Browsing by Subject "Infant Mortality"
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Item Fetal Infant Mortality Review: The Next Step in Addressing Infant Mortality in Tarrant County(2008-12-01) Peachy, LatawnyaObjective: An examination of the Fetal Infant Mortality Review process to identify key components of existing programs to gather information for the creation of a Tarrant County FIMR. This report seeks to examine the FIMR model and the possible impact on infant mortality through the development and implementation of recommendations. Methods: This report collected information from surveys of FIMR sites on experiences and lessons learned. The main focus involves sites that developed and implemented recommendations. Results: Although there were differences in operations and infrastructure, the success of the FIMR model is attributed to the ability to implement recommendations. Conclusion: Implementing recommendations that are comprehensive and provide interventions on multiple levels can impact infant mortality within a particular community (Strobino, Misra, and Grason, 2004). Creating strong collaborations to obtain maternal/familial interviews appear to be an important factor can affect the recommendation process, and the overall effectiveness of the review.Item HEALTHY MOMS- HEALTHY BABIES- HEALTHY COMMUNITY INITIATIVE: CONCEPT MAPPING AND COMMUNITY MEMBERS BELIEFS ON THE IMPACT OF RACISM ON INFANT MORTALITY(2013-04-12) Malone, KendraPurpose: Tarrant County has among the highest rates of infant mortality in Texas. Despite national efforts to eliminate racial disparities in infant mortality, the rate of infant mortality among African Americans significantly exceeds the rate of white, Mexican and Native Americans with similar socio-demographic factors. Research shows racism, mediated through stress, accounts for this disproportionality in infant mortality. Through participation in a Kellogg Foundation Action Learning Collaborative, the Healthy Moms - Healthy Babies - Healthy Community Initiative aims to reduce infant mortality through community engagement, focusing specifically on the impact of racism. The Texas Department of State Health Services funded this concept mapping project. Methods: Concept mapping is a multi-pronged, community-based process that includes brainstorming one issue, rating responses, sorting into themes, and computer-based spatial grouping. Community members from areas of Fort Worth with the highest rates of infant mortality were invited to generate ideas of how the community could decrease racial disparities in infant mortality. Ideas were rated on participation, impact, and time to implement change. Results: Seventy-two community members produced 289 statements for review, with 133 statements used for rating. Twelve actionable themes emerged: 1) connect people to resources 2) healthy environments from birth to old age 3) create partnerships among existing programs or new community programs 4) raise socioeconomic opportunities through educational incentives 5) build relationships within and outside the community 6) increase access to life skills education 7) increase parenting education 8) renew community structures 9) improve access to healthy foods 10) focus on strengths and reduce weaknesses within the community 11) empower the community to set and keep standards 12) break the cycle of race-connected social stigmas. Results were presented to community members for feedback and consensus. Conclusions: Concept mapping identified the community's priorities for reducing percieved racial impacts on infant mortality. The H3 team is currently looking for more avenues to connect community members to new and existing resources. Other findings emerging from the concept mapping project will be used to implement interventions to decrease racial disparities in infant mortality.Item Maternal Characteristics and Neighborhood Characteristics: How do they impact birth-weight and infant mortality?(2010-05-01) Roberson, Jerry L.; Kristine LykensRoberson, Jerry L., Maternal Characteristics and Neighborhood Characteristics: How Do They Impact Birth-Weight and Infant Mortality?. Doctorate of Public Health (Health Management and Policy), May 2010, 52 pp., 4 tables, 2 illustrations, bibliography, 63 titles. Infant mortality is a family tragedy and an index of community health and progress. Infant mortality (death in the first year) remains a serious problem in the US and locally (Kochanek, 2002). High rates of infant mortality suggest poor maternal health care, inadequate access to and utilization of health services, insufficient prenatal care, and other social, economic, and health related factors. Thus, the rate of infant mortality indicates the state of a population. The purpose of this study is to investigate the relationship between individual level characteristics and neighborhood characteristics on infant mortality. Four data sources were compiled to analyze secondary data regarding maternal characteristics, neighborhood characteristics and birth outcomes—birth-weight and infant death. The study population consisted of all live births in specified zip codes within Tarrant County. Neighborhood characteristics from the same areas were also studied. The findings from the study were that there is a significant relationship between some maternal characteristics and neighborhood characteristics on birth-weight; and that the significant relationships on infant mortality are primarily maternal characteristics. Future research should focus on the impact of social support for the pregnant mother.