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Healthy Start New Orleans Overview

April 2014Kim Williams, Director, Healthy Start New Orleans

Objectives Provide Overview of Healthy

Start New Orleans and demand for reproductive life planning

Provide overview of “Map Your Life” Campaign

Our Mission

The Healthy Start New Orleans mission is to promote healthy communities by nurturing healthy pregnancies, healthy babies, and healthy families.

Core Services

Community outreach Health education Case Management Consortium Service Area Advisory

Committee

Indicator US Louisiana Rank

Preterm birth (< 37 weeks gestation, %) 12.2 14.7 48th

Low Birth Weight (< 2,500 grams, %) 8.2 10.6 49th

Very Low Birth Weight (< 1,500 grams, %) 1.5 2.1 49th

C-section rate (%) 32.9 39.6 50th

Infant Mortality (<1 year old, per 1000 live births)

6.77 10.04 -----------

Source: Louisiana vital statistics 2010. Martin JA, Hamilton BE, Sutton PD, et al. Births: Final data for 2009. National vital statistics reports; vol 59 no 1. Hyattsville, MD: National Center for Health Statistics. 2010.

Interventions to Improve Birth Outcomes

Increase use of

smoking cessation treatment

Increase use of

17P

Reduce preterm & repeat C-section

New indicators

for hospital quality

monitoring Risk assessment

and care plan for

women with adverse outcome

Infant

Chronic disease

management

Screening and treatment for behavioral

health

Early and Adequate Prenatal

Care

Home Visitation (Healthy

Start, NFP)

Intensive care

coordination/case

management

FIMR

Family planning

Maternal Health / Prematurity2.9

Maternal Care0.1

Newborn Care0.0

Infant Health

0.7

Fetal Death ≥ 24 wks Neonatal

Post- Neonatal

500-1499 grams

1500+ grams

Maternal Health / Prematurity1.4

Maternal Care0.3

Newborn Care0.2

Infant Health

0.6

Fetal Death ≥ 24 wks Neonatal

Post- Neonatal

500-1499 grams

1500+ grams

Excess Mortality2006-2010

OrleansRates per 1,000 Live Births

Feto-Infant Mortality Rate = 2.5

JeffersonRates per 1,000 Live Births

Feto-Infant Mortality Rate = 3.7

Map Your Life: The Challenge

How can we take “preconception care” and turn it into a concept and language that resonates with our target audience?

Target Audience

Target Audience

827 clients in 2012Average age- 27.7692% African American, 5% are white and 3% other or unknown25.7% live below poverty16.1% have less than a High School Diploma or GED26% of the New Orleans metro’s current working-age population are low-literate

Results Distributed “Life Maps” to over 1000

women and men of reproductive age in New Orleans

LSU Health Sciences Center and Delgado STD Clinic adopted the “Life Maps” with their patients

Positive feedback from participants

Challenges Experienced public health professionals

may have difficulty translating public health “speak” to target audiences

Attitudes towards women’s health within Louisiana limit “Life Map” distribution more widely throughout the state

Lack of understanding of basic reproductive biology makes discussions of contraception difficult

Lessons Learned Get client input early and often Test drafts of your product Fight it out, then love it out Revise, revise, revise Educate your staff to use the tools Be prepared to provide basic

reproductive biology overview