142nd APHA Annual Meeting and Exposition

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Lessons learned in adapting and implementing the Grady model of Inter-Pregnancy Care

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Jazmine Venturanza, MPH , Evaluation, Louisiana Public Health Institute, New Orleans, LA
Lisanne Brown, PhD MPH , Division of Evaluation and Research, Louisiana Public Health Institute, New Orleans, LA
Kimberly Williams, MPP , Healthy Start New Orleans, New Orleans, LA
Latoyia Sears, MSW, LMSW , Healthy Start New Orleans, New Orleans, LA
Wanda Bush, MEd, NCC , Healthy Start New Orleans, New Orleans, LA
Background:  Inter-Pregnancy Care (IPC) was originally tested in a closed system at Grady Memorial Hospital to reduce repeat adverse birth outcomes (pre-term, low birth weight, fetal death, infant death). Additional evidence is needed on the efficacy of IPC in different settings.  With Louisiana ranking 48th nationwide in infant mortality, IPC was identified as a relevant approach. The Healthy Start New Orleans (HSNO) IPC Project was adapted from Grady’s IPC model within the open greater New Orleans (GNO) health care system, funded through an 1115 Medicaid Waiver.  

Methods: Medicaid-eligible women who experienced an ABO within the past two years were targeted.  HSNO staff implemented various outreach strategies to recruit women, including the use of GIS-mapped data to focus on areas with the highest percentage of ABOs.  Enrolled women received intensive case management and were followed for 18 months, during which IPC-related indicators were tracked. 

Results: Over 9 months of intensive outreach and recruitment, 47 women were enrolled.  Among these, 66% had a primary care provider, 63% were on birth control, and 36% had an IPC plan within 30 days of enrollment.  Participants face a multitude of issues, including inadequate health care access & coverage, housing, childcare, employment and educational opportunities.  This produces many challenges for reaching and retaining this population, as only 10 women currently remain in the program. 

Conclusions: Adapting IPC requires consideration of various factors, including methods of identifying and reaching the target population and understanding how the health care system will comprehensively and effectively address their needs.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Discuss the considerations and challenges involved in implementing an adapted model of Inter-Pregnancy Care

Keyword(s): Maternal and Child Health, Birth Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been evaluating the implementation of this IPC project for nearly 1.5 years and work on other maternal and infant health programs at LPHI
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.

Back to: 4389.0: Poster Session: Improving Pregnancy Outcomes