““Mommy and Me” Mommy and Me” Pregnancy Education Pregnancy Education

ClassesClasses

CityMatch Panel DiscussionCityMatch Panel DiscussionAugust 26, 2007August 26, 2007

A pilot project for the March of Dimes- CDC cooperative A pilot project for the March of Dimes- CDC cooperative

agreement "Reducing Disparities in Premature Birth"agreement "Reducing Disparities in Premature Birth"

Janine Lewis, MPH, PhD(c)Janine Lewis, MPH, PhD(c)Director Health PromotionsDirector Health PromotionsWestside Health AuthorityWestside Health Authority

Chicago, IllinoisChicago, Illinois

Goal of ProjectGoal of Project►““Mommy and Me” classes are 1 Mommy and Me” classes are 1

component of a larger program, component of a larger program, “Healthy Births for Healthy “Healthy Births for Healthy

Communities”Communities”

Goal: Improve birth outcomes of Goal: Improve birth outcomes of African American infants born in African American infants born in

Austin with high infant mortality due Austin with high infant mortality due to preterm birth and sudden infant to preterm birth and sudden infant

death syndrome.death syndrome.

Westside Health Westside Health AuthorityAuthority

► Incorporated in 1990 under the leadership of Mrs. Incorporated in 1990 under the leadership of Mrs. Jackie Reed, President/CEOJackie Reed, President/CEO

► Mission: To use the capacity of local people to Mission: To use the capacity of local people to improve the health and well-being of Westside improve the health and well-being of Westside residents. residents.

► Conceptual framework: Every Block a VillageConceptual framework: Every Block a Village

www.healthauthority.orgwww.healthauthority.org

Austin: A Chicago CommunityAustin: A Chicago Community► Austin: 1/77 community areas in ChicagoAustin: 1/77 community areas in Chicago

► With nearly 118,000 residents, Austin is the most densely populated With nearly 118,000 residents, Austin is the most densely populated community in Chicago, Illinois.community in Chicago, Illinois.

► If Austin were taken out of Chicago, it would be the fifth largest city If Austin were taken out of Chicago, it would be the fifth largest city in Illinois.in Illinois.

► Austin demographic make up:Austin demographic make up: 54% Women54% Women 90% African American90% African American 47% living below twice the poverty level47% living below twice the poverty level

► MCH Indicators:MCH Indicators: Approximate 2,000 live births annually; 21% to teen mothersApproximate 2,000 live births annually; 21% to teen mothers 14.5% LBW14.5% LBW IMR = 15.8/1000IMR = 15.8/1000

Austin: A Chicago CommunityAustin: A Chicago Community

Healthy Births for Healthy Healthy Births for Healthy CommunitiesCommunities

► Three-year pilot project funded by Three-year pilot project funded by Steans Foundation/IL DHSSteans Foundation/IL DHS Goal: To find high-risk pregnant Goal: To find high-risk pregnant

women and guide them to prenatal women and guide them to prenatal care, WIC, case management care, WIC, case management servicesservices

WHA 1 of 2 outreach agenciesWHA 1 of 2 outreach agencies

► ““Mommy and Me” pregnancy Mommy and Me” pregnancy education groupseducation groups

Healthy Births for Healthy Healthy Births for Healthy CommunitiesCommunities

► Community Health Advocate Community Health Advocate TrainingTraining 12 session curriculum (3 12 session curriculum (3

hours/session)hours/session)►Topics included: Communication, Health Topics included: Communication, Health

Disparities, Healthy Births, Prematurity Disparities, Healthy Births, Prematurity (NICU tour), SIDS(NICU tour), SIDS

Cross-training of HBHC/CTG staff Cross-training of HBHC/CTG staff (continuing ed)(continuing ed)►Topics included: domestic violence, Topics included: domestic violence,

smoking cessation, housing, smoking cessation, housing, postpartum depression postpartum depression

►Partners include:Partners include: Illinois Department of Illinois Department of

Human ServicesHuman Services March of Dimes Illinois March of Dimes Illinois

ChapterChapter Steans Family FoundationSteans Family Foundation Austin Wellness Center of Austin Wellness Center of

Cook CountyCook County

PartnersPartners

““Mommy and Me” Mommy and Me” ClassesClasses

► Six course session over four months (March-Six course session over four months (March-June 07)June 07)

► Course development informed by 2 focus Course development informed by 2 focus groups held in Januarygroups held in January

► Facilitated by 2 peer advocates and a Facilitated by 2 peer advocates and a CoordinatorCoordinator

► Topics covered: Prematurity/SIDS, HIV/AIDS, Topics covered: Prematurity/SIDS, HIV/AIDS, postpartum depression, nutrition, birth postpartum depression, nutrition, birth defects, stress management, case defects, stress management, case management/WIC, childbirth, breastfeedingmanagement/WIC, childbirth, breastfeeding

► Referrals to prenatal care, case management, Referrals to prenatal care, case management, and WIC services providedand WIC services provided

““Mommy and Me” Mommy and Me” ClassesClasses

► Recruitment: HBHC program; clients Recruitment: HBHC program; clients at referral agencies/neighborhood at referral agencies/neighborhood clinics/word of mouthclinics/word of mouth

► Evaluation: Pre/post tests at each Evaluation: Pre/post tests at each session; overall evaluation of program session; overall evaluation of program given at last educational sessiongiven at last educational session

► Sustainability: Presently searching Sustainability: Presently searching for additional funding to continue this for additional funding to continue this programprogram

Evaluation ResultsEvaluation Results► 86% rated classes as “excellent”86% rated classes as “excellent”

► 100% noted that information was “easy to 100% noted that information was “easy to understand”understand”

► 100% noted that training schedule was “just 100% noted that training schedule was “just right” in terms of lengthright” in terms of length

► Favorite session: SIDS (new information, Favorite session: SIDS (new information, speaker energetic and helpful)speaker energetic and helpful)

“Mommy and Me” Baby Shower – June 13, 2007

B’s StoryB’s Story► African-American woman; in early 30sAfrican-American woman; in early 30s

► Pregnant with twins; has 3 children; marriedPregnant with twins; has 3 children; married

► Sometimes takes bus to travel to classSometimes takes bus to travel to class

► B was referred by class facilitators to high-B was referred by class facilitators to high-risk targeted intensive case management risk targeted intensive case management servicesservices

► Gave facilitators little presents at the end of Gave facilitators little presents at the end of class; said that they made the course funclass; said that they made the course fun

► Delivered twins about 4 weeks after class Delivered twins about 4 weeks after class ended; delivered at full-term and both at ended; delivered at full-term and both at normal birthweightnormal birthweight

Thanks for attending Thanks for attending our panel!our panel!

Any questions?Any questions?

Contact Info: Contact Info: Janine LewisJanine Lewis

jlewis6@gmail.com773-786-0249773-786-0249