“ MOMS” Making Our Mothers Successful A Partnership with the March of Dimes Clayton County Board of Health April 12, 2011
Program Objectives <ul><li>1. Apply strategies for improving birth outcomes with at risk mothers in targeted categories. </li></ul><ul><li>2. Develop and sustain a community coalition committed to improving birth outcomes by engaging internal, external, and medical community partners. </li></ul><ul><li>3. Educate staff and members of the community at large about birth outcomes. </li></ul>
Clayton County Board of Health <ul><li>Mission Statement – to protect, promote, and improve the health of the community </li></ul><ul><li>Vision Statement – to improve the overall health of the community. This is accomplished by health promotion and protection, preparedness planning, and prevention activities that are evidence-based and data-driven. </li></ul>
Creation of MOMS Program Through FOCUS Grant <ul><li>F inding O pportunity through C ollaboration, U nderstanding and S cience. </li></ul><ul><li>State and local public health strategic partnership to improve Georgia’s infant mortality rate and support healthy birth outcomes. </li></ul><ul><li>By reducing the infant mortality in counties with a particularly high burden, FOCUS aims to reduce Georgia’s overall infant mortality rate. </li></ul>
Where were initial FOCUS efforts to take place? <ul><li>Muscogee County </li></ul><ul><li>Bibb County </li></ul><ul><li>Clayton County </li></ul><ul><li>Chatham County </li></ul><ul><li>Houston County </li></ul><ul><li>Lowndes County </li></ul>
Infant Mortality Rate (IMR), 1998-2007 8.5 8.6 6.7 8.3 9.4 8.7 10.5 8.0 9.3 7.9 7.8 DeKalb Health District 6.2 5.4 6.6 6.1 7.2 6.5 6.7 6.1 5.4 6.2 5.1 East Metro Health District 9.1 10.6 8.3 6.7 10.6 8.9 12.4 7.7 9.4 7.5 8.2 Clayton County Health District 8.2 8.8 7.1 6.3 6.7 8.1 10.4 7.4 8.1 9.0 10.4 Fulton Health District 6.5 6.5 7.8 5.4 6.5 5.3 6.3 8.2 5.5 6.0 7.0 Cobb/Douglas Health District 8.4 7.9 8.1 8.0 8.5 8.5 8.9 8.5 8.5 8.2 8.5 Georgia Average 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998
Making Our Mothers Successful (MOMS) <ul><li>M aking O ur M oms S uccessful ( M.O.M.S ) is an initiative that utilizes collaborative, community-based strategies to improve Clayton County‘s birth outcomes. Functioning as a part of the M.O.M.S team, paraprofessionals (Family Support Specialists) offer support services for up to 18 months, via telephone outreach and home visitation. </li></ul><ul><li>The goal of the program is to decrease infant mortality among women of childbearing age in Clayton County while promoting the health of pregnant women and low-birth-weight infants. </li></ul>
MOMS Program Eligibility Criteria <ul><li>A woman who has recently delivered an infant (within 60 days or less) weighing less than 1500 grams (3 lbs, 8 ounces) at birth or born prematurely. </li></ul><ul><li>Pregnant African-American women (ages 30-44). </li></ul><ul><li>Pregnant women age 19 and younger. </li></ul>
March of Dimes <ul><li>The Prematurity Campaign </li></ul><ul><li>Addresses the crisis of premature birth and helps families have healthy, full-term babies. </li></ul><ul><li>The March of Dimes uses different channels of influence to reduce infant prematurity through raising public awareness, investing in education of moms-to-be, and engaging various healthcare providers. </li></ul><ul><li>Every year the March of Dimes provides millions of dollars in grants, scholarships, and awards that promote research, education for professionals, and community programs designed to reduce infant mortality and improve the health of babies. </li></ul><ul><li>In January, 2011 the Clayton County Board of Health was selected as a grant recipient. </li></ul>
March of Dimes (continued) <ul><li>Our MOMS Program will support the following funding priorities of the March of Dimes: </li></ul><ul><ul><li>Addressing preconception health concerns and/or enhancing services. </li></ul></ul><ul><ul><li>Increasing the participation of pregnant women in state or local maternal child health programs (MCH Home Visiting Services, Family Planning, and Women, Infants and Children (WIC) programs). </li></ul></ul>
Points of Entry for the MOMS Program <ul><li>Children’s 1 st </li></ul><ul><li>Presumptive Medicaid </li></ul><ul><li>WIC </li></ul><ul><li>Electronic Birth Certificate </li></ul><ul><li>Individual referral </li></ul>
Effective Strategies Used to Improve Birth Outcomes <ul><li>Home visitation (two-visit-per-month minimum) </li></ul><ul><li>Workshops </li></ul><ul><li>Small group meetings </li></ul><ul><li>Focus groups </li></ul><ul><li>Printed materials focusing on the childbearing experience. </li></ul>
Maternal/infant emergent issues identified in MOMS Program <ul><li>Limited professional counseling partners. </li></ul><ul><li>Lack of interest in the program by the 30-44 age group. </li></ul><ul><li>Need for more group forums with facilitator which allow for personal sharing. </li></ul><ul><li>Lack of community awareness/engagement. </li></ul><ul><li>Need for stress management program for clients. </li></ul><ul><li>Unclear role of perinatal case manager for OB patients. </li></ul><ul><li>Limited parenting classes – UGA Cooperative Extension Service has only two series a year. </li></ul><ul><li>Limited Resources </li></ul>
