Presentations from January 9th, 2018 Meeting
Hawaii Maternal and Infant Health Collaborative (HMIHC), founded in 2013, is a public private partnership committed to Improving Birth Outcomes and Reducing Infant Mortality. The Collaborative focuses on ensuring that children have the best start in life by being born healthy. The Collaborative has completed a strategic plan aimed at achieving an 8% reduction in preterm births and 4% reduction in infant mortality. To date, over 100 people and organizations across Hawaii have been involved in the Collaborative, including physicians and clinicians, public health advocates, insurance providers and health care administrators.
Our Work groups
Pre and Inter-conception Care
One Key Question®: Would you like to become pregnant in the next year?
Reducing Hawaii’s unintended pregnancy rate is a major focus of the Collaborative. One Key Question (OKQ) is an initiative created by Oregon Foundation for Reproductive Health (OFRH) that is a simple program designed to incorporate pregnancy intention screenings in primary care settings. Screening women for their pregnancy intentions could prove to be the proactive intervention we need to increase the proportion of pregnancies that are wanted, planned, and as healthy as possible.
Long-Acting Reversible Contraception (LARC)
The preconception/inter-conception work group has been busy behind the scenes organizing a plan to establish baseline data on birth spacing and contraceptive use in Hawaii’s Medicaid population.
Contact
Candace Calhoun, [email protected] or
Sharon Thomas, [email protected]
if you are interested in joining the Preconception Team work group.
Infant Health & Safety
The Infant Health and Safety Team has set two key priorities for 2016: to increase the number of moms who breastfeed their infants exclusively up to six months of age and to address the infants and their caregivers.
The second objective for the Infant Health and Safety Team is to make investigate the current system of care to support the caregivers of substance-exposed infants.
To join in this work contact Keiko Nitta at [email protected] or
Lisa Kimura at [email protected].
Care During Pregnancy & Delivery
Improving birth outcomes and decreasing the rate of pre-term births has also been a primary objective for the Collaborative.
We have prioritized two strategies to improve birth outcomes and decrease pre-term births through 1) the reduction of risk factors for tobacco, alcohol, and drug use during pregnancy through prenatal screening, assessment, brief intervention and referral to treatment and 2) increasing appropriate access to progesterone use for those women at risk of pre-term birth.
To join the Team or for more information contact: Lin Joseph at [email protected]org
Advocacy & Policy
We are happy to say that at this point in the Legislative session Senate Bill 2317, which would appropriate funds to the Department of Health to conduct child death reviews and implement a program to perform maternal death reviews is alive and well.
Many people have worked to make this effort successful; position papers were written to make the case to Legislators, the Department of Health and professional associations have collaborated to find solutions to member concerns and key legislators have supported the efforts and challenged us to find a pathway for implementation. The funding level will be determined in conference committee. But as the saying goes “nobody has sung yet,” so we will stay on top of the bill for the upcoming weeks ahead.
To join the Advocacy Team please contact Dr. Autumn Broady at [email protected].
Breastfeeding
One of the major focus areas of the Infant Health & Safety work group of the Collaborative is to promote breastfeeding because it reduces infant mortality and improves health outcomes for both mothers and babies. Breastfeeding is a research-based strategy to improve health outcomes for both mother and baby and most importantly to reduce infant mortality. Although Hawaii has high initiation rates of breastfeeding, rates are challenged each time families go through critical transitions such as from birthing facility to home, returning to or starting school and work. The Breastfeeding Life Cycle looks at these times of transition and identifies actionable ways to improve support in consumer education, professional training, workforce development, community support, and employment laws and policies.
Mission
Work collaboratively with partners to ensure multiple levels of support exist for families statewide for each stage of the breastfeeding cycle.
Vision
Hawaii families will benefit from a system of support that permit them to intend, initiate, and maintain breastfeeding to achieve optimum health outcomes for both mother and child.
Goal
By 2023, increase by 10% the number of infants fed breastmilk exclusively until 6 months of age, and increase by 10% the number of infants breastfed at 12 months.
One Key Question®:
Would you like to become pregnant in the next year?
Reducing Hawaii’s unintended pregnancy rate is a major focus of the Collaborative. One Key Question (OKQ) is an initiative created by Oregon Foundation for Reproductive Health (OFRH) that is a simple program designed to incorporate pregnancy intention screenings in primary care settings. Screening women for their pregnancy intentions could prove to be the proactive intervention we need to increase the proportion of pregnancies that are wanted, planned, and as healthy as possible.
The goal is to incorporate pregnancy intention screenings in routine and proactive settings, where patients are screened every 3 months to a year, regardless of the reason for the woman’s visit.
Orientation of clinicians and non-clinicians on using One Key Question® to support reproductive health and pregnancy planning is underway. This work group is now planning activities for clinical and non-clinical OKQ® service site implementation and for public education supporting reproductive health and related outcomes.
We are always looking for more people!
Join our work Groups!
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