SPARKING INTEREST & FOSTERING UNDERSTANDING IN COMMUNITIES USING PPOR

1. SPARKING INTEREST & FOSTERING UNDERSTANDING IN COMMUNITIES USING PPOR Presenters: Barbara Freeman-Maney, MPH Martha Garcia

2. OBJECTIVES • To learn strategies to spark the interest and mobilize existing community agencies, residents, and elected officials to learn more about MCH issues impacting the community utilizing the PPOR approach • To learn presentation techniques to convey PPOR in an “easy-to-understand” format so that the general population will “get it” and be able to effectively develop community plans based on the data

3. Sparking Interest • Tailor the “courting” to match the existing MCH efforts of the community • South Phoenix – Healthy Start Consortium • Maryvale – “Community Mobilizer” to lead the efforts “Build on existing relationships or activities – personal and professional – before introducing PPOR”

4. Results • South Phoenix – provided structure to an already existing infant mortality reduction program (ex. Consortium activities) • Maryvale – recruitment of key community leaders to the table to learn more about the PPOR approach (ex. Town Hall)

5. Now that you have a captive audience how do you help them to understand the numbers?

6. Fostering Understanding • Use visuals to explain infant mortality African Americans (Arizona): • IMR = 13.9/1000 • 1000 live births 1000 births = 13.9 deaths 1000 births = 13.9 deaths African Americans (New Jersey): • IMR = 13.5 • 3000 live births 1000 births = 13.5 deaths 1000 births = 13.5 deaths 1000 births = 13.5 deaths 3000 births = 40.5

7. Hispanics (South Phoenix): IMR = 7.1/1000 12,000 live births 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 1000 births = 7.1 deaths 12000 births = 85.2 deaths Infant Mortality Rate

8. If African American women had the same number of births as Hispanics, with an IMR 22/1000, the number of deaths would go from 26 to 264! 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 1000 births = 22 deaths 12000 births = 264 deaths What does this mean?

9. Infant Mortality Utilizing the Perinatal Periods of Risk Approach ***Explain PPOR as an approach, not a program!!!

10. PPOR: Phase 1Assign Each Death to a Cell Post neonatal Fetal Neonatal Maternal Health/ Prematurity 500-1499 g Maternal Care Newborn Care Infant Health 1500+ g *Use dolls and tell a story, then have audience decide how that death would be assigned

11. Map Connections to Action Maternal Health/ Prematurity Preconceptional Health Health Behaviors Perinatal Care Prenatal Care Referral System High Risk OB Care Maternal Care Perinatal Management Perinatal System Pediatric Surgery Newborn Care Sleep Position Breast-Feeding Injury Prevention Infant Health

12. Results • Audience members were able to appropriately assign each death and think of potential prevention strategies • Personal testimonies by audience participants • Members responded with how they finally “got it”!

13. Conclusion: Keep it simple by building on existing relationships and personalizing PPOR with presentation props and personal testimonials!