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Safe Sleep Collabortive

Hawaii's Data. Infant sleep-related deaths are the leading cause of death for infants and young children in Hawaii from the first month of life through age 13. 110 infants died in Hawaii during the last 6 years2 (equal to a 4 classrooms of children)Placing infants on their stomachs and sides is a major risk factor for SUDI.Child Death Review teams identified areas for professional education

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Safe Sleep Collabortive

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    1. Safe Sleep Collabortive Maternal & Child Health Branch, FHSD Injury Prevention Program, EMSIPSB Keiki Injury Prevention Coalition

    2. Hawaii’s Data Infant sleep-related deaths are the leading cause of death for infants and young children in Hawaii from the first month of life through age 13. 110 infants died in Hawaii during the last 6 years2 (equal to a 4 classrooms of children) Placing infants on their stomachs and sides is a major risk factor for SUDI. Child Death Review teams identified areas for professional education & public messaging.

    3. Hawaii’s Data The proportion of mothers who place their infant on their back to sleep has increased slightly from 63% in 2000 to 67% in 2006. (PRAMS, 2001-2006) Mothers more likely to place infant to sleep in a face down or side position were Hawaiian, Samoan, other Pacific Islander, Black or Filipino, younger, less educated, unmarried, of higher parity, were on WIC during prenatal care, Medicaid/QUEST recipients, and lived in Hawaii or Kauai County.

    4. Catalyst for Hawaii Safe Sleep Campaign June 2002, Mr. Fong brought his concern to Keiki Injury Prevention Coalition SAFE KIDS Hawaii (KIPC). From this encounter, MCHB convened the first committee which eventually became “Safe Sleep Hawaii”. December 2002, Over 100 professionals are moved by Dana’s story at Child Death Review Conference “Unexpected Infant Death: Solving the Mystery”. Newspaper reports on his family’s concerns. Early 2003, Mr. Fong was instrumental in forming the Safe Sleep Collaborative and became the champion in this campaign.  

    5. Collaborative Success Stories INFLUENCING POLICY AND LEGISLATION Since 2005, all parents of the approximately 18,000 infants born each year at birthing hospitals in Hawaii receive the Keiki O’Hawaii information packet published by Family Health Services Division which includes information on safe sleep practices. FOSTERING COALITIONS and NETWORKS  Established Safe Sleep Hawaii Committee of the Keiki Injury Prevention Coalition/SAFE KIDS Hawaii to develop community efforts to reduce infant deaths related to unsafe sleeping practices.

    6. Collaborative Success Stories CHANGING ORGANIZATIONAL PRACTICE MCHB assisted 4 major birthing hospitals to develop nursery policies for Infant Sleep Positioning according to AAP guidelines to “place infants to sleep in supine position” and conducted training for staff;  includes all 11 points of the AAP Policy. Public Health Nurses and Hawaii Healthy Start, home visiting program include best practices for infant Safe Sleep in training curriculum. Medical and Nursing schools integrating safe sleep education into curricula.

    7. Collaborative Success Stories CHANGING ORGANIZATIONAL PRACTICE Department of Human Services includes safe sleep education in contracts for training licensed child care providers and foster parents statewide. Hawaii WIC promotes safe sleep practices.  In addition, WIC caregivers who screen positive for tobacco use are informed of the risks of infant suffocation and second hand smoke in the home.  

    8. Collaborative Success Stories EDUCATING PROVIDERS Safe Sleep presentations provided to hospital nurses, early childhood providers, health care professionals, preschool and pregnant and parenting teen teachers. STRENGTHENING INDIVIDUAL KNOWLEDGE & SKILLS In 2008, over 30 community educational sessions on safe sleep were conducted for nearly 2,000 parents and agency staff who work with infants. In FY 2009, approximately 5,250 people were provided Safe Sleep information at public events held at the Bishop Museum, Blaisdell Exhibition Center and Children and Youth Day. .

    9. Collaborative Success Stories PROMOTING COMMUNITY EDUCATION Safe Sleep posters were created and distributed to community organizations. “Keep Me Safe While I Sleep” flyers were created and distributed to parents, community agencies and the general public at community fairs. Safe Sleep media message (1,100 DVDs) distributed to parents, providers, and agencies providing direct services to families. The Safe Sleep DVD provides information on safe sleeping conditions including position, smoke-free environment, clothing that is not too warm, firm sleeping surfaces (in cribs) that are free of pillows, toys and soft bedding, and no bed sharing.

    10. Keeping Kids Alive Summit April 2009 Washington, D.C.

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