scholarly journals Assessing Social Determinants of Health in a Prenatal and Perinatal Cultural Intervention for American Indians and Alaska Natives

2021 ◽  
Vol 18 (21) ◽  
pp. 11079
Author(s):  
Rosalina James ◽  
Martell A. Hesketh ◽  
Tia R. Benally ◽  
Selisha S. Johnson ◽  
Leah R. Tanner ◽  
...  
Keyword(s):  
Child Health ◽  
American Indians ◽  
Educational Intervention ◽  
Social Determinants ◽  
Maternal And Child Health ◽  
Infant Health ◽  
Alaska Natives ◽  
Culturally Based ◽  
Maternal And Infant Health ◽  
And Child Health

American Indians and Alaska Natives (AIANs) refer to cultural traditions and values to guide resilient and strength-based practices to address maternal and infant health disparities. Methods: A case study of a culturally-based educational intervention on AIAN maternal and child health. Results: Cultural teachings have successfully been applied in AIAN behavioral interventions using talking circles and cradleboards, but maternal and child health interventions are not well-represented in peer-reviewed literature. Zero publications included interventions centered around cradleboards and safe sleep. Discussion: There is a need for rigorous published research on culturally based interventions and effectiveness on health outcomes for mothers and babies. Conclusions: This paper discusses how a cradleboard educational intervention incorporates national guidelines to address maternal and infant health while mediating social determinants of health.

scholarly journals Trends in Maternal and Infant Health in Poor Urban Neighborhoods: Good News from the 1990s, but Challenges Remain

2005 ◽  
Vol 120 (4) ◽  
pp. 409-417 ◽  
Author(s):  
Embry M. Howell ◽  
Kathryn L. S. Pettit ◽  
G. Thomas Kingsley
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Infant Health ◽  
Metropolitan Areas ◽  
Good News ◽  
High Poverty ◽  
Poverty Level ◽  
Maternal And Infant Health ◽  
Cuyahoga County ◽  
And Child Health

Objectives. During the 1990s, numerous public policy changes occurred that may have affected the health of mothers and infants in low-income neighborhoods. This article examines trends in key maternal and child health indicators to determine whether disparities between high-poverty neighborhoods and other neighborhoods have declined. Methods. Using neighborhood-level vital statistics and U.S. Census data, we categorized “neighborhoods” (Census tracts) as being high poverty (greater than 30% of population below the federal poverty level in 1990) or not. We compared trends in four key indicators—births to teenagers, late prenatal care, low birthweight; and infant mortality—over the 1990s among high-poverty and other neighborhoods in Cuyahoga County, Ohio; Denver, Colorado; Marion County, Indiana; and Oakland, California. Results. In all four metropolitan areas, trends in high-poverty neighborhoods were more favorable than in other neighborhoods. The most consistently positive trend was the reduction in the rate of teen births. The metropolitan areas with the most intensive programs to improve maternal and child health—Cuyahoga County and Oakland—saw the most consistent improvement across all indicators. Still, great disparities between high-poverty and other neighborhoods remain, and only Oakland shows promise of achieving some of the Healthy People 2010 maternal and child health goals in its high-poverty neighborhoods. Conclusions. While there has been a reduction in maternal and infant health disparities between high-poverty and other neighborhoods, much work remains to eliminate disparities and achieve the 2010 goals. Small area data are useful in isolating the neighborhoods that should be targeted. Experience from the 1990s suggests that a combination of several intensive interventions can be effective at reducing disparities.

