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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 5 (5 total).

5.1 The percentage of infants delivered at birthing hospitals participating in the sleep sack program (Oklahoma)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the number of birthing hospitals participating in the safe sleep program

Numerator: The number of births occurring at birthing hospitals participating in the sleep sack program

Denominator: The number of resident live births

Significance: Providing a consistent message about infant sleep safety is essential to reducing sleep-related infant deaths. Hospital-based programs provide opportunities to give accurate and consistent infant safe sleep information to hospital staff and enable modeling of safe sleep practices. Increasing the number of birthing hospitals participating in the safe sleep program will directly increase the number of parents and caregivers receiving infant safe sleep education and the number of babies utilizing sleep sacks. This in turn will lead a reduction in infant deaths related to unsafe sleep conditions. Safe to Sleep Campaign. Eunice Kennedy Shriver National Institute of Child Health and Human Development. U.S. Department of Health and Human Services.

Data Sources and Data Issues: Vital Statistics Data, Health Care Information, Center for Health Statistics, Oklahoma State Department of Health and MCH Sleep Sack Program

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

5.1 Promote the complete Infant Safe Sleep Environment (no co-sleeping, on back, and no soft bedding) (New Jersey)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the use of the Infant Safe Sleep Environment (on co-sleeping, on back, no soft bedding)

Numerator: Mothers reporting Infant Safe Sleep Environment (no co-sleeping, on back, and no soft bedding) on the NJ PRAMS survey

Denominator: Mothers completing the NJ PRAMS survey

Significance: Tracking infant safe sleep practices using PRAMS data will inform the NJ DOH whether educational efforts to train health professionals and awareness campaigns targeting caregivers is having an impact on infant safe sleep practices. More information other than the percent of infants placed to sleep on their backs (NPM #5) is needed to ensure adherence to the complete Infant Safe Sleep message. Reporting NJ PRAMS data on co-sleeping and soft bedding in addition to on back would provide a more complete message on Infant Safe Sleep education.

Data Sources and Data Issues: NJ PRAMS Survey

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

5.2 Percent of MIECHV and Welcome Family home visiting participants who report always placing their infant to sleep on their backs and in a crib, cradle, or bassinet. (Massachusetts)

Measure Status: Active

Measurement Category: Category 4: measuring quality of effect (% of "is anyone better off")

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percent of families participating in MIECHV and Welcome Family home visiting programs who place their infant sleep in a safe position and location.

Numerator: Number of MIECHV and Welcome Family home visiting participants who report always placing their infant to sleep on their backs and in a crib, cradle, or bassinet

Denominator: Total number of Welcome Family and MIECHV infant participants less than 12 months of age

Significance: Programs implemented through the Maternal, Infant, and Early Childhood Home Visiting Initiative, including Welcome Family, assess and provide brief intervention and education to caregivers on safe sleep practices, including positioning, location, and the use of soft bedding. This ESM is supported by evidence from the Strengthen the Evidence for Maternal and Child Health Programs review of NPM 5 that was completed in February 2017. The review found that there was emerging evidence of effectiveness of caregiver education interventions. Two studies that focused on training and education for caregivers and had statistically significant favorable outcomes include: - Goetter M, Stepans M. First-time mothers' selection of infant supine sleep positioning. Journal of perinatal education. 2005;14(4):16-23. - Moon RY, Oden RP, Grady KC. Back to Sleep: an educational intervention with women, infants, and children program clients. Pediatrics. 2004;113(3 Pt 1):542-547.

Data Sources and Data Issues: MIECHV and Welcome Family program databases

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

5.3 Percent of infants enrolled in a home visitation program that are always placed to sleep on their backs, without bed-sharing or soft bedding (West Virginia)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: Increase the percentage of infants enrolled in a home visitation program that are always placed to sleep on their backs, without bed-sharing or soft bedding to 90% by 2020

Numerator: Number of infants (aged less than 1 year) enrolled in a home visitation program whose primary caregiver reports that they are always placed to sleep on their backs, without bed-sharing or soft bedding

Denominator: Number of infants enrolled in a home visitation program who were aged less than 1 year during the reporting period

Significance: By asking primary caregivers to report sleep practices regularly, home visitors will have additional opportunities to provide safe sleep education and reinforce the risks of unsafe sleep.

Data Sources and Data Issues: Data will be collected from WV Home Visitation Programs.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

5.5 Percent of infants, sleeping or awake-and-unattended in crib, in a safe sleep environment (New York)

Measure Status: Active

Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities directed to families/children/youth

Goal: At least 90% of infants, sleeping or awake-and-unattended, will be in a safe sleep environment during their hospital stay.

Numerator: Number of infants, sleeping or awake and unattended in crib, positioned supine, in safe clothing, with head of crib flat and crib free of objects

Denominator: Number of cribs audited

Significance: It is important that hospitals are modeling safe sleep practices and educating parents/caregivers so that the parents/caregivers will have the knowledge and self-efficacy to practice safe sleep at home.

Data Sources and Data Issues: NYS sampled Birthing Hospitals Data are collected by 56% (69/123) of NYS birthing hospitals, with hospital staff performing crib audits on a sample of at least 20 infant cribs per month. Data are submitted via the NYSDOH Health Commerce System on a monthly basis. These data represent ~40% of births in NYS.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.