Healthy mothers, healthy babies : making a difference for mothers and children in Montana, 1984-1991 PDF
Preview Healthy mothers, healthy babies : making a difference for mothers and children in Montana, 1984-1991
s 618.24 M26hmhb M L A l i ii V I MAKING DIFFERENCE A. FOR MOTHERS AMD CHILDREN I IN (VI O INI XA IN A 198-4 1991 - PLEASE RETURN TO: Family/MCH Bureau Dept. of Health & Env. Sciences Cogswell Building Helena, MT 59620 MONTANASTATELIBRARY 3 0864 1001 8299 CONTENTS healthybabies Contents 1 Calendar of Achievement 3 Building the Coalition 5 Public Private Partnership 9 Path Project 13 Baby Your Baby 17 High Risk Pregnancy Project 19 Pregnancy Riskline 20 Planting Seeds 21 Community Coalitions 23 Leadership in Education 27 In the Public Eye 29 Awards and Recognition 31 Looking Ahead 32 MadePossibleBy: TheHenryJ. KaiserFamilyFoundation, StuartsFoundation, TheNorthwestAreaFoundation,and U.S.WestFoundation. Production: Writing-PauletteKohman, CoverArtand Design-KathyKruse Healthy Mothers, Healthy Babies, the Montana Coalition October, 1984 - June, 1991 CALENDAR OF ACHIEVEMENT healthymothers, healthybabies 1984 ". . . asmall group of health care professionals" meets in Helena. 1985 First HMHB-Montana Educational Conference. Second HMHB-Montana Educational Conference. Articles of Incorporation and Bylaws. First Board of Directors. 1986 Montana Pregnancy Riskline. First Western Regional HMHB Conference, hosted by HMHB-Montana. Accessto Care Project begins. Montana Councilfor Maternal and Child Health organized. 1987 Henry J. Kaiser Family Foundation grant awarded to HMHB-Montana. MontanaAdolescent Pregnancy Prevention (MAPP) Project established. Office opens, with new Executive Director Montana Children'sAlliance organized. Youth 2000" Conference. First HMHB-MontanaAnnual Retreat. 1988 "Baby Your Baby" project established. MCH Resource Directory published. Promoting ActionforTeen Health (PATH) Project growsfrom MAPP project. Governor'sOBServicesAvailabilityAdvisoryCouncilincludesHMHB-Montana. Four low birthweight clinics receive HMHB-Montana/March of Dimes grants. Survey ofAdult AttitudestowardTeen Sexuality. Three Community Coalitions develop. 1989 NorthwestArea Foundation grant awarded to HMHB-Montana. Montana Centennial Birth Certificate project. PATH ProjectAdolescent Health Survey. State MIAMI Advisory Council (Montana Initiative for Abatement of Infant Mortality) includes HMHB-Montana Health Care subcommittee of Governor's Task Force on Welfare Reforms includes HMHB-Montana. Four Community Coalitions develop. 1990 Baby Your Baby contract with Department of Health and Environmental Sciences. Third Western Regional HMHB Conference, hosted by HMHB-Montana. Ongoing Commemorative Birth Certificate project. Adult Attitudes Survey repeated. Six Community Coalitions develop. 1991 U. S. West Grant awardedto HMHB-Montana. "Baby Your Baby" programming goes on air, 1-800 line opens. Four New Community Coalitions established. 3 A committee ofthe Healthy Mothers, Healthy Babies Board of Directors meets in Helena. Pictured are: Elizabeth Roeth, Executive Director, Betty Hidalgo, Steering Committee President, Marietta Cross, Don Espelin, President, Joan Fitzgerald, and Karen Northey, Treasurer. MONTANA^ACOALITION BUILDING THE COALITION healthymothers, healthybabies Twelve thousand Montana has the nation's seventh smallest (12,000) babies are bom population, 799,000 citizens, spread out over the fourth A in Montana each year. largest state, 147,000square miles ofrugged terrain. sub- That's not a lot. Infact, stantial number of residents live several hours from the ittakes 5fullyears ofdata nearest medical provider. Montana has no medical school, to make up a statistically and no teaching hospital. A large number of high risk significant sample of deliveries have historically been referred for out-of-state births. care, and maternal and neonatal transports to three dif- ferent states are quite routine. Montana shares many of its maternal and child health care issues with other rural states. The "OB Crisis" has left some communities without a provider for even low risk pregnancies, and a relatively flat economy over the past decade has resulted in a substantial reliance on Medicaid by pregnant women. The state has so far not experienced the large number of drug-affected or ATDS- infectedbabiesthatmoreurbanstatesreport,butMontana has its share of low-birthweight babies, as well as teen pregnancies and other socially "at risk" new families. One feature unique to Montana is its seven Native American reservations, each with its own unique resources and challenges in maternal and child health. In mid-1984, a "small group ofhealth professionals" explored the possibility of creating a community-based organization, based on the national Healthy Mothers, Healthy Babies