Focus presentation for expert panel 3 1-11

04/12/2304/12/23 FOCUS Presentation - Carlean M. Jones, RN, FOCUS Presentation - Carlean M. Jones, RN, MSN, Immunization & Reproductive Health ProgMSN, Immunization & Reproductive Health Program Manager ram Manager

““MOMS”MOMS”Making Our Mothers SuccessfulMaking Our Mothers SuccessfulA Partnership with the March of A Partnership with the March of

DimesDimes

Clayton County Board of HealthClayton County Board of Health

April 12, 2011April 12, 2011


Program ObjectivesProgram Objectives 1.1. Apply strategies for improving birth Apply strategies for improving birth

outcomes with at risk mothers in targeted outcomes with at risk mothers in targeted categories.categories.

2.2. Develop and sustain a community Develop and sustain a community coalition committed to improving birth coalition committed to improving birth outcomes by engaging internal, external, outcomes by engaging internal, external, and medical community partners.and medical community partners.

3.3. Educate staff and members of the Educate staff and members of the community at large about birth outcomes.community at large about birth outcomes.


Clayton County Board of HealthClayton County Board of Health

Mission StatementMission Statement – to protect, promote, and – to protect, promote, and improve the health of the communityimprove the health of the community

Vision StatementVision Statement – to improve the overall health – to improve the overall health of the community. This is accomplished by of the community. This is accomplished by health promotion and protection, preparedness health promotion and protection, preparedness planning, and prevention activities that are planning, and prevention activities that are evidence-based and data-driven.evidence-based and data-driven.


Creation of MOMS Program Creation of MOMS Program Through FOCUS GrantThrough FOCUS Grant

FFinding inding OOpportunity through pportunity through CCollaboration, ollaboration, UUnderstanding and nderstanding and SScience.cience.

State and local public health strategic State and local public health strategic partnership to improve Georgia’s infant mortality partnership to improve Georgia’s infant mortality rate and support healthy birth outcomes.rate and support healthy birth outcomes.

By reducing the infant mortality in counties with By reducing the infant mortality in counties with a particularly high burden, FOCUS aims to a particularly high burden, FOCUS aims to reduce Georgia’s overall infant mortality rate.reduce Georgia’s overall infant mortality rate.


Where were initial FOCUS efforts to take place?Where were initial FOCUS efforts to take place?

Muscogee County Muscogee County Bibb CountyBibb County Clayton CountyClayton County Chatham CountyChatham County Houston CountyHouston County Lowndes CountyLowndes County


Trends between 1998 & 2007Trends between 1998 & 2007Clayton County - Fetal & Infant Mortality Rate, 1998-2007

9.710.6 10.4

11.2 11.4 11.1 10.7 10.9

8.4 8.2

9.8 9.710.6

8.7 8.5 8.6

0

2

4

6

8

10

12

1998-2000

1999-2001

2000-2002

2001-2003

2002-2004

2003-2005

2004-2006

2005-2007

Fetal Mortality Infant Mortality

Source: Online Analytical Statistical Information System (OASIS) Georgia Department of Community Health, Division of Public Health, Office of Health Information and Policy.


Infant Mortality Rate (IMR), 1998-2007

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Average

Georgia 8.5 8.2 8.5 8.5 8.9 8.5 8.5 8.0 8.1 7.9 8.4

Cobb/Douglas Health District

7.0 6.0 5.5 8.2 6.3 5.3 6.5 5.4 7.8 6.5 6.5

Fulton Health District 10.4 9.0 8.1 7.4 10.4 8.1 6.7 6.3 7.1 8.8 8.2

Clayton County Health District

8.2 7.5 9.4 7.7 12.4 8.9 10.6 6.7 8.3 10.6 9.1

East Metro Health District

5.1 6.2 5.4 6.1 6.7 6.5 7.2 6.1 6.6 5.4 6.2

DeKalb Health District 7.8 7.9 9.3 8.0 10.5 8.7 9.4 8.3 6.7 8.6 8.5


Infant Mortality Rate (IMR)1998-2007

0

2

4

6

8

10

12

14

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

Per

cen

t

Georgia

Cobb/Douglas Health District

Fulton Health District

Clayton County Health District

East Metro Health District

DeKalb Health District


Making Our Mothers Making Our Mothers Successful (MOMS) Successful (MOMS)

