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Maternal Child

Maternal Child HealthCCC CornerMay 2008
OB/GYN CCC Corner - Maternal Child Health for American Indians and Alaska Natives

Volume 6, No. 5, May 2008

Abstract of the Month | From Your Colleagues | Hot Topics | Features   

From Your Colleagues

Ben Garnett, ANMC

Antimicrobial prophylaxis for surgery

An Advisory Statement from the National Surgical Infection Prevention Project: Antimicrobial Prophylaxis for Surgery

Vaginal or abdominal hysterectomy

  • Cefazolin
  • Cefotetan
  • Cefoxitin
  • Cefuroxime
  • Ampicillin sulbactam

Other

If Beta lactam allergy, metronidazole monotherapy is recommended in the ACOG Practice Bulletin as an alternative to cephalosporin prophylaxis for patients undergoing hysterectomy. Trovafloxacin, although still available in the United States, is recommended only for serious infections.

Synthetic pubovaginal sling

  • Cefazolin
  • Cefotetan
  • Cefoxitin
  • Cefuroxime

Other

If Beta lactam allergy, aminoglycoside, clindamycin, or metronidazole

Resources

Bratzler DW et al Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project. Clin Infect Dis. 2004 Jun 15;38(12):1706-15. http://www.ncbi.nlm.nih.gov/pubmed/15227616

Antimicrobial prophylaxis 2007

http://www.premierinc.com/quality-safety/toolsservices/safety/topics/guidelines/downloads/anbx-cid-scip-04.pdf

Surgical Care Improvement Project (SCIP)

http://www.premierinc.com/safety/topics/scip/index.jsp

or

http://www.premierinc.com/quality-safety/tools-services/safety/topics/guidelines/other.jsp#antimicro-pro

Scott Giberson, HQE

Upcoming CDC Rapid HIV Testing Training through SAMHSA and IHS

SAMHSA and IHS work together on multiple initiatives. One of which is rapid testing training. With some of SAMHSA's Minority AIDS Initiative dollars, we have been able to coordinate HIV rapid testing training (and one training of trainers session) for I/T/U personnel from the CDC. Below is the announcement.

If you work for a Tribal or Urban facility and are interested, please contact Deepa or Ivy dchhatwal@iqsolutions.com and ivedamuthu@iqsolutions.com . Part of this initiative will also involve IHS staff. The IHS HIV Program has secured a small amount of funding for a cadre of IHS providers to become CDC certified in rapid testing and /or become a Trainer. (In order to participate in the "training of trainers session" you will need to have already be certified in CDC Rapid Testing).

If you are an IHS employee and provider of HIV services and are interested in ANY of the trainings below or know someone on your staff that should attend, please contact me as soon as possible and we will discuss this in detail. This IHS/SAMHSA collaboration will thus provide training for all three personnel, I/T/U, tribal and urban sites,

The trainings participant capacity is 24 participants.  Registration will be on a first come first served basis.  The trainings will be provided at no cost and logistical support will be provided to participants.

The other trainings dates and locations are listed below and you can sign-up for those now as well.

CDC Rapid HIV Testing Training - July 22-24 in Denver, CO5-7 Albuquerque, NM

CDC Rapid HIV Testing Train the Trainer – August 5-7 in Albuquerque, NM

These trainings are designed to increase the capacity of HIV screening in Native communities by certified and train providers.

Educate State Officials and Policy Makers about Prevention of STDs and AIDS
The following funding information has been recently added to the CDC National Prevention Information Network's (NPIN) Funding Database (http://www.cdcnpin.org/scripts/locates/LocateFund.asp). For more information about HIV, Hepatitis, STD, and TB funding opportunities, please contact the CDC NPIN at 1-800-458-5231.

Fund Number: 3546 - Fund Title: Initiatives to Educate State Officials and Policy Makers about Priority Public Health Issues Related to the Prevention and Control of Sexually Transmitted Diseases (STDs) and Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS)

Fund Number: 3546

Fund Title: Initiatives to Educate State Officials and Policy Makers about Priority Public Health Issues Related to the Prevention and Control of Sexually Transmitted Diseases (STDs) and Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS)

Fund Category:
HIV/AIDS

Description:
Approximate Current Fiscal Year Funding: $140,000. Approximate Total Project Period Funding: $415,000 (This amount is an estimate, and is subject to availability of funds, and includes both direct and indirect costs.)

The purpose of the program is to fund national organizations to provide education on accurate, comprehensive, and timely public health information for state Governors, legislatures, policy makers, and those involved in state efforts to protect the public health. This program can be accomplished through targeted meetings, workshops, conferences, educational materials, and other communication channels, with a focus on educating these sectors about public health policy matters. The proposed program will address the current and emerging STD and HIV/AIDS prevention, and potentially viral hepatitis and tuberculosis prevention, concerns of states including barriers to effective public health. The proposed program may also be expanded to include adolescent and school health and reproductive health issues of concern to states including barriers to effective public health. This program addresses Healthy People 2010 focus area 25 - Sexually Transmitted Diseases (STD) and focus area 13 - HIV. It also supports the overarching goals of Healthy People 2010: (1) to increase years and quality of healthy life, and (2) eliminate disparities among subgroups of the population.

Sponsor(s):
US Department of Health and Human Services
Public Health Service
Centers for Disease Control and Prevention

Funder's Fund ID: CDC-RFA-PS08-813

Web Page: www.cdc.gov/od/pgo/funding/PS08-813.htm

Application Due Date: 05/12/2008

Award Date: 07/01/2008

Application Process:
To apply for this funding opportunity use the application forms package posted in Grants.gov.

