The document discusses the Text4baby program, which sends free text messages to pregnant women and mothers of young children with health information. It began in 2010 and has grown significantly, with over 400,000 enrollees. The program was created through a public-private partnership and develops messages with input from health experts. Research shows Text4baby improves health knowledge, helps users remember appointments, and facilitates interactions with healthcare providers.
Randomized, Controlled Trial Of A Prenatal And Postnatal Lactation ConsultantBiblioteca Virtual
This randomized controlled trial evaluated the effectiveness of a prenatal and postnatal lactation consultant intervention on the duration and intensity of breastfeeding up to 12 months. Over 300 low-income women receiving prenatal care at two community health centers were randomly assigned to an intervention or control group. The intervention group received individualized support from lactation consultants including prenatal meetings, a postpartum hospital visit, and home visits/phone calls. The trial found the intervention group was more likely to breastfeed through 20 weeks and had higher breastfeeding intensity scores at 13 and 52 weeks compared to the control group. US-born women in the control group had the lowest breastfeeding intensity. The study concluded the "best-practices" lactation
The 25 Th Anniversary Of The Surgeon General’S Workshop On Breastfeeding And ...Biblioteca Virtual
The document summarizes the key findings and recommendations from the 25th anniversary of the Surgeon General's Workshop on Breastfeeding and Human Lactation. It discusses the benefits of breastfeeding for both infant and maternal health. While breastfeeding rates have increased since 1984, gaps remain between current practices and recommendations such as exclusively breastfeeding for 6 months. Efforts are needed to support breastfeeding at hospitals, workplaces, and in the community to improve rates and reduce disparities.
Effect Of An Educational Intervention About Breastfeeding On The Knowledge,Biblioteca Virtual
This study evaluated the impact of an educational intervention on pediatric residents' knowledge, confidence, and clinical behaviors regarding breastfeeding. The residents completed pre- and post-intervention questionnaires to assess knowledge and confidence. Telephone interviews with breastfeeding mothers after clinic visits evaluated residents' clinical behaviors. The results showed that residents' knowledge scores increased significantly after the intervention. Their clinical behaviors when interacting with breastfeeding mothers also improved substantially. The educational intervention was effective in enhancing residents' support of breastfeeding patients.
Baby-making : what the new reproductive treatments mean for families & society V Somasundram
A book review presentation on Baby-making : what the new reproductive treatments mean for families & society by Bart Fauser & Paul Devroey for H6792, Science & Technology Sources & Services.
Presented by Nurashikin Jasni & V Somasundram on 16 October 2012
Final research paper written for Introduction to Child Development in fall 2019. This paper discusses the benefits of breastfeeding for the child and the mother.
This study examined how low-income Hispanic immigrant mothers' concerns about their own weight and their child's health relate to the mother's concerns about her child becoming overweight and underestimating the child's weight. The study surveyed and measured 96 low-income Hispanic mothers and their young children in Houston. The results found that mothers concerned with their own weight were more likely to be concerned about their child becoming overweight. Mothers who perceived their child as less healthy were more likely to underestimate their child's weight. The study suggests focusing on maternal concerns and perceptions could help nurses better address childhood obesity with these families.
This document discusses approaches to promoting breastfeeding among pregnant women. It begins by outlining the Baby Friendly Hospital Initiative from WHO and UNICEF to advocate increasing breastfeeding rates. Improved breastfeeding could save thousands of children's lives daily. The Innocenti Declaration established breastfeeding as the global goal for health and called on governments to develop breastfeeding policies. Many US agencies and organizations support breastfeeding, though rates remain below goals. The document emphasizes the importance of educational, social and institutional support for breastfeeding mothers.
Family planning in nigeria a myth or reality-implications for educationAlexander Decker
The document summarizes a study that investigated family planning practices in Nkanu Local Government Area of Enugu State, Nigeria. The study found that (1) the extent of family planning in the area was low, (2) the most common methods used were traditional ones like abstinence, withdrawal, and prolonged breastfeeding, and (3) education level had a positive influence on family planning practices, with more educated respondents using modern contraceptive methods to a greater extent.
Randomized, Controlled Trial Of A Prenatal And Postnatal Lactation ConsultantBiblioteca Virtual
This randomized controlled trial evaluated the effectiveness of a prenatal and postnatal lactation consultant intervention on the duration and intensity of breastfeeding up to 12 months. Over 300 low-income women receiving prenatal care at two community health centers were randomly assigned to an intervention or control group. The intervention group received individualized support from lactation consultants including prenatal meetings, a postpartum hospital visit, and home visits/phone calls. The trial found the intervention group was more likely to breastfeed through 20 weeks and had higher breastfeeding intensity scores at 13 and 52 weeks compared to the control group. US-born women in the control group had the lowest breastfeeding intensity. The study concluded the "best-practices" lactation
The 25 Th Anniversary Of The Surgeon General’S Workshop On Breastfeeding And ...Biblioteca Virtual
The document summarizes the key findings and recommendations from the 25th anniversary of the Surgeon General's Workshop on Breastfeeding and Human Lactation. It discusses the benefits of breastfeeding for both infant and maternal health. While breastfeeding rates have increased since 1984, gaps remain between current practices and recommendations such as exclusively breastfeeding for 6 months. Efforts are needed to support breastfeeding at hospitals, workplaces, and in the community to improve rates and reduce disparities.
Effect Of An Educational Intervention About Breastfeeding On The Knowledge,Biblioteca Virtual
This study evaluated the impact of an educational intervention on pediatric residents' knowledge, confidence, and clinical behaviors regarding breastfeeding. The residents completed pre- and post-intervention questionnaires to assess knowledge and confidence. Telephone interviews with breastfeeding mothers after clinic visits evaluated residents' clinical behaviors. The results showed that residents' knowledge scores increased significantly after the intervention. Their clinical behaviors when interacting with breastfeeding mothers also improved substantially. The educational intervention was effective in enhancing residents' support of breastfeeding patients.
Baby-making : what the new reproductive treatments mean for families & society V Somasundram
A book review presentation on Baby-making : what the new reproductive treatments mean for families & society by Bart Fauser & Paul Devroey for H6792, Science & Technology Sources & Services.
Presented by Nurashikin Jasni & V Somasundram on 16 October 2012
Final research paper written for Introduction to Child Development in fall 2019. This paper discusses the benefits of breastfeeding for the child and the mother.
This study examined how low-income Hispanic immigrant mothers' concerns about their own weight and their child's health relate to the mother's concerns about her child becoming overweight and underestimating the child's weight. The study surveyed and measured 96 low-income Hispanic mothers and their young children in Houston. The results found that mothers concerned with their own weight were more likely to be concerned about their child becoming overweight. Mothers who perceived their child as less healthy were more likely to underestimate their child's weight. The study suggests focusing on maternal concerns and perceptions could help nurses better address childhood obesity with these families.
This document discusses approaches to promoting breastfeeding among pregnant women. It begins by outlining the Baby Friendly Hospital Initiative from WHO and UNICEF to advocate increasing breastfeeding rates. Improved breastfeeding could save thousands of children's lives daily. The Innocenti Declaration established breastfeeding as the global goal for health and called on governments to develop breastfeeding policies. Many US agencies and organizations support breastfeeding, though rates remain below goals. The document emphasizes the importance of educational, social and institutional support for breastfeeding mothers.
