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Sacramento County Efforts to Reduce African American Perinatal and - - PowerPoint PPT Presentation
Sacramento County Efforts to Reduce African American Perinatal and - - PowerPoint PPT Presentation
Sacramento County Efforts to Reduce African American Perinatal and Infant Deaths CHEAC Meeting April 4, 2019 Background Collective Impact Collective Impact Model structured and collaborative approach across multiple sectors to tackle
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Collective Impact Model – structured and collaborative approach across multiple sectors to tackle complex problems, with long term change in mind.
Partners
- Sierra Health Foundation
- County of Sacramento
- First 5 Sacramento
- City of Sacramento
- Non-profits and CBOs
- Health Systems
- Foundations
- Faith based
- Community/neighborhood
- Many, many more
www.collaborationforimpact.com
Collective Impact
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First 5 Investments to Reduce AA Infant Deaths
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Cultural Broker Program
Pregnancy Peer Support:
- One-on-one mentoring to improve pregnancy and
birth outcomes
- Education and social support
- Assessment, referrals, access to care
- 314 served through Her Health First over 3 years
- 675 served through WellSpace Health Clinic
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Safe Sleep Baby Campaign
- 818 AA parents received SSB training
- 785 cribs given to AA families
- 1,419 community service and health professionals trained
- 94 hospital staff trained
- 8 hospitals screening new parents about plans for where to putt babies to sleep at
home
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Interactive Media Campaign
www.SacHealthBaby.Com
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Family Resource Center
The Birth & Beyond Family Support Collaborative
- Parent education, home visitation, crisis
intervention
- Resource/referral, healthy living, playgroups, job
skills training, community events
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Black Child Legacy Campaign
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Community Incubator Leads
Case Management Home Visitation Parenting Classes Youth Mentorship Pregnancy Coaching Grief Support After School Programming Leadership Development Safe Sleep Training Participatory Action Research Crisis Intervention & Prevention Social Justice Youth Development
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MATERNAL CHILD HEALTH
Sacramento County 2016 Community Health Assessment
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First Trimester Prenatal Care by Maternal Race/Ethnicity, 2016
- The County and all racial/ethnic groups met the
HP2020 Objective for early prenatal care
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Preterm Birth
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Infant Deaths
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 White 5.3 4.5 4.5 3.8 4.0 2.9 3.7 2.7 3.5 3.9 Black 10.5 8.3 11.3 11.9 12.8 11.1 12.1 14.9 11.0 6.6 HISPANIC 4.1 4.9 3.2 3.5 3.8 5.2 4.2 4.6 4.4 4.5 Asian_PI 4.4 4.1 4.7 4.2 4.9 4.3 2.6 5.4 3.4 4.2 HP2020 6.0 6.0 6.0 6.0 6.0 6.0 6.0 6.0 6.0 6.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 Rate per 1,000
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Infant Sleep-Related Death
VRBIS; Births 2013-2016: California birth master file form CDPH & 2013-14, 2015, and 2016 CDRT Reports
Piloted (Jan 2014-Jun2015) Implemented (Jul 2015-Jun 2018) First 5 RAACD Funded Programs:
3.5 2.6 1.6 1.6 0.4 0.5 0.6 0.5 2013 2014 2015 2016 Rate (per 1,000 infants)
Between 2013-2016, African American ISR deaths decreased 54% and disparity decreased 62%.
AA Infants All Other
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Low Birth Weight
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Foster Care Entry Rates, 2016
- County rates of
entry were higher than the State
- Females, Black
children, and very young children had higher rates of entry into foster care.
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Some take away points
- Political buy-in – County Board Supervisor
involvement
- Flexible funding allocated by BOS over 5 years
- Community ownership and buy-in – Community
Incubator Lead agencies developed strategies tailored to the community needs
- Strong backbone agency to support and coordinate
community efforts – Sierra Health Foundation
- Collective impact – multiple agencies, multiple
strategies
- Cultural broker model
- Trauma-informed
- Addressing SDOH
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