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Healthy Weight in Women of Reproductive Age Action Learning Collaborative. Purpose of the Women’s Health Partnership. Identify and promote unique state and local MCH roles and opportunities to ensure and improve women’s health before and between pregnancies. Lifecourse Framework.
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Healthy Weight in Women of Reproductive AgeAction Learning Collaborative
Purpose of the Women’s Health Partnership • Identify and promote unique state and local MCH roles and opportunities to ensure and improve women’s health before and between pregnancies.
Lifecourse Framework “Pregnancy outcomes are shaped by social, psychological, behavioral, environmental, and biological forces that may occur at many stages in a woman’s life.” Association of Maternal and Child Health Programs and CityMatch’s Women’s Health Partnership. 2006 “Some of the most powerful influences on pregnancy outcome are related to influences on women’s health that occur long before pregnancy begins.” Misra and Grason. Women’s Health Issues 2006
Initial Goal of WHP • Develop state and local partnerships to promote healthy weight among women of reproductive age to improve maternal health and birth outcomes.
Rationale • Obesity in pregnancy linked to maternal and infant morbidity and mortality • Research and best practice information and guidelines are available • Obesity impacts a large number of women and thus our efforts could affect a large number of pregnancies • Identified as a priority by both agencies’ member base
Adverse Outcomes Associated with Maternal Obesity • Infertility • Pregnancy, labor & delivery complications • Fetal, neonatal death • Birth weight/prematurity • Birth defects • Gestational diabetes • Decreased breastfeeding • Childhood obesity
RFA for ALC, Summer 2006 Team composition: • State Title V/MCH director • MCH leadership from local health department • Data/analytic specialist • Professional from an existing community-based health initiative • Nutrition and/or physical activity and/or chronic disease professional
ALC Teams Selected • Los Angeles County, CA • Sonoma County, CA • Maricopa County, AZ • Salt Lake Valley, UT • Douglas County, NE • Minneapolis, MN • Boston, MA • Duval, Leon & Orange Counties, FL
HW ALC Activities • Kick off October 2006 • 1st on site meeting, December 2006 in Atlanta, GA • 2nd on site meeting, June 2007, in Salt Lake City, UT • All ALC technical assistance calls • Lifecourse Framework, RE-AIM, Focus Groups, peer exchange • 3rd on site meeting, February 2008, in Washington, D.C.
HW ALC Next Steps • Teams continue to implement, monitor and evaluate their selected strategies • Evaluation (within teams and of the ALC overall) • Dissemination & Recommendations