MomsFirst & Health Literacy

October is Health Literacy Awareness Month and MomsFirst is helping with bringing attention to this very important issue that effects everyone. Through involvement with the Health Literacy committee of the Healthy Cleveland Initiative, MomsFirst has previously trained the committee on the health-literate intervention, Baby Basics, and has received training for staff on health literacy strategies.

In this TV 20 segment, first watch Jessica Jurcak and Karen Komondor discuss health literacy and the local efforts to raise awareness. Then, Tiffany Ashley, MomsFirst Case Manager at Merrick House on TV 20, is interviewed regarding the involvement with MomsFirst.

http://www.tv20cleveland.com/healthy-cleveland-health-literacy-momsfirst/

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Leah Haslage, TV20 Program Manager/News Director with Tiffany Ashley, MomsFirst Case Manager.

 Leah with Jessica Jurcak, Program Coordinator of the Healthy Cleveland Initiative and Karen Komondor, Director of Organizational Development of the Health Literacy Institute at St. Vincent Charity Medical Center.

Leah with Jessica Jurcak, Program Coordinator of the Healthy Cleveland Initiative and Karen Komondor, Director of Organizational Development of the Health Literacy Institute at St. Vincent Charity Medical Center.

Planners: Me & My Big Ideas

Have you ever been THAT planner girl who lives and breathes all things Happy Planner? Have you ever been THAT planner girl who truly believes that planning will “lit-er-al-ly change your life!”? Have you ever been THAT planner girl who tries so desperately to get a friend or family member to start planning with you? Well, if you answered YES to all of the above just know you are not alone. The MomsFirst Adolescent Component is “planning” with their participants in the form of their 2nd annual Movie and a Plan event. This planning session was led by Ms. Valarie who is the mother to Ms. ShenettaMarie, MomsFirst Community Health Worker at the May Dugan Center.

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The Happy Planner is an expandable creative planner system that combines the love of creativity with the need for organization, and lets you add even more personalization to your planner. The MomsFirst Adolescent Component wanted to do this event to help get the participants on track with their medical visit, the baby’s immunization appointment as well as school assignments.

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The event was well attended and everyone enjoyed themselves!

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MomsFirst, Invest in Children and Belarus

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MomsFirst joined Invest in Children in a presentation on early childhood programming and disparities in infant mortality to a delegation from Belarus arranged by the Cleveland Council on World Affairs.  Of particular interest to the visitors was the operation of the MomsFirst program, especially our impact in reducing infant mortality among the participants in the program.   

 

Infant Mortality Ambassador Spotlight: Alexis Davis

Infant Mortality Ambassadors are MomsFirst volunteers that choose to get involved and work toward the mission of reducing the racial disparity in infant mortality in Cleveland. Their involvement can take on many forms. We have had volunteers choose to write letters of support to our participants, come to our office and spend the day volunteering on a specific project, or share safe sleep education with their church congregation. Alexis Davis, a 2nd year medical student at Case Western Reserve University and the first in her family to graduate from college, took on a different approach. Motivated by her desire to help people from backgrounds similar to her own, but who may be lacking the access to opportunity and support that she had, Alexis decided to start an awareness campaign and coin drive at CWRU’s School of Medicine.

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Alexis graduated from Cornell University in 2015. Alexis says that she learned early on that being poor and/or a minority in America often means receiving lower quality medical care, and even as a child, she saw injustice in this. This belief has stuck with her and continues to drive her dedication to serving disadvantaged communities. Alexis indicated that the mission of MomsFirst spoke to her because our work lies at the intersection of many of the issues that she and her family have faced as people of color in America.

Alexis was very active and persistent with getting the word out about the fundraiser. It was important to her to be concise while still conveying the importance of the issue and the work that MomsFirst is doing. She reached out to all of her networks to share the fundraiser. Her efforts paid off—and then some! After the one month campaign concluded, Alexis raised $1642.88 for MomsFirst. In addition, as a result of the awareness campaign, an additional student volunteer has reached out to find out ways that she can be involved.

 Alexis Davis with all of the items she was able to purchase from the MomsFirst Wishlist on Amazon.com with the money she raised in December, 2017.

Alexis Davis with all of the items she was able to purchase from the MomsFirst Wishlist on Amazon.com with the money she raised in December, 2017.

