the los angeles county preconception health collaborative project cynthia a. harding, mph maternal,...
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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, 2004Compared with HP 2010 Goals
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Selected Health Conditions and BehaviorsWomen 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%
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CA2
• 53.6%
-
• 2.3%
• 9.3%
• 17.9%
• 12.3%
12005 LA Health Survey22005 California Health Interview Survey
Efforts to Improve Birth OutcomesLos Angeles County
• 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 decision-making for the integration, development and promotion of preconception care
• Clearinghouse for Preconception efforts across the State
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Los Angeles CountyPreconception Health Community Profile
Women's Health
Alcohol/Drug Prevention
Office of Aids Programs/Policies
Physical Activity
Maternal, Child, and Adolescent Health
Lead Prevention
Immunization
Children's Medical Services
Health Assessment & Epidemiology
Sexually Transmitted Disease
Planning/Evaluation/ Development
Communicable Diseases
Chronic Disease
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
Los Angeles CollaborativeCore Members
• 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• 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 high-risk 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
L. A. Public Health
CDC
State Partners
Partners
L.A. Public Health
State
CDC
Questions?
Cynthia A. Harding, MPHDirectorMaternal, Child, and Adolescent Health
ProgramsLos Angeles [email protected]
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