242542 Maternal and Child Health- A CBPR project in Baltimore City

Tuesday, November 1, 2011: 9:00 AM

Ndidi Amutah, PhD, MPH, CHES , School of Community Health and Policy, W.K. Kellogg Foundation Morgan State University, Baltimore, MD
Title: Maternal and Child Health: A CBPR project in Baltimore City Background: Baltimore City has extremely high rates of infant mortality. Additionally, women in Baltimore City experience high rates of low birth weight, premature births, and poor birth spacing. Focus groups were conducted with women from community-based organizations to determine the barriers for entry into prenatal care and knowledge, attitudes, and beliefs related to family planning. Methods: In-depth interviews and participatory observation were conducted at a service provider's office to determine the unique needs of pregnant or parenting women of color in Baltimore City. Through the use of observations, in-depth interviews and qualitative research, I delved more into the issues in this population and learned from community-based staff and women the situations that arise in regards to primary care, housing, transportation, and childcare, among others. The data was analyzed using ATLAS.ti.5.2, and was coded according to major themes that emerged from the focus group discussions and individual interviews. Results: Barriers to use of health services for women include lack of insurance, lack of social support from partners, lack of knowledge of available services, and competing issues such as employment, other children, and lack of transportation. Conclusions Research findings suggest that there are potentially negative consequences of being in social relationships that lack social support inhibit women from properly spacing their births and adhering to proper prenatal care.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Define infant mortality, reproductive health, and health disparities Describe the myriad of issues affecting pregnancy outcomes for women in Baltimore City. Identify CBPR methods for engaging community based organizations working on maternal and child health issues.

Keywords: Community-Based Partnership, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The research I am presenting on was conducted as part of my post-doctoral research fellowship.
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.