What Happens in New Orleans Should NOT Stay in New Orleans

Last week myself and several other Every Woman Southeast leadership team members had the opportunity to attend an Infant Mortality Summit in New Orleans. The meeting was sponsored by the Health Resources and Services Administration (HRSA) in collaboration with the Association of Maternal and Child Health Programs (AMCHP), the Association of State and Territorial Health Officials (ASTHO) and the March of Dimes. The meeting was specifically for states in the Department of Health and Human Services Regions IV and VI - 16 states that have historically had among the worst rates of infant mortality in the nation. The objectives for the meeting were ambitious and included to understand strategies to improve birth outcomes; create synergy among State Health Officials, MCH Directors, Medicaid and State partners; identify clear strategies and outcomes for each state (completed by state teams); investigate a common strategy for the states in the region; and create a unified message that builds on best practices. From the North Carolina perspective, I thought that the meeting went very well. I feel very hopeful that this may well be the significant push many of us have been waiting for to finally shine the light on infant mortality and move forward with some new energy and innovation. I'll post the proceedings on our website as soon as they become available.

And on a side note, I must say that I had a chance to taste my first Beignets at Cafe du Monde in the French Quarter. All I can say is "YUM". We Southerners may have our challenges but we also have some great food!

Mark Your Calendars for our Next Webinar

We are really excited about our upcoming webinar on February 9, 2012 from 12-1:30 est. This webinar will focus on the Life Course Theory. This theory is a conceptual framework that helps explain health and disease patterns - particularly health disparities - across populations and over time. It points to social, economic and environmental factors as underlying causes of persistent inequalities in health. This theory is grounded in social determinants and social equity models and is also a community or "place based" approach. While the concept is innovative and for most public health professionals somewhat intuitive, the application in practice is a lot more complex.

In other words, while many of us may be interested in changing the way we approach our work in maternal and child health, there are not many existing models and programs to refer to as best practice for how to actually make it happen! This means that we need to be the change agents to begin to build these new models. But first, it is helpful to make sure we understand the concept and have guidance as to how some programs have made this happen.

Both of our speakers are national experts on the life course model. Our first speaker is from Florida and will provide us with an overview of this model and some resources and examples for application. Our second speaker is not from the South but is leading a very successful and growing MOVEMENT in New York City to reframe his entire perinatal partnership to be in line with the life course theory.

We hope you will register and then join us in a few weeks. To register click here https://www1.gotomeeting.com/register/402200873

Happy New Year!

Day three of the New Year and I've managed to keep many of my resolutions...take a vitamin (check), bring a healthy lunch to work (check), remember to breathe (check - I'm serious - don't you sometimes get so busy you forget to breathe?), and start writing a proposal for funding to make 2012 the year Every Women Southeast becomes a force for change (check)! I love the first week of January and I love making resolutions. There is something beautiful about a fresh start and setting intentions for the year. Even if we don't achieve them, putting them forward and giving them a name is important. This is a dynamic time - for health care and for social change. I can't imagine a better year for us to move forward together and make things happen!

National Preconception Health Planning Meeting

It is hard to believe that the holidays are upon us! Where has the year gone? In true New Year's Resolution style, a group of about 40 professionals from across the country convened in New Orleans for a one day meeting to set plans for preconception health for 2012. The focus of the meeting was to bring together leadership from the five different national workgroups - consumers, public health, policy/advocacy, health care professionals, and research/surveillance - to review the progress of the national campaign to date, think about issues that cut across the workgroups and to plan for the upcoming year. It was very encouraging to look at all the work that has taken place over the years - most of it completed through the work of volunteers with very limited fiscal resources. We will be posting a slide presentation that summarizes the campaign to date on our website along with meeting proceedings as soon as they are released. I think that everyone left inspired and focused - a great way to end the year. Are you interested in serving on a national workgroup? If so, please let us know!

