A growing number of sleep-related deaths has led to new recommendations from the NEFL Fetal & Infant Mortality Review to address these largely preventable deaths. FIMR also recommended educating the community on the benefits of home visiting programs as part of the October 20th Coalition community meeting, which looked at the status of maternal child health and the annual FIMR results and recommendations.
Click here for the full presentation on the FIMR results. Also released was the 2016-17 Project IMPACT report, which looks at the status of maternal and child health in Baker, Clay, Duval, Nassau and St. Johns counties.
FIMR’s Case Review Team (CRT) reviewed 28 cases in 2016-17 utilizing an approach developed by the American College of Obstetrics and Gynecology (ACOG) that pulls information from birth, death, medical, hospital and autopsy records and maternal interviews. The Community Action Team (CAT) then takes the CRT’s recommendations and implements them in the community. The CAT will be expanding in 2018 to address the root causes of health disparities and social factors that impact health.
There were 30 Sudden Unexpected Infant Deaths (SUIDs) in 2016, which are due to suffocation or strangulation in bed; an unknown cause because a thorough investigation was not conducted; or Sudden Infant Death Syndrome (SIDS), when there is still an unknown cause after a thorough investigation.
Other areas of concern were the increase in babies born drug-exposed; late and inconsistent prenatal care; a mother’s health prior to pregnancy; and the disparities by race — black babies continue to be 2.5 times more likely to die than white babies.
Based on the infant mortality statistics and the FIMR cases, the Case Review Team developed the following recommendations:
- The prenatal and infant Healthy Start screen is a conduit to an enormity of services that can ultimately impact birth outcomes. Anyone who interacts with a pregnant woman or infant can inform them about the screen or referral. We plan to train hospital staff, including case managers, social workers, nurses and birth recorders about the benefits of Healthy Start and other home visiting services.
- Create a curriculum around safe sleep, water safety and selecting an appropriate caregiver for a child. These were selected in collaboration with the members of FIMR and Child Death Review as persistent issues in child death. The proposed curriculum will include a track for professionals and community agencies and a track for parents/caregivers.
- Continue with SUIDs prevention, starting with a simple grassroots campaigns to show the number of deaths in previously healthy infants in our area.
More than a 100 women and their families came out to the Magnolia Project October 7 to celebrate babies at the inaugural community baby shower, sponsored by State Rep. Tracie Davis.
Attendees received information and education from vendors, including the local health department, different Coalition programs, THE PLAYERS Center for Child Health at Wolfson Children’s Hospital and more. Lutheran Services of Florida distributed bags of food, while Magnolia OASIS provided healthy smoothie samples. Families also had the opportunity to receive clothes for their little ones and participate in raffles and giveaways.
The event was originally planned for National Infant Mortality Awareness Month as a means to celebrate and connect families. It was postponed due to Hurricane Irma.
Magnolia, an initiative of the Coalition and federal Healthy Start initiative since 1999, works to improve the health and well-being of women during their childbearing years by empowering communities to address medical, behavioral, and cultural and social service needs. The project includes a women’s clinic, a primary care clinic and home visiting services for women before, during and after pregnancy.
Thank you to Rep. Davis and JAXPORT for supporting the event!
Lori Pope is a participant in the Azalea Project, a special initiative that works to reduce risk-taking behavior in substance abusing pregnant and parenting women. The project works to break the cycle of substance use and other at-risk behaviors. She shares her experience with the program.
When I was pregnant with my first child, I was referred to the Azalea Project, and I’ve been here ever since. Azalea has and still helps me whenever I’m in need, without casting any judgment. I had a place to stay that was deemed unsuitable for my children and myself. I came to the Azalea Project and they offered to help. They gave us food and clothing. They gave me HIV testing, pregnancy testing and ultimately helped me find a new place to stay.
They helped me mature a lot and overcome a lot of fears. It doesn’t matter if you have any kind of disease, addiction or anything. They are willing to help you and support you. They won’t look at you like your infested or less than. They treat you like a human being and that is what keeps me coming back to the Azalea Project.
They keep track of your pregnancy and make sure that you go to your appointments and take your medication. And if they can’t help you in-house, they can refer you to one of their many resources. For example, I’m currently working on obtaining my GED thanks to the Azalea Project, and I’ll be 41 soon. It’s the encouragement that the case managers give me that keeps me going.
Natasha Wright is a participant in the Healthy Families Jacksonville program, an evidence-based support and coaching program that helps parents provide the safe and stable environments children need for healthy growth and development. She shares her experience with the program.
Healthy Families has really had a positive effect on my household. I’ve been participating in the program for nearly six months, but my Family Support Worker Dorinda Hayes treats me like I’ve known her for a whole life time.
She is wonderful, kind and patient. When my family was going through hard times, she was there to support and give me advice in any way. My kids love when Thursday comes because they know she’ll bring them things to keep them busy while we have our meeting. She’s also easy to talk to. She gives out wonderful advice. Even though it’s something you might not want to hear, it benefits you in a good way.
I’m so happy they gave me the right caseworker. I also wish she didn’t have to leave so soon — When Skya turns five, Ms. Dorinda will not longer be with us.
Skyler Bailey is a participant in the Magnolia Project, a federal Healthy Start initiative focused on improving the health of women before, during and after pregnancy in Jacksonville’s urban core. She shares her experience with the program.
My name is Skyler Bailey and I have been part of the Magnolia Project for a little over two years. I have a 2-year-old, an 11-month-old and another one on the way.
I love being a part of the Magnolia family and always take part in the activities and events they have going on. I also take full advantage of the resources that Magnolia offers like case management, health care services and freedom coach counseling. I have been to many of the classes, including Mothers & Babies and Toxic Stress.
I am a part of the monthly group prenatal care classes and receive all of my prenatal care at Magnolia. I also use the primary care services at Magnolia OASIS and was even able to get my husband to sign up for his primary care there as well. I am also currently enrolled in case management services. I love the help my case worker gives me. She helps when it comes to reaching my personal goals as well as the goals I have for my children.
I am excited for everything Magnolia has to offer and will be offering soon. I am especially looking forward to the Magnolia Baby Shower this September!
Being a part of the Magnolia Project is important to me. It allows me to connect with mothers just like me. I formed quite a few relationships that I hope will continue on because it is very important to have that support. I am thankful for everything Magnolia has done for me and my family throughout the years.