Family planning in nigeria a myth or reality-implications for educationAlexander Decker
The document summarizes a study that investigated family planning practices in Nkanu Local Government Area of Enugu State, Nigeria. The study found that (1) the extent of family planning in the area was low, (2) the most common methods used were traditional ones like abstinence, withdrawal, and prolonged breastfeeding, and (3) education level had a positive influence on family planning practices, with more educated respondents using modern contraceptive methods to a greater extent.
Session 14 protecting breastfeeding revised 2016Siwon Lee
This document discusses strategies for protecting breastfeeding, including understanding and implementing the International Code of Marketing of Breast Milk Substitutes. It identifies the health worker's role in educating impartially and preventing marketing practices that undermine breastfeeding. It also stresses the importance of supporting breastfeeding in emergency situations through relief policies and training for humanitarian workers.
cepat hamil adalah hal yang paling harapkan untuk pasangan yang lansung ingin menimang buah hati, berikut adalah ebook panduan cara cepat hamil, dapatkan informasi lebih lengkap dengan megunjungi http://www.wishingbaby.com/
A publicação designada
‘Amamentação, o Presente de Mãe para Cada Criança’,
revela que “aumentar as taxas de aleitamento materno ajudaria a prevenir mais 20 mil mortes de mães por CA de mama”.
A investigação lembra que amamentar ajuda também a proteger a mulher das hemorragias e das depressões pós-parto, do CA nos ovários – além do CA de mama –, problemas cardíacos e diabetes do tipo 2.
...
Nosso presente de Dia das Mães! :)
Prof. Marcus Renato de Carvalho
www.aleitamento.com
The document discusses the revised training package for the Baby Friendly Hospital Initiative (BFHI). Some key points:
- The BFHI was launched in 1991 to promote breastfeeding. Over 15,000 facilities in 134 countries have achieved Baby-Friendly status.
- However, progress in designating new hospitals has slowed since 1996. On average, less than seven hospitals per country are designated each year.
- WHO and UNICEF have developed a revised 20-hour training course package to revitalize the BFHI both quantitatively and qualitatively.
- The package includes updates to certain steps and new/optional criteria on areas like HIV/AIDS, labor/childbirth care, and compliance with
Contraception prevents pregnancy through various methods that interfere with ovulation, fertilization, or implantation. Some view contraception as morally wrong because it is seen as unnatural, anti-life, a form of abortion, or separates sex from reproduction. However, most major religious denominations support the use of contraception for responsible family planning. While the Catholic Church opposes contraception, Pope Francis stated that avoiding pregnancy is not an absolute evil.
Exclusive Breastfeeding Reduces Acute Respiratory Infection And DiarrheaBiblioteca Virtual
This study examined the relationship between breastfeeding practices and infant mortality in Dhaka, Bangladesh. The researchers followed over 1600 infants from birth to 12 months. They found that exclusive breastfeeding declined from 53% at 1 month to 5% at 6 months. Partial or no breastfeeding was associated with a 2-3 times higher risk of infant death from all causes, acute respiratory infection (ARI), and diarrhea compared to exclusive breastfeeding. The study suggests that exclusive breastfeeding in early infancy reduces infant mortality, particularly from ARI and diarrhea.
1) Unsafe abortions are a major reproductive health challenge, accounting for 24 million procedures and over 360,000 deaths annually.
2) Lack of access to contraception and family planning services, as well as social factors like poverty, early marriage, and gender inequality contribute to high rates of unwanted pregnancy and unsafe abortion.
3) Improving access to contraception, comprehensive sexuality education, and safe abortion and post-abortion care services can help reduce maternal mortality from unsafe abortion and advance progress on Millennium Development Goal 5 of improving maternal health.
This document provides guidance for breastfeeding mothers during the COVID-19 pandemic. It recommends that mothers continue breastfeeding and take precautions like wearing a mask, washing hands, and cleaning surfaces. If a mother has COVID-19, she can express milk and have another caregiver feed the infant. The document provides tips for proper hygiene during formula feeding as well. It emphasizes the importance of breastfeeding for infant health and immunity.
Session 3 from baby to breast -anatomy and physiolgy 2016Siwon Lee
The document describes breast anatomy and physiology related to lactation. It discusses the hormones prolactin and oxytocin which impact milk production and letdown. The stages of breast development from pregnancy through weaning are outlined. Successful breastfeeding requires emptying the breast every 1-2 hours through proper latching and feeding cues from the baby. Rooming-in allows for frequent feeding and bonding to establish milk supply.
Community Wellness Through Improved Maternity Practices By Drs Jose Gorrin and Ana Parilla. Given at the Puerto Rican Cultural Center in September of 2003
This document discusses the ethics of abortion from multiple perspectives. It outlines the views of those who are pro-life and see abortion as equivalent to murder, as well as those who are pro-choice and support a woman's right to choose. The document also examines philosophical views on abortion from thinkers like Kant and Bentham. Additionally, it discusses the role of nurses and clinicians in understanding ethical principles to assist patients grappling with this complex issue. Overall, the document presents abortion as a controversial topic that involves considerations of ethics, law, religion, women's rights, and philosophical debates around personhood.
Abortion has been one of the major controversies in our contemporary society. Some people are in support to legalization of abortion, others are yet undecided on which side to support, and the rest are in total opposition of the notion of legalizing abortion. Abortion is the termination of the pregnancy by removal of the fetus or embryo before its complete growth. The process of abortion can be induced either artificially or naturally due to ranging reasons be it positive or negative. In this research paper I will cover both sides in order to establish a conclusion as to whether abortion should be legalized or not. I will cover both the positive and negative effects to an individual or the society at large.
Overcoming Barriers to Increased Human Milk Feeding in the NICUDenise Breheny
This document discusses barriers to providing human milk feeding (HMF) in the NICU. It notes that while HMF provides numerous health benefits, many mothers struggle to establish and maintain an adequate milk supply. Barriers include lack of education for healthcare providers, lack of hospital policies supporting HMF, and demographic factors like low income that correlate with lower breastfeeding rates. Overcoming these barriers is important to maximize the benefits of HMF for vulnerable very low birth weight infants.
Setting Them up for Failure: Why Parents Struggle to Adhere to Infant Safe Sl...JSI
This poster was presented by Christin D'Ovidio at the National Conference on Health Communication, Marketing & Media.
Each year in Vermont, 4-6 infants die of unsafe sleep environments. The Vermont Department of Health contracted with JSI Research and Training Institute, Inc. (JSI), to study the major barriers Vermont parents and professionals face with regard to infant safe sleep. The research examined: what parents know, have heard, or find confusing about infant safe sleep practices; decisions around infant safe sleep practice; and response to existing infant safe sleep materials.
Some of the major themes with implications for future
communication efforts included parents’ need to be respected as good and competent caregivers, the desire for information that addresses the unique sleep challenges in their family, and
a skepticism of infant safe sleep research and messaging.
Although parents are highly motivated to do what is best for their baby and are aware of the basic infant safe sleep guidelines, parents who struggle the follow the guidelines feel they must choose between sleep and safety, or adapt the guidelines as their version of “safe sleep.”These parents feel they are being set up for failure, due to a lack of guidance to get their baby to sleep in a safe sleep environment. Parents want assistance grounded in the reality of the challenges
and choices they face to get their babies to sleep while keeping
them safe.
