David S. McKenna, M.D. Dayton/Montgomery County Infant Mortality Coalition Maternal-Fetal Medicine Miami Valley Hospital, Dayton OH

Similar documents
The Kirwan Institute is entering its second decade of working to create a just and inclusive

Reducing Disparities, Achieving Equity. Prematurity Prevention 2016 Summit Healthy Women Healthy Future November 4, 2016

CityMatCH At the University of Nebraska Medical Center Curriculum Vitae. Omaha, NE 68104

Multnomah County Health Department. Report Card on Racial and Ethnic Health Disparities. April 2011

PUTTING IT ALL TOGETHER: MELDING OUR PASSION & KNOWLEDGE TO ACHIEVE EXCELLENCE

Smoke Free Families Informational Webinar August 23, 2018

Perinatal Health Strategic Plan Update

Working Towards Addressing Women s Health Disparities in Arizona

7Florida Health Performs

Multnomah County Health Department

A Brief (& Incomplete) History of Worcester s Infant Mortality Reduction Work. September 22, 2017 Infant Mortality Summit Sara Shields, MD

Maternal Child Health Services Contract Work Plan FFY Contract Period October 1, September 30, 2021

Healthy Start Regional Meeting: DC, MD, NJ Healthy Start Projects. June 23-24, 2015 Trenton, New Jersey

Recognizing Racial Ethnic Disparities in Maternity Care

Assessment in Maternal & Child Health:

Health Disparities Matter!

TITLE V MATERNAL & CHILD HEALTH 5-YEAR STATE ACTION PLAN

The Science and Practice of Perinatal Tobacco Use Cessation

Opportunities for Collaboration: the MCHB Title V Block Grant and Healthy Start

2018 March of Dimes Annual Conference: Advancing Healthy Equity to Improve Maternal & Neonatal Outcomes November 2018 Hilton Irvine

Achieving Equity in cancer prevention and control. tools for naming and addressing the impacts of racism on health

MOMS Project Panel Overview

Community Voices and Solutions (CVAS)

RECOMMENDATIONS TO REDUCE HEALTH DISPARITIES IN MONTGOMERY COUNTY

Healthy Start and Collective Impact

Mississippi State Department of Health, Health Services / Office of Health Data and Research

Changing Perceptions. Improving Reality. Reducing African American Infant Mortality in Racine

Pregnancy Weight Gain Guidelines: Perspectives on Putting the Guidelines into Action

Understanding Health Through a Life Course Perspective. WIC Conference April 28, 2015

Healthy Community Partnership. Mahoning Valley

Community Health Implementation Strategy Dane County, WI UW Hospitals and Clinics Authority Board Approved: September 28, 2017

Incorporating Life Course Theory into the Fetal & Infant Mortality Review: Report of Strategies from local FIMR programs

Aligning for Impact: Saving Babies in Cols. OH

Priority Alignment. Birth Outcomes. Goal 1-Reduce preterm births. Goal 2 - Reduce substance misuse in pregnant women

MI MOM S MOUTH. Examining a Multifaceted Michigan Initiative and the Critical Role of FQHC s in Delivering Interprofessional Care

FLHealthCHARTS.com Update List

Improving Lung Cancer Survival. the role of health equity

ADDRESSING MATERNAL AND INFANT MORTALITY: STRATEGIES THAT CHANGE THE HEALTH EQUALITY EQUATION FOR WOMEN, CHILDREN AND FAMILIES

Day-to-Day Activities

Pre-Conception & Pregnancy in Ohio

How Wheaton Franciscan is meeting the NEEDS of our community. NSWERING HE CALL

COMMUNITY MATERNITY RESOURCE GUIDE

Guiding Questions

Mark B Horton, MD, MSPH 22 March 2011

Healthy Babies Initiative and National CoIIN Rollout

Successful Engagement of Minorities in Research: A Building Trust Between Minorities and Researchers To Achieve Health Equity

Tuscarawas County Health Department

Cultural Competency: Serving American Indian Patients

Santa Barbara 2015 Title V Community Assessment Maternal Child & Adolescent Health. Presented by Sandra Copley, MCAH Director

Prince George s County Health Department Health Report Findings

Click to edit Master title style. Unintended Pregnancy: Prevalence. Unintended Pregnancy: Risk Groups. Unintended Pregnancy: Consequences 9/23/2015

Community Health Improvement plan

California. Maternal and Child Health Block Grant 2018

Sharon Moffatt, RN BSN MSN Association of State and Territorial Health Officials January 12, 2011

Healthy Montgomery. Our Meaningful Community Partnership Effort to Drive Population Health. Thursday May 17, 2018

Center for Urban Child Policy

Health Care Reform in the Northwest: Part 1

Health Care Reform in the Northwest: Part 1

Strong Start Healthy Start Maternal Child Health Division

GREATER COLUMBUS INFANT MORTALITY TASK FORCE FINAL REPORT AND IMPLEMENTATION PLAN JUNE 2014

HEALTH OF WOMEN AND CHILDREN REPORT

Factual Information Contained in this Report: PURPOSE. Health Perceptions. Health Insurance Coverage. Health Care Access. Preventive Health Care

HEP B UNITED: YEAR-IN-REVIEW

HEALTH DISPARITIES AMONG ADULTS IN OHIO

Social Determinants of Health and Infant Mortality. Ashley Busacker, PhD

Development of MCH in China. QIN Geng, Department of MCH, NHFPC

Road Map. Requirements for reporting Defining health disparities Resources for data

Health Disparities Research. Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration

