Objectives – To develop an intervention plan that will reduce disparities in infant mortality rates (IMR) in New York City (NYC) using a cross-cutting approach. Methods – A multi-disciplinary Task Force was formed to develop a plan for infant mortality reduction. NYC vital records data from 1996-1998 were analyzed for IMR, pregnancy outcomes, and mothers’ characteristics by community district (CD). Additional analyses included rates of homicide, AIDS, poverty, and substance abuse hospitalization. A literature review of infant mortality scientific data related to infant mortality was conducted and an inventory of health resources was developed. Results – Based on the IMR and inventory of resources, the Task Force selected six contiguous CD’s in Central Brooklyn as the intervention sites. The ensuing 2-year intervention plan is based on two models: the CDC/WHO Perinatal Periods of Risk Approach Analysis (PPRA) and the Enhanced Prenatal Care Model emphasizing a comprehensive approach to health care, spanning preconception to infant life. PPRA revealed that women’s health before pregnancy was an important factor and it is therefore one of the main focuses of intervention. Discussion involves the framework of the intervention that rests on partnership with community-based organizations to address the clinical, socio-economic, and behavioral aspects of infant mortality. This framework is used to implement specific infant mortality reduction interventions in the target communities. Conclusion - Infant mortality is a complex issue requiring a multi-faceted approach, including addressing related socioeconomic contributors. This understanding has led to a crosscutting collaborative framework, presenting a novel approach to reducing infant mortality in NYC.
Learning Objectives: At the conclusion of the session, the participant will be able to: 1)Recognize the relationship between infant mortality and the socio-economic status of a community 2)Construct a framework for the identification of high risk communities 3)Develop a collaborative community based intervention that will address the clinical, socio-economic, and behavioral aspects of infant mortality
Keywords: Infant Mortality, Community Collaboration
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: New York City Department of Health
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.