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Increase utilization of 17P: provide education to providers and patients. ADPH Amy Stratton $50,000 Pre/inter-conception Health Care: provided in the pilot counties. ADPH Jessica Hardy $250,000 Screening Tool: expand the screening, brief intervention, and referral to treatment (SBIRT) screening tool to include domestic violence and post-partum depression. ADMH

TBD $150,000

Total

$1,000,000

Measurable Outcomes Decrease in:  Number of preterm deliveries  NICU admissions  NICU costs  Sleep related infant deaths  Infant deaths  Number of low birth weight deliveries

Increase in:  Infants delivered at a healthy weight  Deliveries with adequate birth spacing  Breastfeeding initiation and duration  Women screened and referred for treatment  Very low birth weight infants delivering at an appropriate facility

Additional Strategies Early-elective delivery (EED): continue efforts to reduce non-medically indicated EED. AMA TBD Long-Acting Reversible Contraceptives: make LARCs available in the delivering hospitals. This is a statewide initiative based on existing AMA funding. AMA- Statewide Jerri Jackson Postpartum home visiting: provide a home visit to high risk moms after discharge from hospital. If the budget allows, home visits will be provided to all mothers statewide, after discharge from hospital. AMA- Statewide Jerri Jackson Health Services Initiative: provide coverage for women with previous poor birth outcomes. ADPH Cathy Caldwell FIMR: expand the FIMR program to review 100 percent of infant deaths and to implement infant mortality reduction initiatives at the community level. ADPH Amy Stratton Healthy Equity Education: provide statewide education to build capacity at all levels of decision- making to eliminate disparities in infant mortality. GOMA ADPH TBD TBD

Healthy Beginnings: promote and maintain the toll-free telephone support line. ADPH Diane Beeson