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Random Facts

Random Facts Laughing lowers the stress hormones and strengthens the immune system. 6 year olds laugh an average of 300x a day. Adults only laugh 15 - 100x a day. Before, Between and Beyond Pregnancy Understanding Preconception and Interconceptional Health February 27, 2009

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Random Facts

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  1. Random Facts Laughing lowers the stress hormones and strengthens the immune system. 6 year olds laugh an average of 300x a day. Adults only laugh 15 - 100x a day.

  2. Before, Between and Beyond PregnancyUnderstanding Preconception and Interconceptional HealthFebruary 27, 2009 Interconceptional Care at WorkFrom Theory to Practice Tamara Wrenn, MA, CCE Consultant, Practice Matters , a subsidiary of Northern Manhattan Perinatal Partnership, Inc

  3. Objectives • To define a Maternal Child Health Life Course Organization (MCHLCO) • To provide a visual step-by-step depiction of an organizational approach to moving the Life Course Framework from theory to practice

  4. Key Points • Successful implementation of the Life Course Theory requires MCH organizations to adopt strategies and policies that internalize the life course framework. • Day-to-day operations including; its approach to intakes, assessments and standard paperwork must reflect a life course framework. • Clients are encouraged and supported in taking the leadership role in developing a reproductive life plan. • External influences and systems must be identified and addressed as they impact MCH, health disparities and a woman’s lifespan.

  5. The Northern Manhattan Perinatal Partnership, Inc. (NMPP) is a not-for-profit organization comprised of a network of public and private agencies, community residents, health organizations and local businesses. NMPP provides crucial services to women and children in Central, West and East Harlem and Washington Heights.

  6. Mission Statement NMPP’s mission is to save babies and help women take charge of their reproductive, social and economic lives. We achieve this mission by offering a number of programs that help reduce the infant mortality rate and increase the self-sufficiency of poor and working class women throughout the above communities.

  7. NMPP 1995

  8. NMPP 2008

  9. Central Harlem Infant Mortality Rate

  10. Infant Deaths and Infant Mortality Rate by Health Center District of ResidenceNew York City, 2001-2007 September 13, 2006 Bureau of Vital Statistics New York City Department of Health and Mental Hygiene

  11. Traditional Perinatal Care Continuum Primary care Labor and birth care Preconception Period Interconceptional Period antepartum labor and birth postpartum Postpartum visit Prenatal care Well baby care

  12. Lifespan Approach Birth Early childhood Pre-teen Teen Young adult Women 35> Seniors

  13. Definition A MCH Life Course Organization is an entity (local/state) that develops the capacity over time to deliver integrated, continuous and comprehensive health and social services and support to women and their family members from the womb to the tomb. MCH services are delivered from clinical and group care interventions all the way upstream to community and policy change interventions to reduce racial disparities in birth outcomes.

  14. Spectrum of Work for MCH Life Course OrganizationBuilding Public Health Social Movement

  15. Input • MCH Life Course Position • Family Workers (case management team) • Clients/Consumers • Strength based framework • Shift to working more with women in between pregnancies

  16. Activities STAFF • Life Course training • Leadership training CLIENTS • Educational sessions • Goal setting • Vision planning • Short term planning, 3 month • Weekly action steps • Leadership training • Postpartum mood disorder screening • Referrals • Reproductive life plan • Strength based assessments • Support groups

  17. Short-term outcomes • Awareness of communication style • Circle of support • Engage fathers, male partners and spouses • Identification of baselines for health and wellness issues • Improvement of communication skills • Secured medical home

  18. Long-term outcomes • Birth spacing • Grassroots legislative involvement and advocacy • Improved interpersonal relationships • Improved self-efficacy • Ongoing support network • Planned pregnancies • Sustained healthcare • Life Course Ambassador

  19. Message Transitioning into a MCH Life Course Organization requires a top down approach which shifts the organizational mindset and culture from: • present to future based; • deficit to strength based; • authoritarian to facilitator; • builds leadership capacity in both staff and clients; and identifies and incorporates opportunities for systems integration.

  20. My Why

  21. Contact Tamara Wrenn, MA CCE Practice Matters c/o Northern Manhattan Perinatal Partnership, Inc. 127 West 127th Street Suite 305 New York, NY 10027 917-945-0765 Info@justuswomen.org

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