Food for Thought from North Carolina

On November 15, 2012, the Forsyth County Infant Mortality Reduction Coalition in partnership with the March of Dimes, Healthy Start Baby Love Plus Network and Forsyth Medical Center hosted a conference called Taking the Life Course Perspective to Promote Preconception Health and Health Care: Towards the Promise for Equity in Birth Outcomes. Speakers included Merry-K Moos who presented on the Life Course Perspective and Vijaya Hogan who presented on the Impact of Social Disadvantage on Preconception Health. Both speakers provided important insights on these two major schools of thought in preconception health. Dr Hogan spoke about the necessity of recognizing the intersectionality of race, gender, history and class in our work - particularly as these impact African American women. We have many challenges ahead in addressing health inequities for African American women who have five risk areas: historic, acccumulated disadvantage, current social disadvantage, structural embodiments of inequity and epigenetic risks (changes in a woman's biology and that of her women due to impact of other risks).

In the afternoon Judy Ruffin spoke about North Carolina's successful Peer-to-Peer Preconception Health Educator program. Two energetic and dedicated college students from Winston Salem State University shared their experiences with the program. I left convinced that our best allies in reaching young women are young women themselves! Alvina Long Valentin provided an excellent overview of North Carolina's preconception activities and strategic plan as well as our achievements from the past few years. And I had the chance to end the conference by sharing information about Regional and National Preconception Health activities. I included information about the National Preconception Workgroups as well as work and resources from other states. As always I had a chance to showcase Every Woman Southeast and remain so encouraged at the enthusiasm people in the field, doing the work, have for our Coalition.

Sound interesting? The great people in Forsyth County have agreed to make pdfs of the speaker slides available to us. Just click here to access their presentations. I was reminded me that we have made strong progress over the past 7 years in moving preconception health forward in creative and comprehensive ways.

With my favorite holiday just a few days away, I have to say that I'm thankful that I have the chance to do this work in this time and place with amazing colleagues from across the Southeast. Thank you!

Postpartum Visit Webinar is Almost Here

We are looking forward to our next Every Woman Southeast webinar which will focus on the postpartum visit - an important opportunity for interconception care. It seems that this is another topic of great interest in the Southeast - we have over 370 people registered! While we like to feature home grown programs, we're reaching over to the West Coast to learn from Dr. Jeanne Conry, MD, PhD who has provided leadership to work in California where our innovative colleagues have reconsidered and improved the postpartum visit.

Why is this visit important? For many women, this may be one of their last encounters with a health care professional - for their own care - for a long time. While Health Care Reform has the potential to provide ongoing access to health coverage for all women, our current system of care leaves low income mothers without coverage once they are about 6 weeks postpartum. In our region over 12% of new mothers find themselves pregnant again within 6 months of giving birth. The risk of preterm birth increases with short birth intervals.

Interested? Please join us for the webinar on October 13th from 12-1:30 EST. You can register on our website. We will post the slides in case you miss it. You can also start a conversation on this topic - add a comment to our blog!

Taking on the Life Course Model

For the past few weeks the Every Woman Southeast Coalition's leadership team has been working to finalize its goals, logic model and action plan. As we've thought deeply about what needs to happen in the Southeast to truly improve the health of mothers and babies, we agree that change will only come when we take on the hard issues. These include the social determinants of health, policy issues that impact our communities, leadership development, and racism. That's enough to make your head swim!

But doing the business the way we always have doesn't cut it - especially in these difficult times. The Life Course Model is a new paradigm in the field of maternal and child health that has the potential to change our practice. This model offers a new way of looking at health, not as disconnected stages (infancy, latency, adolescence, childbearing years, menopause and beyond) unrelated to each other, but as an integrated continuum. This perspective suggests that a complex interplay of biological, behavioral, psychological, social and environmental factors contribute to health outcomes across the course of a person's life (thank you to Drs Pies, Kotelchuck, Lu and Ms Parthasarathy for the quote).

