1. [REMOVE THIS SLIDE BEFORE PRESENTING] Thank you for being a Healthy Texas Babies Champion! This is a fully customizable presentation that you can use with groups, leaders and individuals in your community to promote the Someday Starts Now effort. Tips for Using this Presentation: Adapt and adjust this template in a way that best fits the audience and the outreach activity. Not every slide may be suitable for every presentation you give. Slides with yellow and red text (such as this one) are designed for instructional use and should be deleted prior to giving a presentation. Slides 2 and 3 contain placeholder text that allows you to personalize the presentation. Some notes are already provided with the slides for your reference. It might be helpful to add your own notes and rehearse prior to presenting. Add your organization’s PowerPoint template or logo to this presentation in order to position yourself and your organization as a supporter of this effort.

2. Someday Starts Now A Healthy Texas Babies Initiative [Your Name] [Your Title] [Your Organization]

3. [I am / We are] a Healthy Texas Babies Champion [Add a short two- to three- sentence bio about yourself here and talk about why you (and your organization) are a supporter of the Someday Starts Now effort.] Add a Photo of Yourself that Exemplifies Your Story and Passion for this Particular Cause

4. Healthy Texas Babies Champions Raise awareness of the importance of being healthy before, during and between pregnancies Recruit new community champions for this effort Share free tools and materials that are available to you and your community Encourage you to make a difference and take action to reduce infant mortality in Texas

5. Our Community Needs Us Six out of 1,000 babies in Texas die before their first birthday. Premature birth is a leading cause. Why is this happening? – A woman’s poor health before pregnancy – Health risks in mom put baby at risk, too: Obesity High Blood Pressure Diabetes – Women are becoming moms later in life

6. Disparities are Highlighted: African Americans African American families are disproportionately affected by: Infant mortality Maternal mortality Low birth weight Prematurity Factors influencing these outcomes: These become modifiable risk factors when a whole community gets involved to change systems. Chronic stressCultural competence of providers Access to careHealth literacy Racial discriminationSocio-economic factors Weight managementHealth before pregnancy

7. Disparities are Highlighted: Hispanic Populations Hispanic mothers were 1.9 times more likely to begin prenatal care late, or not receive it at all The 2012 prematurity rate for Latino infants in Texas was higher than both whites and the state’s average Nearly 75 percent of Latinos were obese/overweight in 2009 Factors influencing these outcomes: These become modifiable risk factors when a whole community gets involved to change systems. Socio-economic factorsEligibility for nutrition programs Access to careExposure to less nutritious foods Access to healthy food Language barriers

8. What Can We Do About It? By taking charge of our health – Life planning tools – Manage conditions through a medical home – Avoid exposures, get protection By mobilizing our community around social determinants of health: poverty, racism, access to care, education By sharing the SomedayStartsNow.com site and tools with clients, health care and social service providers

9. About Someday Starts Now Launched in 2012 from Department of State Health Services Designed to help Texans live healthy now so that they can have a healthy baby someday Created as a public awareness campaign for Healthy Texas Babies, the state’s infant mortality reduction initiative

10. It’s easy to get involved… Visit SomedayStartsNow.com Join your local perinatal coalition Join the Texas Collaborative for Healthy Mothers and Babies Start spreading the word!

11. 12 Key Messages 1. Health Before Pregnancy7. Know Your Family History 2. Get Tested for STIs8. Avoid Alcohol & Tobacco 3. Men’s Health & Fatherhood9. Help Baby Sleep Safely 4. Prenatal Care in 1 st Trimester10. Folic Acid Every Day 5 High-Risk and Preterm Birth11. Vaccines for Everybody 6. Breast is Best12. Mental Health

12. Things to Know: Health Before Pregnancy Health before pregnancy often has a greater impact on the mother’s and baby’s health than her health during pregnancy. Management of chronic conditions like obesity, depression, diabetes and hypertension is vital to a healthy reproductive life.