Sustaining Community Coalitions <ul><li>Internal survey of WIC clients </li></ul><ul><li>Partnership with United Way for Focus Group </li></ul><ul><li>Academy of Pediatrics and CCBOH staff visited Clayton County Pediatric and OB/GYN offices. </li></ul><ul><li>CCBOH hosted the Men and Women’s Health Symposium in October, 2010, inviting: Community, faith-based, and political leaders; business owners; and educators. </li></ul><ul><li>March of Dimes community fair. </li></ul>
Expert Panel <ul><li>Dr. Alfred W. Brann </li></ul><ul><ul><li>Professor of Pediatrics and Gynecology/Obstetrics and Professor of Global Health at Emory University </li></ul></ul><ul><ul><li>Director of the Collaborating Center in Reproductive Health in Atlanta </li></ul></ul><ul><li>Dr. George W. Bugg, Jr. </li></ul><ul><ul><li>Assistant Professor of Neonatal-Perinatal Medicine at Emory University </li></ul></ul><ul><ul><li>Pediatrics and Neonatology for Emory Children’s Center </li></ul></ul><ul><li>Dr. Anne L. Dunlop </li></ul><ul><ul><li>Director of Preventive Medicine Residency Program at Emory University School of Medicine </li></ul></ul><ul><ul><li>Director of Preventive and Primary Care Services at Grady Memorial Hospital Interpregnancy Care Program </li></ul></ul><ul><li>Dr. Fleda Mask Jackson </li></ul><ul><ul><li>President and CEO of MAJAICA, LLC </li></ul></ul><ul><ul><li>Professor of Applied Public Health at Emory University’s Rollins School of Public Health </li></ul></ul>
FOCUS External Partner List Government UGA Traffic Injury Prevention Institution Faith-based group Second Baptist Church Family Planning Planned Parenthood Southeast Fraternal Organization Ladies of Favor Advocacy House of Dawn, Inc. Government GA Campaign for Adolescent Pregnancy Prevention Faith-based organization FRAMEWorks (Bethany Christian Service) Government Forest Park Recreational and Leisure services Faith-based organization FBC Jonesboro/Angel Food Ministries Public School System Clayton County Public Schools Government Clayton County Parks and Recreation Government Clayton County Headquarters Library UGA Clayton County Cooperative Extension Service Public/Private partnership Clayton County Collaborative Authority Government Clayton Community Services Authority Public School System Child Tech Program Government CC Housing and Comm. Development Advertising A Brite Mktg., Signs, and Advertising Co.
FOCUS External Partner List (cont.) Private university/medical Emory University Medical Southside Medical Center Medical Southern Crescent Women’s Healthcare Medical My OB/Gyn Government Centers for Disease Control (CDC) Medical Southern Regional Medical Center Government Clayton County Fire and Emergency Services CMO AMERIGROUP Community Care Nonprofit March of Dimes Nonprofit United Way of Georgia State university system Gordon College State university system Clayton State University
Staff and Community Education <ul><li>In October, CCBOH presented a symposium to the community featuring the “2010 State of Health Report” for Clayton County. </li></ul><ul><li>Community partners have been invited to participate as principal presenters in MOMS program workshops. </li></ul><ul><li>Participation in support of community activities such as; health fairs, wellness expos, seminars, panel discussions/presentations </li></ul><ul><li>Hosted Expert Panel meetings in external stake holders are invited. </li></ul>
MOMS Program Activities <ul><li>MOMS Workshops </li></ul><ul><li>MOMS Boutique </li></ul><ul><li>Car Seat Program </li></ul><ul><li>Crib Match Program </li></ul>
Akyra and De’Jah Akyra and De’Jah Akyra, 19, delivered her daughter De’Jah on July 21, 2010. Born at only 24 weeks gestation, De’Jah was 1 lb., 9 oz. De’Jah had significant medical challenges and was referred to several specialists. Throughout Akyra enrollment in MO.M.S., De’Jah’s growth has been tracked and her health has steadily improved according to pediatrician reports. Although there was initial concern that De’Jah would suffer hearing loss, Akyra reports that De’Jah has now passed all of her hearing screenings. In addition, Akyra has returned to school to complete her college education in Secondary Education through an online program. De’Jah will celebrate her first birthday this summer.
Tanika and Tyreke Tanika and Tyreke Tanika, 30, a mother of two, delivered her infant son Tyreke on Aug. 28, 2010. Tyreke was born at 27 weeks gestation. Upon release from the hospital, Tyreke was sent home with an apnea monitor and oxygen along with several recommendations for medical follow-ups. Through enrollment in the MOMS program, Tanika, along with her husband D’mitri, have worked diligently to keep Tyreke up-to-date with all doctor’s appointments and evaluations. They have also participated in regular educational dialogues regarding infant safety and development. Today, Tyreke breathes independently without supplemental oxygen, no longer uses the apnea monitor, and has avoided other complications common to infants born prematurely. In the fall, Tyreke will celebrate his first birthday.
Rachandra and Dylan Rachandra and Dylan Rachandra, 34, enrolled in the MOMS program in July 2010. What appeared to be a perfectly normal pregnancy was interrupted when her son Dylan was born at 26 weeks gestation. As a result, Dylan entered the world at 2 lbs., 1.6 oz. and suffered cardiac arrest while waiting to be transported to the neonatal unit, where he spent 4.5 months in the NICU. Dylan has survived preterm labor, surgery, pneumonia, developmental problems, and feeding challenges. However, he has overcome the odds of infant mortality in Clayton County, turning one-year old on Oct. 29, 2010. He is truly a miracle baby and is proof that no one should ever give up hope.