This document summarizes key reproductive health issues facing underserved women in the United States. It finds that women of color have higher rates of HIV/AIDS, teen pregnancy, and cervical cancer. Access to abortion and contraception also varies significantly by race and income level. Significant barriers to care include cost, lack of insurance, and restrictive policies. The document calls for a human rights approach to ensure all women have access to comprehensive reproductive healthcare.
The Reproductive Health Bills, popularly known as the RH Bills, are legislative bills aiming to guarantee universal access to reproductive health care services, supplies and information in the Philippines. There are presently six bills with the same goals, the most prominent of which is House Bill 96 but they are all referred to in the country as "the RH Bill" as they have the common purpose of promoting reproductive health, responsible parenthood and informed choice in conformity with internationally recognized human rights standards. The contentious aspect of the bill which has spawned a national debate is its key proposal that the government funds and undertakes widespread distribution of family planning devices such as oral contraceptive pills (OCPs) and IUDs, dissemination of information on their use, and enforcement of their provision in all health care centers and private companies, as a way of controlling the population of the Philippines. The bill is based on the premise that present population growth impedes economic development and exacerbates poverty.
This document discusses COVID-19 and breastfeeding. It recommends that breastfeeding should continue as breast milk provides antibodies that strengthen infant immunity. It also outlines safety precautions for breastfeeding such as handwashing, wearing a mask, and cleaning pump/bottle parts thoroughly if expressing milk. For COVID-19 positive mothers, breastfeeding is still recommended while taking safety measures like washing breasts and wearing a mask.
This document summarizes research on the optimal duration of exclusive breastfeeding. It discusses how the WHO recommendation had been 4-6 months but was changed to around 6 months in 2001 based on evidence from over 3,000 studies. The resolution passed by the World Health Assembly urges exclusive breastfeeding for six months as a global recommendation, taking into account the expert committee's findings that exclusive breastfeeding for six months does not harm growth and protects against infection.
The document discusses the history and methods of population control and birth control globally. It covers the origins of the international population control movement in the 1950s led by the US. It then discusses specific approaches taken in India, Africa, China, and low-income countries. In India, breastfeeding is discussed as an effective birth control method. In Africa, having many children is seen as a gift but overpopulation is an issue. China implemented its one-child policy in the late 1970s using fines and forced abortions/sterilization to reduce population growth.
Breastfeeding Practice and Breastfeeding Self-efficacy Among first time Nepal...Ambika Rai
This document outlines a proposed study on breastfeeding practices among adolescent mothers in Nepal. The study aims to describe breastfeeding rates at 6 weeks postpartum and compare breastfeeding self-efficacy among mothers with exclusive, partial, or no breastfeeding. The conceptual framework is based on self-efficacy theory. The methodology describes a descriptive comparative design using surveys of 110 adolescent mothers attending a well-baby clinic. Data will be analyzed to classify breastfeeding practices and compare self-efficacy scores. The results could inform policies to improve breastfeeding among adolescent mothers in Nepal.
The document discusses the Text4baby program, which provides pregnant women and new mothers with health and safety information via text message. It was created to address high rates of infant mortality and preterm birth in the US. The program sends timed texts on topics like breastfeeding, immunizations, nutrition and more. It has rigorous processes for developing evidence-based content and ensuring expert review. Over 400,000 women have enrolled since its launch.
This document provides an introduction and overview of the Text4baby program. Text4baby is a free mobile health information service that sends pregnant women and new mothers tips to promote maternal and child health. The summary describes how Text4baby works, its national partnerships, account managers, outreach partner benefits, and strategies for promoting enrollment.
Session 14 protecting breastfeeding revised 2016Siwon Lee
This document discusses strategies for protecting breastfeeding, including understanding and implementing the International Code of Marketing of Breast Milk Substitutes. It identifies the health worker's role in educating impartially and preventing marketing practices that undermine breastfeeding. It also stresses the importance of supporting breastfeeding in emergency situations through relief policies and training for humanitarian workers.
cepat hamil adalah hal yang paling harapkan untuk pasangan yang lansung ingin menimang buah hati, berikut adalah ebook panduan cara cepat hamil, dapatkan informasi lebih lengkap dengan megunjungi http://www.wishingbaby.com/
A publicação designada
‘Amamentação, o Presente de Mãe para Cada Criança’,
revela que “aumentar as taxas de aleitamento materno ajudaria a prevenir mais 20 mil mortes de mães por CA de mama”.
A investigação lembra que amamentar ajuda também a proteger a mulher das hemorragias e das depressões pós-parto, do CA nos ovários – além do CA de mama –, problemas cardíacos e diabetes do tipo 2.
...
Nosso presente de Dia das Mães! :)
Prof. Marcus Renato de Carvalho
www.aleitamento.com
The document discusses the revised training package for the Baby Friendly Hospital Initiative (BFHI). Some key points:
- The BFHI was launched in 1991 to promote breastfeeding. Over 15,000 facilities in 134 countries have achieved Baby-Friendly status.
- However, progress in designating new hospitals has slowed since 1996. On average, less than seven hospitals per country are designated each year.
- WHO and UNICEF have developed a revised 20-hour training course package to revitalize the BFHI both quantitatively and qualitatively.
- The package includes updates to certain steps and new/optional criteria on areas like HIV/AIDS, labor/childbirth care, and compliance with
Contraception prevents pregnancy through various methods that interfere with ovulation, fertilization, or implantation. Some view contraception as morally wrong because it is seen as unnatural, anti-life, a form of abortion, or separates sex from reproduction. However, most major religious denominations support the use of contraception for responsible family planning. While the Catholic Church opposes contraception, Pope Francis stated that avoiding pregnancy is not an absolute evil.
Exclusive Breastfeeding Reduces Acute Respiratory Infection And DiarrheaBiblioteca Virtual
This study examined the relationship between breastfeeding practices and infant mortality in Dhaka, Bangladesh. The researchers followed over 1600 infants from birth to 12 months. They found that exclusive breastfeeding declined from 53% at 1 month to 5% at 6 months. Partial or no breastfeeding was associated with a 2-3 times higher risk of infant death from all causes, acute respiratory infection (ARI), and diarrhea compared to exclusive breastfeeding. The study suggests that exclusive breastfeeding in early infancy reduces infant mortality, particularly from ARI and diarrhea.
1) Unsafe abortions are a major reproductive health challenge, accounting for 24 million procedures and over 360,000 deaths annually.
2) Lack of access to contraception and family planning services, as well as social factors like poverty, early marriage, and gender inequality contribute to high rates of unwanted pregnancy and unsafe abortion.
3) Improving access to contraception, comprehensive sexuality education, and safe abortion and post-abortion care services can help reduce maternal mortality from unsafe abortion and advance progress on Millennium Development Goal 5 of improving maternal health.
This document provides guidance for breastfeeding mothers during the COVID-19 pandemic. It recommends that mothers continue breastfeeding and take precautions like wearing a mask, washing hands, and cleaning surfaces. If a mother has COVID-19, she can express milk and have another caregiver feed the infant. The document provides tips for proper hygiene during formula feeding as well. It emphasizes the importance of breastfeeding for infant health and immunity.
