1. Target Population & PICO Question Target Population: Newborns with a birth weight lower than 5.5lbs PICO Question: What interventions can be implemented to decrease the disparities in infants born in the low birth weight category? P: Low birth weight newborns I: Lifestyle changes and improving access to healthcare C: Multicultural cities in Toronto O: Increase in birth weight of minority newborns Information Technology ●Segregation in Chicago communities, particularly in African American communities, show the greatest risk for low birth weight ●Isolation from healthy food options and quality healthcare because of lack of integrated in communities ●Many families do not have access to a car. However, public transportation is available but my take much longer to reach quality healthcare ●A majority of residence are unemployed in these segregated neighborhoods and makes it difficult to create booming economic development ●Abandoned lots and houses along with minimal thriving businesses Community Health Needed Increased risk of immature development among low birth weight newborns related to environmental and maternal health status as demonstrated in a CDC report showing that 14% of African Americans women have a premature newborns and low birth weight newborns compared to white women that have rate of 9%. Effective Communication ●Fernando De Maio is a Professor of Sociology at DePaul University and supports the claim that segregated communities in Chicago have higher rates of newborns that have low birth weights. He has also compared data from different neighborhoods in Chicago which supports the claim. ●There has been complementary data collected in segregated areas on low birth weights in Toronto, which showed that even though their “worst off” areas demonstrated low birth weight newborns, the statistics were still higher (11%) than Chicago’s 14%. Evidence Based Practice Policy ●Interventions to accomplish this goal identified include: reduce the amount of tobacco use and secondhand smoke, alcohol consumption and exposure to environmental pollutants ●Smoking cessation and alcohol consumption: health promotion, restoration and maintenance ●Environmental pollutants: health promotion Person-centered Health Outcomes ●Healthy People 2020 has identified an Objective of reducing low birth weight and very low birth weight newborns. References Alumnisocialmedia. (2018, November 19). Stay connected to DePaul University alumni, students, faculty and staff. DePaul Magazine. Retrieved January 22, 2019, from https://depaulmagazine.com/2018/01/26/what -health-disparities-tell-us-about-chicago-2/ https://depaulmagazine.com/2018/01/26/what -health-disparities-tell-us-about-chicago-2/ Maternal, Infant, and Child Health. (2007). Retrieved January 22, 2019, from https://www.healthypeople.gov/2020/data- search/Search-the-Data?nid=4903 https://www.healthypeople.gov/2020/data- search/Search-the-Data?nid=4903