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Incorporating Preconception Health into Programming at a Local Health Department: Taking Steps to Make Change Happen

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Incorporating Preconception Health into Programming at a Local Health Department: Taking Steps to Make Change Happen Cheri Pies, MSW, DrPH Padmini Parthasarathy, MPH – PowerPoint PPT presentation

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Title: Incorporating Preconception Health into Programming at a Local Health Department: Taking Steps to Make Change Happen


1
Incorporating Preconception Health into
Programming at a Local Health Department Taking
Steps to Make Change Happen
  • Cheri Pies, MSW, DrPH
  • Padmini Parthasarathy, MPH
  • Family, Maternal and Child Health Programs

2
Overview
  • Life Course Initiative
  • Strategies
  • Activities
  • Staff survey
  • Lessons learned

3
The Life Course Initiative
  • Launched 15-year initiative in 2005
  • Engaging FMCH and county staff, as well as
    community partners
  • Improving reproductive potential
  • Paradigm shift
  • Changing the health of a generation

4
Strategies
  • Education through interactive methods
  • Carefully planned roll-out of our initiative
  • Bring staff and partners in gradually
  • Enable staff to each have their own A-ha!
    moment

5
12-Point Plan
  • to close the Black-White gap in birth outcomes
    (Lu, et al.)
  • Provide interconception care to women with prior
    adverse pregnancy outcomes
  • Increase access to preconception care for African
    American women

6
Activities to Date
  • Series of staff meetings
  • Life Course Fact Sheet
  • Articles in County Department publications

7
Activities to Date, cont.
  • Presentations community partners (initial
    overview later in-depth)
  • Asked staff strategic questions about current and
    future activities
  • Worked with Clinic Services on Interconception
    Care/Gestational Diabetes project

8
The Life Course Game
9
Staff Survey
  • Evaluated staff understanding of Life Course
    Perspective
  • Gathered ideas from staff about incorporating the
    Life Course Perspective into their work
  • Survey sent to 107 FMCH Programs staff
  • 68 staff (64) responded

10
Survey Results
11
Are you a manager or non-manager?
12
In Your Own Words, How Would You Describe the
Life Course Perspective?
  • A holistic approach
  • A focus on future generations
  • Begins in the womb
  • Life Course Perspective looks at the impact of
    social, emotional, and physical stressors on a
    womans health across her lifespan

13
What are two concepts from the 12-Point Plan that
you think relate to your work?
  1. Expand health care access over the life course
    (16)
  2. Enhance service coordination and systems
    integration (15)
  3. Support working mothers and families (10)
  4. Provide interconception care to women with prior
    adverse pregnancy outcomes (9)
  5. Improve quality of prenatal care (8)
  6. Close the education gap (8)

14
Have you changed anything about your public
health work as a result of learning about the
Life Course Perspective?
15
How have you incorporated the Life Course
Perspective into your work?
  • I remember the importance of other issues for
    clients such as lack of transportation
  • Encourage women to take care of themselves
  • Recognize and reinforce that health care
    providers are partners
  • Focus on how we may influence our clients
    ability to improve their health and well-being
    throughout their life span

16
How have you incorporated the Life Course
Perspective into your work?
  • Realizing that change will impact future
    generations has been a shift in thinking
  • More aware of the importance of building youth
    resiliency

17
Any comments, questions or concerns about the
Life Course Initiative?
  • I hadnt thought about health in that way before.
    It also made me think about the importance of
    life experiences and stresses on future
    generations and how important it is to make sure
    everyone has access to health care and a method
    to create a supportive family network for them
    and their families so all can thrive.

18
Lessons Learned
  • Start with staff where they are
  • Recognize and acknowledge staffs existing work
    on preconception care and build on this
  • Utilize the imagination and experience of staff
    to project where they could go with future
    programming

19
Lessons Learned, cont.
  • Lay the groundwork with higher level
    staff/management in our organization about the
    importance of preconception health

20
Making Change Happen
  • Financing
  • Staff
  • Think differently
  • Act differently

21
What will success look like?
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