Healthy Start New Orleans Overview

Kim Williams, Director, Healthy Start New April 2014 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 Preterm birth (< 37 weeks gestation, %) Low Birth Weight (< 2,500 grams, %) Very Low Birth Weight (< 1,500 grams, %) C-section rate (%) Infant Mortality (<1 year old, per 1000 live births)

US Louisiana Rank 12.2 8.2 1.5 32.9 6.77 14.7 10.6 2.1 39.6 10.04 48th 49th 49th 50th
-----------

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

Infant

FIMR
Family planning

Increase use of smoking cessation treatment Home Visitation (Healthy Start, NFP)

Increase use of 17P

New indicators for hospital quality monitoring

Early and Adequate Prenatal Care

Reduce preterm & repeat Csection

Risk assessment and care plan for women with adverse outcome

Intensive care coordination /case management

Screening and treatment for behavioral health

Chronic disease management

Excess Mortality
2006-2010

Orleans
Rates per 1,000 Live Births Fetal Death 24 wks 500-1499 grams PostNeonatal 500-1499 grams Fetal Death 24 wks

Jefferson
Rates per 1,000 Live Births Neonatal PostNeonatal

Neonatal

Maternal Health / Prematurity 2.9

Maternal Health / Prematurity 1.4

1500+ grams

Maternal Care 0.1

Newborn Care 0.0

Infant Health 0.7

1500+ grams

Maternal Care 0.3

Newborn Care 0.2

Infant Health 0.6

Feto-Infant Mortality Rate = 3.7

Feto-Infant Mortality Rate = 2.5

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 2012 Average age- 27.76 92% African American, 5% are white and 3% other or unknown 25.7% live below poverty 16.1% have less than a High School Diploma or GED 26% of the New Orleans metros 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 womens 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