Session 3 from baby to breast -anatomy and physiolgy 2016Siwon Lee
The document describes breast anatomy and physiology related to lactation. It discusses the hormones prolactin and oxytocin which impact milk production and letdown. The stages of breast development from pregnancy through weaning are outlined. Successful breastfeeding requires emptying the breast every 1-2 hours through proper latching and feeding cues from the baby. Rooming-in allows for frequent feeding and bonding to establish milk supply.
Community Wellness Through Improved Maternity Practices By Drs Jose Gorrin and Ana Parilla. Given at the Puerto Rican Cultural Center in September of 2003
This document discusses the ethics of abortion from multiple perspectives. It outlines the views of those who are pro-life and see abortion as equivalent to murder, as well as those who are pro-choice and support a woman's right to choose. The document also examines philosophical views on abortion from thinkers like Kant and Bentham. Additionally, it discusses the role of nurses and clinicians in understanding ethical principles to assist patients grappling with this complex issue. Overall, the document presents abortion as a controversial topic that involves considerations of ethics, law, religion, women's rights, and philosophical debates around personhood.
Abortion has been one of the major controversies in our contemporary society. Some people are in support to legalization of abortion, others are yet undecided on which side to support, and the rest are in total opposition of the notion of legalizing abortion. Abortion is the termination of the pregnancy by removal of the fetus or embryo before its complete growth. The process of abortion can be induced either artificially or naturally due to ranging reasons be it positive or negative. In this research paper I will cover both sides in order to establish a conclusion as to whether abortion should be legalized or not. I will cover both the positive and negative effects to an individual or the society at large.
Overcoming Barriers to Increased Human Milk Feeding in the NICUDenise Breheny
This document discusses barriers to providing human milk feeding (HMF) in the NICU. It notes that while HMF provides numerous health benefits, many mothers struggle to establish and maintain an adequate milk supply. Barriers include lack of education for healthcare providers, lack of hospital policies supporting HMF, and demographic factors like low income that correlate with lower breastfeeding rates. Overcoming these barriers is important to maximize the benefits of HMF for vulnerable very low birth weight infants.
Setting Them up for Failure: Why Parents Struggle to Adhere to Infant Safe Sl...JSI
This poster was presented by Christin D'Ovidio at the National Conference on Health Communication, Marketing & Media.
Each year in Vermont, 4-6 infants die of unsafe sleep environments. The Vermont Department of Health contracted with JSI Research and Training Institute, Inc. (JSI), to study the major barriers Vermont parents and professionals face with regard to infant safe sleep. The research examined: what parents know, have heard, or find confusing about infant safe sleep practices; decisions around infant safe sleep practice; and response to existing infant safe sleep materials.
Some of the major themes with implications for future
communication efforts included parents’ need to be respected as good and competent caregivers, the desire for information that addresses the unique sleep challenges in their family, and
a skepticism of infant safe sleep research and messaging.
Although parents are highly motivated to do what is best for their baby and are aware of the basic infant safe sleep guidelines, parents who struggle the follow the guidelines feel they must choose between sleep and safety, or adapt the guidelines as their version of “safe sleep.”These parents feel they are being set up for failure, due to a lack of guidance to get their baby to sleep in a safe sleep environment. Parents want assistance grounded in the reality of the challenges
and choices they face to get their babies to sleep while keeping
them safe.
This document summarizes key reproductive health issues facing underserved women in the United States. It finds that women of color have higher rates of HIV/AIDS, teen pregnancy, and cervical cancer. Access to abortion and contraception also varies significantly by race and income level. Significant barriers to care include cost, lack of insurance, and restrictive policies. The document calls for a human rights approach to ensure all women have access to comprehensive reproductive healthcare.
The Reproductive Health Bills, popularly known as the RH Bills, are legislative bills aiming to guarantee universal access to reproductive health care services, supplies and information in the Philippines. There are presently six bills with the same goals, the most prominent of which is House Bill 96 but they are all referred to in the country as "the RH Bill" as they have the common purpose of promoting reproductive health, responsible parenthood and informed choice in conformity with internationally recognized human rights standards. The contentious aspect of the bill which has spawned a national debate is its key proposal that the government funds and undertakes widespread distribution of family planning devices such as oral contraceptive pills (OCPs) and IUDs, dissemination of information on their use, and enforcement of their provision in all health care centers and private companies, as a way of controlling the population of the Philippines. The bill is based on the premise that present population growth impedes economic development and exacerbates poverty.
This document discusses COVID-19 and breastfeeding. It recommends that breastfeeding should continue as breast milk provides antibodies that strengthen infant immunity. It also outlines safety precautions for breastfeeding such as handwashing, wearing a mask, and cleaning pump/bottle parts thoroughly if expressing milk. For COVID-19 positive mothers, breastfeeding is still recommended while taking safety measures like washing breasts and wearing a mask.
This document summarizes research on the optimal duration of exclusive breastfeeding. It discusses how the WHO recommendation had been 4-6 months but was changed to around 6 months in 2001 based on evidence from over 3,000 studies. The resolution passed by the World Health Assembly urges exclusive breastfeeding for six months as a global recommendation, taking into account the expert committee's findings that exclusive breastfeeding for six months does not harm growth and protects against infection.
The document discusses the history and methods of population control and birth control globally. It covers the origins of the international population control movement in the 1950s led by the US. It then discusses specific approaches taken in India, Africa, China, and low-income countries. In India, breastfeeding is discussed as an effective birth control method. In Africa, having many children is seen as a gift but overpopulation is an issue. China implemented its one-child policy in the late 1970s using fines and forced abortions/sterilization to reduce population growth.
Breastfeeding Practice and Breastfeeding Self-efficacy Among first time Nepal...Ambika Rai
This document outlines a proposed study on breastfeeding practices among adolescent mothers in Nepal. The study aims to describe breastfeeding rates at 6 weeks postpartum and compare breastfeeding self-efficacy among mothers with exclusive, partial, or no breastfeeding. The conceptual framework is based on self-efficacy theory. The methodology describes a descriptive comparative design using surveys of 110 adolescent mothers attending a well-baby clinic. Data will be analyzed to classify breastfeeding practices and compare self-efficacy scores. The results could inform policies to improve breastfeeding among adolescent mothers in Nepal.
The document discusses the Text4baby program, which provides pregnant women and new mothers with health and safety information via text message. It was created to address high rates of infant mortality and preterm birth in the US. The program sends timed texts on topics like breastfeeding, immunizations, nutrition and more. It has rigorous processes for developing evidence-based content and ensuring expert review. Over 400,000 women have enrolled since its launch.
This document provides an introduction and overview of the Text4baby program. Text4baby is a free mobile health information service that sends pregnant women and new mothers tips to promote maternal and child health. The summary describes how Text4baby works, its national partnerships, account managers, outreach partner benefits, and strategies for promoting enrollment.
Connecting Kids to Coverage Text4baby-Broad Intro webinar july 31 at 630pmtext4baby
This document summarizes a webinar about connecting the Text4baby program with outreach for Medicaid and CHIP health insurance programs. It discusses how Text4baby provides pregnant women and new mothers with health information via text message. It then outlines various ways that community organizations can promote both Text4baby and Medicaid/CHIP enrollment, such as including information about both programs in printed materials, on websites, and in online application forms. The document also discusses federal grants provided to support outreach and enrollment in Medicaid and CHIP.
