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Deployment of community health workers (CHWs) has been limited in the United States for many years despite substantial evidence that shows the model's effectiveness in many health care settings. During the coronavirus pandemic, the federal response in funding allowed for significant expansion. This paper draws on listening sessions Families USA conducted with CHWs to develop recommendations for maintaining and building on the CHW deployment gains of the last two years.
This report expands upon earlier healthy birth and early development work by critically examining how local community-based organizations are addressing maternal-child health-racial inequities and disparities. While home visiting, breastfeeding, doulas and baby-friendly hospitals are essential strategies for improving maternal-child health, a health gap still exists for women and families of color, as evidenced by high infant and maternal mortality rates and low infant birth weight rates in New Mexico, particularly for women of color. While the maternal-child health strategies may improve access to care for women and families of color, they do not necessarily translate to quality of care. "Evidence-based" practices will not lead to changed outcomes for W.K. Kellogg Foundation (WKKF) target populations if racial equity is not addressed and foundational in the work. The report explored how WKKF grantees are addressing, advocating for, and implementing actions to advance equity to improve maternal-child health outcomes
Fom 2014 to 2015, W.K. Kellogg Foundation (WKKF)partnered with the University of New Mexico evaluation team to conduct a study to examine if and how the Foundation's investments in the strategies of folic acid initiative, home visiting, doulas, breastfeeding peer counselors and baby-friendly hospitals were improving maternal-child health in WKKF's priority places in New Mexico. One key finding in the Healthy Birth & Early Development in New Mexico evaluation report was that these strategies supported a continuum-of-care that is essential for strengthening the health and wellbeing of babies, mothers, and families from preconception through a child's third year. A continuum of care framework was developed by the evaluators to capture achievable short-term outcomes such as healthy family behaviors, policy change and systems change that over time could be linked to improvement in the long-term outcomes of full-term births, healthy birth weights, exclusive access to mother's milk, decreased adverse childhood experiences, increased social support, improved parental well-being, and healthy developmental milestones.
The STORK Program is designed to help improve the outcomes of pregnant and newborn patients in rural hospitals. STORK includes didactic and simulation training to better prepare emergency healthcare professionals to recognize and manage common obstetric and neonatal emergencieswhile critical care transport teams are en route.
The W.K. Kellogg Foundation's annual snapshot 2021 highlights its record-breaking year of grantmaking, during which the foundation awarded more than $483 million in new grant commitments, the largest amount ever in its 91-year history, which included $232 million of its $300 million social impact bond commitment, announced in October 2020. It also features leadership editorials from La June Montgomery Tabron, president and CEO; Celeste A. Clark, board chair and Don Williamson, vice president for finance and treasurer, alongside the grantmaking and financial statements for its fiscal year ending Aug. 31, 2021. The annual snapshot is available in English, Haitian Creole and Spanish at https://everychildthrives.com/2021-annual-snapshot/.
The second State of WIC report – supported by the W.K. Kellogg Foundation – highlights the experience of WIC providers and participants throughout 2021. Effective program reforms, including the WIC benefit bump and remote WIC services, have upended longstanding trends and leave WIC better positioned to deliver quality nutrition support. This report documents the strong and growing evidence base for WIC's nutrition intervention and lays out a blueprint for how WIC can build healthier food environments by investing in the next generation.
Participants in the Buckeye ISA Program noticed a variety of mental and physical health benefits from regular gardening. Partnering with Nationwide Children's Hospital, biometrics were collected to measure the physical changes over the course of the program.
Las juventudes son una de las poblaciones que se han visto y se verán más afectadas por los impactos a largo plazo de la pandemia, más aún para aquellas personas jóvenes que viven y/o son parte de comunidades que han sido históricamente excluidas, como los pueblos y comunidades indígenas. Cada día contamos con más evidencia sobre el impacto de la pandemia en las juventudes en México y en otros países del mundo. Sin embargo, todavía hay poca información sobre el impacto en juventudes indígenas. Por este motivo, el objetivo del presente estudio es analizar el impacto de la pandemia en múltiples dimensiones de la vida de juventudes indígenas que viven en seis municipios localizados en Yucatán y mapear las decisiones y medidas relacionadas con juventudes adoptadas por el gobierno del estado de Yucatán en el contexto de la emergencia sanitaria por COVID-19 y de la reactivación económica, entre enero y junio 2021. Esta información es relevante para orientar y redirigir medidas y acciones de instituciones y personas tomadoras de decisiones en la región, así como para el diseño de nuevas estrategias y políticas públicas basadas en evidencia que se enfoquen a reducir las necesidades aún no atenidad de las juventudes indígenas.
In 2021, The BUILD Health Challenge® (BUILD) set out to learn about current trends and explore changes taking hold in the field of community health. This line of inquiry was planned before the COVID-19 pandemic but became increasingly relevant and necessary to inform our understanding of how the pandemic and racial justice movement were influencing community health. In collaboration with our evaluation team at Equal Measure, we conducted a literature review and posed three questions during interviews with 23 field leaders working in publichealth, health and healthcare systems, and philanthropy.
Grounded in core tenets of intersectionality, the Intersectionality Policymaking Toolkit (IPT) was developed to help policymakers, practitioners, and other stakeholders with their health equity work in the area of maternal and child health.
In January 2021, NYU Metro Center launched a peer learning community for parent leadership organizations to advance their work on racial equity. Funded by the W.K. Kellogg Foundation, the Parent Leadership Racial Equity Peer Learning and Inquiry Community (PLC) is a partnership between the Center for Policy, Research, and Evaluation (PRE) at NYU Metro Center and four parent leadership organizations across the country. Over the past year, this PLC has been collecting data to inform and evaluate their racial equity action plans.After completing participatory evaluation projects as part of an earlier project, the Parent Leadership Evaluation Network (PLEN), parent leaders and staff from four organizations decided to deepen their work on racial equity. They have been meeting bi-monthly to discuss their plans and the racial equity issues they are addressing. Groups also meet internally and with the PRE team every month. Each organization has a different racial equity focus.
Public Health leaders know that location matters and has a significant impact on an individual's health—and initiatives that have the highest impact focus on localized conditions and speak directly to community needs. Nicole Alexander-Scott (director, Rhode Island Department of Health) and Katie Lamansky (health program manager, Idaho Department of Health and Welfare) discuss why place-based interventions are a key strategy for health agencies to advance health equity. We examine the Health Equity Zone model and share what states can borrow from it to reimagine how they engage with communities.
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