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1999-2006

Infant Mortality Reduction in Genesee County: Our Story Prepared by the Genesee County Health Department March 2007. 1999-2006. 48746. Infant Deaths Genesee County 2001-2005 (not including City of Flint/Burton). 48457. 48420. 48463. 48458. 48433. 48423. 48449. 48438. 48473. 48439.

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1999-2006

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  1. Infant Mortality Reduction in Genesee County: Our StoryPrepared by the GeneseeCounty Health DepartmentMarch 2007 1999-2006

  2. 48746 Infant Deaths Genesee County 2001-2005 (not including City of Flint/Burton) 48457 48420 48463 48458 48433 48423 48449 48438 48473 48439 48436 48442 48418 48451 = 1 Black Infant Death = 1 Other Infant Death = 1 White Infant Death 48430 Source: Genesee County Health Department, Fetal-Infant Mortality Review data

  3. Infant Deaths City of Flint/Burton 2001-2005 48506 48505 48504 48502 48503 48509 48532 48519 = 1 Black Infant Death = 1 Other Infant Death = 1 White Infant Death 48529 48507 Source: Genesee County Health Department, Fetal-Infant Mortality Review data

  4. Annual Infant Mortality Rates by RaceGenesee County, MI 1999-2005 Source: Michigan Department of Community Health, Vital Records & Health Data Development Section.

  5. Infant Mortality Disparity Ratio*Genesee County, Michigan 1999-2005 *African American to White Disparity Ratios Source: Michigan Department of Community Health, Vital Records & Health Data Development Section.

  6. Source: Michigan Department of Community Health, Vital Records & Health Data Development Section.

  7. Number of Infant Deaths By RaceGenesee County, Michigan1999-2006 (2006 preliminary) Source: Genesee County Health Department, 1999-2006 Fetal-Infant Mortality Statistics

  8. 1Individual 2 Family 3 Social Network 4 Social Environment 5 Providers/Health Care System 6 Local, State & National Policy Circle of Influence Model

  9. Addressing Infant Mortality in Genesee County: Our Model MATERNAL-INFANT HEALTH Fostering Community Mobilization Enhancing the Babycare System Reducing Racism

  10. Addressing Infant Mortality in Genesee County MATERNAL-INFANT HEALTH Safe Sleep Initiative MISSING Links FIMR Fostering Community Mobilization Enhancing the Babycare System Family Planning Passport Healthy Start Healthy Families/ Teen Parent Program Reducing Racism WIC MIHP SKIP to a Great Start PRIDE Friendly AccessSM IM Initiative (AFRICAN) REACH 2010

  11. “If you always do what you’ve always done, you’ll always get what you’ve always got. If you want something you’ve never had, you’ve got to do something you’ve never done.” A.J. McKnight

  12. INTERMEDIATE OUTCOMES MAP, 1999-2006 Community and Systems Changed/Change Among Change Agents REACH 2010 Phase I Planning Grant • REACH 2010 Phase II • Community Action Plan (CAP) • Mobilize Community • Enhance Babycare System • Reduce Racism University Course: Cultural Competence in Health Care Community Dialogues Undoing Racism Workshops African Culture Education & Development Center Healthy Eating Curriculum Freedom School One-Stop Village Greater Flint Health Coalition REACH 2010 Task Force UM-Flint Core Requirement Course Black Unity Spiritual Togetherness Retreats Harambee Dinners Black Men for Social Change Project Export Middle Passage Experiences Women Taking Charge of their Health Destiny Urban Health & Wellness Center Racism 101 Course REACH 2010 Intervention Facilitators’ Support Public Schools & University Curriculum Teen Moms Talk Reality Birth Sisters PRIDE Medical Services Committee Maternal Infant Health Advocates Provider Seminars & Community Roundtables Community WindshieldTours Perinatal Risk Assessment Tool Perinatal Morbidity & Mortality Reviews Safe Sleep Campaign National REACH 2010 Coalition Steering Cmt National CDC/PRC Community Committee Publications Friendly AccessSM Closing the Gap Michigan Infant Mortality Coalition Network Partner African American Family Resource Information Center and Network

  13. Example of Outcomes

  14. Enhancing the Babycare System Genesee County Healthy Start Outcomes • Funded by DHHS/HRSA • Focused on African American women and infants • Zip code-specific • Served 342 families in 2005 • 240 pregnant women • 43 teens (<17 years)

  15. Genesee County Healthy Start Outcomes

  16. Genesee County Healthy Start Outcomes VLBW (Very Low Birth Weight) = <1500 grams LBW (Low Birth Weight) = 1500 – 2499 grams

  17. Fostering Community Mobilization Safe Sleep Initiative Outcomes • Funded by Ruth Mott Foundation • “Always Alone in a Crib of Their Own” • Coordinated by Genesee Co. DHS • Direct result of FIMR data-sharing • Provides safe sleep education and pack-n-plays • 1,498 participants (Feb 2004 - Aug 2006) • 1,635 pack-n-plays distributed

  18. Safe Sleep Initiative Outcomes 3, 6, & 9 month follow-up • 89% indicated baby sleeps on back • 91% indicated do not use couch-sleeping • 81% place nothing in crib • 98% were still using pack-n-play • 100% found education useful • 98% felt Safe Sleep should be taught in hospital N=121

  19. Safe Sleep Initiative Outcomes

  20. Reducing Racism REACH 2010 Outcomes • 20 Undoing Racism Workshops to-date • 764 attendees • Over 100 organizations represented • 48 physicians

  21. REACH 2010 Outcomes What do URW participants say? • 98% said the time they spent at the workshop was worthwhile • 95% felt it changed their knowledge about racism • 90% felt it changed their attitude about racism • 89% stated it would change the way they will act in the workplace

  22. Infant Mortality Reduction in Genesee County: What’s Next? • Research studies to measure impact ~Birth Outcomes Study ~Racism & Health Disparities Survey ~CDC/PRC Invited Proposal? • REACH 2010 Phase III funding? • Replication in other communities?

  23. Tonya Turner, Coordinator REACH 2010 Program Genesee County Health Department (810) 257-3194 tturner@gchd.us Marcia Franks, Supervisor Maternal/Infant Health & Mortality Programs Genesee County Health Department (810) 257-3202 mfranks@gchd.us Contact Us….

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