north carolina’s preconception health initiative
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North Carolina’s Preconception Health Initiative. Alvina Long Valentin, RN, MPH, NC DPH, Women’s Health Branch [email protected] 919-707-5708. NC Preconception Health Initiative. - PowerPoint PPT PresentationTRANSCRIPT
North Carolina’s Preconception Health Initiative
Alvina Long Valentin, RN, MPH, NC DPH, Women’s Health [email protected] 919-707-5708
NC Preconception Health Initiative
Preconception Health Leadership Team comprised of representatives from UNC, DPH, March of Dimes and Folic Acid Council
90 participants in Preconception Health Thinktank meetings
Participants include representatives from DPI, local health departments, public and private universities, DHHS, community based organizations, non-profit agencies and consumers
Preconception Health Initiative Minutes and other pertinent information are posted on everywomannc.org
Strategic Planning and Action Steps
March 2007 - December 2009
Series of 6 Think Tank meetings to collaboratively develop a state preconception health strategic plan
Examined quantitative and qualitative data, chose 2 focus areas of Pregnancy Intendedness and WOW - Women and Overweight/Obesity and Related Conditions
NC Strategic Plan Released November 2008
January 2008 – June 2008
2 workgroups meet separately - working on goals, strategies and potential partners
June 2008 – present Restructuring from 2 workgroups to 4 workgroups
meeting separately – working on prioritizing, action steps, potential partners and funding opportunities
Moving from Strategies to Action
Preconception Health Initiative Workgroups
1. Increase Consumer and Community Awareness about Preconception Health
2. Ensure Quality Preconception Care and Practice among Health Care Providers and Community Outreach Workers
3. Expand Access and Affordability of Preconception Care
4. Advocate for Environmental and Policy Changes that Support Preconception Health
Quantitative Data Review 2007 - 2008
Moving in the Right DirectionNC Women Age 18 – 44 years:
Intended Pregnancy: 52% (NC PRAMS 2006)60% (NC PRAMS 2007)
Takes folic acid at least 5 days a week: 29% (NC BRFSS 2007)
Takes folic acid daily: 38% (NC BRFSS 2008)
Quantitative Data Review 2007 - 2008
Moving in the Right Direction:NC Women Age 18 – 44 years
Tobacco Use: 24% (NC BRFSS 2007) 21% (NC BRFSS 2008)
Uninsured: 25% (NC BRFSS 2007) 22% (NC BRFSS 2008)
Quantitative Data Review 2007 - 2008
Moving in the Right DirectionNC Women Age 18 – 44 years:
Case Rate per 100,000
Early Syphilis (PSEL) 7.2 (2007) 4.9 (2008)
Gonorrhea 451 (2007) 412.8 (2008)
Quantitative Data Review 2007 – 2008
No Change or Slight Increase in 2008:NC Women Age 18 – 44 years
Binge Drinking 11% Obesity 29%Overweight 28% Hypertension 10% NC BRFSS 2007, n/a in 2008
Diabetes 4%Poor Mental Health 28% Has Not Visited a Dental Clinic in Past Year 30%NC BRFSS 2008
Quantitative Data Review 2007 – 2008
Increase in 2008:NC Women Age 18 – 44 years
Case Rate per 100,000
Chlamydia 1233.0 (2007) 1500.1 (2008)
Living with HIV/AIDS 239.7 (2007) 327.8 (2008)
Update on Funding Opportunity
DPH and partnering agencies awarded funding by HRSA’s Maternal Child Health Bureau grant, First Time Motherhood/New Parent Initiative
September 2008 – August 2010
Social marketing campaign that promotes having a reproductive life plan and utilization of the N.C. Family Health Resource Line
Trainings for health care providers, community outreach workers and faith-based communities,– many educational/promotional materials developed
Priority population is men and women ages 15 – 29 who are disproportionately affected by adverse pregnancy outcomes, including racial/ethnic minorities.
The project area includes 6 northeastern counties – Edgecombe, Gates, Halifax, Hertford, Nash and Northampton
Update on Funding Opportunity
Funding Opportunity
Partnering Agencies
N.C. Healthy Start FoundationN.C. Family Health Resource LineUNC Center for Maternal and Infant Health,March of Dimes, Folic Acid CouncilLocal health departments and WIC programs Center for Health and Healing UNC Cecil G. Sheps Center N.C. DPH Women’s Health Branch
Moving Forward
Continue workgroup action steps – meet on an annual basis with larger preconception health initiative
Continue to review women’s health indicators on an annual basis
Share findings with state preconception health initiative workgroups
Thank You for Your Support !The NC Leadership Team
Anna Bess Brown, MPH, State Program Director, March of Dimes
Amy Mullenix, MSW, MSPH, State Coordinator, NC Folic Acid Campaign
Cindy Haynes Morgan, MSA-PA, BS HEd, RHEd, Education and Community Program Coordinator, Diabetes Prevention and Control Branch, NC Division of Public Health
Judy Ruffin, MPA, Program Manager, Women’s Health Branch, NC Division of Public Health
Sarah Verbiest, MSW, MPH, DrPH, Executive Director of the University of North Carolina’s Center for Maternal and Infant Health
Alvina Long Valentin, RN, MPH, Women’s Health Network Supervisor, Women’s Health Branch, NC Division of Public Health