Sacramento County Efforts to Reduce African American Perinatal and - PowerPoint PPT Presentation

Sacramento County Efforts to Reduce African American Perinatal and Infant Deaths CHEAC Meeting April 4, 2019

Background

Collective Impact Collective Impact Model – structured and collaborative approach across multiple sectors to tackle complex problems, with long term change in mind. Partners • Sierra Health Foundation • County of Sacramento • First 5 Sacramento • City of Sacramento • Non-profits and CBOs • Health Systems • Foundations • Faith based • Community/neighborhood • Many, many more www.collaborationforimpact.com

First 5 Investments to Reduce AA Infant Deaths

Cultural Broker Program Pregnancy Peer Support: • One-on-one mentoring to improve pregnancy and birth outcomes • Education and social support • Assessment, referrals, access to care • 314 served through Her Health First over 3 years • 675 served through WellSpace Health Clinic

Safe Sleep Baby Campaign • 818 AA parents received SSB training • 785 cribs given to AA families • 1,419 community service and health professionals trained • 94 hospital staff trained • 8 hospitals screening new parents about plans for where to putt babies to sleep at home

Interactive Media Campaign www.SacHealthBaby.Com

Family Resource Center The Birth & Beyond Family Support Collaborative • Parent education, home visitation, crisis intervention • Resource/referral, healthy living, playgroups, job skills training, community events

Black Child Legacy Campaign

Community Incubator Leads  Case Management  Home Visitation   Youth Mentorship Parenting Classes  Pregnancy Coaching  Grief Support  After School Programming  Leadership Development  Safe Sleep Training  Participatory Action Research  Crisis Intervention & Prevention  Social Justice Youth Development

Sacramento County 2016 Community Health Assessment MATERNAL CHILD HEALTH

First Trimester Prenatal Care by Maternal Race/Ethnicity, 2016 • The County and all racial/ethnic groups met the HP2020 Objective for early prenatal care

Preterm Birth

Infant Deaths 16.0 14.0 12.0 10.0 Rate per 1,000 8.0 6.0 4.0 2.0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 White 5.3 4.5 4.5 3.8 4.0 2.9 3.7 2.7 3.5 3.9 Black 10.5 8.3 11.3 11.9 12.8 11.1 12.1 14.9 11.0 6.6 HISPANIC 4.1 4.9 3.2 3.5 3.8 5.2 4.2 4.6 4.4 4.5 Asian_PI 4.4 4.1 4.7 4.2 4.9 4.3 2.6 5.4 3.4 4.2 HP2020 6.0 6.0 6.0 6.0 6.0 6.0 6.0 6.0 6.0 6.0

Infant Sleep-Related Death Between 2013-2016, African American ISR deaths decreased 54% and disparity decreased 62% . Rate (per 1,000 infants) 3.5 2.6 1.6 1.6 AA Infants 0.6 0.5 0.5 0.4 All Other 2013 2014 2015 2016 First 5 RAACD Funded Programs: Piloted (Jan 2014-Jun2015) Implemented (Jul 2015-Jun 2018) VRBIS; Births 2013-2016: California birth master file form CDPH & 2013-14, 2015, and 2016 CDRT Reports

Low Birth Weight

Foster Care Entry Rates, 2016 • County rates of entry were higher than the State • Females, Black children, and very young children had higher rates of entry into foster care.

Some take away points • Political buy-in – County Board Supervisor involvement • Flexible funding allocated by BOS over 5 years • Community ownership and buy-in – Community Incubator Lead agencies developed strategies tailored to the community needs • Strong backbone agency to support and coordinate community efforts – Sierra Health Foundation • Collective impact – multiple agencies, multiple strategies • Cultural broker model • Trauma-informed • Addressing SDOH

Questions? THANK YOU! For more information: Olivia Kasirye, MD kasiryeo@saccounty.net Julie Gallelo, MPH galleloj@saccounty.net