The Los Angeles County
Preconception Health
Collaborative Project
Cynthia A. Harding, MPH
Maternal, Child, and Adolescent
Health Programs
Los Angeles County
Los Angeles, California
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1
Selected Perinatal Health Statistics, 2004
Compared with HP 2010 Goals
3
Selected Health Conditions and Behaviors
Women 18 – 44 Years, 2005
• Alcohol consumption,
(past month)
• Depression/depressive disorder
• Diabetes
• High blood pressure
• Obesity
• Smoking
LAC1
•
•
•
•
•
•
48.9%
13.8%
3.0%
8.8%
17.1%
12.2%
CA2
• 53.6%
• 2.3%
• 9.3%
• 17.9%
• 12.3%
12005
LA Health Survey
22005 California Health Interview Survey
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Efforts to Improve Birth Outcomes
Los Angeles County
•
•
•
•
2005 Perinatal Summit
Diverse stakeholders & leadership
Unified call to action
Recommendation to promote improved
preconception health
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Preconception Care Council of
California
• Sponsored by CA Dept. of Public Health &
March of Dimes CA Chapter
• Statewide forum for planning and decisionmaking for the integration, development
and promotion of preconception care
• Clearinghouse for Preconception efforts
across the State
Los Angeles County
Preconception Health Community Profile
Foundations
Churches
Schools
LAC Dept
LAC Dept
Parks & Recreation
Mental Health
California Family
Black Infant
Breastfeeding
Health Councils
Health Program
M edical Case
Task Force of
Children's M edical
Greater Los
M anagement
Child Health &
Services
Immunization
Angeles
Disability Prevention
Women's Health
Chronic Disease
Planning/Evaluation/
Development
Service
Planning
Areas
Los Angeles County
Public Health Department
Asthma
Coalition
Office of Aids
Programs/Policies
Sexually Transmitted
Disease
March of
Dimes
M aternal, Child, and
Adolescent Health
Physical Activity
Health Assessment &
Epidemiology
LA Care
Hospitals
Lead Prevention
MCH
Access
Health
Plans
First5 LA
Communicable Alcohol/Drug
Diseases
Prevention
LA Best
Babies
Network
Healthy
Births
Learning
Collaboratives
PHFE-WIC
Physicians
Midwives
Nurse Practitioners
Community Clinics
Association
LAC
Dept of Public
Social Services
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Los Angeles Collaborative
Core Members
•
•
•
•
•
California Family Health Council
LA Best Babies Network
LA County Public Health Department
March of Dimes
PHFE – WIC Program
7
Collaborative Activities
• Baseline preconception health (PCH) data
• Speakers’ Bureau presentation on PCH
• Curriculum to integrate pre- &
interconception health into family planning
clinics
• Interconception Care - Case Management of
High Risk Women in PHFE – WIC
• Improve communication among
stakeholders
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Short-Range Project Goals
•
•
•
•
Preconception brief
Speakers’ Bureau presentation
Toolkit to plan reproductive life plan
Integrate pre- interconception care into
Title X family planning programs
• PHFE-WIC case management to highrisk mothers
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Long-Range Project Goals
• Policy/advocacy
• Increase postpartum visits
• Improve content of risk
reduction/health promotion at
postpartum visit
• Decrease: Unintended pregnancies
»Prepregnancy obesity
»Infant mortality
»Low birthweight births
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Putting the Pieces Together
Partners
Questions?
Partners
State
C
D
C
L.A. Public
Health
Cynthia A. Harding, MPH
Director
Maternal, Child, and Adolescent Health
Programs
Los Angeles County
[email protected]
213-639-6400
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The Los Angeles County Preconception Health …