annual action plan: 2016-2017nefhealthystart.org/new-site/wp-content/uploads/... · through hs,...
TRANSCRIPT
BACKGROUND
• Healthy Start Service
Delivery Plan adopted in
2009
• Annual Action Plan guides
Coalition, community
activities
INFANCY
• Focus: Infant mortality rates in Northeast Florida exceed state,
national rates.
• Strategies – Infant Mortality:
• Effectively serve at-risk infants through Healthy Start; increase
breastfeeding rates; engage & support fathers, reach Hispanics,
continue NFP, staff training, web-based data entry
• Progress
• ↓ Infant screening rates, initial contacts, Level III services
• ↓ IM rates
• Baby Friendly Hospitals
• Fatherhood groups and services expanded: Administration and Children
and Families 2015-2020 Grant. Fatherhood Taskforce created.
• Proposed Changes: Implement a coordinated intake and referral system
and conduct training with all hospital staff who administer the HS screen.
INFANCY
• Strategies – LBW:
• Smoking cessation, Interconceptional education through HS
• Progress
• ↑ Identified model, trained staff on smoking cessation (SCRIPT)
• ↓ ICC services decrease
• Proposed Changes: No changes proposed for this area
INFANCY
• Strategies – Disparities:
• Interconception education
through HS, Make a Noise!
Make a Difference!, address
racism, toxic stress,
leadership academy
• Progress
• Pre-term birth rate high
(13.3% of all births, 17% of
black births)
• ICC services
• Improvements in Health
Zone 1 (below the county
rate)
• Proposed Changes: No
changes proposed for this area
7.9 7.2 6.7 7.1 5.5 5.8
2.8
4.9
6.1
4.7
11.6
9.5 9 9.78.4 8.1 7.3
8.3 8.28.8
19.5
13.914.8
15.8
15.2
8.8
13.312.8
10.3
7.7
16.9
12.912.9 13.9 13.6
11.7 12.8
14.1 14.1 13.8
0
5
10
15
20
25
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
White
Total County
Target Area
Black
Linear (Target Area)
INFANCY
• Strategies – Post-neonatal deaths:
• The Players Center for Child Health Partnership, SUIDS prevention
education, Children's University
• Progress
• Sleep-related deaths are on the rise (16 percent of deaths)
• Safe Sleep Partnership
• Partnering with area Hospitals
• Proposed Changes: Conduct Safe Sleep Survey
CHILDHOOD & ADOLESCENCE
• Focus: Childhood obesity, teen STI/HIV rates, repeat births to teens
• Strategies:
• BF education, promote BF Hospitals, obesity coalition
4ME Teen Health Project; and NFP/MIECHV
• Progress:
• School districts, hospitals provide worksite BF support
• BF support provided through HS (peer counseling and IBCLC)
• Teen birth rates, repeat teen birth rates trending down
• PREP grant ended
• Nurse-Family Partnership sustained
• Proposed Changes: Continue implementation of BrdsNBz NE Florida text
message warmline and increase awareness of LARCs.
PRECONCEPTION
• Focus: Multivitamin use, smoking cessation, STI/HIV rates, obesity,
interconceptional intervals
• Strategies: Promote vitamin use, HS smoking cessation, Integration of
FP/STI services, Preconception Peer Educators (PPE)
• Progress:
• STI/HIV rates still high
• LARC Pilot
• Funding from state for Magnolia Primary Care
• Preconception clinical toolkit
• Proposed Changes: Implement primary care services at Magnolia and
incorporate yoga, weight loss, and nutrition.
PREGNANCY & CHILDBIRTH
• Focus: Early prenatal care, tobacco use, maternal mortality, single
motherhood, infant mortality
• Strategies: HS smoking cessation SCRIPT, Interconceptional interventions
for high-risk women. Integrate life course approach into programs. Effectively
serve at-risk pregnant women through HS
• Progress:
• Prenatal screening rates are down
• Substance exposed newborns continue to rise
• Proposed Changes: Substance Abuse Task Force