1. United Way Success By 6 Liberty City Outreach Initiative
Support
Collaboration
Presented by

2. Overview of Healthy Start
Implemented on April 1, 1992
Reduce infant mortality, reduce the number of low birth weight babies and improve health and developmental outcomes
Offers universal prenatal and infant risk screening to identify pregnant women and infants at risk for adverse birth, health and developmental outcomes.
Offers care coordination services that support families in reducing factors that place pregnant women and infants at risk for poor outcomes.

3. Introduction
Grant awarded in October 2002 to the Healthy Start Coalition of Miami-Dade in partnership with the Economic Opportunity Family Health Center, Teen Pregnancy Prevention Center, and Health Council of South Florida.
Funds are available from the United Way of Miami-Dade Success By 6 Program.
The goal of the Initiative is to increase the number of completed Healthy Start prenatal screens by conducting intensive outreach to pregnant women and teens in zip code (Liberty City).

4. Outreach and self-referrals in Liberty City
Design
Outreach and self-referrals in Liberty City
Increase Healthy Start prenatal risk screens (Early detection of women who are identified at risk for poor birth outcomes)
Provision of Healthy Start core services
Decrease preterm birth in Liberty City from 12.8% in 1999 to 10.6% in 2005

5. Evaluation of Outreach Efforts

6. Zip Codes of Participation
The highest percentage of women came from zip code 33147
In the second six months of outreach prescreened women came from 24 additional zip codes (27 versus 51 zip codes of participation)

8. Zip Codes of Participation October 2002 – March 2004

9. Demographics
Ages of women contacted during Year 1 of outreach ranged 30 years, from 14 to 44

10. Demographics A high rate of participation by unwed mothers
Compared to Census data, within Non-Hispanic Blacks were over-represented; Hispanics were under-represented

11. Self-Referrals by Race October 2002 – March 2004

12. Awareness of Healthy Start October 2002 – March 2004

13. Achievements for Year 1
20.4% of women from were aware of Healthy Start; overall 19.7% were aware the program
In 33147, 1.9% were aware because of Initiative activities compared to 11.1% in and 4.2% of all other zip codes
There is an opportunity challenge to raise awareness of Healthy Start
100% of prescreened women from were assigned to Healthy Start providers

14. Prenatal Screening Results for Year 1
Based on the Self-Referral forms, the leading reasons for referral were: stress (33.3%), no medical coverage/insurance (9.3%), and unemployed/partner unemployed (7.4%)

15. Process Achievements/Limitations
Outreach partners each met their goals for contacts (405 contacts)
Direct outreach (i.e. street-level) was the most successful
Follow-up procedures were perceived as labor intensive and unrealistic
Each outreach partner adopted their own method of follow-up
Outreach partners found that prescreened women came to expect a high level of interaction with Healthy Start case managers

16. Recommendations Efforts in year two should focus on:
Exploring new locations for outreach
Utilizing high visibility, public events as opportunities for collaboration among outreach partners
Building/strengthening relationships with medical providers
Implementing or developing new follow-up procedures

17. Healthy Start Coalition of Miami-Dade
Contact Us
Healthy Start Coalition of Miami-Dade
3250 S.W. 3rd Avenue
Miami, Florida 33129
Phone: (305)
Fax: (305)