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Integrating the life course perspective into a local maternal and child health program.

Byline: Cheri Pies (1), Padmini Parthasarathy (2), Samuel F. Posner (3) Keywords: Life Course Perspective; Birth outcomes; Social determinants of health; Health equity; Local health department Abstract: For many decades, early access to prenatal care has been considered the gold standard for improvi... Full description

Journal Title: Maternal and child health journal April 2012, Vol.16(3), pp.649-655
Main Author: Pies, Cheri
Other Authors: Parthasarathy, Padmini , Posner, Samuel F
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1573-6628 ; DOI: 10.1007/s10995-011-0800-2
Link: http://search.proquest.com/docview/928910578/?pq-origsite=primo
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recordid: proquest928910578
title: Integrating the life course perspective into a local maternal and child health program.
format: Article
creator:
  • Pies, Cheri
  • Parthasarathy, Padmini
  • Posner, Samuel F
subjects:
  • African Americans–Methods
  • Child–Organization & Administration
  • Delivery of Health Care, Integrated–Methods
  • European Continental Ancestry Group–Organization & Administration
  • Female–Statistics & Numerical Data
  • Health Education–Statistics & Numerical Data
  • Health Services Accessibility–Statistics & Numerical Data
  • Healthcare Disparities–Statistics & Numerical Data
  • Humans–Statistics & Numerical Data
  • Infant–Statistics & Numerical Data
  • Infant, Low Birth Weight–Statistics & Numerical Data
  • Infant, Newborn–Statistics & Numerical Data
  • Maternal-Child Health Centers–Statistics & Numerical Data
  • Models, Theoretical–Statistics & Numerical Data
  • Pregnancy–Statistics & Numerical Data
  • Pregnancy Outcome–Statistics & Numerical Data
  • Prenatal Care–Statistics & Numerical Data
  • Program Development–Statistics & Numerical Data
  • Residence Characteristics–Statistics & Numerical Data
  • San Francisco–Statistics & Numerical Data
  • Social Environment–Statistics & Numerical Data
  • Socioeconomic Factors–Statistics & Numerical Data
ispartof: Maternal and child health journal, April 2012, Vol.16(3), pp.649-655
description: Byline: Cheri Pies (1), Padmini Parthasarathy (2), Samuel F. Posner (3) Keywords: Life Course Perspective; Birth outcomes; Social determinants of health; Health equity; Local health department Abstract: For many decades, early access to prenatal care has been considered the gold standard for improving birth outcomes. In Contra Costa County, a diverse urban and suburban county of over one million people in the San Francisco Bay Area, the Family Maternal and Child Health Programs of Contra Costa Health Services (CCHS) have seen high rates of early entry into prenatal care since 2000. Yet despite our best efforts to increase access to quality prenatal care, our rates of low birth weight and infant mortality, especially among African Americans, continue to be high. When we were introduced to the Life Course Perspective in 2003 as an organizational framework for our programmatic activities, we recognized that emerging scientific evidence in the literature demonstrated the importance of social and environmental factors in determining health and health equity, and supported a general impression in the field that prenatal care was not enough to improve birth outcomes. The Life Course Perspective suggests that many of the risk and protective factors that influence health and wellbeing across the lifespan also play an important role in birth outcomes and in health and quality of life beyond the initial years. In this article, we describe the Life Course Perspective and how one local Maternal and Child Health Program adopted and adapted this paradigm by creating and launching a Life Course Initiative to guide our programs and services. The Life Course Initiative implemented by CCHS is designed to reduce inequities in birth outcomes, improve reproductive potential, and change the health of future generations by introducing a longitudinal, integrated, and ecological approach to implementing maternal and child health programs. Author Affiliation: (1) School of Public Health, University of California, Berkeley, 279 University Hall, Berkeley, CA, 94720, USA (2) Family Maternal and Child Health Programs, 597 Center Avenue, Suite 365, Martinez, CA, 94553, USA (3) Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS85, Atlanta, GA, 30341, USA Article History: Registration Date: 08/04/2011 Online Date: 01/06/2011
language: eng
source:
identifier: E-ISSN: 1573-6628 ; DOI: 10.1007/s10995-011-0800-2
fulltext: fulltext
issn:
  • 15736628
  • 1573-6628
url: Link


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