healthy start grantees: accepting the challenges of reform...accepting the challenges of reform...
TRANSCRIPT
Healthy Start Grantees:
Accepting the Challenges of
Reform
What’s old, What’s new, What’s next
March 30, 2014
Maxine Hayes, MD, MPH
1
The Vision…
What’s old?
The problems: Infant mortality
Maternal mortality
Persistent disparities
Economic disadvantage
Racism, discrimination
Intergenerational impact
Poor coordination and
fragmentation of resources
What’s new? • Better understanding of “root” causes of
bad outcomes • Must focus on maternal health prior to conception
• Must understand the intergenerational impacts
• Must focus on environment and all determinants of health
• Must take a life course view
• The work is not for MCH alone but entire communities
• Better understanding of “root” causes of bad outcomes
• Must focus on maternal health prior to
conception, during and after pregnancy • Must understand the intergenerational impacts of adversity/disadvantage
• Must focus on environment and all determinants of health
• Must take a life course view
• The work is not for MCH alone but entire communities
What’s new?
Rethinking Preterm Birth
Racism
Unemployment
Stress
Poverty
Weathering
Absent Dads
Under Education
Poor Access
Housing
Environmental
Risk
Stress Due
to Social
Factors
Institutionalized
Biases (racism, sexism, etc.)
Language and
Other Cultural Factors
Economic
Opportunity
and Equity
Education
Background and
Opportunity
Mental Health
and Social
Support
Access to
Health Services
Health
Behaviors and
Personal
Risk Factors
Trust in Health
System and
Research Social
Determinants of
Health
What’s new? • Greater focus on results and evidence
based interventions • Greater emphasis on innovation
• Greater use of technology
• Greater understanding of Health
• Greater opportunity to highlight non-clinical contributions
• Greater need to align, partner, demonstrate collective impact of all efforts
• Health Reform: ACA
What’s next?
• We must sustain the momentum
• Safe guard our successes
• It is all about partnerships, being connected
• Community engagement is Key!
What’s next?
Community Engagement is Critical
• Clarity of message
• Know your “why”
• Know your tools
• Know your people
• Social media as a tactic
• Clever delivery
Social Media Revolution Video http://www.youtube.com/watch?v=0eUeL3n7fDs
• New tools to share the messages
• Don’t forget the new audience – the millennials!
Especially challenging part for Pee Dee
Region in So
uth Carolina.
Why the Healthy Start Programs are
vital to the nation’s war on infant
mortality (and that’s not all).
Take Home Message…
Focus on the “D’s”
• Investigate Differences
• Focus on the Drivers
• Dig into the root causes
• Determine most effective strategies
• Do it!
14
HEALTHY WOMEN
HEALTHY INFANTS
HEALTHY FAMILIES
HEALTHY
COMMUNITIES
HEALTHY NATION
WA SHINGTON STATE DEPARTMENT OF HEA LTH SEPTEMBER 1999WA SHINGTON STATE DEPARTMENT OF HEA LTH SEPTEMBER 1999
Our Broader Goal
“Getting it right in the beginning IS
getting it right for a lifetime!”
Maxine Hayes, MD, MPH
“Inspiration and enthusiasm are of
little value unless they move us to
action and accomplishment.”
Jim Casey
Thank You!