Healthy Women Build Healthy Communities

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• Healthy Women Build Healthy Communities
• October 14-17, 2007
• 2007 MCH Federal/State Partnership Meeting
• Sabrina Matoff-Stepp, M.A.
• Director
• U.S. Department of Health and Human Services
• Health Resources and Services Administration
  (HRSA)
• Office of Womens Health

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HRSA Office of Womens Health (OWH) Mission

• HRSA OWH provides a cross-cutting focus to reduce
• sex and gender-based disparities and improve
  womens
• health and wellness in support of the Agencys
• mission to provide national leadership, program
• resources and services needed to improve access
  to
• culturally competent, quality health care.

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HRSA OWH Functions

• Serve in a leadership capacity on womens health
  and sex/gender-specific issues and policy.
• Coordinate and support disease prevention and
  health promotion activities at HRSA and with
  other HHS agencies.
• Serve as the liaison with other Federal womens
  health and private sector organizations.
• Support educational efforts on topics related to
  womens health and wellness.

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FY08 Collaborations

• Scientific Workshop on Teen Dating Violence
• Minority Faculty Potential in Academic Medicine
  Five School Partnership
• HHS Womens Health Reference Book
• HHS Womens Health Calendar/Daybooks

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Other Collaborations

• Womens Health in Health Professions Curricula
  Reports
• Webcasts (www.mchcom.com)
• Human Trafficking April 2005, September 2007
• The Management of Eating Disorders July 2006
• Teen Dating Violence February 2006
• GIS Maps of HRSA womens health investments -
  http//datawarehouse.hrsa.gov/

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Womens Health USA 2007
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BFWHW Initiative Vision and Mission Statements

• Vision Statement to achieve physical, mental,
  social, and spiritual health, Bright Futures for
  Womens Health and Wellness identifies
  opportunities for integrating prevention into
  self-care, culturally competent health care, and
  community action.
• Mission Statement The mission of the Bright
  Futures for Womens Health and Wellness
  Initiative is to plan, develop, implement, and
  evaluate a variety of culturally competent
  consumer, provider, and community-based products
  to increase awareness and use of preventive
  health services for all women across their
  lifespan.

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BFWHW Initiative Goals

• Increase the use of preventive services.
• Empower women to share in health care
  decision-making.
• Encourage women to practice prevention in their
  daily lives.
• Increase practitioner utilization of preventive
  health guidelines.
• Support community-wide health promotion.

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BFWHW Initiative Infrastructure

• Purpose Develop tools for adolescent young
  women and adult women, clinicians, and
  communities to promote health and wellness
• Funding HRSA/Maternal and Child Health Bureau
• Coordination HRSA OWH and Division of Healthy
  Start and Perinatal Services
• Organization inclusive, lifespan approach
• Participants non-Federal and Federal experts
  (consumer and professional)

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Bright Futures for Womens Health and Wellness
(BFWHW)

• Domains
• Physical Activity and Healthy Eating
• Mental Health and Wellness
• Maternal Wellness

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Purpose of BFWHW Physical Activity Healthy
Eating Tools

• Develop tools to promote healthy physical
  activity and eating behaviors among women across
  the lifespan, according to the Dietary Guidelines
  for Americans 2005.
• Encourage shared decision-making and goal-setting
  with primary care providers and involve
  community participation.

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BFWHW Physical Activity Healthy Eating Tools

• Guide for Adolescent Young Women and Wallet Card
  (English)
• Guide for Adult Women and Reaching My Goal Tip
  Sheet Set (English and Spanish)
• Provider Training Materials
• Community Toolkit (English)

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BFWHW Consumer Guides

• 4 Main Components
• Self-assessment
• Clinical Assessment/Conversation Starter
• Goal Setting
• Resources and Information

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Tools for Consumers

• My Bright Future for Adult Women Guide and Tip
  Sheets
• Available in English and Spanish
• My Bright Future for Young Women Guide and Wallet
  Card
• Available in English

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Tools for Consumers

• Rural Adaptation
• Adult Women Guide and Tip Sheets
• Young Women Guide and Bookmark

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Tools for Clinicians

• Administrators Handbook Training and
  Implementation of BFWHW Physical Activity and
  Healthy Eating Guides

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Tools for Communities

• Healthy Women Build Healthy Communities Toolkit

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BFWHW Intermediate Evaluation

• Evaluation activities include a one-time data
  collection effort to
• (1) assess how the BFWHW materials can stimulate
  conversation on physical activity and healthy
  eating during a well care visit,
• (2) inform future BFWHW programming, and
• (3) add to the peer-reviewed literature regarding
  womens health and wellness initiatives.

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BFWHW Intermediate Evaluation(continued)

• Target audience includes young and adult women
  clients and their primary care providers.
• Six discrete sites will be selected for the
  evaluation including school-based health centers,
  faith-based sites, worksite wellness centers, and
  Federally Qualified Health Centers.

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BFWWW Mental Health and Wellness Tools

• Extensive background work to define mental
  wellness from a positive perspective.
• Three concepts interwoven throughout family of
  tools
• Value yourself
• Develop sense of balance, meaning and purpose in
  life
• Connect to your community
• Tools
• Guide for Adolescent Young Women
• Guide for Adult Women
• Provider Booklet
• Exam or Waiting Room Flyer
• Community Idea Kit

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BFWHW Mental Health and Wellness Tools
Characteristics

• Gender-specific
• Evidence-based
• Wellness focused (vs. disease focused)
• Address mental wellness constructs and protective
  factors

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Evidence Base Key Findings

• Some studies suggest resiliency, hardiness, and
  optimism can be learned
• Coping skills are linked with health outcomes as
  early as mid-adolescence
• Meditations and aerobic exercise have been shown
  to increase well-being
• Happy people tend to
• Have high self-esteem, be optimistic, outgoing,
  agreeable
• Have close friendships or a satisfying marriage
• Have work and leisure that engage their skills
• Have a meaningful religious faith
• Exercise

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Iterative Definition Core Elements
Elements of psychological wellness developed by
the Mental Health Expert Panel

• Identification with/or Connection with Community
• Meaningful, Rewarding and Supportive
  Relationships
• Meaningful and Rewarding Activities
• Sense of Balance, Meaning and Purpose in Life
• Healthy Emotional, Cognitive and Physical Habits
• Compassion for Others
• Ability to Adapt to Change and Cope Successfully
  with Adversity
• Meaningful Spiritual Beliefs and Practices
• Valuing and Appreciation of Self

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BFWHW Mental Health and Wellness, Primary Care
Clinic Flyer
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BFWHW Mental Health Wellness Adult Womens
Guide
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BFWHW Promotion

• Semi-annual newsletter
• Dedicated website with online tools (coming
  soon!)
• NEW Targeted announcements to Spanish
  organizations and state health departments
• Recognition at 2007 APHA Conference in Washington
  D.C.
• New partnerships always welcome!

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Lessons Learned

• Develop conceptual and theoretical framework for
  program planning, including a logic model.
• Gather information from a variety of
  stakeholders.
• Gain buy-in from your target audience(s).
• Develop ongoing partnerships.

• Develop marketing, promotion, dissemination and
  evaluation plans early.
• Use technology wisely.
• Allow extra time for reviews, clearances, and
  approvals.
• Take time to thank people who support your
  program.

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For More Information
A variety of BFWHW Tools and other
publications are available free of charge at the
HRSA Information Center 1-888-ASK-HRSA or
online at www.hrsa.gov/womenshealth HRSA
Office of Womens Health 5600 Fishers Lane,
18A-44 Rockville, Maryland 20857 [phone]
(office) [phone] (fax)