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2009 CityMatCH Urban MCH Leadership ConferenceCreating community involvement to conduct a perinatal periods of risk (PPOR)assessmentPRIMARY CONTACT:Rita Beam, MSN, RNNursing ManagerTri-County Health Department7000 E. Belleview #301Greenwood Village, CO, 80111Phone: (303) 783-7148Fax: (303) 761-1528Email: rbeam@tchd.orgWebsite: www.tchd.orgCATEGORYInfant mortality and morbidityFOCUSProgram Policy FocusISSUECO-PRESENTER(S)/AUTHOR(S):Julie Davis, julie.davis@state.co.us (Author,Presenter)In Arapahoe County, Colorado, the infant mortality rate for African Americans is 3.4 times higher thanfor whites, which is greater than the national disparity. The community identified a need to examine therisk factors for this disparity and focused their assessment in the City of Aurora, Colorado.SETTINGAurora, Colorado is the third largest city in Colorado, and is situated adjacent to the City of Denver inArapahoe County. In Aurora, fourteen percent of the population is African American compared to fourpercent in the state of Colorado.PROJECTAurora Healthy Baby Initiative is a community collaborative formed to examine the perinatal periods ofrisk (PPOR) in the African American community in Aurora to provide data to guide an action plan toimprove African American birth outcomes. Community collaboratives to examine health disparities havebeen supported by both the National Institute of Medicine and Healthy People 2010.The collaborative was created by Tri-County Health Department, the local public health department; theHealthy Start Project, Colorado Department of Public Health and Environment; the Colorado chapter ofthe March of Dimes; and the City of Aurora.ACCOMPLISHMENTS/RESULTSIn the Fall of 2006, 13 key informant interviews were conducted with local medical professionals, currentcommunity-based organizations, and political leaders in the City of Aurora. Information from the keyinformant interviews indicated a need to gather expertise and different community perspectives on this10
2009 CityMatCH Urban MCH Leadership Conferencedisparity in a more formal setting. The community collaborative was initiated in June 2007 and hasevolved to include over 30 individuals and 20 different agencies / organizations. In 2008, thecollaborative received technical assistance from a Centers for Disease Control and Prevention recipient ofa National Centers for Excellence award in eliminating disparities and funding from the state healthdepartment to initiate a strategic planning process and to complete the PPOR analysis and evaluation. Thecollaborative was also selected to participate in the Partnership to Eliminate Disparities in Infant MortalityAction Learning Collaborative sponsored by CityMatCH, AMCHP and NHSA. In December 2008, alocal African American consultant was engaged to assist in the strategic planning process to facilitate thecreation of a logic model for evaluation and the creation of a 2-3 year strategic plan.BARRIERSThe lack of a champion from the African American community as well as inconsistent collaborativeleadership has resulted in difficulty engaging collaborative members. In addition, a lack of adequatefunding resulted in an inability to accomplish goals and necessary action steps in a timely manner.LESSONS LEARNED• A champion or facilitator from the African American community was essential to engage and retain themembers of the community as well as to establish relationships with key stakeholder.• Consistent leadership without competing priorities was necessary to establish meeting agendas, handlelogistics, and communication for the collaborative.• The involvement of a city political leader was instrumental in gaining access to community support andkey stakeholders.• Additional funding for a paid coordinator was needed earlier in the process to be able to continueprogress toward goals and action steps.11
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