The Los Angeles County Preconception Health Collaborative Project Cynthia A. Harding, MPH Maternal, Child, and Adolescent Health Programs Los Angeles County.
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The Los Angeles County Preconception Health Collaborative Project Cynthia A. Harding, MPH Maternal, Child, and Adolescent Health Programs Los Angeles County Los Angeles, California 2 1 Selected Perinatal Health Statistics, 2004 Compared with HP 2010 Goals 3 Selected Health Conditions and Behaviors Women 18 – 44 Years, 2005 • Alcohol consumption, (past month) • Depression/depressive disorder • Diabetes • High blood pressure • Obesity • Smoking LAC1 • • • • • • 48.9% 13.8% 3.0% 8.8% 17.1% 12.2% CA2 • 53.6% • 2.3% • 9.3% • 17.9% • 12.3% 12005 LA Health Survey 22005 California Health Interview Survey 4 Efforts to Improve Birth Outcomes Los Angeles County • • • • 2005 Perinatal Summit Diverse stakeholders & leadership Unified call to action Recommendation to promote improved preconception health 5 Preconception Care Council of California • Sponsored by CA Dept. of Public Health & March of Dimes CA Chapter • Statewide forum for planning and decisionmaking for the integration, development and promotion of preconception care • Clearinghouse for Preconception efforts across the State Los Angeles County Preconception Health Community Profile Foundations Churches Schools LAC Dept LAC Dept Parks & Recreation Mental Health California Family Black Infant Breastfeeding Health Councils Health Program M edical Case Task Force of Children's M edical Greater Los M anagement Child Health & Services Immunization Angeles Disability Prevention Women's Health Chronic Disease Planning/Evaluation/ Development Service Planning Areas Los Angeles County Public Health Department Asthma Coalition Office of Aids Programs/Policies Sexually Transmitted Disease March of Dimes M aternal, Child, and Adolescent Health Physical Activity Health Assessment & Epidemiology LA Care Hospitals Lead Prevention MCH Access Health Plans First5 LA Communicable Alcohol/Drug Diseases Prevention LA Best Babies Network Healthy Births Learning Collaboratives PHFE-WIC Physicians Midwives Nurse Practitioners Community Clinics Association LAC Dept of Public Social Services 6 Los Angeles Collaborative Core Members • • • • • California Family Health Council LA Best Babies Network LA County Public Health Department March of Dimes PHFE – WIC Program 7 Collaborative Activities • Baseline preconception health (PCH) data • Speakers’ Bureau presentation on PCH • Curriculum to integrate pre- & interconception health into family planning clinics • Interconception Care - Case Management of High Risk Women in PHFE – WIC • Improve communication among stakeholders 8 Short-Range Project Goals • • • • Preconception brief Speakers’ Bureau presentation Toolkit to plan reproductive life plan Integrate pre- interconception care into Title X family planning programs • PHFE-WIC case management to highrisk mothers 9 Long-Range Project Goals • Policy/advocacy • Increase postpartum visits • Improve content of risk reduction/health promotion at postpartum visit • Decrease: Unintended pregnancies »Prepregnancy obesity »Infant mortality »Low birthweight births 10 Putting the Pieces Together Partners Questions? Partners State C D C L.A. Public Health Cynthia A. Harding, MPH Director Maternal, Child, and Adolescent Health Programs Los Angeles County [email protected] 213-639-6400 12