Conference Abstract Compendium Examples from the ... - CityMatCH

2009 CityMatCH Urban MCH Leadership ConferenceUtilizing a life course framework in community maternal and child health planningPRIMARY CONTACT:CO-PRESENTER(S)/AUTHOR(S):Carol Brady, BS, MAThomas Bryant III,Executive Directorthomas_bryant@doh.state.fl.us (Author,NE Florida Healthy Start Coalition, Inc.Presenter)644 Cesery Boulevard Suite 210Jacksonville, FL, 32211Phone: (904) 723-5422 Ext. 111Fax: (904) 723-5433Email: cbrady@nefhsc.orgWebsite: www.nefhealthystart.orgCATEGORYInfant mortality and morbidityOther: Community MCH planningFOCUSProgram Policy FocusISSUEThe value of moving before and beyond pregnancy in identifying and intervening to address risk factorsthat impact on poor birth outcomes and health disparities has been recognized by researchers andpractitioners alike. Operationalizing this approach offers a challenge for planning and delivering maternaland child health (MCH) services at the community level.SETTINGAs one of 30 state-designated, community MCH organizations, the Northeast Florida Healthy StartCoalition, Inc. is responsible for developing a five-year service delivery plan and annual action plan toguide funding and programmatic decisions related to Florida’s Healthy Start initiative. The servicedelivery plan also serves as the local health systems action plan (LHSAP) for its federal Healthy Startprogram, the Magnolia Project. In past planning efforts, the Coalition utilized assessment tools, such asthe Perinatal Periods of Risk (PPOR), that moved beyond the prenatal period. As a result, increasedattention and resources have been directed to preconception health and broader social determinants in itsprogram strategies. For its 2009-2014 service delivery plan, the Coalition recognized the need to utilize abroader, life-course perspective.PROJECTA life-course framework was developed for conducting the five-year needs assessment and planningprocess. This framework offered an alternative approach to examining birth outcomes and healthdisparities that considered health and development over the mothers’/families’ life course, not just duringpregnancy. It also broadened the focus of the planning process to include health and social equity.A community Planning Committee examined data on MCH health status, available health and socialservices, and social determinants (economic, educational and environmental) for four phases of the18