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Candace Knight, PhD, RN

Disclosures

I have no financial or other conflict of interest in relation to this program or presentation.

Objectives

• Following the presentation, participants will:• Identify aspects of the Nurse Family Partnership that improve

maternal child health outcomes• Identify ways that a partnership between UAB School of Nursing

and community programs like NFP benefit student outcomes and community health

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Jefferson County Zip Code Data2013 Statistics

Zip CodeLBW as % of

births in that zipPre-Term Births as a

% of births in that zipInfant

Mortality Rate% of population below the

poverty rate Geographic Area

35203 14.3% 0.0% 35.6% 52.31% No Bham by Civic Ctr

35218 20.8% 16.7% 19.6% 48.77% Ensley

35064 20.0% 20.0% 17.5% 16.78% Fairfield

35211 23.5% 26.5%16.3% 41.01%

Tarpley City/Elmwood Cemetery

35208 10.5% 0.0% 16.0% 26.61% Bush Boulevard

35207 4.8% 9.5% 15.9% 50.74% No Bham by ACIPCO

35217 17.2% 20.7% 15.7% 26.07% Tarrant

35206 13.0% 13.0% 15.3% 27.31% Ruffner Mtn by Woodlawn

35020 7.1% 7.1% 15.2% 36.32% Bessemer

35212 15.4% 7.7% 15.0% 47.60% Woodlawn

NFP of Central Alabama Funding Sources

Jefferson County Department of HealthGoodrich Foundation

Daniel Foundation

Community Foundation of Greater Birmingham

Blue Cross/Blue Shield Caring Foundation

Why NFPOur nurses change the

future for the most

vulnerable babies born into poverty in the

United States, and their mothers.

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EXPERT:Specially-trained nurses

PROVEN:Extensive and

compelling evidence

INTENSIVE:Pregnancy through

age 2

TIMELY:First 1000 days

The How

Improve Pregnancy Outcomes

Improve Child Health and Development

Improve Economic

Self-Sufficiency of the Family

NFP Goals

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Visit Schedule

• Up to 64 home visits over the course of 2.5 years in a standard schedule

• Flexibility for supporting client needs• Telehealth

• Initial enrollment, every week x 4 weeks, then biweekly until delivery• Weekly x 6 weeks after delivery then biweekly visits until 21 months• Monthly from 21-24 months

Inside a home visit•Assessments

• Physical• Social• Environmental• Family History• Home• IPV• GAD-7• PHQ-9• DANCE• ASQ

Inside a home visit

•Anticipatory Guidance• Pregnancy• Labor/Delivery• Breastfeeding• Safe Sleep• Infant Bonding• Infant Care• Car Seat Safety• Parenting• Family Planning

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Inside a home visit

•Interdisciplinary Referrals• Communication with the provider

• Social Worker

• Community resources• Working together with other community agencies to solve

MCH dilemmas in Jefferson County

NFP Projected OutcomesPIRE Report by Dr. Ted R. MillerBased on 177,517 pregnant women enrolled in NFP from 1996-2013, Miller projects that by 2031, NFP will prevent an estimated:

• 500 infant deaths• 10,000 preterm births

• 13,000 dangerous closely-spaced births• 42,000 child maltreatment incidents

• 36,000 intimate partner violence incidents

• 90,000 violent crimes by youth• 41,000 cases of youth substance abuse

Our success stories

Only small change is necessary• Reduction in substance use• Reduction in smoking• Connecting with other community

agencies to meet client needs• Housing

• Mental Health• Food insecurity

• Safe sleep

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