We want to figure out how to put this model into practice - here at home. Want to learn more? Check out the MCH Lifecourse Toolkit website from CityMatCH. They have excellent resources! We'll be posting our plan just as soon as its done - we'll be sure to let you know!

Alabama Adventure

Thank you to Team Alabama for inviting me to talk about the Every Woman Southeast Coalition at their annual Perinatal Symposium in Birmingham last week. While thunderstorms kept me in the Charlotte, NC airport longer than I liked, the weather in Alabama was beautiful! At the Symposium, I was honored to follow a fantastic presentation from Rose Horton, President-Elect of AWOHNN. The presentation was the first I've given about EWSE since we decided to push our boundaries and commit to addressing health inequities and the social determinants of health. I think it went over pretty well. The slides are posted on our website.

I also got a glimpse at Albama's fantastic preconception health campaign called GALS - Get a Healthy Life. Here is a link for more information http//www.adph.org/familyplanning. Seriously - a public education campaign that features shoes - fun and great information.

WISH Webinar Series is a Wrap

The Women's Integrated Systems for Health Webinar series concluded with two excellent presentations on policy and advocacy. The slides and suggested links and resources from each of the webinars are posted on our website - under initiatives. We're still working on getting up a few of the recorded presentations but encourage you to check them out now. The WISH program also just recorded and posted an overview presentation about the initiative and the training opportunities that will continue to be available. Next steps for WISH? Six online study modules coming January 2012.

National Summit a Success!

Just back from the 3rd National Summit on Preconception Health. It was a very packed agenda with alot of great ideas and connections. I most enjoyed having a chance to see our Every Woman Southeast partners from across the eight states in person. We had an excellent breakfast meeting where we mapped out a number of next steps for partnership building, the webinar and topices we could work on together. We'll post the slides from our presentation and the project overview we developed to our website. All of the presentations and video recorded plenary sessions will be linked to the beforeandbeyond website in a week or so. Thoughts? Ideas? Share them with us!

EveryWoman Southeast Takes on the Preconception Summit!

It is hard to believe but the 3rd National Preconception Health Summit starts this Sunday June 12th in Tampa, Florida! People attending the Summit can learn more about Every Woman Southeast and meet members of the leadership team in a number of ways. First, we'll have a booth outside the opening session on Sunday night...and we have fun things to give away! Come get a tote bag or mousepad. On Monday morning June 13th we'll be gathering in the breakfast area to brainstorm ideas for next steps for our work. On Tuesday June 14th we will be presenting about our Initiative in session P3 at 10:45am. All of the presentations from the Summit will be posted online. We'll be sure to let you all know how it goes. Hope to see many of you there!

Are You Registered?

The 3rd National Preconception Health Summit is just around the corner. The agenda and registration information are posted at http://www.beforeandbeyond.org/. Check it out! I know times are tight, but the registration fee is only $175 and the current room rates are only $92. The Summit begins officially Sunday evening June 12th and finishes up at the end of the day on June 14th. In addition to excellent plenary sessions, the Summit includes alot of work sessions and many networking opportunities. Every Woman Southeast will have a display booth and will be part of a break out session panel.

I attended the 2nd National Preconception Summit in California a few years ago. I came home with a lot of new ideas. I was also impressed at the energy around the importance of working with policies, the environment, local communities, health care providers and public health leaders to support women of reproductive age in being as healthy as they can be and in planning and reaching for their goals in life. I hope to see you at the Summit in June!

Interconception Webinar is a Hit

We still can't believe that we had almost 300 people listen in to our webinar last week on Interconception Health for High-Risk moms. The response to this topic and to the webinar series has been wonderful. Clearly there is a significant interest in sharing ideas and practices in providing services and support to this important and under-served population.

