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Strengthening the evidence for maternal and child health programs

Find State ESMs


Displaying records 1 through 7 (7 total).

14.1.1 Number of staff that received training in tobacco cessation (District of Columbia)

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 knowledge of tobacco cessation among staff through training.

Numerator: Number of staff that received training in tobacco cessation

Denominator: N/A

Significance: Data for 2012 revealed that 3.5% of pregnant women were smoking in the third trimester of pregnancy, and overall 13.6% of women in DC are current smokers. Higher rates of tobacco use are seen among African-Americans (21.5% are current smokers). (Center for Policy, Planning and Evaluation, 2014 Infant Mortality Report) African-Americans have a disproportionally high smoking rate compared to other groups, 28.4% compared with 18.8% among the entire population (DC BRFSS 2013).

Data Sources and Data Issues: 1. Healthy Start 2. Breathe DC

Year: 2018/2020

Unit Type: Count, Unit Number: 100,000

14.1.1 Number of MCH providers trained on tobacco cessation. (Maine)

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: Increase number of trainings, providers reached.

Numerator: N/A

Denominator: N/A

Significance: This is part of a strategy to maintain the Non-Clinical Outreach (NCO) activities by providing tobacco education and treatment training to social service providers across the State that serve pregnant women and women of child bearing age.

Data Sources and Data Issues: MaineHealth monthly report

Year: 2018/2020

Unit Type: Count, Unit Number: 1,000

14.1.1 Number of health professionals trained on tobacco prevention and cessation interventions as it relates to risks associated with maternal and infant exposure to tobacco. (Texas)

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.

Denominator: NA

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

Year: 2018/2020

Unit Type: Count, Unit Number: 0

14.1.1 Cumulative number of community providers trained in CEASE or Environmental Tobacco Smoke (Wisconsin)

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 newly trained CEASE and ETS providers

Numerator: Cumulative number of providers trained in either CEASE or ETS

Denominator: Not applicable

Significance: Training individuals on CEASE will decrease the likelihood that women smoke during and after pregnancy.

Data Sources and Data Issues: REDCap; 2016 data will be available early 2017

Year: 2018/2020

Unit Type: Count, Unit Number: 500

14.1.2 Percent of women who talk with a home visitor about Intimate Partner Violence (IPV). (Pennsylvania)

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: Annually increase the percentage of women with a home visitor who have a conversation about IPV.

Numerator: The numerator will consist of the number women in home visiting programs who have a conversation about IPV.

Denominator: The denominator will consist of the number of women in home visiting programs.

Significance: IPV happens in every community. Home visitors are in a position to address IPV and begin a conversation. A simple conversation could save or improve the life and health of a family by removing the stigma surrounding women and children living in unhealthy relationships. The Institute for Health and Recovery’s 5P’s tool screening, which the DCAHS is requiring all home visitors be trained on and utilize, allows for the identification of women in need of support and referrals for mental health, substance abuse assessment and IPV. Incorporating IPV screening into the home visiting curriculum will allow us to gain an understanding of the prevalence of IPV in the population served. This ESM is not directly related to NPM 14, but it is related to the following priority: Women receiving prenatal care or home visiting are screeened for behavioral health concerns and referred for assessment if warranted.

Data Sources and Data Issues: Data will be collected through Quarterly reports from the home visiting programs.

Year: 2018/2020

Unit Type: Percentage, Unit Number: 100

14.1.2 # of providers trained on SCRIPT implementation (Wyoming)

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: Increase the number of providers trained in SCRIPT

Numerator: # of providers trained in SCRIPT

Denominator: N/A

Significance: Public Health Nursing in Wyoming delivers home visiting services to pregnant women in 22/23 counties across the state. SCRIPT is an evidence-based pregnancy smoking cessation program that takes very little time to implement as part of the home visiting program, and has the potential to have a greater impact on maternal smoking rates than the current model.

Data Sources and Data Issues: Women and Infant Program

Year: 2018/2020

Unit Type: Count, Unit Number: 100

14.1.2 Number of health care workers who have had Help2Quit maternity care provider training (West Virginia)

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 care workers who have had Help2Quit maternity care provider training

Numerator: Number of health care providers who have had Help2Quit maternity care provider training

Denominator: n/a

Significance: Decreasing the percentage of women who smoked during pregnancy and the percentage of children in households where someone smokes can reduce the following: rate of severe maternal morbidity per 10,000 delivery hospitalizations, maternal mortality rate per 100,000 live births, percent of low birth weight deliveries (<2,500 grams), percent of very low birth weight deliveries (<1,500 grams), percent of moderately low birth weight deliveries (1,500-2,499 grams), percent of preterm births (<37 weeks), percent of early preterm births (<34 weeks), percent of late preterm births (34-36 weeks), percent of early term births (37, 38 weeks), perinatal mortality rate per 1,000 live births plus fetal deaths, infant mortality rate per 1,000 live births, neonatal mortality rate per 1,000 live births, post neonatal mortality rate per 1,000 live births, preterm-related mortality rate per 100,000 live births, sleep-related Sudden Unexpected Infant Death (SUID) rate per 100,000 live births, and percent of children in excellent or very good health.

Data Sources and Data Issues: WV Perinatal Partnership

Year: 2018/2020

Unit Type: Count, Unit Number: 1,000

   

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.