Does this inspiring story motivate you to help your community? Alexis suggests taking some time to reflect on what issues are important to you and also what skills you have that can help others. Then, research what local organizations are looking for help. Alexis says, “Everyone can be of service to their community in some way; whether it is through donating time or money”.

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MomsFirst is incredibly grateful to Alexis for being the change! Our staff and participants thank you!

Catching Up With Cleveland - Then & Now!

The National Healthy Start Association recently featured the Cleveland MomsFirst project in their recent newsletter. How far we have come! Check it out below:

THEN: Though the City of Cleveland has always been the grantee for the Healthy Start grant, the Project has gone through many changes, says Lisa Matthews, Project Director for the program. The infant mortality rate in 1991 in the 15 Cleveland neighborhoods that comprised the Project area was 21.4 per 1,000 live births and 21.8 among African American women. Initially known as Cleveland Healthy Family/Healthy Start (HF/HS), Cleveland’s community needs assessment showed a lack of service integration and coordination at the community level, low rates of adequate prenatal care, inaccessible health care services and limited or no collaboration among health provider organizations. (Source: Telling the Healthy Start Story: A Report on the Impact of the 22 Demonstration Projects, November 1998).

 Mom & baby, August 2012

Mom & baby, August 2012

After some early adjustments to the program, HF/HS contracted directly with the agencies providing services, such as neighborhood settlement houses, to allow for more accountability. In the early years, HF/HS had over 100 outreach workers. They did not initially have a fatherhood program, and that is yet another thing that has changed.

A three-pronged approach aimed at the communities, city high schools and high-risk populations in shelters or incarcerated was implemented. The service models included outreach, infant mortality review and risk reduction. HF/HS also had a robust public information/education model. Each of the 15 neighborhoods had a consortium that met at a local settlement house, which provided a local meeting place. Key trends or impacts of CF/HS, according to the impact report were:

·  “The first significant collaboration among area provider organizations related to infant mortality (via infant mortality review activities);

· “Unprecedented community wide collaboration between public, private and academic sectors;

· “Significant penetration and enhancement of school-based outreach and services; and

· “Enhancement of standards and practice for outreach and services to women in jail.”

NOW: HF/HS is now called MomsFirst, Matthews said, because there are so many programs in Ohio with “Start” in their names. The name change was consumer driven, as consumers said all the programs with “Start” in their names (including both Healthy Start and Head Start) led to confusion.

MomsFirst is a Level 3 program and mentors programs throughout the state. The service area was expanded in 2001 to include the entire City of Cleveland.

For the period of 2011-2016, MomsFirst participants had a lower Infant Mortality Rate (IMR) than the overall state of Ohio and the nation – 5.7 deaths per 1,000 births. MomsFirst served over 1,700 participants and their families in 2016 and has had an IMR below the Healthy People goal of 6.0 deaths per 1,000 live births in seven of the last 10 years. MomsFirst enrolls primarily high risk African -American pregnant women and teens. Cleveland’s 2016 overall IMR was 10.2*, with a white rate of 5.4* and a black rate of 13.5.* MomsFirst’s IMR for project participants in 2016 was 5.4 deaths per 1,000 live births. These data provide strong evidence regarding the impact the program is having in reducing infant mortality in MomsFirst’s communities. 

 Mom & Baby, September 2017

Mom & Baby, September 2017

MomsFirst’s 2016 Annual Report indicates that there were eight case managers and 30 community health workers; staff are funded primarily through the federal grant with others funded by the city and county. The program served 365 teen participants, 67 incarcerated participants and enrolled 655 new participants. And 557 babies were born to program participants! Here are some other fantastic stats:

· 12,974 home visits completed

· 8,899 medical appointments attended

· 1,486 depression screenings administered

· 1,339 reproductive life plans completed

· 105 referrals to job training

 Referral sources were 32% from outreach, 22% self-referred, 15% from the Cleveland Metropolitan School District, 11% by a family member or friend and the remainder from other sources.

 What about dads? MomsFirst now has a robust fatherhood initiative, including a Welcome to Fatherhood binder given to participants, a fathers support group, bus tickets for dads to accompany moms to their appointments and condoms for dads. Fathers also participate in home visits with their partners. In 2016, 186 men were served.

*Preliminary.