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Women’s Health Now and Beyond Pregnancy. Terry Kruse, Wisconsin Division of Public Health Terry.Kruse@wisconsin.gov Leslie Borne, Price County Health Department Leslie.Borne@co.price.wi.us. Women’s Health Now and Beyond Pregnancy Purpose.
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Women’s Health Now and Beyond Pregnancy Terry Kruse, Wisconsin Division of Public Health Terry.Kruse@wisconsin.gov Leslie Borne, Price County Health Department Leslie.Borne@co.price.wi.us
Women’s Health Now and Beyond PregnancyPurpose • Integrate women’s health and preconception services into existing public health services • Promote folic acid consumption • Promote healthy spacing of pregnancies • Put into practice the standard of care that assures women have access to family planning supplies in 3rd trimester of pregnancy
Women’s Health Now and Beyond Pregnancy Objectives Increase the number of women who: • Have access to birth control and dual protection supplies prior to delivery • Have a medical home for reproductive health • Enroll in the Family Planning Waiver or other Medicaid program • Consume multivitamins with folic acid in the postpartum period
Women’s Health Now and Beyond PregnancyFramework • 5 Pilot sites • Medicaid Prenatal Care Coordination benefit • Technical assistance • Supplies
Women’s Health Now and Beyond PregnancyProject Activities • Activities occur at 3 times: 3rd trimester, early postpartum and 6 months after delivery • Provide condoms for dual protection • Provide Emergency Contraception • Assure access to primary method • Support enrollment in the Family Planning Waiver • Provide multivitamins with folic acid • Provide women’s health education
Select CDC Recommendations to Improve Preconception Health and Health Care • Individual responsibility across the lifespan • Consumer awareness • Interconception care • Health Insurance coverage for women with low incomes • Public health programs and strategies
Women’s Health Now and Beyond PregnancyOutcomes • Women’s Health Now and Beyond Pregnancy Toolkit • Educational materials for participants • Provider resources • Collaboration between Family Planning and Prenatal Care Coordination providers • Data
Women’s Health Now and Beyond PregnancyPartners • Wisconsin Division of Public Health • Reproductive health, women’s health, perinatal, birth defects prevention programs • Health Care Education and Training • Health Depts. and Family Planning programs • Price County • Oneida County • Pierce County • Juneau County • City of Milwaukee
Women’s Health Now and Beyond PregnancyImplementation Initiating Discussion about Postpartum Contraception • Start in the third trimester • Identify a Reproductive Life Plan • Provide information to allow for informed choices
Women’s Health Now and Beyond PregnancyImplementation Getting Supplies to Project Participants • Coordinate with medical providers regarding client’s postpartum contraceptive plan • Arrange for supplies and/or appointments
Women’s Health Now and Beyond PregnancyBenefits • Established relationship with client • Face-to-face • Assures reproductive health is addressed prior to sexual activity
Women’s Health Now and Beyond PregnancyBarriers • Lack of knowledge of contraception • Inability to establish relationship with Family Planning Providers • Potential lack of resources
Women’s Health Now and Beyond PregnancyOvercoming Barriers • Provider education • Technical assistance to establish partnership with family planning • Contraceptive supplies provided by family planning • Vitamins with folic acid provided by project • Women’s Health Now and Beyond Pregnancy Toolkit
Resource Toolkit http://www.hcet/resource/nandb.htm • Identifying a Reproductive Life Plan • Folic Acid • EC Fact Sheet • EC Instructions • Birth Spacing • Birth Control after Childbirth • Birth Control while Breastfeeding • Condoms and Birth Control after Childbirth • Need Supplies…Have Questions? • Women’s Health brochures • Wisconsin Family Planning Waiver • Sample Memorandum of Understanding
Women’s Health Now and Beyond PregnancyKey Messages • Normalize family planning as a core component of public health programming • Promote folic acid as an evidence-based practice to improve birth outcomes • Use brief interventions to integrate women’s health and preconception health into existing public health services
