Cargando…

Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes

INTRODUCTION: Significant and persistent racial and ethnic disparities exist related to infant mortality and other birth outcomes. Few models exist that aim to prepare organizations to implement essential features, such as community engagement or intervening on social determinants of health. METHODS...

Descripción completa

Detalles Bibliográficos
Autores principales: Collie-Akers, Vicki, Landry, Sarah, Ehule, N. Jessica, Pecha, Denise, Beltran, M. Monica, Gilbert, Carol, Abresch, Chad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184551/
https://www.ncbi.nlm.nih.gov/pubmed/33929652
http://dx.doi.org/10.1007/s10995-021-03135-1
_version_ 1783704615141769216
author Collie-Akers, Vicki
Landry, Sarah
Ehule, N. Jessica
Pecha, Denise
Beltran, M. Monica
Gilbert, Carol
Abresch, Chad
author_facet Collie-Akers, Vicki
Landry, Sarah
Ehule, N. Jessica
Pecha, Denise
Beltran, M. Monica
Gilbert, Carol
Abresch, Chad
author_sort Collie-Akers, Vicki
collection PubMed
description INTRODUCTION: Significant and persistent racial and ethnic disparities exist related to infant mortality and other birth outcomes. Few models exist that aim to prepare organizations to implement essential features, such as community engagement or intervening on social determinants of health. METHODS: Between 2013 and 2015, teams from seven local health departments participated in the Institute for Equity in Birth Outcomes (EI) with the goals of building capacity and implementing changes to address equity in birth outcomes. Four of the teams enrolled in the first cohort (2013–2015), and three enrolled in cohort two (2014–2015). To examine the EI effort and its impact on capacity and implementation of changes, two types of assessments were completed. Capacities of the teams in specific key areas were assessed using “Best Change Process” instruments at the completion of participation in the EI. Teams also documented on an ongoing basis implementation of interventions. The data were analyzed using descriptive statistics and Pearson Correlation tests. RESULTS: Best Change Process capacity scores were higher in the first cohort than in the second and were highly correlated with implementation of changes (Pearson’s Correlation = 0.838, p = 0.037). Collectively, the teams implemented about 32 new programs, policies, practices, and systems changes aimed at addressing equity in birth outcomes. Most interventions were based on scientific recommendations and local epidemiologic data. DISCUSSION: The results of the study suggest the EI is a promising approach that may result in strong capacity and ability to implement interventions aimed at addressing equity in birth outcomes.
format Online
Article
Text
id pubmed-8184551
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-81845512021-06-25 Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes Collie-Akers, Vicki Landry, Sarah Ehule, N. Jessica Pecha, Denise Beltran, M. Monica Gilbert, Carol Abresch, Chad Matern Child Health J From the Field INTRODUCTION: Significant and persistent racial and ethnic disparities exist related to infant mortality and other birth outcomes. Few models exist that aim to prepare organizations to implement essential features, such as community engagement or intervening on social determinants of health. METHODS: Between 2013 and 2015, teams from seven local health departments participated in the Institute for Equity in Birth Outcomes (EI) with the goals of building capacity and implementing changes to address equity in birth outcomes. Four of the teams enrolled in the first cohort (2013–2015), and three enrolled in cohort two (2014–2015). To examine the EI effort and its impact on capacity and implementation of changes, two types of assessments were completed. Capacities of the teams in specific key areas were assessed using “Best Change Process” instruments at the completion of participation in the EI. Teams also documented on an ongoing basis implementation of interventions. The data were analyzed using descriptive statistics and Pearson Correlation tests. RESULTS: Best Change Process capacity scores were higher in the first cohort than in the second and were highly correlated with implementation of changes (Pearson’s Correlation = 0.838, p = 0.037). Collectively, the teams implemented about 32 new programs, policies, practices, and systems changes aimed at addressing equity in birth outcomes. Most interventions were based on scientific recommendations and local epidemiologic data. DISCUSSION: The results of the study suggest the EI is a promising approach that may result in strong capacity and ability to implement interventions aimed at addressing equity in birth outcomes. Springer US 2021-04-30 2021 /pmc/articles/PMC8184551/ /pubmed/33929652 http://dx.doi.org/10.1007/s10995-021-03135-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle From the Field
Collie-Akers, Vicki
Landry, Sarah
Ehule, N. Jessica
Pecha, Denise
Beltran, M. Monica
Gilbert, Carol
Abresch, Chad
Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes
title Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes
title_full Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes
title_fullStr Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes
title_full_unstemmed Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes
title_short Enhancing the Capacity of Local Health Departments to Address Birth Equity: The Institute for Equity in Birth Outcomes
title_sort enhancing the capacity of local health departments to address birth equity: the institute for equity in birth outcomes
topic From the Field
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8184551/
https://www.ncbi.nlm.nih.gov/pubmed/33929652
http://dx.doi.org/10.1007/s10995-021-03135-1
work_keys_str_mv AT collieakersvicki enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes
AT landrysarah enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes
AT ehulenjessica enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes
AT pechadenise enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes
AT beltranmmonica enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes
AT gilbertcarol enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes
AT abreschchad enhancingthecapacityoflocalhealthdepartmentstoaddressbirthequitytheinstituteforequityinbirthoutcomes