The 130th Annual Meeting of APHA

Session: Lowering Barriers to Prenatal Care: Access, Communications and Trust (ACT)
3320.0: Monday, November 11, 2002: 4:30 PM-6:00 PM
Oral
Lowering Barriers to Prenatal Care: Access, Communications and Trust (ACT)
A.C.T. ACCESS, Communication, AND TRUST: BARRIERS TO PRENATAL CARE This session will focus on the client/patient, who is pregnant, and her perception of her needs and her care. A set of interesting abstracts, which discuss various programmatic approaches to improving both access to prenatal care as well as the patient’s attitude toward such care has been developed. The patient and her family are considered in these research efforts. The different presentations deal with the awareness of and response to barriers to care – both real and perceived. The variety of reports include efforts by a local health department to improve care in their clinics as well as a major research effort by a university on evaluating a pregnant woman’s subjective response to the care given and its impact on the outcome of the pregnancy. The significance of this work is increased as the access to care for publicly-funded obstetrical patients become more limited. The need to be sensitive to patient needs and concerns often gets lost in the shuffle of “just providing some services.” The importance of evaluating the factors involved in access to care is often underrated in its impact on the health status of the pregnant population, as well as the outcomes of the care given.
Learning Objectives: 1. Describe barriers of access to prenatal care. 2. Decsribe barriers of communication to prenatal care. 3. Describe barriers of trust to prenatal care. 4. Identify facilitators of access to prenatal care. 5. Identify facilitators of communication to prenatal care. 6. Identify facilitators of trust to prenatal care.
See individual abstracts for presenting author's disclosure statement and author's information.
Organizer(s):Carol Nelson, CPM, LM
Phyllis M. Klein, PhD, C-ANP, RN
Barbara A. Levin, MD, MPH
4:30 PMChoosing maternity care: Women's decision strategies help explain issues of access
Heather A. Davidson, MS, David S. Cordray, PhD, Liz Johnson, BS
4:45 PMLocal Health Department Efforts to Reduce Racial and Ethnic Health Disparities in MCH: Results of the 2001 NACCHO and CityMatCH Survey
Patrick S. Simpson, MPH, Vera Haynatzka, PhD, Cynthia Phillips, MSW, MPH, William M. Sappenfield, MD, MPH
5:00 PMA qualitative study of trust among low-income women during pregnancy
Vanessa B. Sheppard, PhD, MA, Ruth E. Zambrana, PhD, Ann S. O'Malley, MD, MPH
5:15 PMEvaluating access to early prenatal care in a Medi-Cal managed care environment
Jennifer A. Ratto, MPH, Kathleen E. Dinsmore, MPH and MBA
5:30 PMFocus groups: A strategy to reduce preterm births
R.S. Benjamin-Coleman, RN, MPH, PhD, Vanessa B. Sheppard, PhD, MA
Organized by:Maternal and Child Health
Endorsed by:Community Health Planning and Policy Development; Population, Family Planning, and Reproductive Health; School Health Education and Services; Socialist Caucus
CE Credits:CME, Health Education (CHES), Nursing, Pharmacy, Social Work

The 130th Annual Meeting of APHA