Developing Targeted Interventions to Advance Maternal Health in a Geographic Medicaid Accountable Care Organization: Lessons From the Implementation of Camden Delivers

Through the design and launch of Camden Delivers the Coalition developed targeted interventions within an ACO infrastructure to advance maternal health in a Medicaid-covered population. Key insights from this process include the need to:* Utilize data to understand community need and design interventions around that need* Establish a population health surveillance system to produce actionable data to intervene with a complex population* Institute a tiered intervention system targeted to identified need, and* Leverage and coordinate across existing resources in the community to reduce duplication.Going forward, with the infrastructure developed by the Coalition to collect and review health data, along with the intricate web of community partners and resources, the next step in this program is to enhance feedback loops between partners and to help navigate patients seamlessly between partners during the highly fragmented experience of managing a pregnancy and healthcare during the interconception period. A formal network of communication between patients, case workers, care managers, providers and community resources through more sophisticated use of data and convening will allow us to support vulnerable patients in an even more effective manner. The Coalition looks forward to playing this convener role and working across groups to the end of better care management services and improved health for women of maternal age in Camden

Maternal Characteristics and Child Problem Behaviors: A Comparison of Foster and Biological Mothers

The purpose of this exploratory study was to compare the parenting behavior, stress and support of foster mothers and biological mothers of young children. A sample of 60 mothers of young children (30 foster mothers, 30 biological mothers) completed measures of parenting behavior, parenting stress, child problem behaviors, and perceived social support. Findings indicated that biological mothers were single and younger than foster mothers. In addition, biological mothers utilized more verbal and corporal discipline than foster mothers, experienced greater parental distress and received less social support for their parenting. Implications of these findings are discussed

Metropolitan mothers: Mothers, mothering and paid work

This paper reports on the interim findings from a two year ESRC (Economic and Social Research Council) -funded project exploring parental choice of child care for pre school children. The fieldwork is based in two predominantly middle class areas in London. The vast majority of the respondents to date are women, many of whom are in paid employment. This paper draws on the literature about mothering, motherhood and identity to explore how these professional middle class women experience shifts in their self-identity. It considers how the women respond to the emotional and physical labour required of them by their roles as both worker and mothers, how they negotiate the tensions between the two, and how couples adapt to managing employment, childcare and a household. It also briefly considers the childcare roles and practices of the fathers. It concludes that despite the social and economic advantages of these middle class families, the adults are not presenting a serious challenge to a traditional understanding of family relationships

FMIC Annual Report 2016 | English

https://ecommons.aku.edu/fmic_reports/1006/thumbnail.jp

Immunization of Children in a Rural Area of North Kashmir, India: A KAP Study.

Background: Knowledge, attitude and practices about immunization among mothers of children aged 1-2 years was assessed. Method: 300 mothers were administered a semi-structured questionnaire at PHC Hajan from 1st march to 1st may 2011 to elicit the information about the knowledge, attitude and practices of the mothers regarding immunization. Results: 100% of mothers knew that vaccination is beneficial and protects their children from diseases. 39% knew OPV protects from polio while only 1% were aware of protective role of BCG. All mothers knew about immunization in pregnancy but 86% were unaware about its preventive role. 26% mothers believed that 3 doses of T.T (tetanus toxoid) are to be given during pregnancy. Whereas 98% of children were completely immunized, 93% completed on schedule. Eighty percent of mothers reported of fever following DPT. All mothers had received tetanus toxoid during pregnancy. Conclusion: Considering mothers' poor knowledge and good attitude, health education on immunization is emphasized to improve their practices

FMIC Annual Report 2018 | English

https://ecommons.aku.edu/fmic_reports/1008/thumbnail.jp

FMIC Annual Report 2013 | English

https://ecommons.aku.edu/fmic_reports/1003/thumbnail.jp

Improving maternal and neonatal health: Measuring the impact of the PAIMAN project in ten districts in Pakistan—A Summary: Comparing baseline and endline survey findings (2005-2010)

This is a summary of the Pakistan Initiative for Mothers and Newborns (PAIMAN) project’s endline report. The project interventions fell into two broad areas: 1) health systems upgradation and 2) behavior change communication/community mobilization. The thrust of PAIMAN efforts were aimed at reducing the health risk to mothers and newborns by increasing knowledge of danger signs, risks and birth preparedness and, most importantly, improving antenatal and delivery practices. The report concludes that PAIMAN has had a positive impact on overall maternal and neonatal health indicators; success has been recorded in almost all areas, albeit with varying degrees of coverage and impact. The challenge now is to scale up those interventions that had the greatest impact on maternal and neonatal indicators, and to create the sustainable framework that will allow women and newborns across the country to reap the benefit of the PAIMAN project’s successes