Connecting Kids to Coverage Text4baby-FQHC webinar_7_31 at 1pmtext4baby
This webinar discussed partnerships between Connecting Kids to Coverage and Text4baby to enroll eligible children and pregnant/postpartum women in Medicaid/CHIP. Text4baby is a free mobile health program that sends information to subscribers. Connecting Kids to Coverage aims to enroll 5 million uninsured children in Medicaid/CHIP over 5 years. Ways for organizations to partner include promoting each other's services, sharing materials, and coordinating outreach events. Text4baby follows up with subscribers to see if they applied for Medicaid/CHIP and reminds them to renew coverage. Over $140 million in grants support outreach and enrollment efforts at the national, state, and local levels.
Text4baby enrollment data access training 5 30 12 webinartext4baby
This document provides information about accessing text4baby enrollment data for outreach partners, including the process for obtaining access, data definitions, and instructions for basic analysis. The goal of providing partners access is to help them assess enrollment in their communities, view the impact of outreach efforts, and enhance activities to increase enrollment. Partners who submitted a data use agreement will receive login credentials, while those needing more data should submit a separate request form. The document includes an agenda, instructions, and contact information for questions.
Connecting Kids to Coverage Text4baby-Broad Intro webinar july 31 at 12pmtext4baby
This webinar discussed strategies for integrating outreach and enrollment efforts between the text4baby program and Medicaid/CHIP programs. Representatives from various state Medicaid agencies and community organizations shared ways their organizations are promoting both programs, such as including information and links to each other's services on websites, in printed materials, and during in-person enrollment events. The webinar provided resources and ideas that other groups can implement to better connect pregnant women and new mothers to the health insurance and text message programs.
New Hampshire Dual's Eligibility: Medicaid and MedicareDaniel DeBruyckere
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Mothers And Clinicians Perspectives On Breastfeeding Counseling During Routin...Biblioteca Virtual
This document summarizes a study examining breastfeeding counseling provided during routine preventive visits from the perspectives of both mothers and their clinicians. The study involved surveying 429 mother-newborn pairs and their 121 obstetric and pediatric clinicians. The results identified several areas of disagreement between what mothers reported discussing with clinicians regarding breastfeeding duration, continuation after returning to work, and specific advice provided, highlighting potential unintentional gaps in communication around breastfeeding counseling during routine visits.
Health System Factors Contributing To Breastfeeding SuccessBiblioteca Virtual
This study examined factors contributing to breastfeeding success in 522 women at five hospitals. The researchers found that 76% of mothers breastfed successfully for as long as planned. Higher education, positive ratings of hospital support, and home nurse support were associated with breastfeeding success. Mothers most often contacted family/friends for breastfeeding concerns rather than medical providers after discharge. The study suggests health system support during and after hospitalization impacts breastfeeding outcomes.
Why Do Women Stop Breastfeeding Findings From The Pregnancy RiskBiblioteca Virtual
This study examined breastfeeding behaviors using data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) from 2000-2001. The authors found that 32% of women did not initiate breastfeeding, 4% stopped within the first week, 13% stopped within the first month, and 51% continued for over 4 weeks. Younger women and those with limited socioeconomic resources were more likely to stop breastfeeding early. Common reasons for stopping included sore nipples, perceived inadequate milk supply, and difficulties with breastfeeding. Women's predelivery intentions impacted their likelihood of initiating and continuing breastfeeding.
This document summarizes a national survey of breastfeeding rates in US hospitals designated as "Baby-Friendly" in 2001. The survey found that Baby-Friendly hospitals had higher rates of breastfeeding initiation (83.8% vs national rate of 69.5%) and exclusive breastfeeding during hospital stay (78.4% vs national rate of 46.3%) compared to national averages. The 3 Steps to Successful Breastfeeding that were most difficult for hospitals to meet were paying for infant formula (Step 6), training staff (Step 2), and limiting formula marketing (Step 7). Overall, the results suggest that Baby-Friendly designation is associated with higher breastfeeding rates, regardless of hospital demographic factors.
Efforts to end teen pregnancy gaining momentumErica Ives
The American Academy of Pediatrics recently called on pediatricians to counsel adolescent patients about emergency contraception and provide advance prescriptions to girls under 17. This is intended to help reduce teen pregnancy rates by making emergency contraception more readily available. However, some religious groups and parents' rights advocates oppose this recommendation, arguing that it undermines parental responsibility and encourages risky sexual behavior among teens. Studies show teen pregnancy rates have declined in recent decades but still remain high compared to other developed nations, costing U.S. taxpayers billions each year.
Breastfeeding Rates In The United States By Characteristics Of The Child,Biblioteca Virtual
This study analyzed breastfeeding rates in the United States using data from the 2002 National Immunization Survey. It found that over two-thirds of infants were ever breastfed, but rates of exclusive and continued breastfeeding dropped significantly by 6 and 12 months. Certain groups had lower rates, including non-Hispanic black children, those in daycare, enrolled in WIC, from lower socioeconomic status families, or younger or less educated mothers. The results suggest more efforts are needed to improve and support breastfeeding, especially among disadvantaged populations.
Opinions And Practices Of Clinicians Associated With Continuation Of Exclusiv...Biblioteca Virtual
This study examined how clinician opinions and practices are associated with continuation of exclusive breastfeeding. The study prospectively followed 288 low-risk mother-newborn pairs who were breastfeeding at 4 weeks. Mothers completed interviews at 4 and 12 weeks, and their obstetric and pediatric clinicians completed surveys. The primary outcome was exclusive breastfeeding at 12 weeks. The study found that clinicians who recommended formula supplementation if an infant was not gaining weight or who felt their breastfeeding advice was not important were associated with early discontinuation of exclusive breastfeeding. Continued exclusive breastfeeding support from clinicians may help improve breastfeeding rates at 6 months.
This study analyzed survey responses from 1,323 mothers who stopped breastfeeding their infants before 12 months to identify the primary reasons for stopping breastfeeding at different infant ages. The researchers conducted factor analysis to group mothers' reasons into seven constructs: lactation issues, psychosocial factors, nutritional concerns, lifestyle interference, medical issues, pumping difficulties, and self-weaning. Across all ages, mothers most frequently cited their infant not being satisfied by breast milk alone as a key reason for stopping. Younger, unmarried, and lower-income mothers tended to stop earlier. Reasons for stopping varied by infant age, from lactation issues in early months to self-weaning in later months.
This document summarizes a study examining the impact of nutritional services provided by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on birth outcomes in the South Bronx. Interviews were conducted with six WIC program administrators. The responses suggested that pregnant women who enrolled in WIC early and followed the nutritional guidelines had healthier pregnancies and full-term babies, while those who abused drugs or did not receive prenatal care had poorer outcomes like preterm birth or low birth weight. In conclusion, adherence to the WIC program was found to lead to positive pregnancy outcomes, though more health education is still needed to help women change unhealthy behaviors.
