1. 1 PPOR Level 2 Assessment Findings June 6, 2006

2. 2 Questions addressed by PPOR assessment findings  How many individuals/agencies/cities in the CityMatCH PPOR Level 2 Network are using the PPOR approach to address fetal-infant mortality?  Is PPOR a value-add to addressing infant mortality in these areas?  What are the resources (funding and strategies) available to level 2 network members to implement PPOR in their areas?  What are the most abundant prevention strategies being implemented based on the data?

3. 3 2006 CityMatCH PPOR Assessment Response Rate 48.1% (26 out of 54)  Responded Mobile, AL Phoenix, AZ San Leandro, CA Stockton, CA Sacramento, CA Santa Rosa, CA Colorado Springs, CO Golden, CO Jacksonville, FL Orlando, FL Ft. Lauderdale, FL Augusta, GA Indianapolis, IN Kentucky Louisville, KY Detroit, MI Kansas City, MO Las Cruces, NM Columbus, OH Cincinnati, OH Dayton, OH Philadelphia, PA Pittsburgh, PA Nashville, TN Madison, WI Florida

4. 4 2006 CityMatCH PPOR Assessment Lead Person for Level 2 Network  5 Healthy Start (Federal and State) Broward County, FL Augusta, GA Indianapolis, IN Kansas City, MO Jacksonville, FL  3 Healthy Start and Local Health Department Detroit, MI Louisville, KY Alameda County, CA  4 State Health Department Las Cruces, NM Wisconsin Kentucky Sacramento, CA  14 Local Health Departments Columbus, OH Orlando, FL Philadelphia, PA Sonoma County, CA St. Petersburg, FL Pittsburgh, PA Nashville, TN Colorado Springs, CO Jefferson County, CO Mobile, AL Phoenix, AZ San Joaquin, CA Dayton, OH Cincinnati, OH

5. 5 PPOR Value (5=“strongly agree”) Number of Programs Responding > 12345AvgN Our "Learning Group" believes that PPOR will reduce fetal and infant mortality in our community 0121464.0923 Our local health department leaders can articulate the value-add of using the PPOR approach. 1427113.9225 Our state health department leaders can articulate the value-add of using the PPOR approach. 028693.8825 Continued...

6. 6 PPOR Value (continued) (5=“strongly agree”) Number of Programs Responding > 12345AvgN Our community’s key stakeholders in women’s and infants’ health can articulate the value-add of using the PPOR approach. 228853.4825 Our health department’s leaders and our community’s key stakeholders in women’s and infants’ health are willing to assure the systems and resources necessary to fully utilize the PPOR approach in our community. 0312633.3824

7. 7 PPOR Resources Other: Primarily City General Revenue state Healthy Start funding General revenue County DHS funding for staff time None General Funds of Health Dept (5) State Planning Funds Participant agencies University of Pittsburgh in kind staff time county funds Grant Funds

8. 8 Community “Coalition”

9. 9 Key Organizational Partners Involvement Other Community residents Kansas City Health Commission State Healthy Start Coalition Faith community Physicians and other community partners Community Based Organizations Teen Pregnancy Coalition Child & Family Health Services Healthy Mothers Healthy Babies Coalition NFP-Council on Healthy Mothers and Babies

10. 10 Utilization of PPOR Findings (1=STRONGLY DISAGREE, 5=STRONGLY AGREE)Average Number of Respondents Agree or strongly agree Our community coalition has used PPOR findings in strategic or community plans.3.92215 Our community coalition has used PPOR findings in initiatives and/or activities3.92217

11. 11 1. Focus on PRECONCEPTION HEALTH (16): Pre/inter-conceptional health, Preconception Health, Folic acid preconceptionally, Identification of medical risk factors preconceptionally, Interconceptional Care, Preconception health education early pregnancy identification, Nutrition/obesity, Focus on preconception and interconception to address VLBW deaths, Preconception Health, Maternal Health/Prematurity Prevention Area for Hispanic women, Unplanned Pregnancy, Pursuing Family Planning Waiver, Maternal health, Depression screening, Smoking cessation programs and Urinary tract infections 2. PREMATURITY (8): Prematurity Very Low Birth Weight Infant Mortality, maternal health prematurity infant health, We are focusing our FIMR reviews and interventions on the Maternal Health/Prematurity Prevention Area for both White, non- Hispanic, and Hispanic moms. Maternal Health/ Prematurity has emerged as one of the priority area, prematurity, prematurity awareness Prevention Strategies (based on your PPOR analyses)

12. 12 3. SIDS/SUIDs (6): Working on SIDS risk reduction, SIDS, SIDS prevention and prevention of deaths due to suffocation related to sleeping on unsafe surfaces and/or locations, Focus on SIDS risk reduction strategies, Unable to identify a stategy, Safe Sleep 4. Identified sub-populations of focus (6): Racial disparities in perinatal outcomes, Disparate populations such as teens, African American women, women with high school degree or less African American women Teenagers Prevention Strategies (based on your PPOR analyses)

13. 13 5. PRENATAL CARE: Increasing prenatal care capacity, Accessing early prenatal care, Prenatal classes in the Health Care Centers 6. INFANT HEALTH : we focused reviews and interventions on the Infant Health Prevention Area for White women Other Issues:  Transfer of Mothers to Level 3 hospital  Perinatal Systems of Care are breaking down. Particularly in the semi-rural areas but also in the rural areas  Identifying specific barriers to care (infant and prenatal) Prevention Strategies (based on your PPOR analyses)