Embracing Child and Maternal Health FWT – a centre for women By :Noreen Bukhari (MAMTA Manager) Date: Migrant Workshop Jan 2014

Presentation – Content MAMTA –introduction Touch on the context nationally and locally Touch on issues facing migrant communities MAMTA service delivery- Community based approach in tackling some of the issues

MAMTA Child & maternal health service The aim of MAMTA is to empower women to take control of their own and their children’s health Working with and supporting health professionals Improving health of mothers and infants Offering support, education in culturally appropriate ways

Health Inequalities and Infant Death - National Context Review of Health Inequalities –’Infant Mortality’ PSA Target (DH 2007) Public Health White Paper Infant Mortality Impact Inequalities in access to antenatal and postnatal care are apparent. Late antenatal booking particularly for teenage mothers and mothers from BME groups also has a significant impact upon infant mortality

Birth Rate Increase The birth rate in Coventry is continuing to rise annually Increase in birth rate in Coventry since 2001 Largest proportion of births in Coventry occur most deprived quintile..

Coventry Births by Mothers Region of Birth Region of Birth mothers Asia, Africa and Europe make up the largest groups after UK. Births to African and Asian mothers have slightly reduced over past 5 years Births to European mothers doubled from 4% in 2006 to 9% in 2010

Migration in Coventry Coventry has experienced the greatest increases in migration over the last decade - second only to London. Over 38, 000(12%) of Coventry’s residents are non-UK born. Poland, India, Nigeria, Latvia and Slovakia were the main sources of migration in addition to a large Roma community South Asian communities still form the largest Black and Minority Ethnic (BME) communities within the city, these communities are now more established- Barriers Health Impact

MAMTA SERVICE: MAMTA was set up, to work specifically with women from BME groups to promote positive maternal and child health, addressing health inequalities and infant mortality

MAMTA- Snapshot Users: 20,165 of MAMTA contacts from the year April 2002-September 2014 Ethnicity: Pakistani, Indian, African, Bangladeshi, Other white( Romanian,Polish, Russian, Slovakian, Portuguese, Czech, Albanian) Other Ethnic Groups Age Group: 71%: 21-34, 20% :Under 20, 6%:35-44

MAMTA- Snapshot Improved Outcomes: Behaviour Change April 2012-September 2014 Breastfeeding Healthy Start Breastfeeding at 6-8 weeks after MAMTA advice TOTAL 84% (511/607 ) Receipt of free healthy start vitamins antenatally after MAMTA intervention TOTAL 78% (208/266 )

MAMTA Support Model Specialised service MAMTA support mainstream professionals and work in partnership with services to deliver services in relation to BME groups  Support the community: Support women Educating Recognize & highlight need Using evidence based interventions

User Comments African, Residing in UK for 2 years- MAMTA helped me gain knowledge about my pregnancy that I did not have. The language and cultural support helped me understand my needs. I found the parent craft very useful and I learned a lot about where to go for further support. Pakistani, in UK for 1 year- I feel very confident now about having my baby. When I came to this country I was all alone and had no support apart from my in laws. I felt nervous asking questions. MAMTA helped me learn about the health system and how to look after myself and baby.

MAMTA –External Achievements  Compact Awards 2010, ‘OSCA’- UHCW 2008,  Channel 4 News & Articles national and local  Partner of the Coventry City Council Reducing Health Inequalities Beacon Award 2008/9  Partner in various projects with Public Health & Coventry University  2 POSTIVE Evaluations  DOH visits  Good Practice -Reports -

Lessons Learnt Clear issues within migrant population -impact on health behaviours On going monitoring -need and gaps Community based model – can have impact Engaging working & involving the community THANK YOU FOR LISTENING