13. Things to Know: Get Tested for STIs Men and women should get tested regularly and treated for sexually transmitted infections (STIs). Untreated STIs can make it difficult to get pregnant and can harm the developing baby.

14. Things to Know: Men’s Health & Fatherhood Men’s health – emotional, physical and mental – is also important to a healthy pregnancy. Men’s involvement with their partners and their babies is a great predictor of the baby’s success and the mother’s health and wellbeing. Visit the Live Like a Dad and Vive Como Papa website for tips.

15. Things to Know: Prenatal Care Prenatal care should begin in the first trimester (before the end of 13 weeks). Call your provider as soon as you find out that you’re pregnant to make an appointment – that way if you need to reschedule, you will still get seen before the end of your first trimester.

16. Things to Know: High-Risk and Preterm Births Women with previous high-risk pregnancies or whose babies were born prematurely need to get prenatal care on time and tell their providers about any complications they experienced. Some women can take medicine to prevent another preterm birth.

17. Things to Know: Breast is Best Encourage women to prepare for breastfeeding during pregnancy and help them get the support they need to meet their breastfeeding goals. Visit: BreastmilkCounts.com SupportfromDayOne.org TexasTenStep.com TexasMotherFriendly.org

18. Things to Know: Family History Partners should discuss their family health history with each other and with their provider before pregnancy. Prenatal testing for genetic conditions and newborn screening can identify life-threatening conditions and prepare families to handle them.

19. Things to Know: Avoid Alcohol and Tobacco No amount of alcohol or tobacco is safe during pregnancy. Alcohol can cause developmental problems that affect a baby’s brain and heart for a lifetime. Tobacco can increase a baby’s risk of Sudden Infant Death Syndrome (SIDS) and asthma. RESOURCES Alcohol & Other Drugs: 1-800-662-HELP Tobacco: 1-877-937-7848 www.YesQuit.com

20. Things to Know: Safe Sleep for Babies Protect Against SIDS and Sleep-Related Deaths Pregnant women should receive regular prenatal care Avoid tobacco exposure, alcohol and recreational drug use during pregnancy and after birth Back-to-Sleep for every sleep until age 1 Room sharing without bed sharing Breastfeeding is recommended and is highly protective Use firm sleep surface, well-fitting mattress Keep soft objects and loose bedding out of sleep area Consider offering a pacifier at nap time and bedtime after breastfeeding is well established (3-4 weeks postpartum) Avoid overheating

21. Things to Know: Folic Acid Women of childbearing age should take a daily multivitamin with at least 400 mcg of folic acid. Women need this vitamin in their bodies before pregnancy so their baby’s brain and nervous system develop normally, preventing birth defects.

22. Things to Know: Vaccinations Pregnant women should be vaccinated against flu and during the last months of their pregnancy against pertussis (whooping cough). Both parents should be vaccinated and should encourage anyone who will come in contact with their baby to be vaccinated too – grandparents, daycare providers and older siblings.

23. Things to Know: Mental Health It is estimated that one in five women experience depression during pregnancy and in the year after delivery. Mental health before, during and after a pregnancy is a significant factor in a baby’s health, and depression is treatable.

24. Slides 24-54: Community Supporters These slides have been developed for presenters speaking to community supporters to encourage them to become Healthy Texas Babies champions. If you are presenting to parents-to-be, parents or their family members, please delete these slides prior to your presentation. [REMOVE THIS SLIDE BEFORE PRESENTING]

25. Your Ultimate Resource Enhancement to SomedayStartsNow.com website that made it faster and easier to make a difference Easy-to-access information about healthy living – before, during and between pregnancies Downloadable materials and outreach strategies for community outreach

26. Downloadable Materials Someday Starts Now has created all the materials that you need to make community outreach easy: PowerPoint Presentation (this is it!) Letter Template Newsletter Article Op-Ed Article Letter to Elected Officials or Other Leaders Talking Points Frequently Asked Questions Healthy Texas Babies Champion Guide Media Toolkit

