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What does Maternal, Child & Adolescent Health mean, anyway?  

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Shelley Argabrite
Ultimate Health Planner
Joined: 7 months  ago
Posts: 169
02/11/2016 3:32 pm  

For decades federal and state funding commitments have been made to improve the health of mothers, children and families.  We have several agencies in the county that address this issue.  In the health department alone, we have three entire units that specifically address this topic.

Here's a link to summarize efforts from the Maternal and Child Health Bureau at the Health Resources and Services Administration.  http://mchb.hrsa.gov/about-maternal-and-child-health-bureau-mchb


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Earleen Beckman
New Planning Partner
Joined: 6 months  ago
Posts: 2
20/12/2016 6:39 am  

The GCHD has two programs that work with pregnant women and children in their homes, Healthy Families Garrett County and Early Head Start. Both are proven programs meaning that they have been tested and pregnant women and children do better when they receive the services. Healthy Families began working with expecting families in 2000. The program tracks a number of outcomes for the families enrolled. Take a look at how well the families do in the attached document.


Debbie Durben, Kola Artice, sharon rounds and 2 people liked
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Earleen Beckman
New Planning Partner
Joined: 6 months  ago
Posts: 2
20/12/2016 6:39 am  

The GCHD has two programs that work with pregnant women and children in their homes, Healthy Families Garrett County and Early Head Start. Both are proven programs meaning that they have been tested and pregnant women and children do better when they receive the services. Healthy Families began working with expecting families in 2000. The program tracks a number of outcomes for the families enrolled. Take a look at how well the families do in the attached document.


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Shelley Argabrite
Ultimate Health Planner
Joined: 7 months  ago
Posts: 169
21/12/2016 9:00 am  

Thank you for providing data and explaining the charts.  It certainly proves we need to look at additional funding sources because the program WORKS!  The qualitative data that would be powerful  is the bond the healthy family coordinators make with the families that last long after they have aged out of the program. That coordinator becomes a trusted resource to turn to in the years ahead, impacting additional outcomes!

Tell us how a healthy families coordinator made a difference in your life?


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Heather Cooper
Active Planning Partner Level 2
Joined: 7 months  ago
Posts: 10
21/12/2016 9:19 am  

Maternal, child, and adolescent health starts way before anyone realizes. Despite being a which comes first question the chicken or the egg; healthy women, infents, and children start with crucial and targeted pre-conceptional planning.  This includes placing oneself in a mindset of caring not just for her own body but adding the dimension that her body will not always be her own as she nurtures a developing baby and prepares for the next generation. Once pregnancy happens however, one particular community program available to serve the woman is the Special Supplemental Program for Women, Infants, and Children, more commonly known just as WIC. WIC is a federal program with the goal of providing nutrition education, healthy foods, referrals to resources, and breastfeeding support. In providing services to pregnant women we help educate on matters of nutrition, pregnancy anticipatory guidance, breastfeeding, and parenting along with referrals to local resources for more specialized care and treatment and nutritious foods to potentiate maximal health for the mom and developing baby. Once delivery occurs WIC continues to provide targeted education on growth and development, breastfeeding, nutrition topics, and feeding, and continues to act as a resource for parenting tips and a referral source for identified issues in the early postpartum period until the child turns 5. So, what does maternal, child, and adolescent health mean? It means providing the best possible environment for healthy women to deliver healthy babies and teaching moms and children positive behaviors to enable the best possible health and well-being.


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Jennifer Lee-Steckman
Active Planning Partner Level 2
Joined: 7 months  ago
Posts: 11
22/12/2016 7:19 pm  

There are various programs that have direct ties to Maternal and Child Health (MCH) in the division of Personal Health.  The Family Planning clinic is one of the programs that directly work with the population.  The goal of the clinic is to reduce unintended pregnancies and improve pregnancy outcomes by offering comprehensive evaluation for males and females of reproductive age.  

What the Family Planning program offers:

  • ·         Confidential services
  • ·         Sliding fee scale (may have no out of pocket expense)
  • ·         We will bill all insurance companies prior to asking for a payment
  • ·         Payment plans are available for everyone
  • ·         Pregnancy testing
  • ·         Birth control (pills, ring, patches, injection, implant, intrauterine devices , condoms,   & spermicide)
  • ·         Emergency Contraception
  • ·         Sexually Transmitted Infection testing & treatment
  • ·         Pap & HPV testing
  • ·         Immunizations
  • ·         Physical Exam
  • ·         Order Mammogram, ultrasounds, labs, etc….
  • ·         Colposcopy services
  • What are my current concerns? 
  • ·         Almost half of pregnancies are unintended in the US  🙁
  • ·         Long term contraceptive reversible contraception is the most effective birth control (implantable devices and intrauterine devices) yet is being used at lower rates than other methods
  • ·         Women of all ages have unintended pregnancies (from young women to women at the end of their reproductive cycle)
  • ·         Women should access pre-conceptional health prior to pregnancy but are not aware of the need
  • ·         Life goals need to be instilled into our youth which includes a reproductive plan (when do you want to be a parent and how do you achieve that goal?)
  • ·         Males are equally responsible for an unintended/intended pregnancy and need incorporated into the education and services but do not access the program at the same proportion as females

 

 


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Jennifer Lee-Steckman
Active Planning Partner Level 2
Joined: 7 months  ago
Posts: 11
22/12/2016 7:29 pm  

Healthy Families of America is an amazing program!  It is unfortunate that due to funding cuts that the program is no longer able to serve all women who are interested.  Let's hope that since Garrett County Health Department recently became accredited that the program will be able to obtain additional funding since we are one of the few health department's in the state that has received this award.  Keep up the great work!!


