HIV/STI prevention programs
Webpage highlighting activities of LHDs implementing Plain Talk
Series of 3 Plain Talk Webcasts for LHD audiences
Thursday, January 28, 2007
Contact Information
Tasha Toby, MPH
Senior Analyst- Adolescent Health