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BARAGA-HOUGHTON-KEWEENAW CHILD DEV. BRD.

  1. Project Identifier Information

    1. Project Title: BARAGA-HOUGHTON-KEWEENAW CHILD DEV. BRD.
    2. Project Number: H17MC00294
    3. Email address: tlfranko@bhkfirst.org

  2. Budget

    1. MCHB Grant Award Amount: (Line 1, Form 1)$50,000
    2. Unobligated Balance: (Line 2, Form 1)$0
    3. Matching Funds: (if applicable) (Line 3, Form 1)$100,000
    4. Other Project Funds: (Line 4, Form 1)$0
    5. Total Project Funds: (Line 5, Form 1)$150,000

    The MCHB Grant Award Amount may differ from the total budget amount displayed on the Snapshots page due to grant actions that occurred after this report was submitted. These grant actions would include supplemental funding such as carryovers and extensions.

  3. Type(s) of Service Provided

    • Enabling Service

  4. Project Description on Experience to Date

    1. Project Description

      1. Problem:

        In the Copper Country, prenatal smoking and alcohol use are high. Too few women receive early prenatal care or breastfeed. The area lacks health/ wellness education programs targeting pregnant women. The PEAS project provides perinatal services for effective early prevention.

      2. Goals and Objectives: List up to 5 major goals and time-framed objectives per goal for the project.

        Goal 1: Goal 1: To increase early entry into prenatal care to approach the Healthy People 2010 Goal of 90 percent
        Objective 1: Objective 1.1: 90 percent of pregnant women will receive first- trimester prenatal care by 2007
        Objective 2: Objective 1.2: 85 percent of pregnant teens will receive first- trimester prenatal care by 2007
         
        Goal 2: Goal 2: To improve pregnancy outcomes by decreasing high-risk behaviors such as smoking and alcohol use during pregnancy
        Objective 1: Objective 2.1: Prenatal smoking will decrease to 10 percent by 2007
        Objective 2: Objective 2.2: Prenatal alcohol use will decrease by 50 percent by 2007
         
        Goal 3: Goal 3: To increase breastfeeding rates
        Objective 1: Objective 3.1: 75 percent of mothers will initiate breastfeeding by 2007
        Objective 2: Objective 3.2: 50 percent of mothers will continue breastfeeding through the early postpartum period by 2007
         
        Goal 4: Goal 4: To increase utilization of health and social services by program participants during pregnancy, after birth and through infancy
        Objective 1: Objective 4.1: 100 percent of participants and relevant health professionals will be aware of area support services and PEAS services, by 2007
        Objective 2: Objective 4.2: 90 percent of eligible families will use relevant support services by 2007
         
        Goal 5: Goal 5: To increase family wellness by increasing social connectivity and physical activity
        Objective 1: Objective 5.1: 60% of enrolled families will participate in peer support groups by 2007
        Objective 2: Objective 5.2: 30% of enrolled families will participate in prenatal exercise or family wellness activities by 2007
         
      3. Activities/Methodology undertaken to meet project goals:

        PEAS addresses the community need for prenatal education and wellness programs by recruiting pregnant women for three core services: 1) a prenatal home visit that links families with prenatal care, community services and information on healthy pregnancies; 2) a parent education and support group; and 3) a perinatal fitness program. Activities include: public outreach; home visiting; linking pregnant women with health care and families with health insurance and support services; linking women to smoking cessation and support groups; promoting breastfeeding and connecting women to local resources; promoting and facilitating peer support groups; promoting and offering prenatal and perinatal exercise; and making referrals to appropriate community services.

      4. The first three Healthy People 2010 objectives which this project addresses are listed below.

        1. Related to Objective 16.23. Increase the proportion of Territories and States that have service systems for Children with Special Health Care Needs to 100 percent.
        2. Related to Objective 16.23: Increase the proportion of States and jurisdictions that have service systems for children with or at risk for chronic and disabling conditions as required by Public Law 101-239.
        3. Related to Objective 23.11 (Developmental) Increase the proportion of State and local public health agencies that meet national performance standards for essential public health services.

      5. Coordination: List the State, local health agencies or other organizations involved project and their roles.

        Resources and services are provided by Local Public Health, Community Mental Health and Substance Abuse, local hospitals and physicians, and through BHK services such as GED programs and home visiting. Keweenaw Family Resource Center facilitates groups and offers ongoing home visiting. Representatives from the Department of Human Services (formerly FIA), Mental Health and Public Health serve on the Advisory Board, which promotes collaboration between agencies serving the target population.

      6. Evaluation : briefly describe the methods which will be used to determine whether process and outcome objectives are met.

        Outcomes data and service utilization is tracked in a Head Start database and program-specific Access data base. Follow-up on smoking cessation, behavioral changes and referrals to community support services are also tracked. Participants are surveyed on attitudes, knowledge and consumer satisfaction. Outcomes are analyzed and reported to the advisory committee. Improvement plans are formulated in response to reported progress toward project objectives and Health People 2010 goals.

    2. Continuing Grants ONLY

      1. Experience to Date :

        PEAS served 63 women in year 3 and expects to serve nearly 120 women in year 4. After a decrease in early prenatal care in year 3 due to a critical OB shortage, now resolved, early entry in year 4 has surpassed Healthy People 2010 goals. While smoking remains a problem with 33% of expectant women smoking, 100% of these women reported reducing or quitting. Alcohol use was reported by 6% of women with all reporting reducing or quitting use. Women in PEAS who also received home visiting through other programs met Healthy People 2010 breastfeeding initiation goals. Other participants remain below initiation goals but for those who do breastfeed, continuation rates are excellent. Nearly three-quarters of pregnant women were successfully referred to community support services and 100% were informed about all services for which they were eligible. Participation in support groups continues to grow (33% in year 3 and 40% to date in year 4), and fitness participation has surpassed project goals. Unexpected outcomes from support groups include creation of a parenting book club, walking buddies group, babysitting cooperative, maternity clothes and diaper exchange programs and field trips for childbirth education. An infant playgroup was begun for moms over three months post-partum. A companion curriculum was developed to provide more prenatal information for staff and parents. Finally, a school-based support group is being developed to respond to a cluster of teen pregnancies.

      2. Website URL and annual number of hits:

        URL:

        Number of hits:

  5. Key Words

    • Access to health care
    • Breastfeeding
    • Early intervention
    • Health education
    • Home Visiting Services
    • Parent support services
    • Perinatal health
    • Pregnant women
    • Rural population
    • Support groups

  6. Annotation:

    The three-county Copper Country region is rural, rugged and remote, with a lack of prenatal education and support services and high rates of child poverty, child abuse and neglect, and prenatal alcohol and tobacco use. The Pregnancy Education and Support Project (PEAS) addresses the community need for prenatal education and wellness programs by recruiting pregnant women for three core services: 1) a prenatal home visit that links families with prenatal care and community services; 2) a parent education and support group; and 3) a perinatal fitness program. The goal of PEAS is to delivery healthy babies into healthy homes and to transition participants into early childhood programs that meet the needs of growing families.

Are the Data Reported on this Form Provisional or Final?

Provisional

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