Loading…
Welcome to the 2021 Culture of Data Conference!
April 8-9, 2021
Colorado Public Health Association
Back To Schedule
Thursday, April 8 • 2:45pm - 4:00pm
B2 Breakout Session: Examining Inequities in Maternal and Child Health

Log in to save this to your schedule, view media, leave feedback and see who's attending!

This session includes two presentations that examine current inequities and potential solutions to make maternal and child care more equitable.
  • Presentation 1: Diverse Colorado Voices: Community-based Solutions for the Perinatal Period: Feedback from 5 Statewide Listening Sessions with Community Members and Birth Equity Leaders in Colorado (Kayla Frawley, Holley Murphy - Clayton Early Learning; Lynn VanderWielen - End Grain Research & Evaluation LLC // Families Forward Resource Center)
  • Presentation 2: Ethnic Disparities in the Care of Opioid Exposed Newborns in Colorado Birthing Hospitals (Blair Weikel, Mauricio Palau - University of Colorado Anschutz Medical Campus Department of Pediatrics; Sunah Hwang - University of Colorado Anschutz Medical Campus Department of Pediatrics, Children's Hospital Colorado Section of Neonatology)
---------------------------

Full presentation descriptions:
Diverse Colorado Voices: Community-based Solutions for the Perinatal Period: Feedback from 5 Statewide Listening Sessions with Community Members and Birth Equity Leaders in Colorado
The authentic and intentional incorporation of community voice and lived experiences  into policy, practice, and programing has the profound potential to optimize equitable  health outcomes for those in the perinatal period. Through cross-collaborating with grass roots - perinatal birth equity leaders in the state of Colorado we held 5 listening sessions to seek community defined issues and solutions in the perinatal time period in Colorado. Data gathered during community member listening sessions identified three overarching issues faced in the perinatal period: systemic racism, lack of postpartum support, and systems-level inadequacies.  Policy implementations and recommendations to optimize perinatal care were drawn  from community member input, and emphasize the need to examine issues  as interconnected and inextricably linked to the social determinants of health.    

In July 2020 the Maternal Mortality Review Committee released their report titled Maternal Mortality in Colorado, 2014 - 2016 which examines all cases of maternal death. The committee described one of the next steps in the process as identifying community-led solutions to maternal mortality. The report acknowledges that “grassroots community-based perinatal and birth providers and activists all play a unique and necessary role and will be a part of community-led solutions.”     

Critically, all policies should be viewed through an anti-racist lens such that Colorado  strives to attain health equity for all. Implementation, design, and development  of these recommendations need to be done with the consultation of the lived expertise  of families that experience challenges like those associated with experienced racism. Participants will be given the example of community engagement of listening sessions, including the importance of highlighting local community leaders in the perinatal period, opportunities for aligning advocacy efforts and tangible policy recommendations that are community driven, anti-racist, and address micro and macro systems level inadequacies in the perinatal time period.   


Ethnic Disparities in the Care of Opioid Exposed Newborns in Colorado Birthing Hospitals 
This presentation explores the disparity in quality improvement outcomes among Hispanic versus Non-Hispanic opioid exposed newborns within a statewide collaborative. Data were collected for this initiative directly from hospitals at the mother-infant dyad level. This study found that while pre and post intervention numbers reflected positive outcomes among both groups, when we disaggregated data by maternal Hispanic ethnicity and tracked it over time, the path to these outcomes was not uniform. We discovered that the Hispanic cohort experienced one to three quarter delays in sustained improvement as compared to their Non-Hispanic counterparts, indicating some difference in how they experienced the interventions and process of the improvement efforts. We hypothesize that language barriers as well as compounding socioeconomic characteristics of Hispanic families in our state likely accounted for some of this difference. Previous research has explored the experience of pediatric parents with limited English proficiency and has found increased risk of parents misunderstanding their child’s diagnosis, inadequate use of required interpretation tools even when indicated as necessary, and fear of being a burden on providers. While we believe language barriers were likely a factor in our study, we discovered in the analysis process that many of our participants did not have a documented primary or preferred language recorded in our dataset which was based on electronic health record (EHR) data. Studies exploring the accuracy of sociodemographic data captured in electronic health records have found that when compared to self-report, the EHR underestimates Hispanic ethnicity, primary Spanish language speaking, and bi-/multi-race status. The results of this study and others indicate a need for QI efforts that explicitly focus on culturally competent approaches for the outset for mother and infants.

Speakers
avatar for Kayla Frawley

Kayla Frawley

Manager of Policy and Advocacy, Clayton Early Learning
Kayla Frawley is the Manager of Policy & Advocacy at Clayton Early Learning, co-convenes the Raise Colorado Coalition, and manages the Parent Ambassador Program - bridging parent leadership and state policy. She is a former Maternal-Child Health Educator at Denver Health, a former... Read More →
avatar for Holley Murphy, MA

Holley Murphy, MA

Research Associate/Policy Analyst, Clayton Early Learning
Holley Murphy, M.A., is a bilingual Research Associate and part time Policy Analyst at Clayton Early Learning. Driven by health and education equity, she has focused her career at Clayton in finding ways to influence change for people who are systematically marginalized. The development... Read More →
LV

Lynn VanderWielen, MPH, PhD

End Grain Research & Evaluation LLC // Families Forward Resource Center
BW

Blair W Weikel

Research Instructor, University of Colorado Anschutz Medical Campus
MA

Mauricio A Palau

University of Colorado Anschutz Medical Campus Department of Pediatrics
SS

Sunah S Hwang

University of Colorado Anschutz Medical Campus Department of Pediatrics, Children's Hospital Colorado Section of Neonatology


Thursday April 8, 2021 2:45pm - 4:00pm MDT