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Increasing Access to Care for Pregnant Women through the Healthy Beginnings Campaign

Increasing Access to Care for Pregnant Women through the Healthy Beginnings Campaign. Belinda Rogers, CIMI, CD(DONA) March of Dimes Oklahoma State Chapter. Objectives. Detail Successes and Challenges Encountered in Reaching High-Risk Women.

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Increasing Access to Care for Pregnant Women through the Healthy Beginnings Campaign

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  1. Increasing Access to Care for Pregnant Women through the Healthy Beginnings Campaign Belinda Rogers, CIMI, CD(DONA) March of Dimes Oklahoma State Chapter

  2. Objectives • Detail Successes and Challenges Encountered in Reaching High-Risk Women. • Discuss the Project Impact on Increasing Access to Care. • Describe the Role Community Outreach Workers Played After the Department of Human Services Staff Reductions.

  3. Infant Mortality rates by race/ethnicity: Oklahoma and US, 1999-2001 Average Source National Center for Health Statistics, final natality data Retrieved January 28, 2005, from www.marchofdimes.com/peristats

  4. Late/No Prenatal Care ratesby race/ethnicity: Oklahoma and US2001 Source National Center for Health Statistics, final natality data Retrieved January 28, 2005, from www.marchofdimes.com/peristats

  5. Uninsured Women rates: Oklahoma and US2001 Source National Center for Health Statistics, final natality data Retrieved January 28, 2005, from www.marchofdimes.com/peristats

  6. Intervention March of Dimes Strategy to: Increase access to early prenatal care among low-income pregnant women Increase pregnant women’s knowledge about importance of early prenatal care

  7. Healthy Beginnings Campaign Goal: Improve the rates of early prenatal care March of Dimes and Oklahoma Institute for Child Advocacy Build upon Covering Kids Partnership model Three year statewide project, 2002-2004

  8. Healthy Beginnings Campaign 3 Major Strategies Expand outreach to pregnant women Connect women to available health resources Serve as an outreach catalyst for state and community organizations

  9. Implementation of HBC Train DHS Outreach workers Expand outreach efforts MCH community resources March of Dimes educational resources Media Campaign

  10. Instant Road Block

  11. Early Challenge State Budget Cuts Loss of 52 DHS outreach workers Impact on campaign What now?

  12. Now What? New HBC Strategy Direct collaboration Training Technical Assistance

  13. Healthy Beginnings Campaign Start with Select Pilot Sites Intense outreach training Community approach Specific outreach strategies Small funding stream Statewide Outreach Catalyst

  14. Initial Pilot Sites Babyline-Tulsa County Better Babies-Cleveland County Cherokee Nation-Cherokee County Variety HealthCenter-Oklahoma County

  15. Specific Pilot Strategies Babyline-Tulsa County Utilized sophisticated information and referral service Direct referrals for pregnancy testing and prenatal care One-on-one application assistance Enrolled 3,211 pregnant women in SoonerCare

  16. Specific Pilot Strategies Better Babies Clinic-Cleveland County Utilized a Promotora and bilingual outreach specialist Community involvement key to success One-on-one application assistance Promotora trusted member of community Provider of prenatal services Enrolled 595 pregnant women into SoonerCare

  17. Specific Pilot Strategies Cherokee Nation-Cherokee County Utilized incentive program Community involvement key to success Trained “Patient Advocates” to conduct outreach activities One-one-application assistance Enrolled 2,035 pregnant women into SoonerCare

  18. Specific Pilot Strategies Variety Health Center-Oklahoma County Utilized a Promotora Community involvement key Clinic and Promotora trusted in community One-on-one application assistance Provider of pregnancy testing and prenatal care Enrolled 3,359 pregnant women into SoonerCare

  19. Subsequent Pilot Sites • WIC-Central Office-Oklahoma County • County Health Departments(top 5 counties w/highest birthrates) • Margaret Hudson Program-Tulsa County

  20. Specific Pilot Strategies WIC-Central Office-Oklahoma County Utilized in-take worker to enroll clients Trained worker on outreach and enrollment One-on-one application assistance Enrolled 1,464 pregnant women into SoonerCare

  21. Specific Pilot Strategies County Health Departments (highest birthrate counties) Utilized outreach workers at each CHD One-on-one application assistance Direct referral for prenatal appointments Enrolled 2,337 pregnant women into SoonerCare

  22. Specific Pilot Strategies Margaret Hudson Program-Tulsa Utilized trained nurses to conduct enrollment Focus on pregnant and parenting adolescents One-on-one application assistance after pregnancy testing or prenatal visits Enrolled 886 pregnant adolescents

  23. Pilots Shared 3 Components • Dedicated Outreach Staff • One-on-One Assistance • Trusted in Community

  24. SoonerCare Enrollment

  25. Enrollment by Pilot Site 140 123 Average Monthly 120 SoonerCare Enrollments 107 100 88 86 80 73 71 71 65 60 42 40 31 30 23 20 15 13 7 0 Variety Health Better Babies Babyline Cherokee Nation

  26. Statewide Catalyst • Electronic Newsletter • Online Resource Directory • Training and Technical Assistance • Media Campaign

  27. Newsletter • Electronic • Quarterly • Effective Conduit • Only Statewide MCH Newsletter

  28. Online Resource Directory • First-ever Comprehensive MCH Online Directory • Maintenance is On-Going • Recent Addition

  29. Training and Technical Assistance • Community Organizations • Physician Groups • Indian Health Services • State Agencies • State and Local Coalitions

  30. Media Campaign • Corporate Partnerships • Billboards and Bus Shelters • Television Media • Print Media

  31. Campaign Results • Over 1,300 People Trained on SoonerCare Outreach and Enrollment • Technical Assistance Provided to Over 300 Organizations • Enrollment of Nearly 15,000 Pregnant Women Over Three Years

  32. Lessons Learned • Removing Financial Barriers to Prenatal Care • Involving the Community in Planning and Implementation • Reduce System Barriers by Strong Referral Links for Care • Marketing Services Through Media, Education, and Web-based Means

  33. Other Key Outcomes Policy Issues Maintaining eligibility for pregnant women Prenatal care for undocumented Hispanic women

  34. “Never doubt that a small group of thoughtful committed citizens can change the world. Indeed, it is the only thing that ever has”. -Margaret Mead

  35. Contact Information Belinda Rogers March of Dimes Oklahoma State Chapter 5100 N. Brookline, Suite 270 Oklahoma City, OK 73112 405-943-1025 brogers@marchofdimes.com

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