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November 2013

Reducing the infant mortality rate in Cincinnati and Hamilton County. November 2013 . Why?. Speak up for those who cannot speak for themselves; ensure justice for those being crushed. Proverbs 31:8 (NLT). Why infant mortality is so important. Every life matters

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November 2013

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  1. Reducing the infant mortality ratein Cincinnati and Hamilton County November 2013

  2. Why?

  3. Speak up for those who cannot speak for themselves; ensure justice for those being crushed.Proverbs 31:8 (NLT)

  4. Why infant mortality is so important Every life matters Cincinnati and Hamilton County have unacceptably high rates It is an indicator of the overall health of the community It reveals inequalities in our community It is extremely expensive and that cost affects us all

  5. Who?

  6. What?

  7. What is “infant mortality rate”? • Deaths per 1,000 live births in a specific geographic location • “Live birth” in Ohio includes any baby who is born and either:has a pulse OR takes a breath OR shows movement of voluntary muscles • Counted until first birthday • Counted at Mom’s home address • Speaks to the health of a geographic place, not specific programs

  8. Where we are today 11.3 6.05 7.7 8.9 • The infant mortality rate in Hamilton County between 2007-2009: • 6.4 among Caucasians • 9.8 among Hispanics • 16.9 among African Americans

  9. What causes infant mortality? • Which can • driven by • Family history of premature birth • Illness during pregnancy • Chronic illness • Short interval between pregnancies • Infertility treatment • Prior preterm birth • Genetic influences • Smoking • Poor nutrition • Obesity • STDs • Stress • Alcohol abuse • Drug abuse • Appropriate weight gain during pregnancy • Amount of prenatal care • Age of mother • Physical environment • Air pollution • 2nd hand smoke • Official “Cause of Death” • Premature Birth • Birth Defects • SUIDS/SIDS • Maternal Complications of Pregnancy • Accidental injury • CDC has 130 official causes • Which are almost all affected by • Socioeconomic status • Neighborhood • Race • Education level • Level of social support

  10. How?

  11. We have a unique opportunity to make an impact working together • Problem is bigger than any one institution or program • Just like no single institution is responsible for infant deaths, no single institution can solve the problem alone • Trading credit for credibility

  12. It takes an entire community to make an individual healthy.

  13. Supportive friends, family. Maybe a church or a community group. It takes an entire community to make an individual healthy.

  14. Access to healthy food. It takes an entire community to make an individual healthy.

  15. Quality health information. It takes an entire community to make an individual healthy.

  16. Space to be active. It takes an entire community to make an individual healthy.

  17. Quality primary care with trained professionals. It takes an entire community to make an individual healthy.

  18. A sense of safety. It takes an entire community to make an individual healthy.

  19. Quality housing. It takes an entire community to make an individual healthy.

  20. A social safety net. It takes an entire community to make an individual healthy.

  21. Reliable transportation. It takes an entire community to make an individual healthy.

  22. A good job. It takes an entire community to make an individual healthy.

  23. Great hospitals. It takes an entire community to make an individual healthy.

  24. Agents of change. It takes an entire community to make an individual healthy.

  25. It takes an even larger community to bring a mom successfully through pregnancy and a baby through his or her first year. It takes an entire community to make an individual healthy.

  26. It takes an entire community to make an individual healthy.It takes an even larger community to bring a mom successfully through pregnancy and a baby through his or her first year.

  27. Collective Impact • A new model for addressing complex social problems • Five components: • Common agenda • Shared measurement system • Mutually reinforcing activities • Continuous communication • Supporting backbone organization

  28. Roadmap for Success

  29. Journey to a Healthy First Birthday VISION: Every Child Born in Hamilton County Reaches His or Her First Birthday Year One Preconception Pregnancy Every woman starting pregnancy is healthy enough for a successful outcome. Family is supported by its community and baby is thriving at its first birthday. Every mom carries her baby to full term and both mom and baby are healthy at birth.

  30. Journey to a Healthy First Birthday VISION: Every Child Born in Hamilton County Reaches His or Her First Birthday Key measures • Family planning • Stress • Social and emotional support • STDs • Substance Abuse Rates (Tobacco, Alcohol, Illegal Drugs) • Weight • Stable Housing • Waiting 18 months or more between pregnancies • Having access to a doctor Preconception Preconception Every woman starting pregnancy is healthy enough for a successful outcome. Every woman starting pregnancy is healthy enough for a successful outcome.

  31. Journey to a Healthy First Birthday VISION: Every Child Born in Hamilton County Reaches His or Her First Birthday Pregnancy Pregnancy Every mom carries her baby to full term and both mom and baby are healthy at birth. Every mom carries her baby to full term and both mom and baby are healthy at birth. Key measures • Preterm Birth Rate • Amount of prenatal care • Smoking rates during pregnancy • % of pregnant women with previous pre-term birth • Diabetes and Hypertension during pregnancy

  32. Journey to a Healthy First Birthday VISION: Every Child Born in Hamilton County Reaches His or Her First Birthday Key measures • Unsafe sleep deaths • Breastfeeding • Postpartum checkups • % of eligible women connected to a community health worker, home visitor or case worker during the first year of baby’s life • Postpartum depression Year One Year One Family is supported by community and baby is thriving at first birthday. Family is supported by its community and baby is thriving at its first birthday.

  33. The ABCs of Safe Sleep • 18 babies die per year • Babies sleep safest • Alone • On their Back • In a Crib • Onesies and books to every new mom in October • Media outreach • Partnership with Kroger

  34. When?

  35. Where we’ve been… June • Public launch of the initiative July • First meeting; vision: Every child born in Hamilton County will live to see his or her first birthday. Aug • Approval of 20+ key indicators of infant and maternal health Oct • Review of existing services and interventions • Launch of Cradle Cincinnati brand Nov • Review of initial baseline data around key indicators • Focus groups in the community

  36. Where we’re going… Dec • Intervention planning(Part 1) • Setting three areas of focus for 2014 Jan • Intervention planning (Part 2) • Release baseline report to the community including 2013 IMR Feb • Action teams form around areas of focus. • Community feedback sought on area of focus. Mar • Strategic plan approved. Apr • Each team reports plan to Advisory Board. • Deep dive on data for each of three areas of focus.

  37. How pregnancy center volunteers can help • Prayer • Support for pregnant women and new mothers • Strong moral voice • Connection with health ministries • 2014 education campaigns • Safe sleep for babies • Pregnancy Spacing • Smoking during pregnancy • Accessing prenatal care

  38. www.cradlecincinnati.org Executive Director, Ryan Adcock: 513-803-1285 @CradleCincy facebook.com/cradlecincinnati

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