Message from the. Public Health Officer

Overview of Health Disparities in Arkansas

Nutrition & Physical Activity Profile Worksheets

MCAH Application of the Life Course Theory to Nutrition

When Zip Code Matters More Than Genetic Code: The Social Determinants of Health

Community Meetings 2004

It Takes A Village To Nurse A Child. 4 TH Annual California Breastfeeding Summit Monique Sims-Harper, DrPH, MPH, RD, IBCLC January 30, 2014

National Oral Health Conference April 26, 2017 Albuquerque, New Mexico

The First 1,000 Days The Connection between You and the Health Legacy of the Next Generation

The Family Wellness Suite

Virginia s Health 2017

2018 Warren County Local Assessment (MCH Grant) Summary

Overview of the Growing Together Toolkit

Attending to the Whole Population

HIP Year 2020 Health Objectives related to Perinatal Health:

Conceptualizing Substance Use among African Americans: Implications for Research and Future Directions

Tool for Preconception and Interconception Care:

Racial and Ethnic Health Disparities Report Card

Infant mortality is often viewed as a marker of the health

Assessing Health Disparities and Closing the Gap

Child Health and Health Care in Ohio

Preconception Health in North Carolina. February 13, 2012 Perinatal Health Committee Child Fatality Task Force

Racial and Ethnic Health Disparities Report Card, 7th Edition

M.A.P. II. Monitoring and Assessment Project Executive Summary. Infectious Diseases. Chronic Diseases. Tarrant County Public Health

Annual Scientific conference of Kenya Association of Physicians

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

2013 DUPLIN COUNTY SOTCH REPORT

Idaho Perinatal Project Newsletter

2014 Report Card on Racial and Ethnic Disparities. December 2014

Annie Wendt Epidemiologist Kalamazoo County Department of Health and Community Services

Preterm birth (PTB) and Low birth weight (LBW)

Transcription:

David S. McKenna, M.D. Dayton/Montgomery County Infant Mortality Coalition Maternal-Fetal Medicine Miami Valley Hospital, Dayton OH

Describe local and state-wide efforts to improve overall birth outcomes and reduce the racial and ethnic disparities in infant mortality Share experience with clinical and community initiatives

Freestanding national membership organization City & County Health Depts, MCH programs & leaders Mission strengthen public health leaders and organizations to promote equity & improve the health of urban women, families & communities 2013 - Institute for Equity in Birth Outcomes Help U.S. cities strengthen the evidence-base for reducing inequities in birth outcomes Each team - 2 year project Funding from the W.K. Kellogg Foundation

Equity Institute Training Upstream Strategies racism Prevention Vehicles Downstream Strategies

2013 Trained with 3 other cities Developed two projects for implementation Centering Pregnancy - upstream Progesterone for the prevention of preterm birth downstream Ohio Equity Institute CityMatCH trained 8 additional Ohio urban communities Each is implementing and upstream & downstream project

Dayton & Montgomery County Infant Mortality Initiative Target Area For 9 Zip Codes the Black IMR > 7.5 and the Number of Black Births > 100

The Life Course Approach- the concept that birth outcomes are influenced by a woman s health behaviors and life events over her entire life course, including infancy & childhood as well as reproductive years and pregnancy

Lu MC, Halfon N. Racial and ethnic disparities in birth outcomes: a life-course perspective. Matern Child Health J. 2003;7:13-30.

The Life Course Approach (continued) In 1985 we said: Providing early and regular high-quality prenatal care will assure the best possible birth outcomes.

The Life Course Approach (continued) In 2015 we say: The best possible birth outcomes require highquality preventive health care from birth through a woman s reproductive years.

Social Determinants of Health- infant mortality is not just a medical/public health issue. Birth outcomes are affected by: Poverty/income status Behaviors Education Racism

Racial Disparities in Infant Mortality- Disparity exists even when controlling for known risk factors: *Health behaviors *Teen pregnancy *Marital status *Education *Poverty *Genetics

Racial Disparities (continued)- Studies suggest that it is not race itself, but something related to living in the U.S. as a black woman that caused the disparity. The leading hypothesis identifies that experience as racism and the stress caused by a lifetime of racial prejudice.

Current theory on how racism affects birth outcomes- RACISM Stress Release of Hormones Increased Infection Preterm Birth

Butler County Upstream: CenteringPregnancy Downstream: smoking cessation and safe sleep Cincinnati Upstream: Comprehensive Health Education in a Cincinnati Public School Downstream: Stress/depression Reduction; Empowerment; Pregnancy Intent (45211 Zip Code WIC clients) Cleveland/Cuyahoga County Upstream: Family planning / Preconception Care Downstream: CenteringPregnancy Columbus Upstream: Community building / Civic engagement, Parent education / Mentoring Downstream: Perinatal case management (zip codes 43206 and 43207) Dayton & Montgomery County Upstream: CenteringPregnancy Downstream: Progesterone therapy (9 zip codes with Black IMR > 7.5 and Number of Black Births > 100) Stark County Upstream: CenteringPregnancy Downstream: Safe Sleep initiatives Summit County Upstream: community support / Life Course Perspective Downstream: Progesterone treatment Toledo Upstream: Health Disparities and Racism (policy recognition) Downstream: Safe Sleep and Maternal Care Youngstown-Mahoning County Upstream: CenteringPregnancy Downstream: LARCs

Racism- a system of structuring opportunity and assigning value based on the social interpretation of how we look, resulting in a system which unfairly disadvantages some and advantages others.

Institutionalized Racism- differential access by race to the goods, services, and opportunities of a society Personally Mediated Racism- prejudice (differential assumptions) and discrimination (differential actions) by individuals toward others Internalized Racism- acceptance by members of the stigmatized races of negative messages about their own abilities and intrinsic worth

2024 © healthdocbox.com Privacy Policy | Terms of Service | Feedback