every woman southeast coalition 2013 a year in review
TRANSCRIPT
Every Woman Southeast Coalition
2013 A YEAR IN REVIEW
A coalition of leaders in Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi,
North Carolina, South Carolina and Tennessee to build multi-state, multi-
layered partnerships to improve the health of women and infants in the Southeast.
Who We Are
Call to Action
Tired of always being the “worst” states in the nation.
Decided that we can no longer ignore our legacy of health inequities.
Recognized that to get different results we needed to change the way we approach this work.
Strong interest in connecting with each other across states.
Desire to give voice to “grass tip” leadership.
Every Woman Southeast Objectives
Engage a wide range of stakeholders to build and sustain an equity focused, life course approach to women’s wellness.
Promote and integrate program and policy strategies to support low income women and men in creating and actualizing their reproductive and life goals.
Give voice to the ideas, needs and vision of women in our region.
A woman's health is her capital. Harriet Beecher Stowe
Frameworks & Guiding Concepts
The Life Course ApproachH
ealth
pot
entia
l
Optimal Life Trajectory
Life Trajectory Impacted by Inequity
Cumulative PathwaysCumulative PathwaysEarly Programming
Early Programming
The experiences you have each day add up to determine your health throughout your life
The experiences you have each day add up to determine your health throughout your life
Socio-Ecological Model
IndividualKnowledge, attitudes
and skills
InterpersonalFamilies, friends and
social networks
OrganizationalOrganizations and social
institutions
CommunityRelationships between
organizations
Public Policy
Health Equity
Identify root causes of inequity
Use an “equity” lens to assess the potential for differential impact of public health interventions.
When all people have the opportunity to attain their full health potential and no one is disadvantaged from achieving this potential because of their social position or other socially determined circumstance.
Reproductive Justice
The right for people to… Have the children they want. Raise the children they have in a safe
environment. Plan their pregnancies through access to
safe and reliable contraception.Emphasizes that each person’s ability to live
out their rights is uniquely shaped by social injustices including: lack of education, poverty, racism, sexism, gender identity, discrimination, and ableism.
Collective Impact
Creating a network that links numerous organizations and helps them to coordinate their varied efforts around a common goal.
City MatCH Gathering
Public Health Work Group Partnership
Dinner and long conversation about “isms”, big concepts and what to do about the real challenges in
the South
25 EWSE’ers
We Need to Start a Social Movement!
What We Have Done
www.EveryWomanSoutheast.org
Our Blog
Reproductive Life Planning Pilot Grants
Developed a review process, solicited applications and made funding decisions together!
8 pilot projects that utilize the life course approach to address reproductive health.
All of the projects include teams that are interdisciplinary and include at least one non- traditional partner.
Project Snap Shots
Peer-to-Peer Education Cradle Me 3 – NC Central Univ – NC Peer Education for the Soul – Duval Co. Health Dept – Jacksonville, FL
Community Linkages RLP During Post-Abortion Care - Choices – TN RLP for Young Men - Delta Health Partners – MS RLP & Life Course Approach – Barren River Health District – KY Transportation Across the Life Course – Urban Health Partnership –
Miami, FL
Media and Communication Choose Today a Healthy Tomorrow! – PASOs – SC Great Start – RLP & PCH via TV and Internet – Healthy Start New
Orleans - LA
Cradle Me 3 – Durham, NC
Using peer educators to address topics of preconception health and reproductive life planning with the students of NCCU – an HBCU in Durham, NC All of the peer educators have been
certified in the OMH’s Preconception Peer Educator program
Coordinate with other groups on campus addressing similar topics, such as intimate partner violence and STIs
Starting a survey of all freshmen about PCH/RLP topics – will follow them for 4 years
Are also working with the residents of McDougal Terrace – a nearby public housing community – on improving health across the life course for residents
Peer Education for the Soul – Jacksonville, FL
Work with 18-24 year old Peer Health Advisors from 4 area churches to address RLP and preconception health for young adults in church and surrounding neighborhoods Have brought a variety of training opportunities to community young adults
and those who work with them Project has sparked inter-generational conversations about health and
