Integrating Preconception Health into Daily Practice:
Strategies for Workforce Development
Giannina Donatoni, M.T.(A.S.C.P.), Ph.D.
Los Angeles County- Department of Public HealthMaternal, Child and Adolescent Health Programs
Thank you to
Denise Gee, R.D., M.P.H.
Cynthia Harding, M.P.H.
Victoria Lombardo, M.S.N., R.N.
Maryjane Puffer, B.S.N., M.P.A.
Diana Ramos, M.D., M.P.H.
Naveen Sangwan, M.B.A., M.P.H.
Los Angeles CountyPreconception Health Collaborative
California Family Health CouncilLA Best Babies Network
LA County Department of Public HealthMarch of Dimes
PHFE – WIC ProgramPerinatal Advisory Council –
Leadership, Advocacy, and ConsultationVA Greater Los Angeles Healthcare System
Los Angeles CountyPreconception Health Community Profile
Immunization
Children's Medical Services
Lead Prevention
Maternal, Child, and Adolescent Health
Physical Activity
Office of Aids Programs/Policies
Alcohol/Drug Prevention
Communicable DiseasesHealth Assessment &
Epidemiology
Sexually Transmitted Disease
Planning/Evaluation/ Development
Chronic Disease
Women's Health
Child Health & Disability Prevention
Medical Case Management
Los Angeles CountyPublic Health Department
Foundations Churches Schools LAC Dept LAC Dept Parks & Recreation First5 LA
Mental Health California Family Black InfantBreastfeeding Health Councils Health Program HospitalsTask Force ofGreater Los AsthmaAngeles Coalition
MCH Access
Service PHFE-WICPlanningAreas
LA Best Physicians LACHealth March of Healthy Babies Midwives Dept of PublicPlans Dimes Births Network Nurse Practitioners Social Services
Learning Community ClinicsLA Care Collaboratives Association
Public Health workforce
Importance and relevance to the life course
Key time to address
Strategies to address
Preventive services to address
Speakers’ Bureau Presentation
Speakers’ Bureau PresentationContent
Abuse
Behavioral
Chronic Disease
Diet, Drugs, and Dads
Environmental Exposures
STIs, Shots, and Screening
Speakers’ Bureau Presentation Post-Training Evaluation
99% knew components of preconception health
20% could identify optimal opportunities to address preconception health
16% could not determine how to incorporate preconception health into their work
Define preconception health and its components
Describe at least two models of integrating preconception health into practice
Identify specific strategies to put into daily practice
Engage with Data
http://publichealth.lacounty.gov/ha/reports/habriefs/2007/Preconception_Final_sec.pdf
Preconception Health UpdatePost-Training Evaluation
72% address healthy weight 69% address contraception
63% folic acid 70% promote
breastfeeding 72% use online
resources
Preconception Health Collaborative Web Site
http://publichealth.lacounty.gov/mch/ReproductiveHealth/PreconceptionHealth/PreconceptionHealth_rev.htm
Interconception and Preconception Health Summit
Interconception Care Project of California algorithms and patient education materials
Relate maternal and infant health, birth outcomes, and interconception/preconception health
Link to life course
Strategies for Workforce Development
Preconception health components and life course
Provide action steps for integration into daily practice
Pre/post test questionnaires to assess quality and effectiveness of training
Commitment cards to motivate and suggest activities
Los Angeles County
Department of Public Health
Maternal, Child, and Adolescent Health Programs
Giannina Donatoni, M.T.(A.S.C.P.), Ph.D.