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
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.
Work collaboratively with partners to ensure multiple levels of support exist for families statewide for each stage of the breastfeeding cycle.
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.
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.
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