Genesee District Sound Begin.


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Giving African American Babies a More advantageous Begin Genesee District Sound Begin Bolstered to a limited extent by undertaking H49MC00148-05-00 from the U.S. Division of Wellbeing and Human Administrations, Wellbeing Assets and Administrations Organization, Maternal and Youngster Wellbeing Department (Title V, Standardized savings Act).
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Giving African American Babies a Healthier Start Genesee County Healthy Start Supported partially by venture H49MC00148-05-00 from the U.S. Division of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act).

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Our Community

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Genesee County, Michigan

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Flint, Michigan 4 th biggest city (120,000) Manufacturing base General Motors; UAW 35% populace diminish Poverty, unemployment, brutality Racial wellbeing differences Community activism

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Genesee County, Michigan African American White City of Flint: 55.8% 39.3% County: 20.2% 75.4% In the City of Flint… 45% of youngsters < 18 years live beneath neediness 28% of all families live in destitution 52% of female householder families live in neediness Population: 436,141 Source: U.S. Enumeration Bureau, American Community Survey Fact Sheet, 2004 and 2005

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OB Care in Genesee County 2,768 births/year 35% Medicaid births 811 births/year 8% Medicaid births 2,721 births/year 57% Medicaid births Averages ascertained utilizing 1997-2005 live conception information

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Healthcare in Genesee County 791 essential consideration doctors 6 affirmed attendant maternity specialists 85 pre-birth care suppliers at 49 destinations 3 perinatologists (2 high-chance facilities) 1 NICU 11 PNC supplier workplaces situated in  IM zips

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In Genesee County…. 6,282 births for every year (1998-2005 normal) by and large 69 newborn children pass on every year (2000-2006 Infant Deaths) Of the 69 baby passings, 34 are dark newborn children Black infants bite the dust 2-3 times more than different children

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Number of Infant Deaths By Race Genesee County, Michigan 1999 (2006 preparatory) Source: Genesee County Health Department, 1999-2006 Fetal-Infant Mortality Statistics

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Annual Infant Mortality Rates by Race Genesee County, MI 1999-2005 Source: Michigan Department of Community Health, Vital Records & Health Data Development Section.

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Infant Mortality Disparity Ratio* Genesee County, Michigan 1999-2005 *African American to White Disparity Ratios Source: Michigan Department of Community Health, Vital Records & Health Data Development Section.

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Infant Cause of Death Genesee County 2002-06 ( preparatory ) N=339

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Healthy Start Supported to some degree by task H49MC00148-05-00 from the U.S. Division of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act).

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Purpose To diminish baby mortality, lessen perinatal wretchedness, & enhance neonatal results among pregnant & baby blues African American ladies and newborn children & youngsters from conception to 2 years of age.

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Genesee County, MI Healthy Start Logic Model Partners Conditions (City of Flint) AA IM rate is 21.3* Low Birth Weight among AA is12.4% Very Low Birth Weight among AA is 3.7% *Per 1,000 live births Interventions Outreach Case Mgmt Screening/Assmt Home visits Support Groups Health Education Consortium Target Population Pregnant AA ladies AA/Bi-racial youngsters (conception to 2) Zip codes 48503,48504, 48458 Expected Outcomes >Access to PNC in first trimester >Babies > 5 ½ lbs >Medical home >Full-term babies >  ATOD >  Breastfeeding >  Immunizations >I.D. & allude for misery > independence >Reduce baby demise rate

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Care Team Registered Nurse Social Worker Community Advocate Registered Dietician Program Coordinator

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The Service Process Referral Enrollment Interview Assessment Care Meetings (Case Conferences) Risk Assessment Scale Goal & Service Plan Quarterly Review Home Visits Support Referrals

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“Closing the Loop”

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Our Goals for the Process Bring all accomplices “together” Maintain ONE consideration arrangement Stratify levels of consideration Guide/sort out work through the “chaos” of clients’ lives More precisely reflect level of staff work & customer advancement (hard to evaluate )

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Healthy Start Program Participants 2001-2006 1,008 Pregnant ladies 639 Infants under 1 year of age 270 Children 1-2 years old 772 Births

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How Do We Know What We’re Doing is Working?

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Successes Service Plans finished off at release Improved documentation Focus on recognized issues Consensus among Care Team individuals on release Care Team individuals gain from each other Compare/contrast individual staff evaluations Address issues with skill from different orders

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% Low Birth Weight* Among African Americans City of Flint and Healthy Start, 2001-2006* *Low Birth Weight is somewhere around 1500 and 2499 grams; 2006 HS information is temporary Source City of Flint information: Michigan Department of Community Health, Vital Statistics

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% Very Low Birth Weight* Among African Americans City of Flint and Healthy Start, 2001-2006* *Very Low Birth Weight is under 1500 grams; 2006 HS information is temporary Source City of Flint information: Michigan Department of Community Health, Vital Statistics

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Infant Mortality Among African Americans City of Flint and Healthy Start, 2001-05

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Factors Affecting Outcomes Higher danger mothers  more issues, harder to effect/influence change… Entry into project  late trimester = no effect on current pg (yet at the same time number details) Entry into PNC  higher danger mothers, harder to reach… by what means would we be able to enhance passage if can’t discover them? Documentation

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Marcia Franks Maternal/Infant Health & Mortality Programs Genesee County Health Department 630 S. Saginaw Street Flint, Michigan 48502 (810

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