other needs of young women and men in the churches and the community
Choices - Memphis, TN
Two-pronged approach: Revamped post-abortion counseling to shift away from
solely contraceptive methods counseling to true RLP Worked with local university’s clinical psychology program to train health
educators on motivational interviewing Engaged QI process with health educators to incorporate new skills and
more robust documentation Strengthened referral process to and from local community
agencies that address social and economic needs of clients Invited agencies to attend open house to learn more about the services
Choices provides Went out to the other agencies to learn more about what they could offer
Choices’ clients Now have system of warm referrals – has proven to be more effective
than just handing out pamphlets
Delta Health Partners – Marks, MS
Provided series of trainings and technical assistance to community agencies that engage with boys and young men Sherriff’s Office, juvenile justice,
local churches, middle and high school
Training topics have included male health needs, contraception and STIs, RLP, parenting, and communication and conflict resolution skills
Barren River Health District – Bowling Green, KY
Formalized RLP within the Health District clinical settings Pulled from existing tools to create appropriate RLP tool for
their setting
Educated community about life course approach Worked with BabyNet to share Life Course Games with
different maternal and child interest groups Lay groups Health Care provider groups
Currently working with middle and high schools to implement Life Course Games in those settings
Transportation Access Throughout the Life Course Miami, FL
Assessed transportation access to existing RLP & preconception care services Found that timeliness and
convenience of multi-model transportation options may affect access to health care more than number of sites
Conducted ~300 surveys with community members about transportation use, knowledge of clinics and clinic services, and how they access those clinics
Dissemination of Findings: Presentation to engage those concerned
with poor outcomes at the Child and Infant Mortality Review Coalition , which covers FIMR as well as Black Infant Mortality Workgroup
Invited to participate in the Strategic Planning for Miami-Dade Transit, Transportation Access committee commencing December 2013
Will continue with community presentations and continuance of website efforts
Looking to expand efforts and seek funding for a phase 2 of the project which would be implementation
Choose Today a Healthy Tomorrow! Columbia, Beaufort, & Charleston, SC
Promotores present on a monthly radio show, as well as provide warm referrals to community agencies
• Why use the radio?o Radio is considered an engaging and
effective way to reach the Latino community with health messages
• What makes a successful program?o Personal storieso Information that is meaningful to the
communityo Information that is presented in a
way that values Latino culture and celebrates strengths
o Visiting expertso Radionovelas
Topics have included:
Nutrition, exercise, folic acid Family Planning Using community health resources Maternal stress & depression Role of fathers in families Healthy relationships HIV/STI prevention Immigrant rights & resources
Great Plan – Healthy Start New Orleans, LA
Provided in depth RLP and interconception health care training and TA for Healthy Start and ICC care managers
Produced and distributed “Map Your Life” RLP tools for women and men
Worked with Bounce TV to
produce RLP-focused commercials and a website: www.greatplan.net
Sharing the Results
Poster presentation at City MatCH (Cradle Me 3)
Presentation to EWSE Leadership Team (Urban Health Partners)
Panels at AMCHP in January 2014
2 Topic-Based Webinars in 2014
Manuscript
Show Your Love Campaign
February – May
Set goals and strategies
EWSE You Tube Video and picture collection
Social Media Blasts
Support from Sasha Gomez
Most website “hits” to SYL logo in the country!
Respond to Evaluation
Show Your Love Campaign
A Woman’s Health is Her CapitalHarriett Beecher Stowe
Webinar Series Archived and Available!
City MatCH, AMCHP and National Healthy Start Association – Partnership to Eliminate Disparities in Infant Mortality
Addressing Racism’s Impact on Women’s and infant’s Health: Lessons Learned from the Racial Healing Projects in Tennessee
Connecting Women with Health Care in the South: Overcoming Challenges and Leading the Way
Closing the Black/White Gap in Infant Mortality: Ideas, Successes and Lessons Learned from the Wisconsin Life Course Initiative
Life Course Theory to Practice – Magnolia Project and the Northeast Florida Healthy Start Coalition
Women’s Voices Survey
From May-July 2013 we collaborated with our state teams to launch a regional survey.
