1. The Healthy Mothers, Healthy Babies Plan: An assessment of South Carolina’s efforts to reduce infant mortality and improve maternal and child health outcomes Amanda Terminello, MPH Public Health Associate Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support PHAP/PHPS Summer Seminar June 2, 2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support

2. Outline  Background: Maternal and Child Health in S.C.  Introduction: Healthy Mothers, Healthy Babies Plan  Overview: Healthy Mothers, Healthy Babies Assessment  Implications for Practice and Public Health Impact

3. MATERNAL AND CHILD HEALTH IN SOUTH CAROLINA Background

4. Infant Mortality in South Carolina  S.C. 2011 Infant Mortality Rate – 7.4 per 1,000 live births  U.S. Rate: 6.1 per 1,000 live births  S.C. 2013 Infant Mortality Rate – 6.9 per 1,000 live births  White: 5.5 per 1,000 live births  African American/Black: 10.0 per 1,000 live births  Major Causes:  Low Birth Weight / Premature Birth  Birth Defects  Sudden Infant Death Syndrome (SIDS) & Accidents *South Carolina Department of Health and Environmental Control, 2013 South Carolina Residence Data

5. HEALTHY MOTHERS, HEALTHY BABIES PLAN Introduction

6. Healthy Mothers, Healthy Babies Plan  First Released in 2013  Designed to be a comprehensive, state-wide effort  Bridge existing efforts and build consensus  Goal:  Present broad priority areas and specific strategies to impact the risk factors that cause infant morality in a comprehensive plan  Accumulated effects of the strategies implemented based on the recommendations in the report to reduce infant mortality

7. HMHB Conceptual Model

8. HMHB Recommendations and Strategies  Improve Access to Systems of Care  6 strategies  Promote Use of Evidence-Based Practices  13 strategies  Promote Health across the Lifespan  4 strategies  Use Data to Inform Practice and Drive Decision-Making  6 strategies  Eliminate Disparities and Promote Health Equity  5 strategies

9. HEALTHY MOTHERS, HEALTHY BABIES ASSESSMENT Overview: Introduction, Methods, and Results

10.  Over 35 semi-structured interviews  Understand current activities  Develop SMART objectives  Over 15 agencies  Nonprofits / CBOs  Public health organizations  Healthcare organizations  State agencies  MCH coalition  Purpose to identify:  Current partners and activities  Goals and progress  Successes and areas for improvement  Guide decision-making and resource allocation  Improve coordination (quality) of MCH services HMHB Assessment Overview

11. HMHB Assessment Results  Priority Area Rankings (31)  Current Active Engagements (11)  Sustained Activities (7)  Opportunities for Future Activity (6)  Unable to be Categorized at this Time (7)  Recommendations for Future Action  Continue to expand or target ongoing activities Guided by data Health equity  Explore future opportunities for which current activities are minimal or not identified

12. Continuous and Ongoing Assessment  Further interviews to be conducted in priority areas unable to be categorized at this time  Identified additional partners to be included  Focus on less-established partnerships  Input from public health leadership and stakeholders  Development of a regional resource inventory

13. IMPLICATIONS FOR PRACTICE AND PUBLIC HEALTH IMPACT HMHB Assessment

14. Implications for Practice  State Health Department  Enhances awareness of existing programs and services  Builds relationships with stakeholders and organizations  Directly contributes to state MCH needs assessment  Identifies assets and existing capacity  Provides strategic planning opportunities for organizations  Improves coordination  Provide key partner information according to priority areas

15. Public Health Impact  Allows decision makers to better understand strengths and opportunities for improvement of MCH services across S.C.  Guides resource allocation and capacity-building efforts  Facilitates collaboration and improves quality of services

16. For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support 4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: OSTLTSfeedback@cdc.govWeb: http://www.cdc.gov/stltpublichealthOSTLTSfeedback@cdc.govhttp://www.cdc.gov/stltpublichealth The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Thank You! Any Questions? Amanda Terminello, MPH yoz5@cdc.gov 803-898-0384 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support