Measure Status: Active
Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)
Service Type: Middle level: enabling services
Service Recipient: Activities directed to professionals
Goal: To increase the number of health professionals trained in tobacco prevention and cessation interventions to enhance their understanding and skill in providing tobacco cessation counseling and intervention to women of reproductive age and their partne
Numerator: Number of health professionals trained on tobacco risks and cessation interventions as it relates to risks associated to maternal and infant exposure to tobacco per state fiscal year.
Significance: Tobacco use is one of the most preventable risk factors of poor birth outcomes. Smoking during pregnancy increases the risks of spontaneous abortion, ectopic pregnancy, cancers, stillbirth, premature birth, stunted growth, cleft palate, low birth weight, and sudden infant death syndrome (SIDS). As of 2016, the Centers for Disease Control and Prevention reports that Texas is one of the better performing states for maternal smoking, largely due to the higher number of births to Hispanic women who are less likely to smoke. However, there is geographic disparity in this behavior with higher rates of maternal smoking in the north and east of the state.
Data Sources and Data Issues: Data source: DSHS Maternal and Child Health Section (MCHS) and Tobacco Prevention & Control Branch (TPCB).
State fiscal year data for number of health professionals trained will be collected from the following program:
1. OPE Module: Preconception and Prenatal Health: Identifying and Intervening in High-Risk Behaviors
The goal of this module is to equip Texas Health Steps providers and other health-care professionals to improve the preconception and prenatal health of women in Texas. Target audience is primary care providers and other health professionals who treat adolescent and adult female patients who may become pregnant again or for the first time. This module discusses the risks of tobacco use and smoking during pregnancy, provides examples of smoking cessation interventions, and provides listed resources for smoking cessation.
2. CHW Trainings. Trainings will address the needs of maternal and child health by expanding the number of CHWs that are educated about the hazards of tobacco to maternal and child health populations in order to better serve their communities and educate women about the hazards of tobacco and cessation support.
3. NAPPSS-IIN - In early 2018 DSHS was chosen to represent Texas as one of five pilot states in the National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN). DSHS will provide outreach and technical assistance to the selected pilot hospital to support the creation, testing and implementation of the NAPPSS-IIN safe infant sleep and breastfeeding care bundle. One critical element of the bundle is health care professional (provider) training to increase knowledge and skills around policies and practices for optimal safe sleep and breastfeeding; smoking prevention and intervention will be part of this training.
Healthy Texas Babies Community Coalitions: DSHS support 8 perinatal community coalitions across the state to engage local stakeholders and communities in evidence-based interventions
Unit Type: Count, Unit Number: 0