This study examined early exclusive breastfeeding rates and maternal attitudes towards infant feeding in new mothers in San Francisco. The researchers found that 79.8% of mothers were exclusively breastfeeding between 1-4 days postpartum, with no significant differences by WIC participation status. Independent risk factors for mixed or formula feeding included Asian/Pacific Islander ethnicity and lower education levels. Thinking that breastfeeding was physically painful or uncomfortable was also associated with not breastfeeding. The study suggests future research should address negative attitudes towards breastfeeding in Asian populations and promote breastfeeding as a comfortable practice.
This document summarizes a study that explored factors influencing decision-making around pregnancy for women with bipolar disorder. Through interviews with 21 women and online forum posts from 50 women, researchers identified four main themes: 1) the central importance of motherhood to women's identities and life goals, 2) contextual social and economic factors like cultural/religious beliefs, physical/mental readiness, and time pressures, 3) experiences of stigma regarding their bipolar disorder, and 4) fears relating to risks of relapse or postpartum episodes associated with pregnancy. The study highlights information needs of these women to help with complex healthcare decisions and reduce stigma from health professionals.
This document provides an overview of maternal, infant, and child health topics including key statistics, health risks and disparities, programs and policies that impact outcomes. It discusses factors influencing health from pre-pregnancy through adolescence and the importance of family characteristics. Community programs aim to improve access to care, education and support to enhance health across this lifespan.
This document provides an overview of maternal, infant, and child health topics including key statistics, health risks and disparities, community programs, and policy initiatives. It discusses indicators such as infant mortality rates and causes of death for children of different ages. The text outlines the importance of prenatal care, family planning services, and programs like WIC and Medicaid in supporting maternal and child health. It also notes ongoing advocacy efforts and questions for further discussion.
This slide contains information regarding Maternal and Child Health Program. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Chapter 7Maternal, Infant, and Child HealthChapter ObjecJinElias52
Chapter 7
Maternal, Infant, and Child Health
Chapter Objectives (1 of 2)
After studying this chapter, you will be able to:
Define maternal, infant, and child health.
Explain the importance of maternal, infant, and child health as indicators of a society’s health.
Define family planning and explain why it is important.
Identify consequences of teenage pregnancies.
Define legalized abortion and discuss Roe v. Wade and the pro-life and pro-choice movements.
Define maternal mortality rate.
Define preconception and prenatal care and the influence this has on pregnancy outcome.
List the major factors that contribute to infant health and mortality.
Chapter Objectives (2 of 2)
Explain the differences among infant mortality, neonatal mortality, and postneonatal mortality.
Identify the leading causes of childhood morbidity and mortality.
List the immunizations required for a 2-year-old child to be considered fully immunized.
Explain how health insurance and healthcare services affect childhood health.
Identify important governmental programs developed to improve maternal and child health.
Briefly explain what WIC programs are and who they serve.
Identify the major groups that are recognized as advocates for children.
Introduction
Using age-related profiles helps identify risks and target interventions
Infants <1 year
Children 1-9 years
Maternal, infant, and child health (MIC) encompasses health of women of childbearing age from pre-pregnancy through pregnancy, labor and delivery, and the postpartum period, and the health of the child prior to birth through adolescence
MIC Health (1 of 4)
MIC statistics are important indicators of effectiveness of disease prevention and health promotion services in a community
Decline in US MIC mortality in recent decades, but challenges remain
Significant racial disparities
Modified from: Mathews T.J., M.F. MacDorman, and M.E. Thoma. (2015). "Infant Mortality Statistics from the 2013 Period Linked Birth/Infant Death Data Set." National Vital Statistics Reports, 64(9). Hyattsville, MD: National Centers for Health Statistics. Available at http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_09.pdf. Accessed December 5, 2015.
MIC Health (2 of 4)
Infant mortality rates, by race and Hispanic origin of mother; United States, 2005and 2013.
Data from: Child Trends DataBank (2015). “Infant, Child, and Teen Mortality.”Available at http://www.childtrends.org/wp-content/uploads/2012/11/63_Child_Mortality.pdf Accessed December 6, 2015.
MIC Health (3 of 4)
Death rates for infants (deaths per 100,000): selected years, 1980–2013.
Data from: Child Trends DataBank (2015). “Infant, Child, and Teen -Mortality.”Available at http://www.childtrends.org/wp-content/uploads/2012/11/63_Child_Mortality.pdf
MIC Health (4 of 4)
Death rates among children ages 5 to 14 by race and Hispanic origin: 1980–2013.
Family and Reproductive Health
Families are the primary unit in which infants and children are nurtured and suppo ...
Lenore Gaudin discusses reproductive justice and the importance of nutrition during pregnancy. She summarizes a 1941 study that found improved birth outcomes, including lower rates of preterm birth and infant mortality, when expectant mothers received a superior nutritional diet. Gaudin argues that greater focus on prenatal nutrition education and minimizing medical interventions during birth could help address issues like high preterm birth rates and violence in society by supporting mother-infant bonding. Her goal is to promote understanding of human reproduction and treatment of expectant parents as a reproductive justice issue.
This document describes a study that conducted focus groups with pregnant and postpartum women employed in an urban corporate setting in North Carolina. The purpose was to examine their knowledge gaps and recommend topics for maternal education programs sponsored by health insurance companies. Two focus groups were held with a total of 8 participants. Responses were analyzed using NVivo software. Results indicated several topics that should be considered for educational materials, including visual content, interactivity, father involvement, breastfeeding/bottle feeding, booklet length, and mental health/postpartum depression. However, the small sample size limits generalizability, so more in-depth focus groups are needed to inform future studies.
This document summarizes a chapter about family planning and maternal and child health. It discusses key topics like reproductive justice, the history of family planning including racist practices, barriers to pregnancy planning, different contraceptive methods, abortion, infertility prevention and treatment, and current issues and debates around family planning policy. The chapter emphasizes that policies are needed to expand equitable access to comprehensive reproductive healthcare for all people, and reproductive justice should guide all related programs, care and policies.
1.8 AWHN Conference 6 2010 Merino Woolstore:
Challenging Myths About Women’s Sexual and Reproductive Mental Health: New Evidence Across the Life Course
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
3. Maternal & Child Health in the U.S.
The United States has one of the
highest infant mortality rates in the
industrialized world.
Each year in the United States:
500,000 (1 in 8) babies are born
prematurely.
28,000 die before their first
birthday.
Many factors contribute to these
negative outcomes including:
Lack of access to healthcare
Negative health behaviors
Poverty
Research supports that increasing
knowledge around health can help
people stay healthier.
3
4. Maternal & Child Health in the U.S.
Distribution of prenatal care adequacy categories: US, 2002
In the United States,
11.3% of live births were
to women receiving
inadequate care.
4
5. Maternal & Child Health in the U.S.
Percentage of women aged 18--49 years pregnant during October 2010--January 2011 (N = 1,457) who
received influenza vaccination before, during, or after pregnancy, by month of delivery or expected
month of delivery --- United States, Internet panel survey, April 2011
In 2010-2011,
only 49% of
pregnant women
had received
influenza
vaccination: 32%
during pregnancy
and 17% before
pregnancy or after
delivery.
5
6. Maternal & Child Health in the U.S.
Each year in the United States, more than 4,500 infants die suddenly of no
immediately, obvious cause. Half of these deaths are due to Sudden Infant Death
Syndrome (SIDS), the leading of all deaths among infants aged 1–12 months.
6
7. Why go mobile?
82% of adults age 18 and older
in the U.S. have cell phones.
