Oklahoma Infant Mortality Initiative “Preparing for a Lifetime, It's Everyone's Responsibility”: A case study of data-driven policy and action

Introduction: To improve the health of the next generation, the Oklahoma State Department of Health (OSDH) began the initiative, “Preparing for a Lifetime, It's Everyone's Responsibility,” in 2009. The initiative's objective is to reduce infant mortality (8.5 deaths per 1,000 live births in 2007), improve birth outcomes, and reduce racial disparities.

Methods: Using birth and death records, Pregnancy Risk Assessment Monitoring System (PRAMS) data, and The Oklahoma Toddler Survey (TOTS) data, a range of indicators and risk factors were evaluated on their relevance in reducing Oklahoma's high infant mortality rates. This resulted in seven topic areas: preconception care, breastfeeding, premature birth, postpartum depression, tobacco use, infant safe sleep, and infant injuries. Workgroups have been created to address each topical area. A data workgroup supports the initiative's ability to use data to better refine projects. Data are routinely provided to focus efforts and to measure progress.

Results: “Preparing for a Lifetime, It's Everyone's Responsibility” is a vehicle to monitor, report, and impact specific health measures, related to infant morbidity and mortality. PRAMS and TOTS data are used to support workgroup activities, public service announcements, legislative budget requests, and program strategic planning for the OSDH and Maternal and Child Health Service. Workgroups assist PRAMS and TOTS surveillance efforts by contributing to survey revision and promoting the use of survey data to increase awareness on specific issues.

Conclusion: “Preparing for a Lifetime, It's Everyone's Responsibility” created a system where data enhance and inform projects and projects strengthen surveillance methods, resulting in data-driven policy and action.