If you missed the webinar, you can see all the slides on the EveryWoman Southeast website. Feel free to email or call the speakers directly if you have questions about their presentations. We'd also love to hear from you if you've been working with these moms. Please email Sarah at sarahv@med.unc.edu.

A special shout out to our wonderful speakers - especially Juanita Graham from Mississippi who called in while snowed in at home with her power set to go out. Now that is dedication!

We're currently working with the NC Institute for Public Health and the UNC Gillings School of Global Public Health to launch a free 6 part series that focuses on integrative community approaches to optimizing mental and physical health among adolescents and women of reproductive age. The Women's Integrated Systems of Health (WISH) project has information about their work and the series on our website. Just click on Initiatives and then WISH.

In the meantime, don't forget to register for the 3rd National Summit on Preconception Health and sign up for our listserv.

Update from South Carolina

As we look back over 2010, South Carolina can be proud to have taken great strides in advancing preconception health. Consortia across the state have met to identify stakeholders, classify relevant data and brainstorm plans that will be promoted in each of its perinatal regions in 2011. Stakeholders in each region included professionals from all areas of MCH. Policy makers, nurses, social workers, OB/GYNS and health educators have rallied around the promotion of preconception health and the core ideas of Every Woman Southeast.

Using birth certificate and PRAMS data, MPH graduate student Stewart Davis uncovered interesting information about the four different perinatal regions. For example, the Pee Dee and Low Country regions have significant numbers of women of childbearing age who are overweight and obese. They also have challenges with gestational diabetes. The Piedmont region has the highest prevanlence of women who smoke during pregnancy as well as slightly higher rates of women who have chronic hypertension.

To learn more about South Carolina's consortia meetings and outcomes, go to the South Carolina webpage on the EveryWomanSoutheast.com website. Special thanks to Stewart Davis for serving as a guest blogger! Stewart's career goal is to create policies that will develop and fund programs to reduce the non-white infant mortality rate in South Carolina.

Webinar on November 4th

Every Woman Southeast will be hosting our first webinar on November 4th, 2010 from 12-1:30pm EST. We have a great line up of speakers who will present a wide variety of options for groups to consider in organizing themselves to promote women's wellness / preconception health. This information is relevant to groups interested in organizing at a state level as well as those trying to organize at a more local level. One of the biggest opportunities that the preconception health movement offers is the chance to bridge gaps and form new partnerships to work together toward some common goals. Of course this is MUCH easier said than done. The webinar offers the opportunity to hear how three states, one national organization and our Every Woman Southeast Initiative have approached this challenge.

Interested in joining us? Please do - you can register by going to our website. The box in the bottom right corner of our site will take you to information about the speakers, their slides and the login link. At this point we don't know if we can archive the webinar. We'd like to but aren't sure just yet if it is technically and financially feasible. We also are not offering CEUs for this webinar although we will investigate doing so for future webinars.

We owe a BIG thank you to the March of Dimes for working with us to host the webinar - couldn't do it without them. As of Friday at 1pm we have over 125 participants registered...with hopefully more to follow.

Sign up and join us!

We're Live!

Our new website www.everywomansoutheast.org went live on Sunday October 10, 2010! While being on the web is a great step, the challenge will be keeping our website current and relevant, as well as making sure people know it exists. For that we need everyone's help. If you see errors or broken links let us know. If you have resources or updates for us to post - please send them to us. You can email Sarah at sarahv@med.unc.edu or post a comment below.

Having trouble getting to the site? It might be a little confusing with our blog being a dot com and the site being a dot org. But we'll make it happen. The blog is featured on the homepage of the site. If you've landed on our blog first - click on the link above and you should be at the website. Please bookmark it as a favorite and come back.

Still having trouble? You might need to clear your browser history and cache then shift and reset. That should work. If not, post a comment and we'll figure it out.

Thanks everyone - happy reading!

Momentum

The Every Woman Southeast Initiative has been very busy since our last post. Our leadership team has met by conference call several times a month over the summer into early fall. It's amazing what you can get done by phone!

