Picking Interventions and Strategies, Part I: Problem Analysis/Mapping

1. Picking Interventions and Strategies, Part I:Problem Analysis/Mapping South Side Families and Babies Community Team Meeting, January 21, 2014

2. Life Course Perspective Psychological Behavioral Biological ProtectiveFactors Societal Risk and Political Environmental

3. Social Determinants of Health • Circumstances and conditions in which people are born, grow up, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes.

4. Social Determinants of Health

5. An Analysis of South Side Infant Deaths • PPOR data shows that the biggest contributor for South Side infant and fetal deaths are those in the maternal health and prematurity box • Methods for reducing deaths in the maternal care box require more robust fetal death data  FIMR!!! • Sleep-related deaths is a leading cause of death in the infant health box and that there is a lot being done in Franklin County around safe sleep promotion * Unreliable rate 2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of Epidemiology

6. Where Do We Want to Focus Our Work? * Unreliable rate 2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of Epidemiology

7. Voting Results • OPTION A • Intervention 1 and 2 targeting maternal health and prematurity • OPTION B • Intervention 1 targeting maternal health and prematurity and intervention 2 targeting infant health XX XX

8. Where are we now? • Assessment of health status problems • Health services needs assessment • Development and selection of interventions • Setting objectives • Programming and implementation • Evaluation: monitoring progress towards achievement of objectives What is the problem? How will we fix it? Is what we’re doing working?

9. What is a Problem Analysis? • A way to better understanding a health problem, factors that affect the health problem, and how we can prevent it • An important step in program planning that links health problems to appropriate, effective, and impactful interventions

10. Example: Motor Vehicle Crash Injuries in Children 0-6 Years

11. Components of a Problem Analysis • The problem • Precursors • Build the framework for identifying alternative interventions that lower risk or make up for those that can’t be changed • Consequences • Symptoms that cause the problem to be noticed • Linkages

12. Precursors and Consequences • Direct factors (Individual) • Age, sex, race • Describe individuals and may be biological, medical, or behavioral • Have the most influence on the problem • Secondary factors (Family, Community, Neighborhood) • Attitudes, beliefs, behaviors • Include socioeconomic, psychological, and familial characteristics • Precursors to direct factors • Tertiary factors (Society) • Include societal, policy, and environmental factors

13. Why We Need YOU! • You know the South Side community best • Your input helps refine the problem analysis • Data is important, but a complete understanding of health problems requires a local perspective and lived experience

14. Next Steps • Break up into small, DIVERSE groups • Brainstorm the problem • Your facilitator will give more specific instructions • Build a collective model or diagram which we will use as a map for tackling infant mortality for the duration of the next 2.5 years