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Heather Cooper
Active Planning Partner Level 2
Joined: 7 months  ago
Posts: 10
23/12/2016 7:56 am  

I totally agree. It's a great program, and it would be great to see it built back to it's previous level of funding to serve all interested families!!!


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Heather Cooper
Active Planning Partner Level 2
Joined: 7 months  ago
Posts: 10
23/12/2016 7:59 am  

I wish there was as much effort put into planning pregnancies as there was in managing chronic disease. My future issues with disease could be prevented if we were healthy and planned healthy pregnancies to start with. We are learning so much about epigenetics and the role in future generations that even small amounts of prior planning would be great things.


Carol Bass
New Planning Partner
Joined: 7 months  ago
Posts: 2
10/01/2017 3:15 pm  

Healthy children, mothers and families in any community is something to aspire to!  Meeting the needs of this group requires communities to work towards a healthy, nurturing environment  (socially, physically,  fiscally) to help families find their way and obtain their maximum potential.  Whether it be access and knowledge about foods which feed good health, adequate housing and transportation, an environment free of pollutants and toxins, stimulating educational experiences and opportunity, economic stability or a supportive community environment or adequate medical and dental care and programming that meets this subset of  our community needs, we all have a place in this partnership.  Babies need to be born healthy and be given the maximum support we can give.  Nurturing by parents and community is so important during the preschool years and continues throughout the adolescent years.  We have strong programming in multiple agencies addressing multiple needs.  Family planning services are there to assist in assuring that all pregnancies could potentially be planned, generally leading to better  health and social outcomes.  Access and utilization of smoking cessation programs, substance abuse services, and mental health services are also necessary in creating an environment in which families can move towards  better health and wellness.  Early childhood education, be it Head Start, Early Head Start, Wrap Around Care, PreK and home visiting services such as Healthy Families Garrett County play an important role in both physical health and social health.  WIC (Special Supplemental Nutrition Program for Women, Infants and Children) assist 75% of the births in Garrett County with nutritious foods, referrals, and nutrition and breastfeeding advice which has a long-term beneficial effect on young children and families.  Garrett County has long fostered cooperation and referral between agencies which has resulted in bettering outcomes for our families.  Many of these programs are dependent on state and federal funds to maximize services, and we must be ever vigilant in protecting funding which has such an impact on our families.

Edited: 4 months  ago

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Michelle Ford
Active Planning Partner
Joined: 7 months  ago
Posts: 9
10/01/2017 4:54 pm  

Parents are the strongest influence in their children's lives.  I believe that people are most motivated to change once they find out that they are going to be a parent.  Whether this change is about a healthier lifestyle or to become more financially stable we as a community need to take this opportunity in supporting parents.   If we do so we will see benefits for generations to come.


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Jennifer Lee-Steckman
Active Planning Partner Level 2
Joined: 7 months  ago
Posts: 11
12/01/2017 2:32 pm  

 

Family planning was deemed one of the top ten public health achievements of the 20th century and remains the cornerstone for progress on the shared national health goal to reduce unintended pregnancy. And thanks in large part to Title X, the nation’s family planning program that ensures access to high-quality family planning care to 4 million people nationwide every year, we are improving sexual health outcomes. The unintended pregnancy rate in the US is at a historic low and teen birth rates have been at a record low each year since 2009. In 2014, Title X-funded health centers help women avert 904,000 unintended pregnancies, which would have resulted in 439,000 unplanned births and 326,000 abortions. For some people, Title X-funded care is the only health care they seek -- four in ten women seen at a Title X health center say that a family planning center is their sole health care provider.

 

Unfortunately, the program has been chronically underfunded for years. In fact, this is the sixth year in a row that the Title X network has received no new service dollars to provide desperately needed family planning care.

 

The field is working tirelessly to do more with less, but at a time when a demand for publicly funded family planning is burgeoning, we are also bracing for major threats to the very program that delivers these essential services.

 

As a Certified Nurse Midwife and Family Planning Administrator, I know how vital Title X funding is to the public health infrastructure in Oakland, MD.  It supports a trusted network of providers who are trained and focused on providing high-quality family planning services, from contraception to cervical cancer screenings. When women have access to the family planning care and education they need to stay healthy and support their families, communities are stronger and safer.  

 

Harmful policies that restrict access to publicly funded family planning care will lead to a dramatic decline in women seeking care, fewer cancer screenings, less treatment for STD’s, and diminished access to a full range of contraception. The impact is deeply concerning given that the gap between patients who receive Title X-funded care and the millions more who need care but are going without is widening in this country. The number of low-income women who need publicly funded family planning services rose 5% from 2010 to 2014, an increase of 1.1 million people.  

 


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