Perinatal/ Infant Health Plan for Application Year (Maternal and Infant Health Bureau)

 

Objective 1: By 2021, produce a document that highlights the findings, success, and challenges of the FIMR program in regard to reducing infant mortality in a local context.

 

Strategy 1:  Continue monitoring the FIMR Coordinators through the new reporting template.

 

Rationale for Strategy 1: Fetal and Infant Mortality Review (FIMR) is a community-based and action-oriented process used to improve service systems and resources for women, infants, and families. This evidence-based method examines fetal and infant deaths, determines preventability, and engages communities to act. Infant mortality is a health indicator of not only a state but a community. By producing a report that is local to the community, both protective factors and risk factors can be explored. Furthermore, democratizing the data can mobilize stakeholders to address infant health by the resources and assets of the community.

 

Activity 1a:  Attend four Community Action Team meetings per year.

 

Activity 1b:  Attend two Case Review Team meetings per year.

 

Activity 1c:  Inform stakeholders of the efforts of FIMR program over a trend period of 3 or 5 years.

 

 

Objective 2: By 2021, contact the National Center for Fatality Review and Prevention for a site visit to Mississippi.

 

Strategy 2: Aid the Mississippi Child Death Review Panel with continuing to develop well-crafted recommendations for state leaders and other stakeholders.

 

Rationale for Strategy 2: The National Center for Fatality Review and Prevention (NCFRP) provides technical assistance to child death review programs and fetal and infant mortality review programs across the United States. The National Center for Fatality Review and Prevention also manages the National CDR Case Reporting System that aids fatality review teams in tracking risk factors associated with fatalities.

 

 

Objective 3: By 2021, produce and disseminate infant safe sleep messaging that discourages co-sleeping/bedsharing.

 

Strategy 3: Collaborate with partners to disseminate infant safe sleep messaging that discourages co-sleeping/bedsharing.

 

Rationale for Strategy 3: According to the recommendations of the American Academy of Pediatrics, specific circumstances have been shown to substantially increase the risk of SIDS or unintentional injury or death while bedsharing. Circumstances that increase the risk of SIDS or unintentional injury while bedsharing include bedsharing with a term normal weight infant younger than 4 months and infants born preterm and/or with low birth weight, regardless of parental smoking status. Even for breastfed infants, there is an increased risk of SIDS when bed-sharing if younger than 4 months; Bed-sharing with a current smoker (even if he or she does not smoke in bed) or if the mother smoked during pregnancy; Bed-sharing with someone who is impaired in his or her alertness or ability to arouse because of fatigue or use of sedating medications (e.g., certain antidepressants, pain medications) or substances (e.g., alcohol, illicit drugs); Bed-sharing with anyone` who is not the infant’s parent, including nonparental caregivers and other children; Bed-sharing on a soft surface, such as a waterbed, old mattress, sofa, couch, or armchair; Bed-sharing with soft bedding accessories, such as pillows or blankets.

 

Activity 3a: Collaborate with Infant Safe Sleep partners to disseminate infant safe sleep messaging that discourages co-sleeping/bedsharing.

 

Activity 3b: Utilize the Safe Sleep MS website and social media (Facebook and Instagram) to promote messaging that discourages co-sleeping/bedsharing.

 

 

Objective 4:  By 2021 disseminate safe sleep educational resources to at least 20 churches, 5 businesses, 10 birthing hospitals, and 10 community-based programs.

 

Strategy 4: Collaborate with partners to disseminate safe sleep educational resources to raise awareness of safe sleep practices.

 

Rationale For Strategy 4: Safe Sleep related deaths remain an issue in MS. Utilizing the social-ecological model as a framework, the Safe Sleep City project considers the complex interplay between individuals, the community, and societal factors in developing strategies that allow the project to reach individuals across multiple context

 

Activity 4a: Distribute at least 10,000 Safe Sleep Baby Safe and Snug books to at least 10 birthing hospitals to  educate families on safe sleep practices.

 

Activity 4b:  Provide safe sleep packets to at least 20 churches to raise awareness about safe sleep practices

 

Activity 4c:  Display safe sleep decals in 5 businesses to raise awareness about safe sleep practices

 

Activity 4d:  Distribute safe sleep educational resources to at least 10 community-based programs to raise awareness about safe sleep practices.

 

 

Objective 5:  By 2021, increase the number of hits to the Safe Sleep MS website and Social Media by 5%

 

Strategy 5: Implement social marketing strategies to promote safe sleep practices.

 

Rationale for Strategy 5: The use of social media has been increasingly used in public health and health promotion because it removes geographical barriers to accessing information. According to the Community Guide, over 95% of Americans own a cell phone/smart phone with 62% using it to find information about health conditions. Furthermore, 72% of internet users look up health information online and about 1 in 5 use at least one health app on their smart phone. In this digital age, health communication campaigns must consider social media as a way to spread the message beyond traditional marketing tactics.

 

https://www.thecommunityguide.org/sites/default/files/assets/What-Works-Health-Communication-Health-Information-Technology.pdf

 

Activity 5a:  Track the use of the Safe Sleep MS Website

 

Activity 5b:  Track the reach of Safe Sleep MS social media accounts (Facebook and Instagram)

 

Objective 6: By 2021, provide 5 trainings to the community on infant safe sleep guidelines.

 

Strategy 6: Identify and engage childcare centers to participate in infant safe sleep trainings

 

Rationale for Strategy 6: Infants spend the majority of their day with childcare providers. It is imperative that childcare providers are properly trained and aware of safe sleep guidelines while care for infants.

 

Activity 6a:  Provide trainings to childcare providers on infant safe sleep.

 

 

Objective 7: By 2021, increase the number of birthing hospitals supporting and participating in the Mississippi Perinatal Quality Collaboratives QI Initiatives by 4.

 

Strategy 7: Support Quality Improvement efforts to improve perinatal outcomes.

 

Rationale for Strategy 7: Perinatal morbidity and mortality are key indicators of a nation's health status. State-based Perinatal Quality Collaboratives (PQCs) are networks of perinatal care providers that include hospitals, clinicians, and public health professionals working together improve pregnancy outcomes for women and newborns using a rigorous quality improvement science. Members of the collaborative are healthcare facilities, mainly hospitals, which identify processes of care that require improvement and then use the best available methods to effect change and improve outcomes as quickly as possible.

 

Activity 7a:  Facilitate the statewide perinatal quality collaborative to engage obstetrics, neonatal and pediatric stakeholders in applying quality improvement methodologies related to perinatal outcomes.

 

Planned Evidenced Based Measures for Perinatal/Infant Health in FY 2021 (Maternal and Infant Health Bureau)

 

ESM 1:  Number of cribs distributed by Cribs for Kids Program.

 

ESM 2: Number of cribs distributed through Families First Resource Center with the pilot voucher project.

 

ESM 3:  Number of infant safe sleep trainings provided to licensed childcare centers in public health regions.

 

ESM 4: Number of quarterly reports completed by FIMR coordinators.

 

ESM 5: Number of infant cases thoroughly investigated by the coroners, law enforcement, and medical examiners.

 

ESM 6: Number of hits to safe sleep website and social media campaign (Facebook) quarterly.

 

ESM 7: Number of new partnerships established with the Safe Sleep City project.

 

ESM 8: Number of safe sleep board books distributed to birthing hospitals in Mississippi.

 

ESM 9: Number of safe sleep outreach events provided to the community.

 

ESM 10: Number of hospitals participating in MSPQC QI Initiatives.