MMaking aking OOur ur MMoms oms SSuccessful (uccessful (M.O.M.SM.O.M.S) is an initiative ) is an initiative that utilizes collaborative, community-based strategies that utilizes collaborative, community-based strategies to improve Clayton County‘s birth outcomes. to improve Clayton County‘s birth outcomes. Functioning as a part of the Functioning as a part of the M.O.M.SM.O.M.S team, team, paraprofessionals (Family Support Specialists) offer paraprofessionals (Family Support Specialists) offer support services for up to 18 months, via telephone support services for up to 18 months, via telephone outreach and home visitation.outreach and home visitation.

The goal of the program is to decrease infant mortality The goal of the program is to decrease infant mortality among women of childbearing age in Clayton County among women of childbearing age in Clayton County while promoting the health of pregnant women and low-while promoting the health of pregnant women and low-birth-weight infants. birth-weight infants.


MOMS Program Eligibility MOMS Program Eligibility CriteriaCriteria

A woman who has recently delivered an A woman who has recently delivered an infant (within 60 days or less) weighing infant (within 60 days or less) weighing less than 1500 grams (3 lbs, 8 ounces) at less than 1500 grams (3 lbs, 8 ounces) at birth or born prematurely. birth or born prematurely.

Pregnant African-American women (ages Pregnant African-American women (ages 30-44).30-44).

Pregnant women age 19 and younger.Pregnant women age 19 and younger.


March of DimesMarch of Dimes The Prematurity CampaignThe Prematurity Campaign Addresses the crisis of premature birth and helps Addresses the crisis of premature birth and helps

families have healthy, full-term babies.families have healthy, full-term babies. The March of Dimes uses different channels of influence The March of Dimes uses different channels of influence

to reduce infant prematurity through raising public to reduce infant prematurity through raising public awareness, investing in education of moms-to-be, and awareness, investing in education of moms-to-be, and engaging various healthcare providers.engaging various healthcare providers.

Every year the March of Dimes provides millions of Every year the March of Dimes provides millions of dollars in grants, scholarships, and awards that promote dollars in grants, scholarships, and awards that promote research, education for professionals, and community research, education for professionals, and community programs designed to reduce infant mortality and programs designed to reduce infant mortality and improve the health of babies.improve the health of babies.

In January, 2011 the Clayton County Board of Health In January, 2011 the Clayton County Board of Health was selected as a grant recipient.was selected as a grant recipient.


March of Dimes (continued)March of Dimes (continued)

Our MOMS Program will support the Our MOMS Program will support the following funding priorities of the March following funding priorities of the March of Dimes:of Dimes: Addressing preconception health concerns Addressing preconception health concerns

and/or enhancing services.and/or enhancing services. Increasing the participation of pregnant Increasing the participation of pregnant

women in state or local maternal child women in state or local maternal child health programs (MCH Home Visiting health programs (MCH Home Visiting Services, Family Planning, and Women, Services, Family Planning, and Women, Infants and Children (WIC) programs).Infants and Children (WIC) programs).


Points of Entry for the MOMS Points of Entry for the MOMS Program Program

Children’s 1Children’s 1stst

Presumptive MedicaidPresumptive Medicaid WICWIC Electronic Birth CertificateElectronic Birth Certificate Individual referralIndividual referral


Effective Strategies Used to Effective Strategies Used to Improve Birth OutcomesImprove Birth Outcomes

Home visitation (two-visit-per-month Home visitation (two-visit-per-month minimum)minimum)

WorkshopsWorkshops Small group meetingsSmall group meetings Focus groupsFocus groups Printed materials focusing on the Printed materials focusing on the

childbearing experience.childbearing experience.


