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piloted in Butler, Dallas and Wilcox counties. Use teams of nurses, nurse practitioners, social workers, nutritionists, and peer-to-peer supporters to manage chronic conditions, ensure good nutrition, and teach about healthy lifestyles. 2. Facilitate access of 17P (alpha hydroxyprogesterone caproate) to women with previous spontaneous preterm delivery. 3. Evidence Based Home Visitation. Expand or implement evidenced-based home visiting programs. 4. Telemedicine. Enable the delivery of high-risk obstetrical care and reduce preterm births in rural communities using telemedicine. 5. Screening, Brief Intervention, Referral to Treatment (SBIRT). Provide screenings to identify, reduce, and prevent substance use (alcohol and drugs), domestic violence, and depression

POSTNATAL INTERVENTIONS

6. Safe Sleep Efforts a. Safe Sleep Education & Awareness Campaign: Continue safe sleep education to parents, healthcare providers, elected officials and the public. b. Provide safe sleep environments: Give baby boxes and/or pack–n-plays to families for infants to sleep. c. Hospital Safe Sleep Initiative: Work with each delivering hospital to implement safe sleep policies/protocols and to model safe sleep within their facilities. 7. Support Breastfeeding. Strengthen, support and promote breastfeeding efforts in the state. Collaborate with the Alabama Breastfeeding Committee.

STATEWIDE INITIATIVES

8. FIMR: Fetal and Infant Mortality Review Program. Expand the FIMR program, according to the national FIMR guidelines, to review 100 percent of infant deaths and to implement initiatives at the community level that continually assess, monitor, and work to improve service systems and community resources for women, infants, and families 9. Perinatal Regionalization. Implement the Alabama Perinatal Regionalization System Guidelines to ensure high quality care standards are consistently applied in all delivering hospitals and pregnant women deliver their babies at “the right place and the right time.” 10. Promote Social Equity. Advocate for initiatives that promote social equity and focus on reducing longstanding racial and ethnic disparities in pregnancy outcomes.