Transcript Pre and Interconception Education and Counseling: Strategies from Florida Presented by: Betsy Wood, BSN, MPH Infant, Maternal & Reproductive Health Unit Florida Department of Health.

Pre and Interconception
Education and Counseling:
Strategies from Florida
Presented by: Betsy Wood, BSN, MPH
Infant, Maternal & Reproductive Health Unit
Florida Department of Health
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Recommendation #8: Integrate components of preconception
health into existing local public health and related programs,
including emphasis on interconception interventions for women
with previous adverse birth outcomes.
Florida’s Healthy Start Standards and
Guidelines
Chapter 21: Healthy Start Services
Interconceptional Education and Counseling
A collaborative initiative between Florida’s Department of
Health and local Healthy Start Coalitions
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Healthy Start
Interconceptional Counseling and
Education Topics
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Access to Care
Baby Spacing
Nutrition
Physical Activity
Maternal
Infections
o Smoking
o Substance Abuse
o Mental Health
Concerns
o Environmental
Risk Factors
o Chronic Health
Problems
http://www.doh.state.fl.us/family/mch/training/icc/icc.html
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Key Implementation Components:
 Culturally
Sensitive
 Considerate of client’s
educational and literacy needs
 Inclusive of father, family,
and/or significant other
 Tailored to the clients needs
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Interconception Education Target
Audience
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Women with previous poor birth
outcome
Women with behavioral or
environmental issues contributing to
poor birth outcomes that have not
been resolved during pregnancy
regardless of birth outcome
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Implementation
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Changed definition of Healthy Start client
to women from conception to two years
postpartum
Developed guidance via chapter in
Standards and Guidelines
Allows (but does not require) provision
of care coordination and enhanced
services, such as smoking cessation,
nutritional counseling, psychosocial
counseling, etc.
No additional funding for these services
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Opportunities for Interconception
Education
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Family Planning
WIC
Federal Primary Care Clinics
Prenatal Care
STD and HIV Clinics and Care
Coordinators
Children’s Medical Services Clinics
and Care Coordinators
Pediatric Care
Child Care Facilities
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Recommendation #2: Increase public awareness of the
importance of preconception health behaviors and
preconception care services by using information and tools
appropriate across various ages; literacy, including health
literacy; and cultural/linguistic contexts.
Preconception Education Target Audience
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Women of childbearing age
Families of women of childbearing
age
General public
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Vitagrant Program
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Multivitamin settlement - $2 million
Partnership between March of
Dimes and Department of Health
MOD staff housed at DOH
Vitamin with folic acid distribution
expanded to include preconception
education
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Implementation
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Technical Assistance Guidelines were
developed for use by all 67 County
Health Departments (CHD)
Education can be provided in any
CHD setting where women are
accessing care
Mostly used in family planning clinics
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Other Opportunities for Preconception
Education
 Primary
Care Clinics
 School Health Programs
 STD and HIV Clinics
 Care Coordinator
interactions
 Health Fairs
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Next Steps
Children’s Medical Services:
 provided preconception brochures,
resource lists, and information sheet to
Early Steps for distribution at their
statewide meeting
 provided a 1.5 hour inservice on
preconception topics to CMS providers
(therapists, MD's, mental health providers,
case managers, etc) at their bi-annual
meeting in June, 2006.
 invited to join the March Healthy Start
Interconception Education and Counseling
“webinar”
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Next Steps, cont.
School Health
 provided preconception brochures and link
to online training.
 provided a 30 in-service on the School
Health Meet Me Call on March 2, 2006
Doulas
 will be providing a training for the local
Doula Program.
 training both Birth and Postpartum doulas
 focusing on ensuring providers are able to
reinforce education about interconception
issues when interacting with their clients
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Next Steps, cont.
WIC and Breastfeeding support paraprofessionals
 will be providing training with these groups.
 provided a link to our online training
 invited to join the March Healthy Start
Interconceptional Education and Counseling webinar
Community Colleges –
 contacting community college and university health
centers to distribute preconception brochures
 starting a "Sticker Campaign" that would involve
placing a sticker reminding women to take folic acid
on all birth control pill packs dispensed from their
pharmacies. (This is still in the planning stage.)
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Questions?
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