Online Program

Strengthening State Review of Maternal Deaths through Collaborative Learning: The AMCHP Every Mother Initiative

Tuesday, November 3, 2015 : 1:30 p.m. - 1:50 p.m.

Andria Cornell, MSPH, Women's and Infant Health Program Team, Association of Maternal and Child Health Programs, Washington, DC
Background: Maternal mortality has been on the rise in the United States for three decades, and today is marked by significant disparities by race/ethnicity (CDC, 2014). The revised Title V MCH Services Block Grant guidance specifies maternal mortality and severe maternal morbidity as National Outcome Measures for which MCH programs will be responsible in moving the needle. To impact these outcomes, state maternal mortality reviews (MMRs) can be instrumental in identifying the causes of maternal death and implementing solutions.

Methods: The AMCHP Every Mother Initiative helps states take specific steps to reduce maternal mortality and morbidity. AMCHP engages two cohorts, six states each, in a 15-month Action Learning Collaborative (ALC): a multidisciplinary learning community that analyzes a public health problem and implements program and policy solutions. In the ALC, the MMRs work together to 1) strengthen characterization of maternal deaths and 2) implement data-informed activities. States receive virtual and in-person technical assistance and implementation funding.

Results: The first cohort (CO, DE, GA, NC, NY, OH) concluded 10/31/14. Translation projects reflected individual MMR priorities. Examples include qualitative interviews with women to understand intentional and unintentional injury deaths, and implementation of obstetric emergency simulation exercises in Level I and II facilities. States reached hundreds of health professionals and women with educational programs, making significant changes in knowledge or intent to utilize needed services.

Conclusions: The AMCHP Every Mother Initiative enabled findings from MMRs to be translated into meaningful population-based action, and the funding support it provided contributed to MMR sustainability.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Describe the Maternal Mortality Review Action Cycle (Berg, 2012) guiding the processes of state-based maternal mortality reviews Explain a process for selecting priorities for the translation of maternal mortality review data into population-based action

Keyword(s): Data Collection and Surveillance, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the project manager for the AMCHP Every Mother Initiative funded by Merck for Mothers, and Senior Program Manager for Women's Health. I lead programs that build member MCH data capacity and bridge public health and clinical care in women's health. I represent AMCHP on national projects and initiatives, including the National Partnership for Maternal Safety. I have 8+ years experience as a project manager for private and federally-funded grants and contracts.
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.