27. Free Printed Toolkits Someday Starts Now has created toolkits to use when you are reaching out to parents, parents-to-be and their support systems. Each toolkit is specifically designed to meet the needs of different audiences It’s easy to find the one that’s right for you Ordering is simple Toolkits are free

28. Order Your Free Toolkits To order your Someday Starts Now toolkits, visit the online order form here: http://hhsc.pinnaclecart.com/ http://hhsc.pinnaclecart.com/ – Create a login username and password – Enter name and address – Select “DSHS” from menu – Click on “Healthy Texas Babies”

29. [REMOVE THIS SLIDE BEFORE PRESENTING] Slides 29-36: Health Care Providers These slides have been developed for presenters speaking to health care providers to encourage them to become Healthy Texas Babies champions. Please delete if you are not presenting to this audience.

30. For Health Care Providers: Two Toolkits Designed specifically for community health practitioners Preconception Toolkit Pregnancy Toolkit

31. For Health Care Providers: Preconception Toolkits Toolkit focused on preconception messages How you can help your patients: –Screen for intimate partner violence and refer the patient to services. –Good preconception health starts with a reproductive life plan – use the Life Planning Tool to help your patients develop a vision for their reproductive years. –Inter-conception care: Remind your patients of the importance of spacing pregnancies 18-24 months and of the importance of managing chronic conditions and leading a healthy lifestyle that includes a balanced diet and exercise.

32. For Health Care Providers: Preconception Toolkit TOOLUSE Preconception Provider PosterPlacement in waiting rooms and exam rooms to open lines of communication Waiting Room DVDReel of public service announcements for your waiting room or outreach efforts Life Planning Tool Herramienta para Planificar la Vida Questionnaire that helps men and women develop a vision for their reproductive years (English/Spanish) My Health Priorities Worksheet Tu hoja de trabajo de prioridades de salud Resource to help patients prioritize their concerns during a clinical encounter (English/Spanish) Frequently Asked Questions Preguntas mas frecuentes de la paciente FAQs related to preconception and pregnancy health (English/Spanish) Women’s Wellness Checklist Lista De Control De Bienestar Para La Mujer Checklist that helps women learn about better health (English/Spanish) Men’s Wellness Checklist Lista De Control De Bienestar Para El Hombre Checklist that helps men learn about better health (English/Spanish) Alcohol and Pregnancy: Myths and Facts Alcohol y Embarazo: Mitos y Hechos One-page card with myths and facts about alcohol use during pregnancy (English/Spanish)

33. For Health Care Providers: Preconception Toolkit

34. For Health Care Providers: Pregnancy Toolkit Toolkit focused on pregnancy messages How you can help your patients: – Help patients develop a birth plan and refer them to birthing classes, doulas and breastfeeding resources. – Pregnancy lasts 40 weeks – vital development occurs in the last weeks of pregnancy. – Help patients sign up for Text4Baby, a free text message service for pregnancy and the baby’s first year.

35. For Health Care Providers: Pregnancy Toolkit TOOLUSE Prenatal Clinic PosterPlacement in clinic lobbies or waiting rooms to open lines of communication Waiting Room DVDReel of public service announcements for your waiting room or outreach efforts Your Birth Plan Tu Plan de Parto Questionnaire that helps parents-to-be ensure that their preferences for labor and delivery are clearly stated (English/Spanish) Life Planning Tool Herramienta para Planificar la Vida Questionnaire that helps men and women develop a vision for their reproductive years (English/Spanish) Frequently Asked Questions Preguntas mas frecuentes de la paciente FAQs related to pregnancy health (English/Spanish) Alcohol and Pregnancy: Myths and Facts Alcohol y Embarazo: Mitos y Hechos One-page card with myths and facts about alcohol use during pregnancy (English/Spanish) First Trimester Checklist Lista De Control Para Tu Primer Trimestre Checklist of 19 important recommended actions for pregnant women during their first trimester (English/Spanish)

36. For Health Care Providers: Pregnancy Toolkit

37. [REMOVE THIS SLIDE BEFORE PRESENTING] Slides 37-40: Doulas/Lactation Consultants These slides have been developed for presenters speaking to doulas/lactation consultants to encourage them to become Healthy Texas Babies champions. Please delete if you are not presenting to this audience.

