Women’s Health Now and Beyond Pregnancy

Terry Kruse, Wisconsin Division of Public HealthTerry.Kruse@wisconsin.govLeslie Borne, Price County Health DepartmentLeslie.Borne@co.price.wi.us

Women’s Health Now and Beyond Pregnancy Purpose Integrate women’s health and preconception

services into existing public health services Promote folic acid consumption Promote healthy spacing of pregnancies Put into practice the standard of care that

assures women have access to family planning supplies in 3rd trimester of pregnancy

Women’s Health Now and Beyond Pregnancy ObjectivesIncrease the number of women who: Have access to birth control and dual

protection supplies prior to delivery Have a medical home for reproductive health Enroll in the Family Planning Waiver or other

Medicaid program Consume multivitamins with folic acid in the

postpartum period

Women’s Health Now and Beyond Pregnancy Framework 5 Pilot sites Medicaid Prenatal

Care Coordination benefit

Technical assistance Supplies

Women’s Health Now and Beyond Pregnancy Project Activities Activities occur at 3 times: 3rd trimester, early

postpartum and 6 months after delivery Provide condoms for dual protection Provide Emergency Contraception Assure access to primary method Support enrollment in the

Family Planning Waiver Provide multivitamins with folic acid Provide women’s health education

Select CDC Recommendations to Improve Preconception Health and Health Care

Individual responsibility across the lifespan Consumer awareness Interconception care Health Insurance coverage for women with

low incomes Public health programs and strategies

Women’s Health Now and Beyond Pregnancy Outcomes Women’s Health Now and Beyond Pregnancy

Toolkit Educational materials for participants Provider resources

Collaboration between Family Planning and Prenatal Care Coordination providers

Data

Women’s Health Now and Beyond Pregnancy Partners Wisconsin Division of Public Health

Reproductive health, women’s health, perinatal, birth defects prevention programs

Health Care Education and Training Health Depts. and Family Planning programs

Price County Oneida County Pierce County Juneau County City of Milwaukee

Women’s Health Now and Beyond Pregnancy ImplementationInitiating Discussion about

Postpartum Contraception

Start in the third trimester Identify a Reproductive Life Plan Provide information to allow for informed

choices

Women’s Health Now and Beyond Pregnancy ImplementationGetting Supplies to Project Participants

Coordinate with medical providers regarding client’s postpartum contraceptive plan

Arrange for supplies and/or appointments

Women’s Health Now and Beyond Pregnancy Benefits Established relationship with client Face-to-face Assures reproductive health is addressed

prior to sexual activity

Women’s Health Now and Beyond Pregnancy Barriers Lack of knowledge of contraception Inability to establish relationship with Family

Planning Providers Potential lack of resources

Women’s Health Now and Beyond Pregnancy Overcoming Barriers Provider education Technical assistance to establish partnership

with family planning Contraceptive supplies provided by family

planning Vitamins with folic acid provided by project Women’s Health Now and Beyond Pregnancy

Toolkit

Resource Toolkit http://www.hcet/resource/nandb.htm Identifying a Reproductive Life Plan Folic Acid EC Fact Sheet EC Instructions Birth Spacing Birth Control after Childbirth Birth Control while Breastfeeding Condoms and Birth Control after Childbirth Need Supplies…Have Questions? Women’s Health brochures Wisconsin Family Planning Waiver Sample Memorandum of Understanding

Women’s Health Now and Beyond Pregnancy Key Messages Normalize family planning as a core

component of public health programming Promote folic acid as an evidence-based

practice to improve birth outcomes Use brief interventions to integrate women’s

health and preconception health into existing public health services