The purpose was to guide our work to improve women’s health by helping us understand barriers to care and women’s ideas for their community
The findings from the survey are on our website.
Methods
Approved by the UNC Institutional Review BoardElectronic and paper survey formatsCompletely anonymousDistributed via a letter / scripted email to EWSE
leadership team, state team, grantees and key partners
Convenience sampleMid-May 2013 to Mid-July 20131,951 total responses
Women’s Ideas for Improving Their Health
Access / InsuranceAccountability / Self Control / MotivationEducationFitness / Nutrition / Weight LossPhysiciansCareer AdvancementEnvironmental ModificationStress/TimeOther
QUESTION
When we listen to women more broadly – across different groups – our understanding is opened and some preconceived notions are challenged.
How can we find more ways to listen to women?
QUESTION
Women are getting into care but may well not be receiving all the screening and services they need.
How can public health and community groups partner with health care providers to make it easy for them to ask the key questions and
then refer women to the resources they need to improve their health?
QUESTION
Per our results, women with health insurance may not be able to afford health services and/or have limited access.
How can we provide messages and information to women with insurance about their new benefits?
How can we best understand the real problems that could arise for these women with ACA? How can we
counter fears with facts?
QUESTION
Per our results, women with health insurance may not be able to afford health services and/or have limited access.
How can we provide messages and information to women with insurance about their new benefits?
How can we best understand the real problems that could arise for these women with ACA? How can we
counter fears with facts?
On the Road!
Fall presentations in Georgia, Tennessee, Mississippi, North Carolina and Kentucky!
Spring 2014 in Florida and LouisianaUSB Sticks, Coolers, Flyers, Games!
Looking Ahead to 2014
Leadership Team
(includes representation
from state teams, committees, and peer educators)
Friends of the Southeast
Committees
State TeamsAL, FL, GA, KY, LA, MS, NC, SC,
TN
Staff
Disseminate Information
Friends of State Team (E.g. Title V & Title X
Coordinators)
Pilot Projects
Special Projects
Communication
• Executive Director• Project Coordinator• Evaluator• Fellow
• National Preconception Health and Health Care Initiative Workgroups
Every Woman Southeast Organizational Chart
State Teams
Activities Assist in building connections. Increase team membership to
include more nontraditional and non health sector partners.
Launch a speaker’s bureau about our coalition, the life course model and preconception health.
Provide support to pilot projects and guidance to coalition development.
Select key activities unique to their state to advance reproductive life planning, preconception health and access to health care among others.
State Team Building
FINDING NEW CONNECTIONS State Teams have sent ideas and leads Google is our friend Angela’s exploration
NEW STRATEGY Locate new partners in each state EWSE staff will work with state team to coordinate first
meetings Make state team meetings DIFFERENT by not having the
same people around the stable
J O I N O U R L I S T S E RV / R E C E I V E N E W S L E T T E R
C O N N E C T S O C I A L M E D I A
PA R T I C I PAT E I N S TAT E T E A M M E E T I N G S
S H A R E I N F O R M AT I O N A B O U T T H E I R W O R K V I A B L O G / N E W S L E T T E R / W E B S I T E S U B M I S S I O N
C O N S I D E R N E W, J O I N T P R O J E C T S
“Ask” for New Partners
Starter Ideas for Future Funding
More pilot projects / continued funding for some current pilot projects
Regional Women’s Health GatheringProvide formal support and technical assistance to
agencies seeking to incorporate life course conceptsSocial Media and Virtual Networking (Meet Ups, etc)Women’s Voices Initiative – photovoice / storycorp Leadership Development – particularly around equityAdministrative SupportConnecting / supporting Preconception Peer-to-Peer
Thank you for your support!
Happy Holidays!