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First Year CLE Shaker Heights High School 020719

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For more than 50 years, infants in the Greater Cleveland area have been dying at a rate similar to many third-world countries. First Year Cleveland wants to change that. We are a community movement committed to ensuring that every baby born in Cuyahoga County will celebrate their first birthday.

Our 11 community-wide action teams are poised to tackle the challenges that contribute to infant mortality. We focus on addressing racial disparities, decreasing extreme prematurity and eliminating sleep-related deaths — proven strategies aimed to reduce (and sustain a low number of) infant deaths for decades to come.

Alarmed by what many considered an unsolvable problem, leaders representing every sector of the community came together in early 2016 and established First Year Cleveland to develop an effective, comprehensive and sustainable approach to solving infant mortality in our area.

Early efforts have been encouraging — proving that success is possible — but much more needs to be done to keep our babies alive and healthy so they can reach their first birthday. Join us as we work together to reach the national goal set by the CDC for infant mortality by 2020.

Published in: Government & Nonprofit
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First Year CLE Shaker Heights High School 020719

  1. 1. First Year Cleveland (FYC) What Infant Mortality Is – And How We Can All Keep Babies from Dying February 7, 2019 Shaker Heights High School @FirstYearCleveland @FirstYearCLE #SafeSleepHeroes FirstYearCleveland.org
  2. 2. First Year Cleveland Ø Overview of First Year Cleveland Animated Video https://www.youtube.com/watch?v=wP2hBn4_aT4
  3. 3. Today’s discussion… • Welcome and Thank You • FYC – Collective Impact to Reduce Infant Mortality • Promising early results • The Path Forward o Battle misconceptions; Stay focused on the core challenges o Execute FYC recommendations and action plan • Next Steps; • Questions & Answers
  4. 4. Infant Mortality Rate • A community’s commitment to having our expectant parents, parents and children thrive. • Health before pregnancy. • The care given during pregnancy. • The support families do or do not receive. • The broader social and economic landscape. It’s a reflection of…
  5. 5. Supporting Health and Birth Outcomes Over the Life Course Policy Services Community Individual Ø Develop an overall system view to reduce infant deaths and advocate for local, state and federal policies through an equity lens; Ø Align, coordinate and leverage public and private services aiming towards results that matter. Secure funds for what is working; Ø Advance shared responsibility and accountability. Inform and activate community on what works and what does not; Ø Bias training in order to ensure we are providing the highest quality one-on-one services.
  6. 6. Today’s discussion… • Welcome and Thank You • FYC – Collective Impact to Reduce Infant Mortality • The Path Forward o Battle misconceptions; Stay focused on the core challenges o Execute FYC recommendations and action plan • Next Steps • Questions & Answers • FYC – Collective Impact to Reduce Infant Mortality • Promising early results
  7. 7. First Year Cleveland A data-informed community collaborative WHO WE ARE • Established by 13 civic leaders from Cuyahoga County (end of 2015) • Advisory council of 300+ community representatives and 90+ organizations • Collaborative, grass roots, bottom-up WHO WE REALLY ARE Laser focused, data-informed and executing 11 FYC Action Teams to reduce infant deaths by: • Reducing Racial Disparities • Addressing Extreme Prematurity • Eliminating Sleep Related Deaths
  8. 8. Collective Impact is Working! FYC has been busy… Building public will. Securing funding. Supporting coordinated activities. Establishing shared measurement practices. Advancing public policy.
  9. 9. Collective Impact is Working! …and seeing early positive results. All data from Cuyahoga County 2015 2017 Total Births 14,843 14,558 Total Deaths 156 118 African American 104 92 Hispanic 8 10 White 43 16 Infant Mortality Rate (total) 10.51 IMR 8.11 IMR African American 18.45 16.10 White 5.77 2.4
  10. 10. Collective Impact is Working! Understand the problems that you’re fixing. The two most significant causes of infant death… Extreme prematurity Preventable infant sleep deaths X
  11. 11. Investing in Data We are on the road of having community impact through a culture that values data. We developed a three year road map that shows a reasonable and doable path to change…and infant deaths are decreasing. We are proving that our community can identify real change when it occurs. FYC has clearly stated the problem using data.
  12. 12. Today’s discussion… • Welcome and Thank You • FYC – Collective Impact to Reduce Infant Mortality • Promising early results • The Path Forward • Next Steps • Questions & Answers • The Path Forward o Battle misconceptions; Stay focused on the core challenges o Execute FYC recommendations and action plan
  13. 13. Reality Cuyahoga County has the highest rate of prenatal care in the state and the worst IMR. In 2015, 50% of African American babies who died from prematurity and birth defects were on Medicaid and 50% on private insurance. In the past 10 years, less than 4% of all infant deaths were born to teen moms and/or moms with addiction or mental health issues. Myth Babies are dying due to poor or no prenatal care. Poor Black babies are dying, so poverty must be key. Babies who are dying are born to teen moms and/or moms who abuse drugs and alcohol. Assumptions can no longer drive this work.
  14. 14. FYC’s #1 priority is to reduce racial disparities. White IMR has been improving at a faster pace than black IMR. 14.3 White 25.1 Non-White 1975 15.2 African American 5.8 White 2015 Infant Mortality Rate in Ohio, 1975 vs. 2015
  15. 15. Think… 5,914 more black babies would not have died in Ohio from 1990-2015.Source: ODH data, HRSA evaluation
  16. 16. We must address racial inequalities. Build trust. Strengthen data capabilities. Understand and address the impact of racism on maternal and child health.
  17. 17. Systems-level interventions are required. While the mother is the environment of the developing fetus, the community is the environment of the mother. Dr. Lawrence Wallack Going Upstream for the Health of the Next Generation
  18. 18. First Year Cleveland Goals for our 3 top priorities… 1. Reduce racial disparities. • All babies deserve to reach their first birthday. 2. Reduce extreme prematurity. • Reducing stress in the environment is one key. 3. Reduce preventable sleep-related infant deaths. • Almost all of the 203 sleep-related deaths in the past 10 years were accidental suffocation.
  19. 19. First Year Cleveland …we can all help save our babies together. 1. System-wide initiatives to combat structural racism. • Try the Harvard Implicit Bias Project to check your own biases. (Every human has some… they’re just different by person.) • Make sure your clubs, organizations, speakers, and events are diverse. 2. Learn, Practice, and Share the ABCDs of Safe Sleep. • Become a Safe Sleep Hero and tell your friends. • Step in to help if you see a baby being put to sleep in any way different than Alone, on their Back, in a bare Crib with no pillows, blankets, or stuffed animals, and Don’t smoke in a home with a baby. #SafeSleepHeroes
  20. 20. First Year Cleveland Ø Safe Sleep Heroes Training Video https://www.youtube.com/watch?v=0mmS5tvSoU8&t=2s https://www.slideshare.net/FirstYearCleveland/first-year-cleveland-safe-sleep-heroes- training-1
  21. 21. Next steps… • Contact us if you want help organizing a Safe Sleep Heroes group or training! • We would love your creative ideas: videos, photos, Instagram posts, stories, poems, artwork, or other items to share on our website and social channels. (You may be featured in the media!) • We may have senior projects or volunteer opportunities you can add to your college application! • FirstYearCleveland.org • FYCideas@case.edu • @FirstYearCleveland @FirstYearCLE • #SafeSleepHeroes
  22. 22. Questions? Thank you!

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