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, MPH Public Health Associate Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support PHAP/PHPS Summer Seminar June 2, 2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support
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The Healthy Mothers, Healthy Babies Plan: An assessment of South Carolina’s efforts to reduce infant mortality and improve maternal and child health outcomes.
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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
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
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.