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Hudson Valley Hudson Valley Perinatal NetworksPerinatal Networks
Prevention & Health Promotion: Prevention & Health Promotion: Increasing Access Before, During & Increasing Access Before, During &
After PregnancyAfter PregnancyCheryl Hunter-Grant, LMSWCheryl Hunter-Grant, LMSW
Executive Director, Lower Hudson Valley Perinatal Network (LHVPN)Executive Director, Lower Hudson Valley Perinatal Network (LHVPN)
Caren Fairweather, MPSCaren Fairweather, MPSExecutive Director, Maternal Infant Services Network of Orange, Sullivan & Executive Director, Maternal Infant Services Network of Orange, Sullivan &
Ulster Counties, Inc. (MISN)Ulster Counties, Inc. (MISN)
The PURPOSE ofThe PURPOSE ofPERINATAL NETWORKS:PERINATAL NETWORKS:
To improve pregnancy outcomes To improve pregnancy outcomes
and women’s and children’s health and women’s and children’s health
byby
Organizing consortiums of Organizing consortiums of health & human health & human services providersservices providers and and consumers consumers to to identify and address local issuesidentify and address local issues
THE VISION ofTHE VISION of PERINATAL NETWORKS PERINATAL NETWORKS
Every pregnancy is healthy and Every pregnancy is healthy and wanted, and all women and wanted, and all women and families receive the support and families receive the support and services they need in a respectful services they need in a respectful environment.environment.
NYS Perinatal Health NYS Perinatal Health InfrastructureInfrastructure
Clinical Services
Regional Perinatal Centers
Prevention Services
Perinatal Networks
Regional Perinatal Forum
Hudson Valley Perinatal NetworksHudson Valley Perinatal Networks Lower Hudson Valley Lower Hudson Valley
Perinatal NetworkPerinatal Network Serves a 4 county regionServes a 4 county region
DutchessDutchess PutnamPutnam RocklandRockland WestchesterWestchester
Maternal – Infant Maternal – Infant Services NetworkServices Network Serves a 3 county regionServes a 3 county region
OrangeOrange UlsterUlster SullivanSullivan
Risk Factors by Race & EthnicityRisk Factors by Race & Ethnicity
HP 2010 Goal = 4.5/1,000
Infant Mortality Rates - Hudson Valley Region 2004
(NYC & NYS Comparison)
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Rat
e p
er 1
,000
live
bir
ths
White 4.4 10.6 3.8 2.8 5.3 7.0 7.6 4.2 4.8
Black 26.1 0 11.3 12.1 9.8 0.0 0.0 9.7 10.7
Hispanic 0.0 13.2 6.1 2.7 9.3 20.1 0.0 4.3 4.8
Dutchess Putnam Rockland Westchester Orange Sullivan Ulster NYC NYS
Risk Factors by Race & EthnicityRisk Factors by Race & Ethnicity
HP 2010 Goal = 7.6%
Prematurity - Hudson Valley Region2004
(NYC & NYS Comparison)
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
County
% G
esta
tio
n <
37
wee
ks
White 9.5% 9.7% 8.4% 10.5% 10.1% 10.8% 10.6% 11.5% 11.1%
Black 14.9% 6.3% 17.6% 18.2% 17.2% 23.4% 5.7% 16.5% 16.6%
Hispanic 10.4% 10.9% 10.5% 10.4% 13.9% 19.0% 10.4% 13.2% 12.8%
Dutchess Putnam Rockland Westchester Orange Sullivan Ulster NYC NYS
Risk Factors by Race & EthnicityRisk Factors by Race & Ethnicity
HP 2010 Goal = 5%
Low Birth Weight in Hudson Valley Region2004
(NYC & NYS Comparison)
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
County
% B
irth
Wei
gh
ts <
250
0 g
ram
s
White 5.7% 7.1% 5.4% 7.0% 6.1% 6.0% 8.6% 7.2% 7.0%
Black 9.8% 11.8% 14.7% 14.5% 12.2% 16.9% 7.2% 12.3% 12.6%
Hispanic 4.8% 7.2% 8.1% 6.2% 7.6% 13.4% 8.2% 7.8% 7.5%
Dutchess Putnam Rockland Westchester Orange Sullivan Ulster NYC NYS
20 high risk zip codes20 high risk zip codes in in top 40% of Upstate zip top 40% of Upstate zip codes:codes:
8 in Orange8 in Orange 5 in Sullivan 5 in Sullivan 6 in Ulster6 in Ulster
MISN/LHVPN MISN/LHVPN Perinatal High Risk Zip CodesPerinatal High Risk Zip Codes
22 high risk zip codes22 high risk zip codes in in top 40% of Upstate zip top 40% of Upstate zip codes:codes:
14 in Westchester14 in Westchester 5 in Dutchess5 in Dutchess 3 in Rockland3 in Rockland
1 in Putnam (not included in 1 in Putnam (not included in NYS’ top 40%)NYS’ top 40%)
7 COUNTY REGION of7 COUNTY REGION ofMISN and LHVPNMISN and LHVPN
MISN:
3 Counties
20 Zip Codes
LHVPN:
4 Counties
23 Zip Codes
Note: Each star represents a zip code. Stars illustrate the number of zip codes with high risk pregnancies in each county, with their approximate locations.
Perinatal Networks AddressPerinatal Networks AddressHudson Valley Regional Perinatal ForumHudson Valley Regional Perinatal Forum
Regional Action Plan Priorities:Regional Action Plan Priorities:
Eliminate Ethnic & Racial DisparitiesEliminate Ethnic & Racial Disparities
BREASTFEEDING
ORAL HEALTH
NUTRITION &
EXERCISETOBACCO, DRUG
& ALCOHOL PREVENTION &
CESSATION EARLY PRE-NATAL
CARE
Healthy Lifestyles & Healthy BabiesHealthy Lifestyles & Healthy Babies
SPECTRUM of PREVENTION:SPECTRUM of PREVENTION:A Wholistic Approach to Disease PreventionA Wholistic Approach to Disease Prevention
State & LocalState & LocalAdvocacyAdvocacy
Health Literacy Health Literacy Study CircleStudy Circle
70 Community 70 Community CollaborationsCollaborations
ProfessionalProfessionalEducation Education for 2,000for 2,000
CHED thru218 Agencies
Reaching 2,700 people
5,000 5,000 ConsumersConsumers
ServedServed
Policy/LegislationPolicy/Legislation
OrganizationsOrganizations
CoalitionsCoalitions
ProvidersProviders
CommunitiesCommunities
IndividualsIndividuals
Perinatal NetworksPerinatal NetworksIncrease Access to Prevention, Increase Access to Prevention,
Health Promotion, andHealth Promotion, andHealth ServicesHealth Services
Reductions in Low Birth Weight Reductions in Low Birth Weight Fewer Premature BabiesFewer Premature Babies Early Prenatal Care Early Prenatal Care Families Connect with Health Providers. Families Connect with Health Providers.
(Misra, et al 2003, Lu, et al 2003, Misra, et al 2000)(Misra, et al 2003, Lu, et al 2003, Misra, et al 2000)