Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and...
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Transcript of Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and...
![Page 1: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/1.jpg)
Picking Interventions and Strategies, Part I:Problem Analysis/Mapping
South Side Families and BabiesCommunity Team Meeting, January 21, 2014
![Page 2: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/2.jpg)
Life Course Perspective
Biological
Behavioral
Psychological
Environmental
Societal
Political
Risk and
Protective Factors
![Page 3: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/3.jpg)
Social Determinants of Health
• Circumstances and conditions in which people are born, grow up, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes.
![Page 4: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/4.jpg)
Social Determinants of Health
![Page 5: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/5.jpg)
An Analysis of South Side Infant Deaths• PPOR data shows that the biggest
contributor for South Side infant and fetal deaths are those in the maternal health and prematurity box
• Methods for reducing deaths in the maternal care box require more robust fetal death data FIMR!!!
• Sleep-related deaths is a leading cause of death in the infant health box and that there is a lot being done in Franklin County around safe sleep promotion
Maternal Health/Prematurity
3.1Maternal
Care
2.3
Newborn Care
1.4*
Infant Health
1.9
* Unreliable rate2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of
Epidemiology
![Page 6: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/6.jpg)
Where Do We Want to Focus Our Work?
Maternal Health/Prematurity
3.1
Maternal Care
2.3
Newborn Care
1.4*
Infant Health
1.9
2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of Epidemiology
* Unreliable rate
![Page 7: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/7.jpg)
Voting Results
• OPTION A– Intervention 1 and 2
targeting maternal health and prematurity
• OPTION B– Intervention 1 targeting
maternal health and prematurity and intervention 2 targeting infant health
XX XX
![Page 8: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/8.jpg)
Where are we now?
• Assessment of health status problems
• Health services needs assessment
• Development and selection of interventions
• Setting objectives
• Programming and implementation • Evaluation: monitoring progress towards
achievement of objectives
What is the problem?
How will we fix it?
Is what we’re doing working?
![Page 9: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/9.jpg)
What is a Problem Analysis?
• A way to better understanding a health problem, factors that affect the health problem, and how we can prevent it
• An important step in program planning that links health problems to appropriate, effective, and impactful interventions
![Page 10: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/10.jpg)
Example: Motor
Vehicle Crash
Injuries in Children 0-6
Years
![Page 11: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/11.jpg)
Components of a Problem Analysis• The problem• Precursors
– Build the framework for identifying alternative interventions that lower risk or make up for those that can’t be changed
• Consequences– Symptoms that cause the problem to be noticed
• Linkages
![Page 12: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/12.jpg)
Precursors and Consequences
• Direct factors (Individual) – Age, sex, race– Describe individuals and may be biological, medical, or behavioral– Have the most influence on the problem
• Secondary factors (Family, Community, Neighborhood)– Attitudes, beliefs, behaviors– Include socioeconomic, psychological, and familial characteristics– Precursors to direct factors
• Tertiary factors (Society)– Include societal, policy, and environmental factors
![Page 13: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/13.jpg)
Why We Need YOU!
• You know the South Side community best• Your input helps refine the problem analysis• Data is important, but a complete
understanding of health problems requires a local perspective and lived experience
![Page 14: Picking Interventions and Strategies, Part I: Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014.](https://reader030.fdocuments.net/reader030/viewer/2022032707/56649e165503460f94b01271/html5/thumbnails/14.jpg)
Next Steps
• Break up into small, DIVERSE groups• Brainstorm the problem
– Your facilitator will give more specific instructions
• Build a collective model or diagram which we will use as a map for tackling infant mortality for the duration of the next 2.5 years