1. Integrating Preconception Health into Daily Practice: Strategies for Workforce Development Giannina Donatoni, M.T.(A.S.C.P.), Ph.D. Los Angeles County- Department of Public Health Maternal, Child and Adolescent Health Programs

2. Thank you to Denise Gee, R.D., M.P.H. Cynthia Harding, M.P.H. Victoria Lombardo, M.S.N., R.N. Maryjane Puffer, B.S.N., M.P.A. Diana Ramos, M.D., M.P.H. Naveen Sangwan, M.B.A., M.P.H.

3. Today’s Presentation  Setting the stage  From data to training  Strategies for workforce development

4. Los Angeles County Preconception Health Collaborative California Family Health Council LA Best Babies Network LA County Department of Public Health March of Dimes PHFE – WIC Program Perinatal Advisory Council – Leadership, Advocacy, and Consultation VA Greater Los Angeles Healthcare System

6. Los Angeles County Preconception Health Community Profile Los Angeles County Public Health Department Los Angeles County Public Health Department Foundations Churches Schools LAC Dept LAC Dept Parks & RecreationFirst5 LA Mental HealthCalifornia FamilyBlack Infant Breastfeeding Health CouncilsHealth Program Hospitals Task Force of Greater Los Asthma Angeles Coalition MCH Access Service PHFE-WIC Planning Areas LA Best Physicians LAC Health March ofHealthyBabiesMidwives Dept of Public Plans DimesBirthsNetwork Nurse Practitioners Social Services LearningCommunity Clinics LA CareCollaborativesAssociation

7.  Public Health workforce  Importance and relevance to the life course  Key time to address  Strategies to address  Preventive services to address Speakers’ Bureau Presentation

8. Speakers’ Bureau Presentation Content  A buse  B ehavioral  C hronic Disease  D iet, D rugs, and D ads  E nvironmental E xposures  S TIs, S hots, and S creening

9. Speakers’ Bureau Presentation Post-Training Evaluation  99% knew components of preconception health  20% could identify optimal opportunities to address preconception health  16% could not determine how to incorporate preconception health into their work

11.  Define preconception health and its components  Describe at least two models of integrating preconception health into practice  Identify specific strategies to put into daily practice

12. Engage with Data http://publichealth.lacounty.gov/ha/reports/habriefs/2007/Preconception_ Final_sec.pdf

13. Preconception Health Update Post-Training Evaluation  72% address healthy weight  69% address contraception  63% folic acid  70% promote breastfeeding  72% use online resources

14. Preconception Health Collaborative Web Site http://publichealth.lacounty.gov/mch/ReproductiveHealth/Preconception Health/PreconceptionHealth_rev.htm

15. Interconception and Preconception Health Summit  Interconception Care Project of California algorithms and patient education materials  Relate maternal and infant health, birth outcomes, and interconception/preconception health  Link to life course

16. Strategies for Workforce Development  Preconception health components and life course  Provide action steps for integration into daily practice  Pre/post test questionnaires to assess quality and effectiveness of training  Commitment cards to motivate and suggest activities

17. Los Angeles County Department of Public Health Maternal, Child, and Adolescent Health Programs Giannina Donatoni, M.T.(A.S.C.P.), Ph.D. gdonatoni@ph.lacounty.gov