Perinatal Periods of Risk: A force behind community change from 2000-2013

 Registration is closed for this event

The Story:

Fifteen years ago, the Northeast Florida Healthy Start Coalition was searching for answers. Based in Jacksonville (Duval County), the coalition had been battling high infant mortality rates and increasing racial disparities using case management, education, and support to at risk pregnant women and newborns. They knew change was needed, but did not know what change would move them in the right direction.

Carol Brady, then the coalitions’ director, learned about the brand-new, four-box PPOR approach, and gave it a try. The Healthy Start stakeholders were surprised to learn that the Black/White gap was due mostly to differences in only two periods of risk. For them, this opened the door to the possibility that the persistent gap was not inevitable. Excess mortality in the Maternal Health/Prematurity period, and Kitagawa analysis, pointed towards preconception health as the best solution. Linking PPOR to Fetal Infant Mortality Review findings convinced stakeholders that their Kitagawa analysis made sense medically (NICUs were not the problem) and helped them to obtain funding for the Magnolia project to promote preconception health.  Black infant mortality decreased by 20% in seven years, but Black infants were still 1.7 times as likely to die in the first year as White infants. More change was needed.

The next step in Duval County was to consider how a woman’s entire life course contributed to the health of her offspring, and utilize the Life Course model to further improve local birth outcomes. Carol Brady is now leaving the NEF Healthy Start Coalition to head Florida’s newly re-born Maternal, Infant and Early Childhood Home Visiting initiative, which means she will be working with Healthy Start sites across the state. For this presentation, she returns us to Duval County to tell the story of the Magnolia project, and explain how communities can put the Life Course model into practice for needs assessment, delivery of services, community education, and advocacy.


Carol Brady, the new Project Director of Florida’s Maternal, Infant, and Early Childhood Home Visiting Initiative, has spent the last two decades heading up infant mortality prevention efforts for the Northeast Florida Healthy Start Coalition. An early adopter of the PPOR approach, she can almost always be found on the cutting edge of Maternal and Child Health.

Wednesday July 17th 2013 11:30-12:30 PM Central Time

(12:30-1:30 Eastern Time, 10:30-11:30 AM Mountain time, 9:30-10:30 AM Pacific Time)

Please Download the Presentation Here 

Please Download the Recording Here

July 17th, 2013 11:30 PM   through   12:30 PM
Phone: 402-552-9589

Help spread the word

Please help us and let your friends, colleagues and followers know about our page: Perinatal Periods of Risk: A force behind community change from 2000-2013

You can also share the below link in an email or on your website. All rights reserved©