38. For Doulas & Lactation Consultants Toolkit to share with patients and/or clients How you can help them: –Help your clients complete their Birth Plan and make informed labor decisions for pain management, coordination of care and particularly in transitioning at home after delivery. –Arm your clients with resources such as BreastmilkCounts.com and reinforce the importance of them following up for their six-week postpartum visit with their provider. –Help clients sign up for Text4Baby, a free text message service for pregnancy and the baby’s first year. Have clients text BABY to 511411 – it’s that simple.

39. For Doulas & Lactation Consultants: Someday Starts Now Toolkit TOOLUSE Waiting Room DVDReel of public service announcements for your outreach efforts Your Birth Plan Tu Plan de Parto Questionnaire that helps parents-to-be ensure that their preferences for labor and delivery are clearly stated (English/Spanish) Life Planning Tool Herramienta para Planificar la Vida Questionnaire that helps men and women develop a vision for their reproductive years (English/Spanish) Maps for New Dads Mapas para padres primerizos Handbook for navigating fatherhood and taking care of a new baby (English/Spanish)

40. For Doulas & Lactation Consultants: Someday Starts Now Toolkit

41. [REMOVE THIS SLIDE BEFORE PRESENTING] Slides 41-44: Community Advocates These slides have been developed for presenters speaking to community advocates to encourage them to become Healthy Texas Babies champions. Please delete if you are not presenting to this audience.

42. For Community Advocates Toolkit to share with community groups How you can help them: –Parents should have a car seat and know how to install it properly – get help from the Safe Riders program. –Increase awareness of fetal alcohol spectrum disorders in your community – these are 100- percent preventable birth defects. –Pregnancy lasts 40 weeks – important development of the lungs, brain, and digestive/immune systems happens from weeks 36 to 40.

43. For Community Advocates: Someday Starts Now Toolkit TOOLUSE Life Planning Tool Herramienta para Planificar la Vida Questionnaire that helps men and women develop a vision for their reproductive years (English/Spanish) Frequently Asked Questions Preguntas mas frecuentes de la paciente FAQs related to preconception and pregnancy health (English/Spanish) Waiting Room DVDReel of public service announcements for your waiting room or outreach efforts Your Birth Plan Tu Plan de Parto Questionnaire that helps parents-to-be ensure that their preferences for labor and delivery are clearly stated (English/Spanish) Someday Starts Now T-ShirtsAvailable in all sizes, these T-shirts help promote this effort in a visible way Media ToolkitBasic materials to help you reach out to local media Alcohol and Pregnancy: Myths and Facts Alcohol y Embarazo: Mitos y Hechos One-page card with myths and facts about alcohol use during pregnancy (English/Spanish) First Trimester Checklist Lista De Control Para Tu Primer Trimestre Checklist of 19 recommended actions for pregnant women during their first trimester (English/Spanish)

44. For Community Advocates: Digital Materials “Someday Starts Now” Website Banners “Text4Baby” Website Buttons “Show Your Love” Website Buttons “Show Your Love” Public Service Announcement

45. [REMOVE THIS SLIDE BEFORE PRESENTING] Slides 45-48: African American Advocates These slides have been developed for presenters speaking to African- American health advocates to encourage them to become Healthy Texas Babies champions. Please delete if you are not presenting to this audience.

46. For African American Advocates: We Need Your Help African Americans are disproportionately affected by infant mortality at a rate of 2 to 3 times that of white and Hispanic mothers. African American mothers are at a significantly greater risk of dying during pregnancy or within a year of delivery. These materials can impact those statistics for the better.

47. For African American Advocates: Someday Starts Now Toolkit Materials to share with your community What to say and how you can help: –Help women in your community prepare for pregnancy by completing the Life Planning Tool. –Encourage women to proactively manage the stressors in their lives. –Increase awareness of safe sleep – keep baby in the same room as mom, but not the same bed.

