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Strengthening the evidence for maternal and child health programs

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3.1 Number of communities participating in Every Woman Connecticut (Connecticut)

Measure Status: Active

Measurement Category: Category 1: measuring quantity of effort (counts and "yes/no" activities)

Service Type: Bottom level: public health services and systems

Service Recipient: Activities related to systems-building

Goal: Implement Every Woman CT Learning Collaborative to give babies across CT a healthy start and ensure that all women and men are as healthy as they can possibly be throughout the course of their life whether they want to start a family or not.

Numerator: # of communities participating in Every Woman CT

Denominator: N/A

Significance: Nearly 3 out of 10 pregnancies in Connecticut in 2013 were unplanned. Only 56.6% of women who were not trying to get pregnant at the time, were using some form of birth control at the time they got pregnant. 40.7% of postpartum women using birth control, were using less or least effective methods of birth control. Only 27.4% of women reported having a “preconception health” discussion with their health care provider prior to becoming pregnant, to help them prepare for a healthy pregnancy. 48.5% of women were overweight or obese prior to becoming pregnant. 19.8% of women were taking medication other than birth control prior to becoming pregnant. 12.8% of mothers received late or no prenatal care, while 22.9% received inadequate prenatal care. Non-Hispanic Blacks, Hispanics, younger women (<20 and 20-24 years), and women who were on Medicaid or uninsured were disproportionately affected by poor health status before, during, and after a pregnancy, unintended pregnancies, and poor birth outcomes. (PRAMS data from Every Woman CT Fact Sheet)

Data Sources and Data Issues: Baseline data collected through assessment survey prior to implementation of One Key Question (OKQ). Survey will assess organizational needs and goals surrounding upcoming implementation of OKQ, as well as baseline data for current services provided related to pregnancy intention screening, pre-/inter- conception health care, and birth spacing/contraception care. 30, 60, and 90-day opportunities for sites to receive targeted technical assistance informed by optional PDSA cycles. PDSA worksheet data will be collected from participating sites and shared on a quarterly basis with members of the collaborative during sharing opportunities (webinars/conference calls/training sessions). Mid-project assessment survey (for comparison with baseline data, identification of outstanding training and technical support needs) End of project assessment survey will be administered to assess changes in practice and successful integration of pregnancy intention screening into regular practice and program workflow. Statewide population data indicators will also be monitored to inform future directions (Inter-Pregnancy Interval, early entry into PN care, unplanned pregnancies, premature birth, and LARC utilization rates). ~ A project of CT MCH Coalition, supported by the March of Dimes CT and Western MA.

Year: 2018/2020

Unit Type: Count, Unit Number: 169

   

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.