MATERNAL AND CHILD HEALTH (Including Infant Health)

1974 ◽  
Vol 23 (2) ◽  
pp. 188
Author(s):  
B. B. DAHMS ◽  
A. N. KRAUSS ◽  
L. M. GARTNER ◽  
D. B. KLAIN ◽  
SOODALTER JANE ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Infant Health ◽  
And Child Health

MATERNAL AND CHILD HEALTH (Including Infant Health)

1972 ◽  
Vol 21 (5) ◽  
pp. 475
Author(s):  
Corinne M. Barnes ◽  
F. M. Kenny ◽  
Thomas Call ◽  
J. B. Reinhart
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Infant Health ◽  
And Child Health

MATERNAL AND CHILD HEALTH (Including Infant Health)

1974 ◽  
Vol 23 (4) ◽  
pp. 365???367
Author(s):  
M. H. BECKER ◽  
R. H. DRACHMAN ◽  
J. P. KIRSCHI ◽  
M. Adams
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Infant Health ◽  
And Child Health

scholarly journals Educational Strategy for Motherhood and Fatherhood: an Experience of Implementation in Soraca, Colombia

2021 ◽  
Author(s):  
Gina Paola Arocha Zuluaga ◽  
Paula Andrea Castro Prieto ◽  
Nancy Haydeé Millán Echeverría ◽  
Ana María Cárdenas ◽  
Zulma Yanira Fonseca Centeno ◽  
...  
Keyword(s):  
Child Health ◽  
Educational Intervention ◽  
Maternal And Child Health ◽  
Intervention Group ◽  
Well Being ◽  
Support Network ◽  
Control Group ◽  
Mother And Child ◽  
Quasi Experimental ◽  
And Child Health

Abstract Background Preconception education is one of the challenges in maternal and child health in Latin America, in countries such as Colombia. That is why the objective of the following research was to develop a pilot educational intervention aimed at pregnant and breastfeeding women, and their support network, to strengthen practices, skills and knowledge, for informed decision-making and the strengthening of self-care behaviors of women and childcare, beyond childbirth preparation in the municipality of Soraca, located in Boyacá, Colombia in 2017. Methods Quasi-experimental study with an intervention group (municipality of Soraca) and a control group (municipalities of Oicata and Sotaquira) which linked a process and impact evaluation to assess prioritized indicators in terms of maternal and child health and nutrition, before, during and after an educational intervention. Results The main results found that women considered the methodologies used in the educational sessions to be appropriate and relevant and recognized the importance of the call and home visit postpartum nurse. The strategy increased the involvement of the support network in training processes. In turn, the proportion of children who were breastfed was higher in the intervention group than in the control group (88% vs. 60% p = 0.037). The proportion of children who received a bottle was higher in the control group compared to the intervention group (57.1% vs. 16% p = 0.006). Conclusion Strategies such as the one developed in Soraca allow for improved health outcomes for the mother and child and their support network. The strategy 123 in Soraca was a clear example of how a prenatal educational intervention generates positive outcomes for mothers, infants, and their support networks in the areas of food and nutrition, emotional well-being, and physical health.

scholarly journals Role of Social Determinants of Health in Widening Maternal and Child Health Disparities in the Era of Covid-19 Pandemic

2020 ◽  
Vol 9 (3) ◽  
pp. 316-319 ◽  
Author(s):  
Deepa Dongarwar ◽  
Veronica B. Ajewole ◽  
Emmanuella Oduguw ◽  
Ahone Ngujede ◽  
Kiydra Harris ◽  
...  
Keyword(s):  
Child Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Maternal And Child Health ◽  
International Classification Of Diseases ◽  
Determinants Of Health ◽  
Creative Commons ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
And Child Health

We present a conceptual model that describes the social determinants of health (SDOH) pathways contributing to worse outcomes in minority maternal and child health (MCH) populations due to the current COVID-19 pandemic. We used International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10) codes in the categories Z55-Z65 to identify SDOH that potentially modulate MCH disparities. These SDOH pathways, coupled with pre-existing comorbidities, exert higher-than-expected burden of maternal-fetal morbidity and mortality in minority communities. There is an urgent need for an increased infusion of resources to mitigate the effects of these SDOH and avert permanent truncation in quality and quantity of life among minorities following the COVID-19 pandemic. Key words: • COVID-19 • Maternal and child health disparity • Social determinants of health • Minority women   Copyright © 2020 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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