48. For African American Advocates: Someday Starts Now Toolkit TOOLUSE Beauty/Barber Shop Reversible PosterPoster to spark discussion about pre-pregnancy health Beauty/Barber Shop Tip CardsPocket-sized cards with campaign messaging Beauty/Barber Shop CapesBlack, waterproof capes with messaging printed in reverse for mirror-reading Life Planning ToolQuestionnaire that helps men and women develop a vision for their reproductive years Your Birth PlanQuestionnaire that helps parents-to-be ensure that their preferences for labor and delivery are clearly stated Someday Starts Now T-ShirtsAvailable in all sizes, these T-shirts help promote this effort in a visible way Alcohol and Pregnancy: Myths and Facts One-page card with myths and facts about alcohol use during pregnancy First Trimester ChecklistChecklist of 19 important recommended actions for pregnant women during their first trimester

49. [REMOVE THIS SLIDE BEFORE PRESENTING] Slides 49-53: Hispanic Advocates These slides have been developed for presenters speaking to Hispanic health advocates to encourage them to become Healthy Texas Babies champions. Please delete if you are not presenting to this audience.

50. For Hispanic Advocates: We Need Your Help Hispanic mothers were 1.9 times more likely than non-Hispanic white mothers to begin prenatal care in the third trimester, or to not receive any prenatal care at all. In Texas, the 2012 prematurity rate for Latino infants was higher than the rate for whites – at 12.5 percent – and slightly exceeded the state average of 12.4 percent. Nearly 75 percent of Latinos were obese or overweight in 2009—this can impact those “someday babies.”

51. For Hispanic Advocates: Someday Starts Now Toolkit Materials to share with your community What to say and how you can help: –Help women in your community prepare for pregnancy by completing the Life Planning Tool. –Encourage women in your community to discuss actions new moms should take during their first trimester, from choosing a health care provider to getting vaccinations and more. –Help women and men understand the importance of their health and its impact on a future baby.

52. For Hispanic Advocates: Someday Starts Now Toolkit TOOLUSE Poster: Nourish Your Healthy Life Alimente Su Vida Saludable Poster to spark discussion about pre-pregnancy health Tip Cards: Tips for Women’s Health/Tips for Men’s Health Consejos Para La Salud De La Mujer/Consejos Para La Salud Del Hombre Pocket-sized cards with campaign messaging and health advice for men and women Healthy Texas Babies Lunch KitInsulated lunch bag with a side pocket to keep nutrition top-of- mind Healthy Texas Babies Water BottleReusable water bottle to help remind everyone of the importance of hydration Life Planning Tool Herramienta para Planificar la Vida Questionnaire that helps men and women develop a vision for their reproductive years (English/Spanish) Your Birth Plan Tu Plan de Parto Questionnaire that helps parents-to-be ensure that their preferences are clearly stated (English/Spanish) Alcohol and Pregnancy: Myths and Facts Alcohol y Embarazo: Mitos y Hechos One-page card with myths and facts about alcohol use during pregnancy (English/Spanish) Algún Día Empieza Ahora T-ShirtsAvailable in all sizes, these T-shirts help promote this effort in a visible way First Trimester Checklist Lista de Control Para tu Primer Trimestre Checklist of 19 actions women should take during their first trimester (English/Spanish)

53. For Hispanic Advocates: Someday Starts Now Toolkit

54. Get Your Digital Pin “Someday Starts Now” digital pin Add to social media profiles Be proud of your role! SomedayStartsNow.com

55. Don’t Wait for Someday… Start making a difference now! Visit SomedayStartsNow.com to: –Get downloadable materials –Get printed toolkits [Delete this bullet if you are not presenting to supporters.] –Get your digital pin –Learn about the importance of healthy pregnancies

56. For You and the People You Love [Use this slide to list any materials you may have brought with you to the presentation.] List Item

57. Thank You Questions? [List your contact information here:] [Name] [Title] [Organization] [Website] [Email] [Twitter Handle]