Social and health factors impact healthy birth outcomes and infant vitality. Though doctors and hospitals have an important role, social agencies that provide insurance, food and formula, shelter, in-home nursing care, smoking programs and early childhood development information have an equally significant and continuous impact on the survival of infants in their first year of life.
- James Greenberg, MD, codirector of the Perinatal Institute, Cincinnati Children’s
- Elizabeth Kelly, MD, director of Maternal and Infant Health, Cincinnati Health Department
- Neera Goyal, MD, Perinatal Institute, Cincinnati Children’s
- Heather Grooms, Anderson Center for Health Systems Excellence, Cincinnati Children’s
The Office of Maternal and Infant Health and Infant Mortality Reduction (OMIHIMR)
Housed at the Hamilton County Public Health Office, OMIHIMR was created to integrate the work of multiple organizations and put focus on the sizable public and private financial investments being made despite poor birth outcomes (infant mortality and preterm birth rates among the highest in Ohio and the United States). OMIHIMR does business as Women & Infant Vitality Network (WIVN).
Fetal Infant Mortality Review (FIMR)
OMIHIMR has led to the creation of FIMR, housed in the Cincinnati Health Department. FIMR was convened to provide insight and make recommendations based on how social, health, environmental and safety issues affect fetal and infant deaths. FIMR has made tangible contributions to infant-mortality reduction through its mortality review activities, home interviews, annual report and connection with the Perinatal Community Action Team (PCAT).
Perinatal Community Action Team (PCAT)
PCAT is a coalition of 20 healthcare, social service, faith-based and education organizations. Recommendations from FIMR and a Hamilton County Public Health monthly real-time data surveillance report guide PCAT actions.
PCAT develops and participates in the implementation of evidence-based infant mortality / prematurity reduction initiatives such as:
- CenteringPregnancy group prenatal care, University Hospital, Christ Hospital Prenatal Clinic, Healthy Beginnings
- Early Access (Enhanced Care) Project, Cincinnati Health Department Health Centers
- Oyler Neighborhood School Preconception Pathway Project
- Preconception Peer Education Program with local colleges and universities
- Head Start “Experience of Care” qualitative research project
- Safe Sleep Awareness promotion campaign
- Public awareness and community engagement presentations and discussion groups
- Messaging campaigns including an infant mortality awareness video
- Targeted neighborhood improvement initiatives (under development)