81% of adult women in the U.S.
have cell phones.
72% of adults with cell phones
send and receive text messages.
Adults who text typically send
and receive a median of 10 texts
a day.
Source: Amanda Lenhart. Cell Phones and American Adults.
Washington, DC:
Pew Research Center; 2010
7
8. Texting by Insurance Type
Texting by Insurance Type
Source: PricewaterhouseCoopers HRI Consumer Survey, 2010
8
10. What is Text4baby?
An educational program of the National
Healthy Mothers, Healthy Babies
Coalition (HMHB).
A free texting service that provides
pregnant women and moms with babies
under age one with timed health and
safety information to help them care for
their health and give their babies the
best possible start in life.
The largest national mobile health
initiative to date with over 400,000
enrollees since launch.
12. Mobile Provider Partners
Participating mobile providers have agreed to deliver
text4baby to their subscribers at no charge.
12
13. How Text4baby
How Text4baby Works Works
User registration via
text or website:
Text BABY/BEBE to
511411
User gives zip and
due date/DOB
If pregnant, user gets a
starter-pack of 6 key
messages (over 2wks)
User gets free tips
3x/week
Ends if user texts STOP
or on the baby’s 1st
b-day
15. Content Development & Review Process
Message feedback from •Institute for Health and Recovery •Organization of Teratology
organizations, including (but not •Just in Time Parenting Information Specialists
limited to)*: •Kansas Dept of Health & Environment •Prevent Child Abuse Arizona Expert input from:
•Arizona Dept of Health Services •Lamaze International •Safe Kids USA •Alliance for Hispanic Health
•Association of Poison Control Centers •Massachusetts Breastfeeding •The AOA Foundation •American Academy of Pediatrics
•Berkeley University Coalition •The National Campaign to Prevent •American Academy of Pediatric
•California Dept of Social Services •National Center for Hearing Teen & Unwanted Pregnancy Dentistry
•Carolina Breastfeeding Institute Assessment and Management •Utah County WIC •American College of Nurse-Midwives
•Cincinnati Children's Hospital •National WIC Association •Virginia Dept of Health •American College of Obstetricians and
•Fairview Hospital (Cleveland) •Nevada Dept of Health •Washington State Dept of Health Gynecologists
•First Candle •New York State Dept of Health •DC Breastfeeding Coalition
•National Domestic Violence Hotline
•Florida Dept of Health •Ohio Dept of Health •West Virginia Hospital Association
•Postpartum Support International
•Georgia Dept of Community Health •Oral Health Kansas •Wisconsin Childhood Lead Poisoning
•Text4baby Breastfeeding Council
•Healthy Fathering Collaborative •Oregon Dept of Human Services Prevention Program
Literature
Review
Priority Content Expert Audience Ongoing
Topics Development Review Testing Revision
Federal Government
U.S. Department of Health and Human Services:
Audience Testing • Centers for Medicare and Medicaid Services
• Centers for Disease Control and Prevention
• Health Resources and Services Administration, Maternal and Child Health
Bureau
• Emory University Rollins School of • HHS Office on Women’s Health
Public Health •National Institutes of Health
• Hablamos Juntos U.S. Consumer Product Safety Commission
U.S. Department of Agriculture, Food and Nutrition Service
U.S. Department of Defense Military Health System
U.S. Department of Transportation
16. Messages on Critical Issues
Smoking Cessation
Breast Feeding
Health Care Access
Diabetes
Nutrition
Oral Health
Immunization
Prenatal Care
Disabilities
Family Planning
HIV/AIDS Prevention
Violence Prevention
Physical Activity
Safety & Injury Prevention
Mental Health
Substance Abuse Prevention
Developmental Milestones
Labor & Delivery
Car Seat Safety
Safe Sleep
Exercise
17. Sample Messages
Sample Messages
Premature babies need extra Diabetes can happen for the A seat belt protects you &
help with breastfeeding. Even 1st time in pregnancy. You your baby. Shoulder belt goes
if your baby can’t breastfeed may be tested at 24-28 between your breasts & lap
at first, she can still be fed weeks. If you have it, you & strap goes under your belly
your pumped milk. your Dr. will make a plan to (not on or above). Wear it
Back control it. every time.
Back Back
Keep your baby away from Keeping your baby’s mouth
tobacco smoke. It can Time for baby’s 2-month
checkup! Time for him to get clean is important even before
damage baby’s heart, lungs she has teeth! Wipe her gums
& brain and increase baby’s vaccines to protect him from
serious diseases. And time each day with a wet washcloth
chances of getting colds or use a soft baby toothbrush.
and ear infections. for you to share how your
Back
Back baby’s doing!
Back
18. Delivery of Time-Sensitive Messages
Tylenol recall, May 2010
Pertussis outbreak CA (CDC), July 2010
Similac formula recall, September 2010
Sleep positioners warning (FDA), October 2010
New car safety seat guidelines (AAP), March 2011
Deadly hot cars (Safe Kids), July 2011
Benzocaine warning (FDA), August 2011
Window falls prevention (AAP & CDC), September
2011
Warning about crib bumpers (AAP & CDC), October
2011
Carbon monoxide poisoning (CT & MA) in response to
power outages, November 2011
Warning about button batteries (Safe Kids),
December 2011
CMS enrollment (CMS), February 2012
Medicine safety (CDC), March 2012
Pertussis - 7 states (CDC), April 2012
20. More than 800 Promotional Partners
Federal Agencies State & Local Health & 97 Health Plans
Medicaid Agencies
representing all 50 states, DC,
& US territories
64 National Health Orgs 125 Hospital Networks
Media
21. Spreading
About the Service the Word
Promotional activities have included:
Mass emails to colleagues & consumers
Printed promotional materials in health clinics/exam & waiting
rooms & hospital discharge packets
Medicaid/health plan member enrollment letters/mailings
E-newsletter or print newsletter blurbs
Word-of-mouth at conferences & community events (“baby
showers”)
Promotion through home visiting programs
Earned and paid public service advertising on TV, radio,
buses, billboards, etc.
Text4baby info recorded on phone “hold” messages
Media events
Outreach to elected officials
22.
23. American College of Obstetricians
and Gynecologists
Co-branded fact sheet for OB/GYNs.
Information on patient (at right) and
members-only web pages
Congressional Leadership
Conference session (Feb 2012).
Media release (at right; Feb 2012).
ACOG News article (Spring 2012).
National Women’s Health Week
blast email to 37,500 members (May
2012).
Co-sponsorship of Congressional
Briefing (May 2012).
Materials included in flu season
mailing to 35,000 members (Fall
2012)
24. AAP Promotion Academy of Pediatrics Promotion
American
Blurbs in SmartBrief, AAP News, &
Healthy Child Care America newsletters
President’s letter to 40,000 pediatricians
citing evaluation results & encouraging
promotion (Jan 2012)
Co-branded Bright Futures/AAP tear-pads
mailed to members & in t4b store
Dedicated page on AAP site for
pediatricians to view messages
(http://www2.aap.org/text4baby/)
25. Association of Women’s Health, Obstetric
and Neonatal Nurses
Cover article in Journal of
Nursing for Women’s Health
spring 2011 (at left)
Promotion through Healthy
Mom&Baby consumer
magazine
Text4baby info on website
26. Congressional Support
Congressional Support
Congresswoman Lois Capps (D-CA):
Held a Congressional Briefing in 2010
Distributed a press release expressing her support
Sent a letter to members of the House of Representatives encouraging her
colleagues to host text4baby events in their
local districts.