Together we've put together the content for our new website - www.everywomansoutheast.org - which we hope to launch within a week or so. The website will have alot of information about our Initiative as well as updates on the preconception health related activities underway in Alabama, Georgia, Florida, Kentucky, South Carolina, North Carolina, Tennessee and Mississippi. We have current news and information about preconception health related resources from around the country.

We have also organized our first webinar to be held on Thursday November 4th from 12 to 1:30 EST. The March of Dimes is helping us host that call - stay tuned for the weblink. The webinar will provide examples of ways that several states in the Southeast have organized around preconception health.

Finally, we've developed goals, aims and activities for our first collaborative project. In light of the fact that over 12% of women in the Southeast have birth to conception intervals of 6 months or less, we thought that focusing on reducing short birth intervals and improving postpartum visit utilization would be a good place to start. Now to just find the right partner to provide us with the resources to take our next steps.

Other members of the leadership team have agreed to become bloggers which will be fun as well as offering our readers a wide variety of perspectives on working together to improve the health of women and their children.

Every Woman Southeast Action Steps

We are ready to move forward with our next steps in working together as a region to improve the health of women of childbearing age in the South. To make this happen we need YOUR help. First, if you are interested in learning more about the ideas shared during the March 2, 2010 meeting, you can access a complete summary of the notes at http://www.everywomannc.org/ - click on programs and plans. Or you can just link to it by clicking here. http://www.mombaby.org/index.php?c=3&s=10082

One activity that was universally endorsed was compiling and sharing information with each other about programs, campaigns, and products being developed and underway in our region. To that end we are putting the finishing touches on the first version of our Region IV Preconception Compendium. We acknowledge that this will be incomplete as there is much activity underway in the South. But it will be a good place to start. We hope to find interium funding to develop a more interactive database via a new website in the future.

Our next immediate action steps for the consortium are to a) develop a purpose statement and talking points and b) develop grant proposals and acquire funding for our next phase of work. As such we are seeking some good volunteers to help us move this forward. Both workgroups will be short term commitments. If you are interested in either area please email Sarah Verbiest at sarahv@med.unc.edu or call her at 919-843-7865.

Next steps for states include finding a home for their preconception health state team and then identifying leadership and reaching out to connect people in their state who are providing some kind of preconception / well woman outreach and services. If you are from Kentucky, Mississippi, Alabama, Florida, Georgia, North Carolina, South Carolina or Tennessee and would like to get involved, let Sarah know and she'll connect you. State teams have also commited to sending in additional information about preconception related activities in their states for the compendium mentioned above.

We also agreed that we will schedule a series of webinars - open to anyone in the southern region - that will feature the work of colleagues within the eight states. The first webinar will take place in June and will showcase our talking points and purpose as well as an update on national preconception activities that are of interest to the south. Two other webinars - possibly featuring work on folic acid and interconception health - will take place during the summer / early fall. These will be free - stay tuned for more details.

Our next posting will feature some ideas / tips about pulling together a preconception consortium. Please send us your thoughts and comments!

Travel Teams

The travel teams are starting to come together although we still haven't heard from a number of states. Of those who have submitted names, we have been pleased to see that a diversity of agencies will be represented. States with a pre existing preconception health council or structure may be having an easier time putting their travel team together than other states. What do you think?

Our next call will be on Wednesday January 27th. I hope we get a good response.

PS We're up to 214 surveys - that's a lot but I know we're missing many people and projects.

Our first conference call

We had our first conference call for the partnership on Wednesday afternoon. Over 50 people dialed in representing all 8 states! The people on the call asked great questions and offered significant help in promoting the survey and organizing state and travel teams. The energy was really positive. It is a big endeavor to take on but the call was reassuring that there are lots of people out there who like the idea of finding away for Southern sisters and brothers to work together on this issue. Next step…travel teams and information collection.