HHS/CDC strongly encourages applicants to submit applications electronically at www.Grants.gov. The application package can be downloaded from www.Grants.gov. Applicants are able to complete it off-line, and then upload and submit the application via the Grants.gov Web site. E-mail submissions will not be accepted. If the applicant has technical difficulties in Grants.gov, customer service can be reached by E-mail at support@grants.gov or by phone at 1-800-518-4726 (1-800-518-GRANTS). The Customer Support Center is open from 7:00a.m. to 9:00p.m. Eastern Time, Monday through Friday.

Number of Awards: 1 award

Maximum Award: $250,000.00

Average Award: $140,000.00

Award Notes:
Approximate Current Fiscal Year Funding: $140,000. Approximate Total Project Period Funding: $415,000 (This amount is an estimate, and is subject to availability of funds, and includes both direct and indirect costs.)
Approximate Average Award: $ 140,000 (This amount is for the first 12-month budget period, and includes both direct and indirect costs.)
Ceiling of Individual Award Range: $250,000 (This ceiling is for the first 12-month budget period, and includes both direct and indirect costs.)

Eligible Locations:
- National

Application Contact Name:
Cheryl A Pressley
Title: Grants Management Specialist
Application Contact Address:
DHHS
CDC Procurement & Grants Office
2920 Brandywine Rd, MS E-15
Atlanta, GA 30341
United States
Email:cam6@cdc.gov
Phone: 404-639-8164

Amy Groom, Albuquerque

2008 IHS Immunization Awards

Please join me in congratulating the following IHS Areas, who received awards at CDC’s 2008 National Immunization Conference from Dr. Anne Schuchat, Director of the CDC’s National Center for Immunization and Respiratory Diseases:

The Centers for Disease Control and Prevention held their 42nd National Immunization Conference this March. This event brings together a wide variety of local, state, federal, and private-sector immunization partners to explore science, policy, education, and planning issues related to immunization in general, and vaccine-preventable disease. The intention is to provide information that will help participants provide comprehensive immunization coverage for all age groups and explore innovative strategies for developing programs, policy, and research to promote immunization coverage for all age groups.

Phoenix Area  - Highest Immunization Coverage

Achieved 90% coverage with the 43133 vaccine series for 2 year old children

Oklahoma Area -  Most Improved Coverage

Improved coverage for 2 year olds with the 43133 series from 64% in 2006 to 83% in 2007.

Navajo Area – Most Complete Reporting

Captured over 95% of  the User Population in the 2 year old immunization reports.

In addition, the Indian Health Service received the Service Excellence Award from the American Immunization Registry Association (AIRA) for its work in promoting data exchange between the RPMS system and state immunization information systems (IIS), and for the “Working Together on Data Exchange: A Guide to IHS and IIS Interfaces” document developed by Cecile Town in conjunction with Scott Hamstra (Sells) and John Parker (Chinle).

Find information about the RPMS Immunization Module online at:

http://www.ihs.gov/CIO/ca/ca-immunization-module.asp

Extensive information/resources for Immunization are available online at:

http://www.ihs.gov/medicalprograms/epi/index.cfm?module=health_issues&option=immunizations&cat=sub_4

Amy.Groom@ihs.gov

Favian Kennedy, Aberdeen Area Tribal Tobacco Prevention Project

From Collective Consciousness to Written Policy

Colleagues,

We work hard to keep you up-to-date on the latest health promotion/ disease prevention issues. Let our newsletters be your literature review. The latest issue of Tobacco Prevention Project News Issue 8, Winter 2008 available at http://www.aatchb.org/nptpp/Resources/publications.html

Don’t forget to visit us on the webwww.aatchb.org/nptpp

Favian Kennedy
NPTPP Program Director
Aberdeen Area Tribal Chairmen’s Health Board
605-721-1922 x112

Elaine Locke, ACOG

ACOG / IHS Denver Course Now in Salt Lake City, Utah

Obstetric, Neonatal and Gynecologic Care
September 14-18, 2008
Salt Lake City , Utah

This annual women’s health update for Nurses, Advanced Practice Clinicians, and physicians provides a four-day schedule of lectures, workshops, hands-on sessions, and team building. The large interdisciplinary faculty collaborates to teach clinical and practical topics as they apply in Indian health settings. Many faculty members are your colleagues in IHS and Tribal facilities; private sector faculty also bring a wide range of experience providing Indian health care.

Learn the latest evidence-based approaches to maternal and child health services, and share problems and solutions with your colleagues from across Indian country. The course can also serve as a good foundation for professionals who are new to women’s health care or new to the Indian health system.

In addition to the basic course, you may sign up for the Neonatal Resuscitation Program, and come away with your certificate from this convenient pre-course program. The opportunity to fulfill continuing education requirements in a concentrated format is significant: With the optional NRP, we can document your participation in seven half-days of education.

Sign up early! You’ll have first chance for support from your facility and coverage for your time in Salt Lake City. Getting these benefits lined up takes time, so don’t delay and miss out! In addition, early registration holds your place, and puts you in line for possible availability of scholarship funds.

Watch your mail for the course brochure and registration form, or download it from here

http://www.ihs.gov/MedicalPrograms/MCH/F/CN01.cfm?module=08&option=9#top

Contact Yvonne Malloyymalloy@acog.org for additional information.

Cathy Stueckemann Community Health Representative Program

Community Health Representative National Educational Meeting

  • July 29-31 2008
  • Las Vegas , Nevada
  • 40th anniversary of the CHR Program. 

http://www.nachr.net/conferences/2008/

Abstract of the Month | From Your Colleagues | Hot Topics | Features   

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OB/GYN

Dr. Neil Murphy is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Murphy is very interested in establishing a dialogue and/or networking with anyone involved in women's health or maternal child health, especially as it applies to Native or indigenous peoples around the world. Please don't hesitate to contact him by e-mail or phone at 907-729-3154.