a program offered by the ou college of nursing funded by the george kaiser family foundation healthy...
TRANSCRIPT
A Program Offered by the OU College of Nursing
Funded by the George Kaiser Family Foundation
Healthy Women, Healthy Futures
Mapping Feto-Infant MortalityTulsa County,
All Eligible Babies, 2003-2007 Infant Mortality Rate (IMR)= 8.8
Maternal Health/ Prematurity 3.6 (41%)
Maternal Care
1.5 (17.5%)
Newborn Care
1.5 (17.5%)
Infant Health
2.2 (28%)
What is HWHF?
• A multicultural, interconception women’s health project based in the life course perspective
• Targets non-pregnant women in poverty with children enrolled in four Tulsa Early Childhood Education Programs
• Provides services for up to three years
Mission
Improve the physical, emotional, social, dental, and vision health of non-pregnant women living in
poverty to reduce premature birth and infant mortality
HEALTHY WOMEN, HEALTHY FUTURESRisks, Interventions & Outcomes
Women’s Environment of Poverty, Stress, Isolation & Lack of Support A Culture of Respect and Support
Healthy Outcomes
Decrease in Prematurity
Decrease in Low Birth Weight Infants
Decrease in Unintended Pregnancies
Decrease in NICU Admissions
Improvement in Women’s Knowledge, Behaviors and
Health Indicators
Medical Home and Dental Care
Health Promotion Education
Disease Prevention
Disease Management Education
Referrals for Mental Health and Treatment of Other Serious Health
Conditions
Assistance with Transportation and Translation
Nurse Educators, Health Navigators & Collaborating Programs
Behavioral Health
Substance Abuse
Domestic Violence
Depression & Other Mental Health Issues
Behavioral Health
Chronic Health Conditions
High Blood
Pressure
Diabetes Asthma High Cholesterol
Lifestyles
Smoking Poor Nutrition Lack of
Physical Activity
Ineffective Contraception
Dental Caries
Dental and Vision Care
Decreased Infant Mortality
Increase in Healthy Birth Spacing/ Reproductive Live Plans
Program Elements
• Development of an individualized health plan by a “team” consisting of site nurse educator, health navigator, and woman through home visitation and risk assessment.
• Assist women to establish a medical home, and /or reduce barriers to access to health services through community collaboration.
• Provision of individual and group education on healthy lifestyles, illness prevention, health promotion and other content areas
Program Elements
• Address chronic psychological or biological responses to stress and learn stress control methods
• Individual responsibility with a reproductive life plan
• Peer social support • Intervention and monitoring of women’s health
status and health behaviors for up to 3 years.
Program Objective One & Outcomes
Improve women’s knowledge of health promotion measures and disease prevention practices
Pre and Post Test Comparison
Inte
rcon
cept
ion
CV Well
ness
Health
y Sho
pping
Exerc
ise
Stress
Red
uctio
n
Cookin
g Lig
ht
Conflic
t Res
olutio
n
Basic
Nutrit
ion0
10
20
30
40
50
60
70
80
90
100
71.2
62.1
76
65.8
71.7 70
61.766.2
92.189.5 88.6
78.8
90.993.2
9085.5
Pretest
Post-test
Participant Comments
“ We learned information before, but didn’t change. We now have an understanding and can apply it.”
“ That I am learning things (in detail) that I did not know before. I get amazed when I find out things that I can do to prevent diseases.”
“The knowledge I have gained in the program will stay with me for the rest of my life.”
Program Objective Two & Outcomes
Assist women to improve their health through development of healthy lifestyle practices, including a reproductive life plan, and by facilitating access to services.
Dietary Improvements
• 42% report eating low fat to very low fat diets. (change from 14%)
• 90% are eating low or moderate carbohydrate diets.
• 40% increased and have maintained their number of daily fruit and vegetable servings to 3 or more.
Lifestyle Changes
• Weight loss
37.5% have lost weight (5-23 pounds)
(Avg 9.1)
18% changed BMI at least 1 point • Exercise
32% increased and maintained weekly exercise of 3 or more days/week
Health Improvements • More than 62% lost 10 or more points of
total cholesterol typically through changes in diet and exercise.
• 58% improved their HDL (good cholesterol)
• Participants’ difficulty coping decreased from 33% to 24%.
Pregnancy Planning/Infant Outcomes to Date
• 18 women have become pregnant. All received first trimester care.
• 13 have delivered healthy term babies (37-41 weeks), weighing between 5lbs 9 oz and 9 lbs. 1 oz)
• 2 were born early, at 34-35 weeks weighing 4lbs12oz and 4lbs 15oz.
Contact Information
Su An Arnn Phipps R.N., Ph.D., C.N.E
Director-Healthy Women, Healthy Futures
University of Oklahoma College of Nursing
918.660.3955