SPARKING INTEREST & FOSTERING UNDERSTANDING IN COMMUNITIES USING PPOR Presenters: Barbara Freeman-Maney, MPH Martha Garcia

OBJECTIVES  To learn strategies to spark the interest and mobilize existing community agencies, residents, and elected officials to learn more about MCH issues impacting the community utilizing the PPOR approach  To learn presentation techniques to convey PPOR in an “easy-to-understand” format so that the general population will “get it” and be able to effectively develop community plans based on the data

Sparking Interest  Tailor the “courting” to match the existing MCH efforts of the community  South Phoenix – Healthy Start Consortium  Maryvale – “Community Mobilizer” to lead the efforts “Build on existing relationships or activities – personal and professional – before introducing PPOR”

Results  South Phoenix – provided structure to an already existing infant mortality reduction program (ex. Consortium activities)  Maryvale – recruitment of key community leaders to the table to learn more about the PPOR approach (ex. Town Hall)

Now that you have a captive audience how do you help them to understand the numbers?

Fostering Understanding  Use visuals to explain infant mortality African Americans (Arizona): IMR = 13.9/ live births 1000 births = 13.9 deaths African Americans (New Jersey): IMR = live births 1000 births = 13.5 deaths 3000 births = 40.5

Infant Mortality Rate Hispanics (South Phoenix): IMR = 7.1/ ,000 live births 1000 births = 7.1 deaths births = 85.2 deaths

What does this mean?  If African American women had the same number of births as Hispanics, with an IMR 22/1000, the number of deaths would go from 26 to 264! 1000 births = 22 deaths births = 264 deaths

Infant Mortality Utilizing the Perinatal Periods of Risk Approach ***Explain PPOR as an approach, not a program!!!

PPOR: Phase 1 Assign Each Death to a Cell g g Fetal Neonatal Post neonatal Maternal Health/ Prematurity Maternal Care Newborn Care Infant Health *Use dolls and tell a story, then have audience decide how that death would be assigned

Map Connections to Action Maternal Health/ Prematurity Maternal Care Newborn Care Infant Health Preconceptional Health Health Behaviors Perinatal Care Prenatal Care Referral System High Risk OB Care Perinatal Management Perinatal System Pediatric Surgery Sleep Position Breast-Feeding Injury Prevention

Results  Audience members were able to appropriately assign each death and think of potential prevention strategies  Personal testimonies by audience participants  Members responded with how they finally “got it”!

Conclusion: Keep it simple by building on existing relationships and personalizing PPOR with presentation props and personal testimonials!