Maternal/infant emergent issues Maternal/infant emergent issues identified in MOMS Programidentified in MOMS Program

Limited professional counseling partners.Limited professional counseling partners. Lack of interest in the program by the 30-44 age group.Lack of interest in the program by the 30-44 age group. Need for more group forums with facilitator which allow Need for more group forums with facilitator which allow

for personal sharing.for personal sharing. Lack of community awareness/engagement.Lack of community awareness/engagement. Need for stress management program for clients.Need for stress management program for clients. Unclear role of perinatal case manager for OB patients.Unclear role of perinatal case manager for OB patients. Limited parenting classes – UGA Cooperative Extension Limited parenting classes – UGA Cooperative Extension

Service has only two series a year.Service has only two series a year. Limited ResourcesLimited Resources


Sustaining Community CoalitionsSustaining Community Coalitions Internal survey of WIC clientsInternal survey of WIC clients Partnership with United Way for Focus GroupPartnership with United Way for Focus Group Academy of Pediatrics and CCBOH staff visited Academy of Pediatrics and CCBOH staff visited

Clayton County Pediatric and OB/GYN offices.Clayton County Pediatric and OB/GYN offices. CCBOH hosted the Men and Women’s Health CCBOH hosted the Men and Women’s Health

Symposium in October, 2010, inviting: Symposium in October, 2010, inviting: Community, faith-based, and political leaders; Community, faith-based, and political leaders; business owners; and educators.business owners; and educators.

March of Dimes community fair.March of Dimes community fair.


Expert PanelExpert Panel Dr. Alfred W. BrannDr. Alfred W. Brann

Professor of Pediatrics and Gynecology/Obstetrics and Professor of Global Professor of Pediatrics and Gynecology/Obstetrics and Professor of Global Health at Emory University Health at Emory University

Director of the Collaborating Center in Reproductive Health in AtlantaDirector of the Collaborating Center in Reproductive Health in Atlanta Dr. George W. Bugg, Jr.Dr. George W. Bugg, Jr.

Assistant Professor of Neonatal-Perinatal Medicine at Emory University Assistant Professor of Neonatal-Perinatal Medicine at Emory University Pediatrics and Neonatology for Emory Children’s CenterPediatrics and Neonatology for Emory Children’s Center

Dr. Anne L. DunlopDr. Anne L. Dunlop Director of Preventive Medicine Residency Program at Emory University Director of Preventive Medicine Residency Program at Emory University

School of MedicineSchool of Medicine Director of Preventive and Primary Care Services at Grady Memorial Hospital Director of Preventive and Primary Care Services at Grady Memorial Hospital

Interpregnancy Care Program Interpregnancy Care Program Dr. Fleda Mask JacksonDr. Fleda Mask Jackson

President and CEO of MAJAICA, LLCPresident and CEO of MAJAICA, LLC Professor of Applied Public Health at Emory University’s Rollins School of Professor of Applied Public Health at Emory University’s Rollins School of

Public HealthPublic Health


FOCUS External Partner ListFOCUS External Partner ListA Brite Mktg., Signs, and Advertising Co.A Brite Mktg., Signs, and Advertising Co. AdvertisingAdvertising

CC Housing and Comm. DevelopmentCC Housing and Comm. Development GovernmentGovernment

Child Tech ProgramChild Tech Program Public School SystemPublic School System

Clayton Community Services AuthorityClayton Community Services Authority GovernmentGovernment

Clayton County Collaborative AuthorityClayton County Collaborative Authority Public/Private partnershipPublic/Private partnership

Clayton County Cooperative Extension ServiceClayton County Cooperative Extension Service UGAUGA

Clayton County Headquarters LibraryClayton County Headquarters Library GovernmentGovernment

Clayton County Parks and RecreationClayton County Parks and Recreation GovernmentGovernment

Clayton County Public SchoolsClayton County Public Schools Public School SystemPublic School System

FBC Jonesboro/Angel Food MinistriesFBC Jonesboro/Angel Food Ministries Faith-based organizationFaith-based organization

Forest Park Recreational and Leisure servicesForest Park Recreational and Leisure services GovernmentGovernment

FRAMEWorks (Bethany Christian Service)FRAMEWorks (Bethany Christian Service) Faith-based organizationFaith-based organization

GA Campaign for Adolescent Pregnancy PreventionGA Campaign for Adolescent Pregnancy Prevention GovernmentGovernment

House of Dawn, Inc.House of Dawn, Inc. AdvocacyAdvocacy

Ladies of FavorLadies of Favor Fraternal OrganizationFraternal Organization

Planned Parenthood SoutheastPlanned Parenthood Southeast Family PlanningFamily Planning

Second Baptist ChurchSecond Baptist Church Faith-based groupFaith-based group

UGA Traffic Injury Prevention InstitutionUGA Traffic Injury Prevention Institution GovernmentGovernment


FOCUS External Partner List (cont.)FOCUS External Partner List (cont.)

