Healthy Weight in Women of Reproductive Age Action Learning Collaborative

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Healthy Weight in Women of Reproductive
AgeAction Learning Collaborative

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Purpose of the Womens Health Partnership

• Identify and promote unique state and local MCH
  roles and opportunities to ensure and improve
  womens health before and between pregnancies.

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Lifecourse Framework

• Pregnancy outcomes are shaped by social,
  psychological, behavioral, environmental, and
  biological forces that may occur at many stages
  in a womans life.
• Association of Maternal and Child Health Programs
  and
• CityMatchs Womens Health Partnership. 2006
• Some of the most powerful influences on
  pregnancy outcome are related to influences on
  womens health that occur long before pregnancy
  begins.
• Misra and Grason. Womens Health Issues 2006

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Initial Goal of WHP

• Develop state and local partnerships
• to promote healthy weight among women of
  reproductive age to improve maternal health and
  birth outcomes.

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Rationale

• Obesity in pregnancy linked to maternal and
  infant morbidity and mortality
• Research and best practice information and
  guidelines are available
• Obesity impacts a large number of women and thus
  our efforts could affect a large number of
  pregnancies
• Identified as a priority by both agencies member
  base

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Adverse Outcomes Associated with Maternal Obesity

• Infertility
• Pregnancy, labor delivery complications
• Fetal, neonatal death
• Birth weight/prematurity
• Birth defects
• Gestational diabetes
• Decreased breastfeeding
• Childhood obesity

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RFA for ALC, Summer 2006

• Team composition
• State Title V/MCH director
• MCH leadership from local health department
• Data/analytic specialist
• Professional from an existing community-based
  health initiative
• Nutrition and/or physical activity and/or chronic
  disease professional

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ALC Teams Selected

• Los Angeles County, CA
• Sonoma County, CA
• Maricopa County, AZ
• Salt Lake Valley, UT
• Douglas County, NE
• Minneapolis, MN
• Boston, MA
• Duval, Leon Orange Counties, FL

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HW ALC Activities

• Kick off October 2006
• 1st on site meeting, December 2006 in Atlanta, GA
• 2nd on site meeting, June 2007, in Salt Lake
  City, UT
• All ALC technical assistance calls
• Lifecourse Framework, RE-AIM, Focus Groups, peer
  exchange
• 3rd on site meeting, February 2008, in
  Washington, D.C.

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HW ALC Next Steps

• Teams continue to implement, monitor and evaluate
  their selected strategies
• Evaluation (within teams and of the ALC overall)
• Dissemination Recommendations

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Team Strategies
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Maricopa County, AZ
Conducted a Nutrition Environmental Measures Survey in food stores in the South Phoenix area to address accessibility, quality and cost of healthy foods.
Contact Donna Thompson, RD, MPH Office of Nutrition Services Maricopa Dept. Of Public Health DonnaThompson_at_mail.maricopa.gov OR Margaret Tate, MS, RD Arizona Department of Health Services tatem_at_azdhs.gov
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Los Angeles County, CA
Integrating with existing programs via communication tools strategies for consumers and providers, worksite wellness, and leadership development.
Contact Cynthia Harding, MPH Los Angeles County Public Health, MCAH charding_at_ph.lacounty.gov OR Suzanne Haydu, MPH, RD California Department of Public Health/MCAH Suzanne.Haydu_at_cadph.gov
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Sonoma County, CA
Promotores de Salud and health providers support behavior change to increase healthy eating and active living Families eat a balanced plate including more vegetables Engage youth to increase daily physical activity.
Contact Rebecca Munger, RN, PHN, CNM Sonoma County, Department of Health Services, MCAH rmunger_at_sonoma-county.org OR Suzanne Haydu, MPH, RD California Department of Public Health/ MCAH Suzanne.Haydu_at_cadph.gov
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Duval/Leon/Orange Counties, FL
Developing statewide curriculum of best practices for healthy weight in postpartum women.
Contact Helen Jackson, PhD Division of Community Nutrition Services, Duval Co Health Dept helen_jackson_at_doh.state.fl.us OR Laura Levine, BSN Florida Department of Health, Infant, Maternal,and Reproductive Health laura_levine_at_doh.state.fl.us
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Boston, MA
Develop a community-informed report on healthy weight in reproductive aged women, focusing on black and Latina women, drawing from a review of existing data, examination of promising practices and programs and key informant interviews and focus groups with women from the target communities.
Contact Kathy Cunningham, MEd, RD, LDN Boston Steps, Community Initiatives Bureau Boston Public Health Commission kcunningham_at_bphc.org OR Karin Downs, RN, MPH Division of Perinatal Health, Early Childhood MA Dept of Public Health karin.downs_at_state.ma.us
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Minneapolis, MN
Addressing healthy weight in women of childbearing age through partnerhips local health dept., state health dept., Univ. of Minnesota, Healthy Start STEPS. Strategies Presentations to professional groups Materials (research brief for professionals and one page fact sheet for general public) Develop new partnerships Develop logic model for intervention pilot with post-partum women at local clinics Seek resources
Contact Megan Ellingson, MHA MCH Initiatives Minneapolis Dept of Health and Family Support megan.ellingson_at_ci.minneapolis.mn.us
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Douglas County, NE Expanding an existing preconception pilot project to a brief intervention and referral to a social support group tailored to help young women achieve maintain a healthy weight.
Contact Mary Balluff, MS, RD, LMNT Community Health and Nutrition Douglas County Health Dept Mary.balluff_at_douglascounty-ne.gov OR Jennifer Severe-Oforah Lifespan Health Services Nebraska Dept of Health and Human Services Jennifer.severeoforah_at_dhhs.ne.gov Contact Mary Balluff, MS, RD, LMNT Community Health and Nutrition Douglas County Health Dept Mary.balluff_at_douglascounty-ne.gov OR Jennifer Severe-Oforah Lifespan Health Services Nebraska Dept of Health and Human Services Jennifer.severeoforah_at_dhhs.ne.gov
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Salt Lake City, UT
Gathering information from WIC professionals and participants to determine the best way to integrate weight reproductive health into WIC activities. Implementation of the Bright Futures for Womens Health and Wellness Program (HRSA) into 3 Salt Lake County clinics.
Contact Audrey Stevenson, MSN, FNP, MPH Family Health Services Salt Lake Valley Health Department astevenson_at_slco.org OR Lois Bloebaum, BSN, MPA Reproductive Health Program Utah Department of Health lbloebaum_at_utah.gov