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122009 CityMatCH Urban MCH Leadership ConferencePromoting Infant Safe Sleep through a Pack ‘n Play ® ProgramPRIMARY CONTACT:CO-PRESENTER(S)/AUTHOR(S):Anna C Benton, MAJill Paradowski, jparad@milwaukee.govDirector, Family and Community Health (Author, Presenter)City of Milwaukee Health Department841 N. Broadway, 3rd FloorMilwaukee, WI, 53202Phone: (414) 286-3064Fax: (414) 286-5990Email: abento@milwaukee.govWebsite: www.milwaukee.govCATEGORYInfant mortality and morbidityFOCUSProgram Policy FocusISSUEThe City of Milwaukee’s infant mortality rate is one of the highest in the nation. Each year, there are asignificant number of deaths due to unsafe sleeping. The Cribs for Kids program was identified as apossible program to decrease deaths due to unsafe sleep.SETTINGThis program targets all of the birthing hospitals in the city, the Bureau of Child Welfare, the City ofMilwaukee Health Department (MHD), the Milwaukee Fire Department, and other community agenciesas part of the program.PROJECTPhase I: included two of the birthing hospitals who have approximately 55% of the births in Milwaukee.One of the hospitals identified the Cribs for Kids program and the use of Pack ‘n Plays ® to provide safesleep. This institution created guidelines and teaching strategies to use when identifying a family whoneeds a safe place for their infant to sleep. Funding was secured from a foundation at the hospital andthrough a local grant. A safe sleep “champion” organized the delivery of the program at the hospital. Oneyear later, another large hospital identified funds to use for Pack ‘n Plays ® and modeled their programafter the first one.Phase II: involved the MHD, who identified at-risk infants through their home visiting programs and theMilwaukee Fire Department, who identified at-risk infants when making an Emergency Medical Servicecall.Phase III: included a large clinic in Milwaukee that serves an at-risk population, several HMOs and theBureau of Child Welfare.• In many communities, the Cribs for Kids program issues Pack ‘n Plays ® through one centralizedcommunity location. Milwaukee has several functional programs but no community base, and no
2009 CityMatCH Urban MCH Leadership Conferencecentralized location or consistent program method. To address this issue, a meeting was called for all ofthe various Pack ‘n Play ® programs to determine if Milwaukee should attempt to create a centralizedcommunity Cribs for Kids program. It was decided that expanding the Milwaukee program to acommunity base would take too much funding for now, and the current system is working as is.ACCOMPLISHMENTS/RESULTS• As of February, 2009, more than 2000 Pack ‘n Plays ® have been delivered.• An evaluation plan has been designed for agencies with Pack ‘n Play ® programs.• A decision was made to track the number of all Pack ‘n Plays ® given out, so that there is data to sharewith future funding sources.• The group learned key lessons from each other, and plans were made for implementation of safe sleepusing other sources such as churches.BARRIERS• Funding is needed to create a community base, and none has yet been identified.• Institutions often establish their own systems without involving the community, making the creation ofone centralized program difficult.LESSON LEARNEDThis initiative demonstrates that even under less-than-ideal circumstances, such as a lack of funding,community agencies can come together to address a problem and contribute to the solution through theirindividual resources. Coordination and communication are key.13
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