174148 Using Geographical Information Systems to facilitate an infant mortality reduction initiative

Tuesday, October 28, 2008

Daniel J. Kruger, PhD , School of Public Health, University of Michigan, Ann Arbor, MI
Tonya M. Turner , REACH 2010 Coordinator, Genesee County Health Department, Flint, MI
Kathryn Youra , Prevention Research Center, University of Michigan, Ann Arbor, MI
The Genesee County REACH 2010 and REACH US initiatives focus on reducing disparities in perinatal health and infant mortality in Genesee County, MI. These initiatives follow Community Based Public Health principles and entail partnerships between the local health infrastructure, community based organizations, and universities. Vital statistics data indicate a substantial drop in African American infant mortality in Genesee County in 2005. The African American infant mortality rate for 2006 and projected rate for 2007 remain lower than in years prior to intervention activities. Efforts continue in the hopes of maintaining improvements in perinatal health outcomes. The partnership is conducting a thorough surveillance of perinatal health in the years before and during the intervention period. Trends are examined in indicators of maternal health care adequacy, risk behaviors, infant health outcomes, and causes of infant mortality. Geographic analyses indicate spatial clustering of African American infant mortality incidence in the northern sections of Flint. To further understand spatial trends in factors related to African American infant mortality, we are using Geographical Information Systems to spatially map trends in maternal health care adequacy, risk behaviors, infant health outcomes, and causes of infant mortality. Vital statistics data provided by the Michigan Department of Community Health include specific address locations, although all maps presented display aggregate data so individuals are not identified. We are using maps of these indicators to facilitate community needs assessment, program planning, and to assess the impact of geographically focused infant mortality reduction initiatives.

Learning Objectives:
Describe factors related to infant mortality. Articulate how Geographical Information Systems can be used for needs assessment and program planning. Recognize how surveillance efforts can be used to assess a multi-faceted and multi-level infant mortality intervention initiative.

Keywords: Infant Health, Geographic Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Managed evaluation efforts, analyzed data, generated maps, presented results to intervention partnership
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.