Healthy Women Build Healthy Communities April 24, 2008

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1 Healthy Women Build Healthy Communities April 24, 2008 AMCHP Women s Health Info Series Sabrina Matoff-Stepp, Ph.D. Director U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) Office of Women s Health

2 HRSA Office of Women s Health (OWH) Mission HRSA OWH provides a cross-cutting focus to reduce sex and gender-based disparities and improve women s health and wellness in support of the Agency s mission to provide national leadership, program resources and services needed to improve access to culturally competent, quality health care.

3 HRSA OWH Functions Serve in a leadership capacity on women s health and sex/gender-specific issues and policy. Coordinate and support disease prevention and health promotion activities at HRSA and with other HHS agencies. Serve as the liaison with other Federal women s health and private sector organizations. Support educational efforts on topics related to women s health and wellness.

4 Women s Health USA 2007

5 Bright Futures for Women s Health and Wellness Initiative (BFWHW) Vision and Mission Vision Statement to achieve physical, mental, social, and spiritual health, Bright Futures for Women s Health and Wellness identifies opportunities for integrating prevention into self-care, culturally competent health care, and community action. Mission Statement The mission of the Bright Futures for Women s Health and Wellness Initiative is to plan, develop, implement, and evaluate a variety of culturally competent consumer, provider, and community-based products to increase awareness and use of preventive health services for all women across their lifespan.

6 BFWHW Goals Increase the use of preventive services. Empower women to share in health care decisionmaking. Encourage women to practice prevention in their daily lives. Increase practitioner utilization of preventive health guidelines. Support community-wide health promotion.

7 BFWHW Infrastructure Funding HRSA/Maternal and Child Health Bureau Coordination HRSA OWH and Division of Healthy Start and Perinatal Services Organization inclusive, lifespan approach Participants non-federal and Federal experts (consumer and professional) Purpose Develop tools for adolescent young women and adult women, clinicians, and communities to promote health and wellness

8 BFWHW Domains Physical Activity and Healthy Eating Emotional Wellness Maternal Wellness

9 BFWHW Physical Activity & Healthy Eating Tools Develop tools to promote healthy physical activity and eating behaviors among women across the lifespan, according to the Dietary Guidelines for Americans Encourage shared decision-making and goal-setting with primary care providers; and involve community participation.

10 Tools for Consumers Booklets that encourage a dialogue between female patients and their health care providers about physical activity and healthy eating. Includes patient self-assessment, tips for communication with health care providers, goal setting, and resources for more information. My Bright Future for Adult Women Guide and Tip Sheets Available in English and Spanish My Bright Future for Young Women Guide and Wallet Card Revised Version based on the 2005 Dietary Guidelines for Americans COMING SOON

11 Tools for Consumers Rural Adaptation The core BFWHW physical activity and healthy eating tools were used as the foundation to create tools tailored for adult and young women living in rural communities in the United States. Rural adult and young women face unique challenges to improving physical activity and healthy eating including geographic isolation and access, limited transportation, provider shortages and poverty. Adult Women Guide and Tip Sheets Young Women Guide and Bookmark

12 Tools for Clinicians Administrator s Handbook: Training and Implementation of BFWHW Physical Activity and Healthy Eating Guides This Handbook describes the My Bright Future Physical Activity and Healthy Eating Guides and other patient and provider materials. It also contains information on how to train health care providers to implement the Guides in the clinical setting, using PowerPoint presentations, and counseling support tools for adult and young women patients.

13 Tools for Communities Healthy Women Build Healthy Communities Toolkit Designed to help young and adult women who want to improve the health of their communities take action and plan activities and events promoting physical activity and healthy eating. The toolkit provides 10 Building Blocks to help women plan community activities.

14 BFWHW Emotional Wellness Tools Extensive background work to define mental wellness from a positive perspective. Three concepts interwoven throughout family of tools: Value yourself Develop sense of balance, meaning and purpose in life Connect to your community Tools: Guide for Adolescent Young Women Guide for Adult Women Provider Booklet Exam or Waiting Room Flyer Community Idea Kit

15 BFWHW Emotional Wellness, Primary Care Clinic Flyer

16 BFWHW Emotional Wellness Adult Women s Guide

17 BFWHW Intermediate Evaluation Evaluation activities include a one-time data collection effort to assess how the BFWHW materials can stimulate conversation on physical activity and healthy eating during a well care visit; inform future BFWHW programming, and add to the peer-reviewed literature regarding women s health and wellness initiatives. Sites: La Pine, OR (school-based health center) Dept. of Housing and Urban Development, Wash. DC (worksite) Mercy Circle of Care, Philadelphia, PA (faith-based) Fish River Rural Health Clinic, Fort Kent, ME (FQHC) Katahdin Valley Health Center, Patten, ME (FQHC) Univ. of Utah, Salt Lake City, UT (Health Clinic) Leach Lake Tribal Clinic, Cass Lake, MN (Health Clinic)

18 BFWHW Maternal Wellness Tools Project Purpose To promote perinatal women s emotional wellness by raising awareness of and providing interventions to reduce stressors associated with increased risk (e.g., relationship changes; sleep deprivation; weight gain) that typically occur during the prenatal/postnatal period.

19 BFWHW Maternal Wellness Tools Three Products for Specific Audiences Consumers: women ages 14-44, from pregnancy through one year after pregnancy (perinatal) 10-page Booklet Community: individuals and organizations with whom perinatal women come into contact Poster Healthcare Providers: physicians, nurses, counselors and others providing care to perinatal women Pocket Card Products Content and Availability Similar conceptual messages across products Anticipatory in nature Versions: English or Spanish HRSA Information Center at ASK-HRSA On-line at

20 Draft Consumer Booklet (Back and Front Covers)

21 Lessons Learned Develop conceptual and theoretical framework for program planning. Develop a logic model (program goal(s), inputs, short-term, long-term outputs). Build evaluation into programs from the start (process, impact, outcome). Gather information from a variety of stakeholders (consumer, professional, community-based) Learn as much as you can about your target audience(s). Gain buy-in from your target audience(s). Develop partnerships.

22 Lessons Learned (continued) Put together a steering committee, council, or board group to advise you. Have regular meetings and conference calls. Develop marketing, promotion, and dissemination plans early. Do what you do best let others do what they do best. Culturally competency includes more than just race/ethnic diversity. Use technology wisely. Allow extra time for reviews, clearances, and approvals. Take time to thank people who support your program.

23 For More Information A variety of BFWHW Tools and other publications are available free of charge at the HRSA Information Center ASK-HRSA or online at HRSA Office of Women s Health 5600 Fishers Lane, 18A-44 Rockville, Maryland (301) (office) (301) (fax)

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