The Los Angeles County Preconception Health Collaborative Project

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The Los Angeles County Preconception Health
Collaborative Project

• Cynthia A. Harding, MPH
• Maternal, Child, and Adolescent Health Programs
• Los Angeles County

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Los Angeles, California
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Selected Perinatal Health Statistics,
2004Compared with HP 2010 Goals
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Selected Health Conditions and BehaviorsWomen 18
44 Years, 2005

• Alcohol consumption,
• (past month)
• Depression/depressive disorder
• Diabetes
• High blood pressure
• Obesity
• Smoking

• LAC1
• 48.9
• 13.8
• 3.0
• 8.8
• 17.1
• 12.2

• CA2
• 53.6
• -
• 2.3
• 9.3
• 17.9
• 12.3

12005 LA Health Survey 22005 California Health
Interview Survey
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Efforts to Improve Birth OutcomesLos Angeles
County

• 2005 Perinatal Summit
• Diverse stakeholders leadership
• Unified call to action
• Recommendation to promote improved preconception
  health

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Preconception Care Council of California

• Sponsored by CA Dept. of Public Health March of
  Dimes CA Chapter
• Statewide forum for planning and decision-making
  for the integration, development and promotion of
  preconception care
• Clearinghouse for Preconception efforts across
  the State

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Los Angeles County Preconception Health Community
Profile
Foundations Churches
Schools LAC Dept LAC Dept
Parks Recreation First5 LA
Mental Health California Family Black
Infant Breastfeeding
Health Councils Health Program Hospitals Task
Force of Greater Los
Asthma Angeles Coalition MCH
Access Service
PHFE-WIC Planning Areas LA Best
Physicians LAC Health March
of Healthy Babies Midwives Dept of
Public Plans Dimes Births Network Nurse
Practitioners Social Services Learning Co
mmunity Clinics LA Care Collaboratives Associa
tion
Los Angeles County Public Health Department
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Los Angeles CollaborativeCore Members

• California Family Health Council
• LA Best Babies Network
• LA County Public Health Department
• March of Dimes
• PHFE WIC Program

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Collaborative Activities

• Baseline preconception health (PCH) data
• Speakers Bureau presentation on PCH
• Curriculum to integrate pre- interconception
  health into family planning clinics
• Interconception Care - Case Management of High
  Risk Women in PHFE WIC
• Improve communication among stakeholders

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Short-Range Project Goals

• Preconception brief
• Speakers Bureau presentation
• Toolkit to plan reproductive life plan
• Integrate pre- interconception care into Title X
  family planning programs
• PHFE-WIC case management to high-risk mothers

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Long-Range Project Goals

• Policy/advocacy
• Increase postpartum visits
• Improve content of risk reduction/health
  promotion at postpartum visit
• Decrease Unintended pregnancies
• Prepregnancy obesity
• Infant mortality
• Low birthweight births

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Putting the Pieces Together
State
Partners
L. A. Public Health
CDC
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Questions?
Partners
State
L.A. Public Health
C D C
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• Cynthia A. Harding, MPH
• Director
• Maternal, Child, and Adolescent Health Programs
• Los Angeles County
• charding_at_ph.lacounty.gov
• 213-639-6400

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