Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceHoney Child Prenatal Education Program: A faith-based model designed to reducedisparities in birth outcomes among African American womenPRIMARY CONTACT:Wanda F. Wesson, M.S.Director of Prematurity InitiativesMarch of Dimes12660 Coit Rd, Suite 200 SouthDallas, TX, 75251Phone: (254) 598-8421Fax: (254) 773-0331Email: wwesson@marchofdimes.comCATEGORYFaith and healthRacial and ethnic health disparitiesFOCUSProgram Policy FocusISSUECO-PRESENTER(S)/AUTHOR(S):Anita Kurian, akkurian@tarrantcounty.com(Author)Brian Castrucci, brian.castrucci@dshs.state.tx.us(Author)According to information from the March of Dimes Perinatal Data Center, the rate of preterm births in theUnited States is highest among African-American infants (17.8%), followed by Native Americans(13.4%), Hispanics (11.8%), Caucasians (11.3%) and Asians (10.4%). Prematurity/low birth weight is theleading cause of death for African-American infants.SETTINGTo address this disparity, the March of Dimes Texas Chapter launched the Honey Child PrenatalEducation Program in 2006. Honey Child is a faith-based prenatal education program that couples groupeducation and mentoring to mediate risk factors associated with preterm births in African Americanwomen. In 2008, the March of Dimes Texas Chapter piloted Honey Child in five churches in Texas.PROJECTThe church provides a trusted site conveniently located within the neighborhood to focus on heathpromotion. Group facilitators and mentors are drawn from local churches. The program is intended foruse by lay facilitators and mentors who have received specialized training from the March of DimesTexas Chapter’s staff and volunteers.The intervention takes place in a church setting and targets African American pregnant women with aspecific focus on women ages 18-36. The Honey Child prenatal curriculum includes six two-hoursessions. Topics include nutrition, stress reduction, prenatal care, self-esteem, preterm labor, and laborand delivery. The mentor’s role is critical in not only providing social support but also providing gentleaccountability for positive health behaviors outside of the sessions. The program uses incentives as a way72
2009 CityMatCH Urban MCH Leadership Conferenceto promote health behaviors through positive reinforcement for participants and a stipend for programcoordinator and host church.ACCOMPLISHMENTS/RESULTSPhase 1: Development of manuals for Honey Child coordinators, facilitators, mentors and participantscompleted in 2007-08. Self administered data collection instruments (enrollment survey, knowledge andstress survey pretest and post test, satisfaction survey and post intervention survey) gained IRB approval.Phase II: Implementation of Honey Child in five churches in Texas.Preliminary results of Honey Child 2008 –• 83 percent of participants showed a statistically significant increase in knowledge from baseline tofollow-up, with 53 percent showing a 20% or greater increase in knowledge.• Approximately 91% were full term, nine percent were born before 37 weeks, and 1.9% born less than32 weeks of gestation. The mean age was 38.4 weeks.• There was a statistically significant inverse correlation between perceived maternal stress and socialsupport. As social support increased, maternal stress decreased.• On a scale of one to 10 (1 being worst and 10 being best), the participants gave the Honey ChildPrenatal education experience an average score of 9.5.BARRIERSFaith-based organizations gaining access to participants in public health organizations caused recruitmentgoals to not be reached.LESSONS LEARNEDSuccessful implementation requires African-American faith-based leadership, involvement, input andownership. The gains in knowledge are important as the participants share this knowledge with theirsocial networks thereby increasing and expanding the role of Honey Child.73
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