Online Program

Incorporating the social determinates of health into the fetal and infant mortality review methodology

Monday, November 4, 2013

Kathleen Buckley, MSN, NFIMR, American College Of OB/GYN, Washington DC, DC
Life course theory ( LCT) is population focused, and firmly rooted in social determinants and social equity models. Though not often explicitly stated, LCT is also community (or “place”) focused, since social, economic and environmental patterns are closely linked to community and neighborhood settings. The LCT concepts are a natural fit to the work being done in local FIMR case reviews and a natural outgrowth of local FIMR advocacy for underserved families in the community. Overtime local FIMR programs were thinking about ways to incorporate some principles of LCT into the FIMR process. The seventh national FIMR conference in acknowledged and built upon concepts of health equity and LCT principles. To continue that work, NFIMR had a one time opportunity to award one year small grants through an RFA process to seven projects to develop successful model FIMR/LCT programs that other FIMR programs can emulate and inform the way all 200 local FIMR projects examine individual cases of infant deaths. These adaptation will be described.

Learning Areas:

Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
List key components of the FIMR process List key components of life course theory (LCT)applicable to the FIMR process Describe the rationale for incorporating LCT onto the FIMR process Discuss the outcomes, including community action resulting from 7 FIMR projects which had incorporated LCT into their FIMR practice Discuss specific products and procedures developed by these projects including a FIMR/LCT logic model, FIMR/LCT protocols to review actual infant mortality cases and expansion of FIMR/LCT team membership to reflect an expanded mission.

Keyword(s): Infant Mortality, Social Justice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the director of NFIMR program - the designated resource center for the 220 FIMR programs in 40 states since 1994 and the author of the definitive resource manual for implementing the FIMR process. When I began in 1994 there were only ~45 projects We began to have conference calls w/ DR Lu in 2010 about incorporating life course theory into FIMR. This presentation will discuss success to date.
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.