P erinatal P eriods o f R isk Analytic Readiness Bill Sappenfield A CityMatCH “How-to-Do”...
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Transcript of P erinatal P eriods o f R isk Analytic Readiness Bill Sappenfield A CityMatCH “How-to-Do”...
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Perinatal Periods of Risk
Analytic Readiness Bill Sappenfield
A CityMatCH “How-to-Do” Workshop
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“If you don’t know where you are going, there are many ways to get there…”
Old African Proverb
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PPOR Conceptual Framework
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Improve Maternal & Infant Health
Seeing the “Big Picture”
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Seeing the “Big” Picture
Planning Cycle
Assessment
Perinatal Periods of Risk
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Big Picture Planning Cycle
Community readiness and investment Stakeholders Vision Planning process Resources available or planned Timeframe Accountability
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Community Assessment
Previous assessments Previous perinatal studies or surveillance Fetal and infant mortality reviews PRAMS or other surveys Health system assessments Asset mapping Previous policy and program evaluations Decision-making process
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Analytic Readiness:What Does it Mean?
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PPOR Analytic Readiness:
What does it means? Data access/quality Minimum number of events Adequately trained analytic staff Adequately trained communication
staff Analysis team including program staff Sufficient staff hours Strong leadership agreement &
support
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Direct Data Access/Quality?
Fetal death files (no gest. age restrictions)
Linked birth—infant death certificate files
Unlinked infant death certificate files Key data items missing or poor quality
Gestational age Birthweight Education Race/Ethnicity
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PPOR Minimum?
Overall, and every subpopulation or geographic region needs roughly 60 feto-infant deaths to have sufficient numbers to calculate rates.
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Adequately Trained Analytic Staff?
Analyze large data files Familiarity with birth and death files Assess data quality and reporting Calculate and compare rates Estimate confidence limits and p-values Investigate causes and risk factors Conduct multivariate analysis Summarize analytic findings Understand perinatal health issues
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Adequately Trained Communication Staff?
Determine Single Overriding Communication Objective
Develop compelling messages Condense numbers and figures Write reports and fact sheets Produce graphic presentations Tailor communications to the
audience
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Analysis Team?
Data analyst Policymaker or staff Program or content specialist Clinical specialist Vital records specialist Communication expertise
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Sufficient Staff Hours for Both Phases?
Preparation Phase 1 analysis Phase 2 analyses Communication preparation Participation in dissemination and
follow up
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Strong Leadership Agreement & Support?
Understands the feto-infant mortality problem
Understands the work plan Commits to providing resources for
the investigation Commits to providing resources for
community collaboration Gives priority and champions the
initiative
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PPOR Analytic Readiness:
What does it mean? Data access/quality Minimum number of events Adequately trained analytic staff Adequately trained communication
staff Analysis team including program staff Sufficient staff hours Strong leadership agreement &
support
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PPOR Analytic Readiness:
What does it mean? Data access/quality Minimum number of events Adequately trained analytic staff Adequately trained communication
staff Analysis team including program staff Sufficient staff hours Strong leadership agreement &
support
![Page 19: P erinatal P eriods o f R isk Analytic Readiness Bill Sappenfield A CityMatCH “How-to-Do” Workshop.](https://reader035.fdocuments.us/reader035/viewer/2022071717/56649e175503460f94b0208a/html5/thumbnails/19.jpg)
Ready, Aim, and Fire!