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PPOR Level 2 Assessment Findings. June 6, 2006. Questions addressed by PPOR assessment findings. How many individuals/agencies/cities in the CityMatCH PPOR Level 2 Network are using the PPOR approach to address fetal-infant mortality?
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PPOR Level 2 Assessment Findings June 6, 2006
Questions addressed by PPOR assessment findings • How many individuals/agencies/cities in the CityMatCH PPOR Level 2 Network are using the PPOR approach to address fetal-infant mortality? • Is PPOR a value-add to addressing infant mortality in these areas? • What are the resources (funding and strategies) available to level 2 network members to implement PPOR in their areas? • What are the most abundant prevention strategies being implemented based on the data?
2006 CityMatCH PPOR Assessment Response Rate 48.1% (26 out of 54) • Responded • Mobile, AL • Phoenix, AZ • San Leandro, CA • Stockton, CA • Sacramento, CA • Santa Rosa, CA • Colorado Springs, CO • Golden, CO • Jacksonville, FL • Orlando, FL • Ft. Lauderdale, FL • Augusta, GA • Indianapolis, IN • Kentucky • Louisville, KY • Detroit, MI • Kansas City, MO • Las Cruces, NM • Columbus, OH • Cincinnati, OH • Dayton, OH • Philadelphia, PA • Pittsburgh, PA • Nashville, TN • Madison, WI • Florida
2006 CityMatCH PPOR Assessment Lead Person for Level 2 Network • 5 Healthy Start (Federal and State) • Broward County, FL • Augusta, GA • Indianapolis, IN • Kansas City, MO • Jacksonville, FL • 3 Healthy Start and Local Health Department • Detroit, MI • Louisville, KY • Alameda County, CA • 4 State Health Department • Las Cruces, NM • Wisconsin • Kentucky • Sacramento, CA • 14 Local Health Departments • Columbus, OH • Orlando, FL • Philadelphia, PA • Sonoma County, CA • St. Petersburg, FL • Pittsburgh, PA • Nashville, TN • Colorado Springs, CO • Jefferson County, CO • Mobile, AL • Phoenix, AZ • San Joaquin, CA • Dayton, OH • Cincinnati, OH
PPOR Value Continued . . .
Prevention Strategies(based on your PPOR analyses) • Focus on PRECONCEPTION HEALTH (16): Pre/inter-conceptional health , Preconception Health, Folic acid preconceptionally, Identification of medical risk factors preconceptionally , Interconceptional Care, Preconception health education early pregnancy identification, Nutrition/obesity, Focus on preconception and interconception to address VLBW deaths, Preconception Health, Maternal Health/Prematurity Prevention Area for Hispanic women, Unplanned Pregnancy, Pursuing Family Planning Waiver, Maternal health, Depression screening, Smoking cessation programs and Urinary tract infections • PREMATURITY (8): Prematurity Very Low Birth Weight Infant Mortality, maternal health prematurity infant health, We are focusing our FIMR reviews and interventions on the Maternal Health/Prematurity Prevention Area for both White, non-Hispanic, and Hispanic moms. Maternal Health/ Prematurity has emerged as one of the priority area, prematurity, prematurity awareness
Prevention Strategies (based on your PPOR analyses) • SIDS/SUIDs (6):Working on SIDS risk reduction, SIDS, SIDS prevention and prevention of deaths due to suffocation related to sleeping on unsafe surfaces and/or locations, Focus on SIDS risk reduction strategies, Unable to identify a stategy, Safe Sleep • Identified sub-populations of focus (6): Racial disparities in perinatal outcomes, Disparate populations such as teens, African American women, women with high school degree or less African American women Teenagers
Prevention Strategies (based on your PPOR analyses) • PRENATAL CARE: Increasing prenatal care capacity, Accessing early prenatal care, Prenatal classes in the Health Care Centers • INFANT HEALTH : we focused reviews and interventions on the Infant Health Prevention Area for White women Other Issues: • Transfer of Mothers to Level 3 hospital • Perinatal Systems of Care are breaking down. Particularly in the semi-rural areas but also in the rural areas • Identifying specific barriers to care (infant and prenatal)