Transcript The Los Angeles County Preconception Health

The Los Angeles County
Preconception Health
Collaborative Project
Cynthia A. Harding, MPH
Maternal, Child, and Adolescent
Health Programs
Los Angeles County
Los Angeles, California
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Selected Perinatal Health Statistics, 2004
Compared with HP 2010 Goals
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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
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Efforts to Improve Birth Outcomes
Los Angeles County
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•
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2005 Perinatal Summit
Diverse stakeholders & leadership
Unified call to action
Recommendation to promote improved
preconception health
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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
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Los Angeles Collaborative
Core Members
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•
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California Family Health Council
LA Best Babies Network
LA County Public Health Department
March of Dimes
PHFE – WIC Program
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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
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Short-Range Project Goals
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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
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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
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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
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