United Way Success By 6 Liberty City Outreach Initiative

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United Way Success By 6 Liberty City Outreach
Initiative
Support
Collaboration
Presented by
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Overview of Healthy Start

• Implemented on April 1, 1992
• Reduce infant mortality, reduce the number of low
  birth weight babies and improve health and
  developmental outcomes
• Offers universal prenatal and infant risk
  screening to identify pregnant women and infants
  at risk for adverse birth, health and
  developmental outcomes.
• Offers care coordination services that support
  families in reducing factors that place pregnant
  women and infants at risk for poor outcomes.

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Introduction

• Grant awarded in October 2002 to the Healthy
  Start Coalition of Miami-Dade in partnership with
  the Economic Opportunity Family Health Center,
  Teen Pregnancy Prevention Center, and Health
  Council of South Florida.
• Funds are available from the United Way of
  Miami-Dade Success By 6 Program.
• The goal of the Initiative is to increase the
  number of completed Healthy Start prenatal
  screens by conducting intensive outreach to
  pregnant women and teens in zip code 33147
  (Liberty City).

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Design

• Outreach and self-referrals in Liberty City

Increase Healthy Start prenatal risk screens
(Early detection of women who are identified at
risk for poor birth outcomes)
Provision of Healthy Start core services
Decrease preterm birth in Liberty City from 12.8
in 1999 to 10.6 in 2005
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Evaluation of Outreach Efforts
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Zip Codes of Participation

• The highest percentage of women came from zip
  code 33147
• In the second six months of outreach prescreened
  women came from 24 additional zip codes (27
  versus 51 zip codes of participation)

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Zip Codes of ParticipationOctober 2002 March
2004
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Demographics

• Ages of women contacted during Year 1 of outreach
  ranged 30 years, from 14 to 44

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Demographics

• A high rate of participation by unwed mothers
• Compared to Census data, within 33147
  Non-Hispanic Blacks were over-represented
  Hispanics were under-represented

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Self-Referrals by RaceOctober 2002 March 2004
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Awareness of Healthy StartOctober 2002 March
2004
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Achievements for Year 1

• 20.4 of women from 33147 were aware of Healthy
  Start overall 19.7 were aware the program
• In 33147, 1.9 were aware because of Initiative
  activities compared to 11.1 in 33142 and 4.2 of
  all other zip codes
• There is an opportunity challenge to raise
  awareness of Healthy Start
• 100 of prescreened women from 33147 were
  assigned to Healthy Start providers

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Prenatal Screening Results for Year 1

• Based on the Self-Referral forms, the leading
  reasons for referral were stress (33.3), no
  medical coverage/insurance (9.3), and
  unemployed/partner unemployed (7.4)

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Process Achievements/Limitations

• Outreach partners each met their goals for
  contacts (405 contacts)
• Direct outreach (i.e. street-level) was the most
  successful
• Follow-up procedures were perceived as labor
  intensive and unrealistic
• Each outreach partner adopted their own method of
  follow-up
• Outreach partners found that prescreened women
  came to expect a high level of interaction with
  Healthy Start case managers

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Recommendations

• Efforts in year two should focus on
• Exploring new locations for outreach
• Utilizing high visibility, public events as
  opportunities for collaboration among outreach
  partners
• Building/strengthening relationships with medical
  providers
• Implementing or developing new follow-up
  procedures

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Contact Us

• Healthy Start Coalition of Miami-Dade
• 3250 S.W. 3rd Avenue
• Miami, Florida 33129
• Phone [phone]
• Fax [phone]