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Health Resources and Services AdministrationMaternal And Child Health Bureau
Healthy Start, Perinatal and Women’s Health: What’s Happening
Maribeth Badura, M.S.N.Dept. of Health and Human Services (HHS)
Health Resources and Services Administration (HRSA)Maternal and Child Health Bureau (MCHB)
Division of Healthy Start and Perinatal Services (DHSPS)
February 2009
February 2008
HEALTHY START AND PERINATAL
SERVICESTARGET AUDIENCETARGET AUDIENCE
Women Across the Lifespan
*particularly those of reproductive age and their infants
February 2008
HEALTHY START AND PERINATAL
SERVICES
Focus Focus Risk Reduction
Infrastructure Building
Family/Consumer Involvement
Disparities
RACIAL & ETHNIC DISPARITIESINFANT MORTALITY
# P
er
1,0
00 L
ive
Bir
ths
NCHS 2006
Year 2010 Goal: 4.5 per 1,000
February 2008
HEALTHY START AUTHORIZING LEGISLATION Title III, Section 330H of the Public Health Service Act
(42 U.S.C. 254c-8)
Make grants for project areas with high annual rates of infant mortality
Factors that contribute to infant mortality, such as low birthweight.
Require partnership with statewide systems and with other community services funded under the Maternal and Child Health Block Grant.
Have or plan to have a Community Consortium including, but not limited to Title V, consumers of project services, public health departments, hospitals, C/MHC, & other significant sources of health care services
The extent to which applicants for such grants facilitate— a community-based approach to the delivery of services; and a comprehensive approach to women's health care to improve
perinatal outcomes.
February 2008
ELIMINATING DISPARITIES IN PERINATAL HEALTHELIMINATING DISPARITIES IN PERINATAL HEALTH 2009-2014 Seventy-four Grantees 2010-2015 Twelve Grantees 2012-2017 Six Grantees
ELIMINATING DISPARITIES IN PERINATAL ELIMINATING DISPARITIES IN PERINATAL HEALTH-BORDER, ALASKAN AND NATIVE HAWAIIAN HEALTH-BORDER, ALASKAN AND NATIVE HAWAIIAN COMMUNITIESCOMMUNITIES
2009-2014 Three Grantee 2011-2016 Three Grantees 2012-2017 Two Grantees
HEALTHY START AND PERINATAL SERVICES
February 2008
INNOVATIVE APPROACHES TO PROMOTING A HEALTHY WEIGHT IN WOMEN
HEALTHY WEIGHT & MENTAL HEALTHHEALTHY WEIGHT & MENTAL HEALTH
(CT, IL, OH)
HEALTHY WEIGHT DURING PREGNANCY HEALTHY WEIGHT DURING PREGNANCY AND POSTPARTUM ( 1 Year after AND POSTPARTUM ( 1 Year after Delivery)Delivery)
Year 1 (NE, CA)
Year 2 (5 Additional States/August 2009)
February 2008
THE COMMUNITY-BASED
DOULA PROGRAM
Purpose: to provide first time motherhood demonstration programs to urban and rural communities to support community-based Doulas.
This approach identifies and trains indigenous community workers to mentor pregnant women during the months of pregnancy, birth and at least twelve (12) weeks post-partum, (optimally one year post-partum).
February 2008
THE COMMUNITY-BASED
DOULA PROGRAM
HRSA’s Maternal and Child Health Bureau was allotted $1.4 million to launch the Community-Based Doula Initiative through the Consolidated Appropriations Act 2008 (P.L. 110-161)
Community-Based Doula Leadership Training Institute (IL HealthConnectionOne)
3 Urban: Atlanta GA, Chicago IL, St. Louis MO
3 Rural: Ojibwe/Onamia MN, Tewa Women/Espanola, NM, Migrant Health/Weslaco TX
February 2008
FIRST-TIME MOTHERHOODNEW PARENT INITIATIVE
Purpose: Develop, implement, evaluate and disseminate novel social-marketing approaches that:
Concurrently increase awareness of existing preconception/interconception, prenatal care, and parenting services/programs,
Address the relationship between such services, health/birth outcomes, and a healthy first year of life.
Include women and men who are from populations disproportionately affected by adverse pregnancy outcomes in their community including racial/ethnic minorities as well as their providers.
February 2008
FIRST-TIME MOTHERHOODNEW PARENT INITIATIVE
HRSA’s Maternal and Child Health Bureau was allotted approximately $4.8 million for this activity through the Consolidated Appropriations Act 2008 (P.L. 110-161) .
State-based Awards 2009: AZ, CA, CT, FL, MA, NC, NE, NV, OR, PA, UT, WI
2010: AZ, CA, CT, FL, MA, ME, NC, NE, NV, OR, PA, UT, WI
February 2008
HEALTHY START AND PERINATAL
SERVICESSYNTHESIS OF EMERGING PRACTICES SYNTHESIS OF EMERGING PRACTICES
AND LESSONS LEARNEDAND LESSONS LEARNED
Alcohol Screening and Alcohol Replications Grants and Technical Assistance Contract
Domestic Violence and Family Violence Grants and Technical Assistance Contract
Innovative Approaches Women’s Wellness Grants
Behavioral Risk Assessment Grants
Healthy Start Depression Screening
February 2008
BUSINESS CASE FOR BREASTFEEDING: WORKPLACE LACTATION SUPPORT
TRAIN THE TRAINERTRAIN THE TRAINER
2009: AK, AZ/Navajo Nation, IA, KS, MI, NY, PA, SC, VT, WV
2008: US Breastfeeding Coalition, AL, CA, CT, DC, GA, HA, IN, LA, MD, OR, RI, TX, UT
February 2008
DEPRESSION DURING & AFTER PREGNANCY: A RESOURCE FOR
WOMEN, THEIR FAMILIES AND FRIENDS
www.mchb.hrsa.gov/pregnancyandbeyond/depression
February 2008
TAKING CARE OF MOM BRIGHT FUTURES FOR WOMEN’S
HEALTH & WELLNESS
February 2008
HEALTHY START AND PERINATAL
SERVICES
NATIONAL LEADERSHIP ACTIVITIESNATIONAL LEADERSHIP ACTIVITIES
Advisory Committee on Infant Mortality Select Panel on Preconceptional Care Steering Committee on Preconceptional Care National Hispanic Prenatal Hotline National Healthy Start Leadership Institute HHS/OMH National Partnership for Action National Fetal Infant Mortality Review Resource
Center
February 2008
HEALTHY START AND PERINATAL
SERVICES
NATIONAL LEADERSHIP ACTIVITIESNATIONAL LEADERSHIP ACTIVITIES
Interagency Coordinating Committee on Fetal Alcohol Syndrome
National Folic Acid Campaign Smoke Free Families Bright Futures For Women’s Health and Wellness
Perinatal Focus: Adaptation and Emotional Wellness Steering Committee on Preconceptional Care
Stakeholder Workgroup on Transforming Maternity Care
February 2008
HEALTHY START AND PERINATAL
SERVICES
Healthy WomenHealthy Women
Healthy InfantsHealthy Infants
Healthy FamiliesHealthy Families
Healthy CommunitiesHealthy Communities
Healthy NationHealthy Nation