Presentation Title (IN ALL CAPS)

UNTHSC HEALTHY START PROGRAM: PROGRESS, SUCCESS AND CHALLENGES

Departmental Affiliation and City, State, Zip for All Authors

School of Public Health, UNTHSC-Healthy Start, Department of Obstetrics and Gynecology, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107

Classification

SPH Student (For Competition)

Research Presentation Category

Community Health and Prevention

Brief Narrative or Summary

UNTHSC-Healthy Start is a program that partners with families to empower, protect, and promote the health of families and their babies before, during, and after pregnancy. Case managers meet with families during planned home visits. Healthy Start provides information on things such as:breastfeeding, healthcare, prenatal care, and women's health. Families are assisted with finding transportation, food, education opportunities, and other needs. Assistance in finding education and career training opportunities is also available for fathers. Healthy Start also assists families in crisis situations.

Scientific Abstract

UNTHSC HEALTHY START PROGRAM: PROGRESS, SUCCESS AND CHALLENGES Sharon R. Gutu BS*, Misty Wilder** *School of Public Health, **UNTHSC-Healthy Start, Department of Obstetrics and Gynecology, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107 Tarrant County’s infant mortality rate is the highest in Texas among counties with 10,000 or more live births each year. UNTHSC Healthy Start is a 5-year grant funded through the Department of Health and Human Services/ Health Resources and Services Administration Maternal and Child Health Bureau with the mission to reduce disparities in infant mortality and adverse perinatal outcomes through an individualized home-based case management approach. Healthy Start partners with families to empower, protect, and promote the health of families before, during, and after pregnancy using a strengths-based approach. Social workers and an HIV nurse case manager partner with families in individual and group settings to connect to health, education and financial services, provide parenting support using an evidence-based model, provide screenings such as depression and intimate partner violence for women and developmental screenings for children, and offer activities to strengthen infants’ intellectual, physical, and language development. HS has begun year three of funding, and has served 350 women and families so far. Sixty-two percent of female clients were enrolled during pregnancy, and 38% were enrolled during the pre/interconception or parenting period. Out of the 350 clients served, 41% were between 0-24 months old. Among the women enrolled in the program, 43 gave birth, with 21% being low birth weight babies, and 12% preterm. Barriers to successful program services include difficulties in contacting new referrals because of phone disconnections, number changes, or referrals being unaware they were referred to HS, and not having all social work positions filled. Keywords: Home visiting, pregnancy, infant mortality

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UNTHSC HEALTHY START PROGRAM: PROGRESS, SUCCESS AND CHALLENGES

UNTHSC HEALTHY START PROGRAM: PROGRESS, SUCCESS AND CHALLENGES Sharon R. Gutu BS*, Misty Wilder** *School of Public Health, **UNTHSC-Healthy Start, Department of Obstetrics and Gynecology, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, Texas 76107 Tarrant County’s infant mortality rate is the highest in Texas among counties with 10,000 or more live births each year. UNTHSC Healthy Start is a 5-year grant funded through the Department of Health and Human Services/ Health Resources and Services Administration Maternal and Child Health Bureau with the mission to reduce disparities in infant mortality and adverse perinatal outcomes through an individualized home-based case management approach. Healthy Start partners with families to empower, protect, and promote the health of families before, during, and after pregnancy using a strengths-based approach. Social workers and an HIV nurse case manager partner with families in individual and group settings to connect to health, education and financial services, provide parenting support using an evidence-based model, provide screenings such as depression and intimate partner violence for women and developmental screenings for children, and offer activities to strengthen infants’ intellectual, physical, and language development. HS has begun year three of funding, and has served 350 women and families so far. Sixty-two percent of female clients were enrolled during pregnancy, and 38% were enrolled during the pre/interconception or parenting period. Out of the 350 clients served, 41% were between 0-24 months old. Among the women enrolled in the program, 43 gave birth, with 21% being low birth weight babies, and 12% preterm. Barriers to successful program services include difficulties in contacting new referrals because of phone disconnections, number changes, or referrals being unaware they were referred to HS, and not having all social work positions filled. Keywords: Home visiting, pregnancy, infant mortality