Assessment in Maternal & Child Health: More Than an Every 5 year - - PowerPoint PPT Presentation

▶
assessment in maternal child health
SMART_READER_LITE
LIVE PREVIEW

Assessment in Maternal & Child Health: More Than an Every 5 year - - PowerPoint PPT Presentation

Jan 04, 2023 31 likes •303 views

COLLEGE OF PUBLIC HEALTH UNIVERSIT Y OF SOUTH FLORIDA Assessment in Maternal & Child Health: More Than an Every 5 year MCH Function 6 5 4 3 2 1 0 1 MCHB Title V Partnership 2017 Tech. Assistance Meeting William M.

slide-1
SLIDE 1

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

‐1 1 2 3 4 5 6

Assessment in Maternal & Child Health: …More Than an Every 5 year MCH Function

MCHB Title V Partnership 2017 Tech. Assistance Meeting William M. Sappenfield, MD, MPH, CPH October 17, 2017

slide-2
SLIDE 2

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Learning Objectives

 Describe “assessment” as a core public health function  Examine relationship of MCH Needs Assessment to “assessment”  Understand the need for follow up Needs Assessment activities  Consider benefits of pre MCH Needs Assessment activities  Explore future tools for the MCH Needs Assessment  Promote better communication of findings and progress to all

slide-3
SLIDE 3

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

1988: Public Health and the Core Functions

Assessment: “The committee recommends that every public health agency regularly and systematically collect, assemble, analyze, and make available information on the health of the community, including statistics on health status, community health needs, and epidemiologic and other studies of health problems.”

slide-4
SLIDE 4

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

1994: The 10 Essential Public Health Services

  • Assessment
  • Policy Development
  • Assurance
slide-5
SLIDE 5

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Essential Public Health Services to Promote Maternal and Child Health in America (1995) MCH Assessment Functions

  • Assess and monitor maternal and

child health status to identify and address problems.

  • Diagnose and investigate health

problems and health hazards affecting women, children, and youth.

Grason, H.A., and Guyer, B. Public MCH Program Functions Framework: Essential Public Health Services to Promote Maternal and Child Health in America. Baltimore, MD: Child and Adolescent Health Policy Center, The Johns Hopkins University, December 1995.

slide-6
SLIDE 6

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

How Does the MCH Needs Assessment Relate to the Core Public Health Functions?

State Title V MCH Program Needs Assessment, Planning, Implementation and Monitoring Process Essential Public Health Services to Promote Maternal and Child Health in America

slide-7
SLIDE 7

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Essential Public Health Services to Promote Maternal and Child Health in America (1995) MCH Assessment Functions

  • Assess and monitor maternal and

child health status to identify and address problems.

  • Diagnose and investigate health

problems and health hazards affecting women, children, and youth.

Grason, H.A., and Guyer, B. Public MCH Program Functions Framework: Essential Public Health Services to Promote Maternal and Child Health in America. Baltimore, MD: Child and Adolescent Health Policy Center, The Johns Hopkins University, December 1995.

slide-8
SLIDE 8

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Assessment is more than every 5 years…

‐1 1 2 3 4 5 6

slide-9
SLIDE 9

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 1. Need to monitor & further investigate your selected

MCH Need Assessment priorities

  • Monitor your selected MCH Needs Assessment

priorities

  • Further assessment of new & emerging priorities
  • Modify surveys, link databases & improve info systems
  • Work with communities to bring the assessment and

monitoring to the community level

  • Develop/select better evidence-based or informed

strategy measures

slide-10
SLIDE 10

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Example of Strategy Measure Strengthening: “Percent of Infants placed to sleep on their backs”

  • Are the training workshops

evidence-base?

  • Will the same training work with

different audiences?

  • Is this the training or “train the

trainer”?

  • What percent of the target

audience needs to receive the training to have an impact? Sponsor 4 regional safe sleep training workshops for nurses, day care providers, and other infant care takers.

slide-11
SLIDE 11

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

slide-12
SLIDE 12

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

slide-13
SLIDE 13

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Example of Strategy Measure Revision: “Percent of Infants placed to sleep on their backs”

Sponsor 4 regional safe sleep training workshops for nurses, day care providers, and other infant care takers. Percent of delivery hospitals who implement the state’s Caregiver + Provider + Hospital Program

slide-14
SLIDE 14

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

Potential Criteria for Selecting ESMs

  • Meaningful: evidence-based, relevant, feasible, potential
  • Measurable: quantifiable, specific, available, incremental
  • Achievable: improvement attainable, sensitive to change
slide-15
SLIDE 15

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 2. Need to assess & monitor other MCH priorities
  • Healthy weight
  • Zika
  • Hurricane Harvey, Irma or Maria
slide-16
SLIDE 16

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 3. Prepare for the new or emerging priority (Due 2020)
  • Other priorities become new MCH priorities
  • Favorite MCH priorities “voted off the island”
  • Impact of health care reform on MCH populations
  • Immigrant health
  • Contraception and use of LARCs
  • Quality of care and maternal/infant morbidities
slide-17
SLIDE 17

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 4. Develop new needs assessment and monitoring tools

and measures

  • Social Determinants

– Measure better define & measure—Concentrated Disadvantage – Measure programs, services, policies, and outcomes across social determinants categories

slide-18
SLIDE 18

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 4. Develop new needs assessment and monitoring

tools and measures

  • Social Determinants
  • Positive Experiences
slide-19
SLIDE 19

Graphic Concept Adapted from Neal Halfon, UCLA

slide-20
SLIDE 20

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Positive Experiences

Sege R, Bethell C, et. al. Balancing Adverse Childhood Experiences (ACEs) with HOPE. Casey Family Programs 2017

slide-21
SLIDE 21

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 4. Develop new needs assessment and monitoring

tools and measures

  • Social Determinants
  • Positive Experiences
  • Health Equity
slide-22
SLIDE 22

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Health Equity

Health Equity Three Photo Description

slide-23
SLIDE 23

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Health Equity across population groups

  • Don’t risk adjust health outcomes
  • Measure the prevalence of risks
  • Measure risk appropriate services
  • Measure services & outcomes within risk category

Health Equity Three Photo Description

slide-24
SLIDE 24

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 4. Develop new needs assessment tools / measurement

Need provoking questions—racial health equity lens

  • What’s the problem?
  • What’s the cause?
  • What’s the solution?
  • What action is needed?
  • What values are highlighted?

Adapted the Boston Public Health Commission and the MA Dept of Public Health from Race Forward

slide-25
SLIDE 25

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

  • 5. Remember to include families, providers, and

partners in your assessment and monitoring activities

MCH Assessment

slide-26
SLIDE 26

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

MCH Assessment

  • 6. Better communicate progress to staff,

leadership, partners and the public

Developing an “MCH Score Card”

slide-27
SLIDE 27

COLLEGE OF PUBLIC HEALTH

UNIVERSIT Y OF SOUTH FLORIDA

Our Practice Is Our Passion

Assessment is more than every 5 years…

‐1 1 2 3 4 5 6