CityMatCH Teleconference August 26, 2008 PPOR Level Two: Learning Network Addressing Statewide Disparities in Infant Mortality: Lessons Learned from the Florida Black Infant Health Practice Initiative Estrellita - PowerPoint PPT Presentation

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CityMatCH Teleconference August 26, 2008 PPOR Level Two: Learning Network Addressing Statewide Disparities in Infant Mortality: Lessons Learned from the Florida Black Infant Health Practice Initiative Estrellita

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Title: CityMatCH Teleconference August 26, 2008 PPOR Level Two: Learning Network Addressing Statewide Disparities in Infant Mortality: Lessons Learned from the Florida Black Infant Health Practice Initiative Estrellita


1
CityMatCH TeleconferenceAugust 26, 2008PPOR
Level Two Learning NetworkAddressing Statewide
Disparities in Infant Mortality Lessons Learned
from the Florida Black Infant Health Practice
Initiative Estrellita Lo Berry, MA Project
Director/Principal InvestigatorCentral
Hillsborough County Federal Healthy Start
Project
  • The Central Hillsborough Healthy Start Project
    is supported in part by project H49MC00090 from
    the Maternal and Child Health Bureau (Title V,
    Social Security Act), Health Resources and
    Services Administration (HRSA), Department of
    Health and Human Services.

2
Definition Community Engagement
Mobilization
  • The process of working collaboratively with and
    through groups of people affiliated by geographic
    proximity, special interest, or similar
    situations to address issues affecting the
    well-being of those people
  • Fawcett SB, Paine-Andrews A, Francisco VT,
    Schultz JA, Richter KP, Lewis RK, Williams EL,
    Harris KJ, Berkley JY, Fisher JL, Lopez CM.
    (1995). Using empowerment theory in collaborative
    partnership for community health and development.
    American Journal of Community Psychology, 23(5),
    677-697.

3
Relevance of Community Engagement and
Mobilization
  • Encourage recipients of services to own the
    problem and hold themselves liable for good
    outcomes
  • Promote culturally sensitive and sustainable
    interventions
  • Expand current research focus to align
    methodologies with the realities of the lives of
    Blacks
  • Foster the development of social networks
    long-term
  • Influence re-examination of how providers
    construct/implement services
  • Mobilize political and social will

4
Key Words
  • Mobilize
  • Galvanize
  • Relationship
  • Investment
  • Trust
  • Respect
  • Credibility
  • Sustainability
  • Partnerships
  • Timing
  • Quantitative/Qualitative Research (CBPR)

5
Rules of Engagement
  • Gather data from credible (re)sources
  • Collectively analyze data
  • Disseminate data in a culturally competent
    fashion (avoid Cosby effect, WMWW effect)
  • Mobilize cohorts
  • Galvanize partners, cohorts, adversaries,
    stakeholders, politicians, community-at-large
  • Claim success

6
Process and Procedures(Spoken Unspoken)
  • Use personal relationships
  • Call in favors
  • Court the adversaries
  • Embrace the nay-sayers
  • Deal with systemic/institutional racism
  • Openly discuss Whats in it for me?
  • Define primary and secondary gains
  • Honor history
  • Celebrate success

7
Infant Mortality Rate, 1991-2005 Hillsborough
County, FL(Data from Healthy Start Coalition of
Hillsborough County) Healthy People 2010 Goal
4.5
Year County Number Rate County Number Rate White Number Rate White Number Rate Black Number Rate Black Number Rate Nonwhite Number Rate Nonwhite Number Rate
2000 116 7.91 62 5.56 51 17.10 54 15.54
2001 125 8.41 71 6.29 52 17.63 54 15.09
2002 133 8.80 84 7.30 43 14.50 49 14.10
2003 137 9.00 81 7.00 15 17.00 55 15.30
2004 142 8.90 78 6.50 59 18.80 63 15.40
2005 149 8.90 65 5.20 71 22.70 83 20.10
8
Overview
  • July 2007 FL Legislature passes HB1269
  • (Florida Statute, Section 383.2162, Black Infant
    Health Practice Initiative)
  • Review of infant mortality in FL counties with
    average nonwhite IMR at least 1.75 greater than
    White IMR and at least 40 nonwhite infant deaths
    for urban counties, 5 for rural counties -
    2003-2005
  • Initiative implemented through collaborative
    between Department of Health, Federal Healthy
    Start consortia, State Healthy Start coalitions
    and Universities with public health expertise
  • Collective findings and recommendations to
    legislature by January 1, 2010.

9
Governor Crist Signs HB 1269 in Tampa
10
Black Infant Health Practice Initiative (BIHPI)
  • Champions Senator Arthenia Joyner
    Representative Betty Reed
  • Conveners Central Hillsborough Healthy Start,
    The Chiles Center, Healthy Start Coalition of
    Hillsborough County, Community Partners
  • Partners
  • FL Department of Health
  • Recipients of Funding Six urban
    counties-Hillsborough, Miami-Dade, Palm Beach,
    Duval, Orange Broward-and two rural
    counties-Gadsden Putnam
  • USF College of Public Health FAMU College of
    Public Health

11
BIHPI Steering Committee
  • Serves as a sub-unit of the practice
    collaborative.
  • Includes representatives from USF, FAMU, State
    Healthy Start Coalitions, Federal Healthy Start
    Consortia, CityMatCH, and the Florida Department
    of Health.
  • Serves the purpose of combining the wisdom of all
    parties involved to guide the Department in
    carrying out the various activities of the
    Initiative.
  • Meets twice a month via conference call to
    provide progress updates, plan future meetings,
    discuss sustainability options, and provide TA to
    collaborative members.

12
BIHPIs Charge
  • Produce and submit recommendations to the
    Legislature for sustainability
  • Fetal Infant Mortality Reviews (qualitative
    assessment)
  • Perinatal Periods of Risk (quantitative
    assessment)
  • Community Engagement and Mobilization (inclusive
    and reflective)

13
BIHPI Statewide Achievements
  • Created website http//www.healthystartcoalition.o
    rg/index.cfm/fuseaction/Research.Black_Infant
  • Created Blackboard access (share literature
    reviews, sources of data, promising practices,
    etc.)
  • Received Kellogg Grant (USF COPH, FAMU
    COPH)-capacity building for Black leadership
  • Created White Paper for BIHPI (sustainability)
  • Established universal goals and objectives for
    all partners
  • Enhanced working relationship with FL DOH and
    other MCH stakeholders
  • Final Report of Recommendations and Findings due
    to FLDOH 8/2008
  • Enhanced culturally competent messaging

14
Where We Go from Here
  • Build upon concerted efforts to influence
    clinical practice and policy
  • Strengthen and solidify local, state and national
    partnerships
  • Sustain community-based health agenda that
    promote social justice and equity
  • Eliminate the infant mortality and morbidity
    disparity in FL

15
  • Estrellita Lo Berry, MA Project
    Director/Principal Investigator
  • Central Hillsborough Healthy Start Project A
    program of The Lawton and Rhea Chiles Center
  • for Healthy Mothers and Babies
  • University of South Florida, College of Public
    Health, Tampa, FL
  • For more information
  • lberry_at_health.usf.edu
  • (813) 974-0312 (Phone)
  • (813) 558-5044 (Fax)
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