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Result 1. Hidalgo County Children Ages 0-5 Are Healthy

% of Hidalgo County pregnancies receiving prenatal care in the first trimester

Current Value

53.6%

2015

Definition

Line Bar

Story Behind the Curve

Factors pushing up on the data

  • Programs targeting moms
  • Coalition efforts where collective impact is achieved by leveraging partner resources
  • Increased availability of resources through UTRGV and Nurse Family Partnership
  • Pregnancies that are planned for
  • ACA

Factors pushing down on the data

  • Fear
  • Teenage pregnancies
  • Intimidation
  • Cultural norms (Machismo, Shamefulness experienced by woman, not wanting to share the news)
  • Emotional immaturity
  • Lack of education
  • Not utilizing resources
  • Migrant worker population
  • Lack of resources
  • Location of the resources make them not easily accessible for some people
  • Unplanned pregnancies
  • Family dynamics
  • Commitment from partners
  • Political environments
  • Inhibiting information

Partners

  • THV (NFP)
  • UTRGV
  • Clergy
  • Maximus/Promotoras
  • School Districts
  • WIC
  • Local Government
  • Foundations
  • Community/Informal leaders
  • Parental engagement groups

Contributions they can make: Education, Services, Referrals, Partners, Funding and Support

Solutions

Evidence-Based Programming

  • *MCHV-THV, Nurse Family Partnership, Parents as Teachers, and Head Start
  • *Community Health Workers 
  • *Mobile clinics

Promising Practices

  • *Health Fairs "on steroids"
  • Outreach
  • Hospital Prenatal Classes
  • Fatherhood programs
  • TxHW

No Cost/Low Cost ideas

  • *Incentives for seeking care
  • Promoting 211
  • Social media awareness campaign

Off the Wall ideas

  • *Town hall meetings
  • Sex education in schools
  • Confidential application
  • Turquoise table

* - Indicates a solution voted on/selected by the group

Strategy

  • Continue to engage and inform parents and caregivers about the importance of prenatal care
  • Train Community Health Workers about the importance of prenatal care as a cost-effective way to inform residents in hard-to-reach communities
  • Host Health Fairs designed to inform and engage residents on early childhood health issues
  • Leverage the capacity of existing mobile clinics by having Community Health Workers ride along on community visitations to directly engage with residents
  • Create incentives for residents that seek care
  • Directly engage with residents about prenatal care by hosting town hall meetings

Strategy #1

Prioritized Strategy: Continue to engage and inform parents and caregivers about the importance of prenatal care through MCHV-THV, Nurse-Family Partnership, Parents as Teachers, and Head Start

Action Steps:

  • Create and implement a marketing campaign to market the opportunities (one pager)
    • Non-profit organizations, For-profit companies
    • Similar to the mandatory model already in place with WIC/HCHD/HCCS
    • Include marketing as a mandatory orientation (just as child abuse, human trafficking)
  • Market through the media to bring awareness - Action Completed!
    • Think Prenatal
    • Strong Moms Make Strong Babies/Smart Moms Make Smart Babies (But will make this an inclusive campaign in the visuals for the campaign)
      • The health coalition implemented the Strong Moms Make Strong Babies campaign in April
    • Support for this effort might be able to come from HCHD or even HHSC
    • All partners agree to post this on their website
    • Hidalgo County Health Department is also creating a PSA, to be completed by end of June

Strategy #2

Prioritized Strategy: Engage promotoras to inform residents about the importance of prenatal care

Strategy #3

Prioritized Strategy: Leverage the capacity of existing mobile clinics by having Community Health Workers ride along on community visitations to directly engage with residents

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