Clayton State UniversityClayton State University State university systemState university system

Gordon CollegeGordon College State university systemState university system

United Way of GeorgiaUnited Way of Georgia NonprofitNonprofit

March of DimesMarch of Dimes NonprofitNonprofit

AMERIGROUP Community Care AMERIGROUP Community Care CMOCMO

Clayton County Fire and Emergency ServicesClayton County Fire and Emergency Services GovernmentGovernment

Southern Regional Medical CenterSouthern Regional Medical Center MedicalMedical

Centers for Disease Control (CDC)Centers for Disease Control (CDC) GovernmentGovernment

My OB/GynMy OB/Gyn MedicalMedical

Southern Crescent Women’s HealthcareSouthern Crescent Women’s Healthcare MedicalMedical

Southside Medical CenterSouthside Medical Center MedicalMedical

Emory UniversityEmory University Private university/medicalPrivate university/medical


Staff and Community EducationStaff and Community Education In October, CCBOH presented a symposium to the In October, CCBOH presented a symposium to the

community featuring the “2010 State of Health community featuring the “2010 State of Health Report” for Clayton County.Report” for Clayton County.

Community partners have been invited to participate Community partners have been invited to participate as principal presenters in MOMS program as principal presenters in MOMS program workshops.workshops.

Participation in support of community activities such Participation in support of community activities such as; health fairs, wellness expos, seminars, panel as; health fairs, wellness expos, seminars, panel discussions/presentationsdiscussions/presentations

Hosted Expert Panel meetings in external stake Hosted Expert Panel meetings in external stake holders are invited.holders are invited.


MOMS Program ActivitiesMOMS Program Activities

MOMS WorkshopsMOMS Workshops MOMS BoutiqueMOMS Boutique Car Seat ProgramCar Seat Program Crib Match ProgramCrib Match Program


MOMS WorkshopsMOMS Workshops


MOMS BoutiqueMOMS Boutique


Car Seat ProgramCar Seat Program


Success Stories!!Success Stories!!


Akyra and De’Jah

Akyra and De’Jah

Akyra, 19, delivered her daughter De’Jah on July 21, 2010. Born at only 24 weeks gestation, De’Jah was 1 lb., 9 oz. De’Jah had significant medical challenges and was referred to several specialists. Throughout Akyra enrollment in MO.M.S., De’Jah’s growth has been tracked and her health has steadily improved according to pediatrician reports. Although there was initial concern that De’Jah would suffer hearing loss, Akyra reports that De’Jah has now passed all of her hearing screenings. In addition, Akyra has returned to school to complete her college education in Secondary Education through an online program. De’Jah will celebrate her first birthday this summer.


Tanika and Tyreke

Tanika and Tyreke

Tanika, 30, a mother of two, delivered her infant son Tyreke on Aug. 28, 2010. Tyreke was born at 27 weeks gestation. Upon release from the hospital, Tyreke was sent home with an apnea monitor and oxygen along with several recommendations for medical follow-ups. Through enrollment in the MOMS program, Tanika, along with her husband D’mitri, have worked diligently to keep Tyreke up-to-date with all doctor’s appointments and evaluations. They have also participated in regular educational dialogues regarding infant safety and development. Today, Tyreke breathes independently without supplemental oxygen, no longer uses the apnea monitor, and has avoided other complications common to infants born prematurely. In the fall, Tyreke will celebrate his first birthday.


Rachandra and Dylan

Rachandra and Dylan

Rachandra, 34, enrolled in the MOMS program in July 2010. What appeared to be a perfectly normal pregnancy was interrupted when her son Dylan was born at 26 weeks gestation. As a result, Dylan entered the world at 2 lbs., 1.6 oz. and suffered cardiac arrest while waiting to be transported to the neonatal unit, where he spent 4.5 months in the NICU. Dylan has survived preterm labor, surgery, pneumonia, developmental problems, and feeding challenges. However, he has overcome the odds of infant mortality in Clayton County, turning one-year old on Oct. 29, 2010. He is truly a miracle baby and is proof that no one should ever give up hope.


THANK YOU!THANK YOU!

Questions?Questions?

Focus presentation for expert panel 3 1-11

Health & Medicine

Transcript of Focus presentation for expert panel 3 1-11