Attended events in California to launch the text4baby campaign
Congressman Trey Gowdy (R-SC):
Strong advocate of program
Working with the South Carolina Department of Health and the Environment
to spread word about text4baby to constituents
Senator Tom Carper (D-DE):
Hosted a Congressional Briefing in May 2012
Encourages organizations in Delaware to promote text4baby
“Text4baby works by providing patients with the information they need to
have a safe, healthy pregnancy in an inexpensive, easy to use format that is
delivered regularly to their cell phone. This simple tool can help ensure
healthier pregnancies and reduce health care costs that stem from a lack of
access to important information about prenatal health.”
29. Text4babyText4baby in the Media: NYT
in the New York Times
February 7, 2011, 9:15 pm Mothers-to-Be Are Getting the Message
By DAVID BORNSTEIN
We’re used to hearing about public initiatives that get mired in politics or
entangled in bureaucracy, but we rarely hear about programs that exceed
expectations. So here’s one: last week marked the one-year anniversary of a
program called text4baby, a service that sends free text messages to women
who are pregnant or whose babies are less than a year old, providing them with
information, and reminders, to improve their health and the health of their
babies.
The service, made available through a broad partnership of community health
organizations, wireless carriers, businesses, health care providers and
government health agencies, is catching on like wildfire: to date, about 135,000
women have signed up – and organizers have set a new goal of reaching one
million users by the end of 2012 (there are four million births each year in the
U.S.) What are they doing right?
30. Text4baby in the Media: Time
Text4babyMagazine Magazine
in Time
“With cell-phone companies comping the
text charges, text4baby is the first free,
large-scale foray into mobile health
education in the U.S. States are creating
text4baby coalitions and encouraging
nurses to talk up the program. Word is also
going out through local health departments
and TV channels like Telemundo and MTV.”
- May 2010
31. Text4baby
Text4baby on MTV on MTV
I didn’t know I was supposed to be cleaning
out her mouth already…And they sent me
messages about trying to find daycare. They
also reminded me about her two-month
doctor appointment. I had completely
forgotten about it. For me, since I’m new at
this and really don’t know, it’s helpful.”
34. Using DataTracking Enrollment
to Drive Enrollment
text4baby Enrollment by Zip Code
Virginia Feb-Aug 2010
Six text4baby billboards
went up in Martinsville
35. Tracking Enrollment
North Carolina
PSAs
launch
7/26/11
Number of
Radio
New PSAs
Unique
Users
Date (January 1, 2011 through August 11, 2011)
Text4baby data allows for a real-time understanding of
effective promotional strategies. In 2011, partners in North
Carolina ran TV PSAs that increased state enrollment by
400% over one week.
36. Program Impact
95% of text4baby survey respondents say they would refer it to a friend (n=24,093)
Text4baby is improving adherence to appointments and immunizations: 67.0% reported
that text4baby helped them remember an appointment or immunization that they or their
child needed.*
Alliance of Chicago Community Health Services (network of FQHCs) found the
percentage of missed appointments was lower among text4baby enrollees (N=917)
compared to non-enrollees (N=1,647) when comparing the two patient populations at one
point in time (11% vs. 17% missed appointments, respectively). Although these findings
are not statistically significant, and were not the result of rigorous research methods, the
trend is in a very positive direction and will continue to be monitored.
Users are increasing health knowledge: 73.4% reported that a text4baby message
informed them of medical warning signs they did not know.*
The Service is facilitating interaction with health providers: 63.5% reported talking to their
doctor about a topic that they read on a text4baby message.*
Improving access to health services: 39.2% reported they called a service or phone
number they received from a text4baby message.*
Underinsured participants are improving their access to health services and health
information services as a result of text4baby messages :46.5% reported that they called a
service or phone number they received from a text4baby message.*
*Study by National Latino Research Center at California State University, San Marcos and the University of California,
San Diego Department of Obstetrics and Gynecology of 342 text4baby users in San Diego
37. External Evaluations
Alliance Healthcare Foundation – National Latino Research Center:
Phone survey with t4b users in San Diego, CA – Phase 1 & Phase 2
completed
CareFirst BlueCross BlueShield – George Washington University:
Pre/post survey exploring behavior and knowledge change for
women in Fairfax County, Virginia - completed, awaiting
dissemination
Beaumont Foundation – Emory University: Pre/post survey
exploring behavior and knowledge change for WIC recipients in
Atlanta, GA- completed, awaiting dissemination
DOD TATRC - Madigan Army Medical Center/George Washington
University: Randomized control trial exploring behavior and
knowledge change with pregnant women seeking care in Takoma,
WA – recruitment ongoing
HHS – Mathematica Policy Research: Behavior and knowledge
change in users in 4 communities
39. Action Steps
Become a Friend or Outreach Partner of Text4baby:
No cost to your organization.
Access to text4baby logo and Adobe InDesign art files for
customization.
Access to zip code-level data to track enrollment.
Promotion in Text4baby Tuesday, a weekly e-mail alert
providing program updates.
Technical assistance through HMHB.
Recognition on the text4baby website & in select
communications.
Opportunity to be connected with your peers.
Sign up here: http://my.text4baby.org/page/s/partner
40. Action Steps
Tell all pregnant women and moms with infants < 1
about text4baby. Make sure to say:
This service is free to you – your wireless company is
waiving the fees. Even if you don’t have a texting plan,
you can get these messages.
I feel good about this content. It comes from a
trustworthy source.
Sign up by texting the word BABY to the number
511411.
You will get messages until baby’s 1st birthday but you
can stop any time; just reply with STOP.
41. Action Steps
Tear-off pads (4 designs)
Spread the word:
Send a mass email with information
about text4baby (standard language at
www.text4baby.org)
Include text4baby info in your
organization’s print or electronic
newsletter.
Order free printed materials to hand
out to consumers – place a stash next
to your check-in/out counters, waiting
rooms, exam rooms, and the like. Visit Flyers (4 designs)
http://tinyurl.com/t4bstore to order.
42. Action Steps
Go digital:
Post on Facebook and Twitter about the
program. Sample post: Free #text4baby service
sends helpful pregnancy & baby tips to your cell
phone. Text BABY to 511411.
http://www.text4baby.org
Add our traceable web button to your webpage.
Download it at
http://text4baby.org/index.php/partner-
resources/2-uncategorised/186
43. Action Steps
Stop the presses:
Host a media event in your community and invite
broadcast, print, and digital outlets to attend.
Call local media you already partner with and tell
them about text4baby. Use health observances like
Infant Mortality Awareness Month (September)
when you pitch.
Share the TV and radio PSAs with local stations in
your area. Preview and share them at:
TV PSAs: http://www.tvaccessreports.com/text4baby/
Radio PSAs:
http://www.plowsharegroup.com/media_downloads/text4baby.p
hp
44. Action Steps
Connect with others in your area:
Over 800 organizations are already
partnering with text4baby. Learn
who’s involved in your area so you
can team up at
http://text4baby.org/index.php/partn
ers