model, to improve maternal and child health in Montana. InNovemberof1984,thefledglingHMHB-Montana adopted a simple but challenging mission: "To reduce the risk ofmaternal, perinatal, and infant mortality, morbidity, and disability." In its first year, even before incorporation in HMHB December 1985, grewfrom ahandful toa hundred or more members. An extraordinary number of them committed substantial personal time to the Steering Com- mittee. They met monthly, attended retreats and confer- ences, developed organizational structures and mission 5 Lori Cooper, HMHB national Executive Director, and Don Espelin, HMHB- Montana President (center) discuss thefuture with members at the Third Western Regional HMHB Conference, HMHB- hosted by Montana at Kalispell, Mt. Completed Pro- statements, and identified projects. Among the early jects, ongoing advisory projects were a women's health survey, a study of baby- groups, and a healthy bottle tooth decay, a survey of health conditions among growth in local coalitions migrant workers, the development ofa maternal and child marked thefirst 6years of health resource directory, an adolescent health promotion HMHB-Montana. plan, projects to develop allied organizations such as the Montana Children's Alliance and the Montana Council for Maternal and Child Health, and the Montana Pregnancy Riskline. Some projects were actually completed by the time thefledglingorganizationreceiveditsfirstoperationalgrant funds and opened a staffed office. The PregnancyRiskline went on-line in May 1986, and the Montana Council for Maternal and Child Health was incorporated in July of 1987, the same month HMHB-Montana hired its director. Today, HMHB-Montana has grown to a well- respected independent voice for Montana's mothers and children. It has established an ongoing statewide teen PATH health and pregnancy prevention program, the Project, with a statewide Task Force and an active Indian Advisory Group which supports the establishment of adolescent health initiatives in Native American communi- ties. Seventeencommunitycoalitionshaveformedthrough- out the state with support from HMHB-Montana. The goal of empowering local communities through develop- ment of local coalitions is gradually being realized. 7 STEERING COMMITTEE MEMBERS 1985-1991 HealthyMothersHealthyBabies, DEPARTMENT OF HEALTH & GLFallsNativeAmericanCtr. TheMontanaCoalition ENVIRONMENTALSCIENCES * RobertParisian, Gt. Falls *tD. Elizabeth Bozdog Roeth, FamilyMaternalandChildHealth Helena, chair, 1985-87 * SidneyC. Pratt, MD, Helena MontanaUnitedIndianAssoc. Exec. Dir. 1987-1991 PreventiveHealthServices * BernieWallace, Helena *tDonald E. Espelin, MD, MarchofDimes,BigSkyChptr. Helena MontanaHungerCoalition ChuckBall, Helena DentalOfficer MinkeMedora, Missoula WandaPerson, Helena Bill Haggberg, DDS, Helena Kathy Rucker, Helena *tDorisBiersdorf, Billings ChronicDiseaseProgram * LindaStallings BobMoon, Helena MontanaCouncilforMaternal& MontanaPerinatalProgram MTMedicalAssociationAux. ChildHealth * MaxineFerguson, Helena * Susan Repola, Butte KarenTanberg, Helena t ShariPettit, Helena LeeToldstedt, Helena Karen Landers, Helena LynnJames, Helena * PauletteKohman, Helena WICProgram NorthwesternMutualLife Kathy Niceswanger, Helena t SuzieShaffer, Helena YoungFamilies * PatHennessey, Helena Michele Konzen, Billings AIDSProgram Wyeth-AyerstLaboratories t RichChiotti, Helena JohnJ. Glen, Billings RedCross FamilyPlanning James Urquhart, GreatFalls Kate Macefield t SuzanneNybo, Helena KXLFTV MissoulaCity-CountyHealthDept. DEPARTMENTOFSOCIAL& JoAnn Burns, Butte * YvonneBradford, Missoula REHABILITATIONSERVICES, DonnaHarsell, Missoula EconomicAssistanceDivision RenewableTechnologies,Inc. PatriciaHuber, Helena RitaBradley, Butte Lewis&ClarkCountyHealthDept. NancyWesterbuhr, Helena MONTANASTATEUNIVERSITY HMHB-MTCOMMUNITYCOALITION * Mary Beth Frideres, Helena PACT-ExtensionService MEMBERS * JoyceKohl, Bozeman *t Doris Biersdorf, Yellowstone MIAMIProjects LoisWambolt, Bozeman County Judy Hagerman, Bozeman * NancyGiles, CascadeCounty UNIVERSITYOFMONTANA * RoseDanhof,SandersCounty GreatFallsClinic MUAPSProject * SueRepola, Butte *tBetty Hidalgo, RN, Grt. Falls *t Richard B. Offner, Ph.D. vicechair, 1987-1990 Missoula chair, 1991-present Staff: OFFICEOFPUBLIC D. Elizabeth Bozdog Roeth, CommunityMedicalCenter INSTRUCTION 1987- *t MariettaCross, RN, Missoula DivisionofSpecialEd JudyGarrity, 1988- MinkieMedora, Missoula JuneMiller, Helena ElsieArmstrong, 1988- Sue Paulson, Helena Sandy Hale, 1987-1988 ShodairChildren'sHospital LeonaHolm, 1987-1988 *f Joan Fitzgerald, Helena ACTION t JoeLovelady, Helena *= currentmembers FlorenceCrittentonHome f= boardofdirectors *t Karen Northey, Helena HelenaMinesterialAssociation chair, 1987-1990 *tKen Moore, Helena 8
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