Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceWomen together for health: Challenges and successesPRIMARY CONTACT:Mara DeLuca, MPH, BAHealth EducatorMaricopa County Department of Public Health4041 N Central Avenue, #1500Phoenix, AZ, 85012Phone: (602) 506-5783Fax: (602) 506-6683Email: maradeluca@mail.maricopa.govWebsite: www.togetherforhealth.netCATEGORYChronic disease and MCH (Asthma, Diabetes, Obesity)Racial and ethnic health disparitiesFOCUSProgram Policy FocusISSUEThe Women Together for Health (WTFH) program, delivered through the Maricopa County Departmentof Public Health, aims to prevent chronic disease and promote healthy weight. Recent local data reveal agrowing obesity trend among children and adults. By targeting women of childbearing age, the programintends to influence the person responsible for making many of the family’s choices regarding nutritionand leisure time: the mother.SETTINGWTFH is taught throughout Maricopa County, including public school literacy programs, Head Startclassrooms, churches, and community centers. The target audiences are low income women, those thatidentify as ethnic minorities, and those with fewer years of formal education, because of the healthdisparities that exist within these populations. Classes are taught in English or Spanish.PROJECTWTFH addresses physical activity promotion, nutrition education, stress management, and tobaccoexposure reduction. This interactive course includes exercise sessions, food sampling, and other hands-onactivities. The program is co-taught by Health Educators from the Office of Health Promotion andEducation, and Registered Dietitians in the Office of Nutrition Services. Data measurement consists ofpre/post surveys and pedometers with step-logs.ACCOMPLISHMENTS/RESULTSIn 2008, WTFH had 706 participants and 370 program completers. The program staff was successful inreaching their target audience: 76% identified as ethnic minorities, 42% did not graduate high school,32
2009 CityMatCH Urban MCH Leadership Conference88% did not graduate from college, and 64% had received financial assistance from the Department ofEconomic Security, Arizona Health Cost Containment System, or Women, Infants, and Children. About25% of participants reported no physical activity at pre-test, while only 5.7% reported so at post-test.Over 65% increased their daily step count by 2,000 steps by the program’s end. About 20% ofparticipants switched to low- or non-fat milk from whole, 35% increased fruit and vegetable consumptionby one serving in each category, 51% increased fruit and vegetable consumption in either category, thepercentage reporting choosing whole grains moved from 60% at pre-test to 79% at post-test, and 46%reported an increase in reading nutrition labels. One-hundred percent of program participants made atleast one dietary improvement. Nearly 70% maintained these healthy lifestyle behaviors three monthspost-program.BARRIERSThe two major barriers encountered were low rates of step-log compliance and high program attritionrates. Few women faithfully returned completed step-logs, a major instrument of measurement fordetermining program effectiveness. Additionally, lack of consistent attendance was frequentlyexperienced in community education settings, and was also a barrier to participants’ adopting the healthybehaviors promoted in class.LESSONS LEARNEDHalfway through the year, program staff restructured the use of incentives to address the lack of step-logcompliance. Participants continued receiving an attendance incentive, but additional incentives wereprovided only upon receipt of a step-log. This caused a 23% increase in step-log collection compared to2007, a marked success. In terms of attrition, the objective of 50% completion was exceeded; however theexisting rate of 53% should not be passively accepted. Program staff should strive to recruit committedwomen, and aim to retain participants’ interest throughout the program’s length.INFORMATION FOR REPLICATIONThis program is funded through the federal Maternal and Child Health block grant, via the ArizonaDepartment of Health Services. Women Together for Health employs 6.5 Full Time Employees, with abudget of $587,000 per year; however, over $100,000 of this money goes directly to Child PassengerSafety programming partnerships.33
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Conference Abstract Compendium Examples from the ... - CityMatCH

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