"Using the PPOR Approach for Preconception Health

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"Using the PPOR Approach for Preconception
HealthDebra BaraLori Reeves
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Defining Political Will

• Will -- volition, implies action
• About taking action -- moving beyond concepts and
  talk -- Data to Action
• Between Data and Action is Will
• Building Support at a broad level to move from
  concepts to plan for action to improve maternal
  and child health.

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Why Build Political Will?

• Purpose
• Influence Decision Making/Policy
• Influence Services/Programs
• Resource Allocation in a world of budget cuts

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How do you begin?

• Partnership development is key
• Identify key decision makers
• Identify organizations/agencies that may
  influence decision makers

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Multi-level Partnerships

• CityMatCH organized -- National Partners
• March of Dimes Perinatal Data Center
• CDC
• HRSA
• State and Local Partners
• Maternal and Child Health Coalitions
• County/City Health Departments
• March of Dimes Florida Chapter

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Goal of Partnerships

• Develop linkages to existing related efforts,
  such as
• Fetal and Infant Mortality Review (FIMR)
• State and Federal Healthy Start
• State and County Health Departments
• Floridas Department of Health
• March of Dimes

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Strategy

• Florida PPOR Practice Collaborative
• Three PPOR projects participated in the national
  project
• Jointly wrote proposal to FL March of Dimes to
  fund training

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Strategic Partners

• Approached 7 largest counties with 60 of all
  Florida births
• Included Florida Department of Health
• Local Healthy Start Coalitions and County Health
  Departments in those communities (Miami/Dade, Ft.
  Lauderdale, West Palm Beach, Orlando,
  Jacksonville, Tampa, St. Petersburg)

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Refocus Program Services to Meet Needs

• Consistent finding among collaborative --
  Maternal Health
• March of Dimes focus on Prematurity Campaign --
  rising rates of prematurity over time
• Need to think out of the box on solutions
• What we have been doing -- has not been working

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Maternal Health Chronic Disease Prevention
(Obesity, Diabetes, Hypertension)
Maternal Care Expansions to Medicaid High Risk OB
Care Regional Perinatal Centers
Newborn Care Surfactant NICUs Advanced Technology
Infant Health Healthy Start Back to Sleep
Campaign SafeKids Injury Prevention
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Results

• Developed consensus within Floridas Department
  of Health and the Florida Association of Healthy
  Start Coalitions to expand Healthy Starts focus
  to one of interconceptional care
• Formalized protocol and interventions for
  interconceptional care model within Healthy Start

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Results (cont.)

• Educating MCH partners around the state on
  disparities in area of maternal/preconception
  health
• A new approach, to think beyond just prenatal
  care access and quality
• March of Dimes MCH Prematurity Leadership Summit
  findings need stronger focus on
  preconception/interconception health.

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New Partners? Next Steps?

• To go where no one has gone before. . .
• State Community Health Centers
• Primary Health Care Providers
• Adolescent Health vs. infant health
• earlier focus on obesity prevention, fitness,
  nutrition,vitamin consumption
• school health programs
• school activities and after-school programs

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• Questions?