Download - Infant Safe Sleep Campaign January 2014
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Infant Safe Sleep CampaignJanuary 2014
Janice A. Freedman, MPH, Executive Director
Tania Connaughton-Espino, MPHInfant Safe Sleep Coordinator
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Healthy North Carolina 2020Maternal and Child Health Goals
• Reduce infant mortality rate to 6.3 per 1,000 live births
• Reduce the infant mortality racial disparity between whites and African Americans to 1.92
• Reduce the percentage of woman who smoke during pregnancy to 6.8%
www.nchealthystart.org • www.mamasana.org
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North Carolina Healthy Start Foundation
Mission: To eliminate preventable infant death and illness in North Carolina
– Statewide, private nonprofit established in 1990– Long history of creating and conducting on-going public
education campaigns in English and Spanish– Provide professional and community-based training and
technical assistance– Advise state and local policy makers– Qualitative research
www.nchealthystart.org • www.mamasana.org
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SIDS & Infant Safe Sleep
Definitions: SIDS: The sudden, unexpected death of a seemingly healthy infant for whom no cause of death can be found after:
• Autopsy• Death scene investigation• Review of baby’s medical history
• Sleep Related Infant Deaths: Most likely involve suffocation, overlay or entrapment.
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2012 Data
From the NC Medical Examiners Office:• 119,767 births• 28 SIDS deaths• 101 additional deaths related to sleep environment– 31 Asphyxiation or
suffocation– 70 Undetermined
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North Carolina SIDS Death Rates (per 1,000 live births)
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
0.2
0.4
0.6
0.8
1
1.2
1.4
NC Rate National RateYear
Deat
h ra
te
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Disparities
NC State Center for Health Statistics
NORTH CAROLINA INFANT MORTALITY REPORTSIDS Death Rates (per 1,000 live births) by Race and Year
2006 2007 2008 2009 -
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
WhiteMinority
Year
Deat
h ra
te
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Number of NC Infant Deaths in Sleep Environments
2008 2009 2010 2011 20120
20
40
60
80
100
120
140
160
180
200
SIDS DeathsTotal Deaths in Sleep Environment
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2011 AAP Recommendations• Back to sleep (front to play)• Place your baby to sleep on a firm sleep surface. • Keep soft objects and loose bedding out of the
crib• Room-sharing in a crib or bassinet (no bed-
sharing or couch-sharing)• Breastfeeding is recommended• Schedule and go to all well-child visits and get
all recommended immunizationswww.nchealthystart.org • www.mamasana.org
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2011 AAP Recommendations
• Avoid smoke exposure during pregnancy and after birth
• Avoid alcohol and illicit drug use during pregnancy and after birth
• Avoid overheating• Offer a pacifier• Avoid any products that claim to reduce the risk of
SIDS• Get regular prenatal care
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What Has Made a Difference?
Baby’s Easy Safe Sleep Training
www.nchealthystart.org • www.mamasana.org
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NC’s Public-Private Partnership
North Carolina Healthy Start Foundation
Child Fatality Task Force (funding & support)
Division of Public Health
(WCH) (funding &
support)
Office of Chief Medical
Examiner (stats)
CBOsLocal Health Departments
Schools &Community
colleges(BESST)
Hospitals (HOPES)
Public (media
outreach)
DCD(ITS-SIDS: child care policy and training)
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History: North Carolina Safe Sleep
1990
NC highest IM rates in
US - NCHSF
founded
1994
NC’s Back to Sleep
Campaign started
2003
NC SIDS Law for
Childcare: ITS-SIDS
2005
BESST begins to
strengthen community outreach
2006-2007
HOPES begins with
Advisory Group & 5 hospitals
2007-2012
5 years of state
funding $150,000 - $202,000
for statewide campaign
www.nchealthystart.org • www.mamasana.org
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History: North Carolina Safe Sleep
2011
New AAP SIDS/Sleep-
Related Infant Death Policy
2011
Hospital Model of
Excellence Award
2012
NC joins national COIIN
initiative
2012
NC SIDS deaths at all-
time low
2013On-line BESST
training (CHES and
nursing credits)
www.nchealthystart.org • www.mamasana.org
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NC Infant Safe Sleep Campaign (formerly NC Back to Sleep)
• Established in 1994• Partnership with Division of Public Health (WCH)• Adheres to American Academy of Pediatrics (AAP)
Standards • Uses evidence-based research, epidemiology,
principles of public health• Messages and materials available in English and
Spanish• Nationally recognized for cultural competence,
outreach and social marketing
www.nchealthystart.org • www.mamasana.org
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HOPES: Hospital Outreach and Partnerships for Educating about Infant Safe Sleep
• Goal: All NC hospitals will be part of a statewide effort to reduce the risk of SIDS and prevent sleep-related infant deaths.
• Objectives: – To help hospitals develop or strengthen policies and procedures
based on best practices.– To improve the capacity of N.C. hospitals to provide evidence-based,
infant safe sleep training for well-baby nursery, NICU and pediatric nursing staff.
– To increase patient and caregiver practice of infant sleep safety by providing educational materials and modeling safe sleep behaviors.
www.nchealthystart.org • www.mamasana.org
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Hospital Infant Safe Sleep Model of Excellence
• Started in 2011• Recognizes hospitals meeting criteria in 4 areas– Policy– Staff training and education– Patient education and modeling– Community outreach
• Endorsed by CFTF and NC Hospital Association• To date 12 Models of Excellence and 5 Leaders
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BESSTBaby’s Easy Safe Sleep Training
• Offers important tips about infant safe sleep and ways to reduce the risks of SIDS. The kit includes an: – Educational flip chart – Infant safe sleep guide
• On-line training - 1.5 hours of nursing and CHES credits
• On-site training available
• BESST Kit available for sale at: www.nchealthystart.org
www.nchealthystart.org • www.mamasana.org
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Resources: Webisodes http://www.nchealthystart.org/Media/webisodes.htm
• What is an infant safe sleep space?• How to overcome the challenges of infant back sleeping• Where should your baby sleep? • Introduction to BESST flipchart• FAQ's about safe sleep• Sharing safe sleep messages with Latina moms• ¿Cómo es un lugar seguro para dormir a un bebé?
(What is an infant safe sleep space?)
www.nchealthystart.org • www.mamasana.org
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Television Ad
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Call to Action: In Your Agency• Staff training (not just SIDS Counselors)• Encourage staff to do on-line BESST training• Identify opportunities to educate families:– Prenatal clinic– Child health clinic– WIC clinic– Outreach programs (Adolescent Parenting
Program)– Home visiting programs (CC4C, NFP, etc.)
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Call to Action: In the Community
• Put on Child Fatality Prevention Team agenda• Engage local hospital(s) in HOPES• Exhibit/demonstrate in community fairs• Partner with the media (“Danger” ad, press
releases, letters to the editor, etc.)• Participate in SIDS Awareness Month activities
(October)
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New Ideas
• Community event for families to trade in bumper pads for sleep sacks
• Involvement of fire department/first responders to evaluate safe sleep environment when called to house
• Others????
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Contact Information
• Tania Connaughton-Espino: [email protected]
• Janice Freedman: [email protected]
• Phone: 919-828-1819
NC Healthy Start Foundation Web Sites: • English: www.nchealthystart.org• Spanish: www.mamasana.org
www.nchealthystart.org • www.mamasana.org