Maternal & Child Health! The Movie! (video)

Selah

Now that I have your attention…

Who can resist babies doing yoga coupled with multiple exclamation points?

As many of you know, maternal and child health has been my focus for nearly a year now, ever since my strong, adorable, and intelligent granddaughter Selah was born with gastroschisis. Her three months in the Nursery Intensive Care Unit (NICU) at Tucson Medical Center (TMC) in 2018 gave me a new appreciation for the human and financial costs related to adverse birth outcomes and high tech medicine.

When it comes to maternal and child health, I strongly believe that the state of Arizona can and should do better regarding:

  • Increasing access to prenatal, perinatal and postpartum care.
  • Decreasing the rates of premature and low birthweight babies.
  • Reducing the number of unintended pregnancies and nonmarital births.
  • Reducing toxic stress in and increasing opportunities for families and children by tackling chronic, systemic poverty in Arizona– particularly among single parent households.

Continue reading Maternal & Child Health! The Movie! (video)

Maternal & Child Health… a Dialogue with Rep. Powers Hannley (video)

What is the state of maternal and child health in the state of Arizona? Well, it certainly could be better.

Arizona ranks in the 40s (out of 50 states) in many areas related to the health of Moms and their babies.

Too many Moms and babies are dying preventable deaths after childbirth. Too many babies are born prematurely, with low birth weight or with birth defects. Not surprisingly, access to first trimester prenatal care has decreased, while beginning prenatal care late or not having prenatal care has increased.

Although the Arizona Department of Health Services recently received a CDC grant to study maternal mortality, there is more work to be done to improve the lives of Moms and babies.

Arizona should be doing more to prevent premature and low brithweight babies, increase access to prenatal and post-partum care for women, and increase post secondary educational opportunities (particularly for young girls).

I will talk about the State of Maternal and Child Health in Arizona and lead a discussion about challenges and solutions at the Salt of the Earth Labor College on Saturday, September 21, 2019, beginning at 2 p.m. (Facebook event here. Blog for Arizona event here.) The College is located at 1902 E. Irene Vista, Tucson.

Continue reading Maternal & Child Health… a Dialogue with Rep. Powers Hannley (video)

Maternal & Child Health: a Public Health Model for Social Justice (video)

NICU

A few weeks ago, I gave the guest reflection at the Unitarian Universalist Church of Tucson on maternal and child health in Arizona. Below is the text of my talk or you can listen to the podcast here. I have been talking with people for months about this topic, and many of you have expressed an interest in working on solutions to improve maternal and child health. My plan is to hold stakeholder meetings on the state of Maternal and Child Health in Arizona, with the goal of crafting bills for the 2020 session. Stay tuned on the PowersForThePeople.net blog and on my Facebook page. I will be giving another talk on this topic at the Salt of the Earth Labor College on September 21, 2019.

Prevention: A Public Health Model for Social Justice (reflection text)

As the Public Health Parable in the Message for All Ages previewed, today, we are going to talk about prevention not only a public health strategy but also a social justice strategy.

Like the industrious carpenter in the video, we are going to assess the current problems, walk upstream to examine the root causes, and brainstorm long-term solutions to tackle those root causes.

Rather than focus solely on putting out fires today—as our government often does—the Public Health Parable teaches us to not only put out the current fire but also to devote significant effort to preventing those fires in the future.

My original idea for today was to discuss three unfolding public health crises: migration, housing security, and maternal and child health, but when I started to pull everything together, I realized we would be here all day if we tackled upstream solutions for those three, highly complex issues.

These three seem like disparate topics– migration, housing security, and maternal and child health—but they have commonalities.

Can you name some?  

[Pause for audience to shout out ideas.]

Poverty is a big factor in all of these, right?

But many of the “isms” are also involved: racism, sexism, classism, capitalism. And let’s not forget capitalism’s destructive cousins: war, austerity and bad policy.

How we tackle the unfolding crises of migration, housing security, and maternal and child health could have wide-ranging, positive OR negative repercussions on children, families, communities, future generations, and the climate.

Now we’re talking interconnectedness of all life, right?

Today, I want to focus on the area that has received the least amount of attention: maternal and child health. We hear a lot in the news about migration and housing, but there is a statewide and nationwide crisis in maternal and child health that is being ignored.

Continue reading Maternal & Child Health: a Public Health Model for Social Justice (video)

In #AZ, Maternal & Child Health Is in Crisis (video)

Maternal and child health is in crisis in the state of Arizona. Too many infants die. Too many new

Maternal and child health is in crisis in the state of Arizona. Too many babies die. Too many new Moms die. Too many babies are born prematurely. Too many babies are born with birth defects. Too many pregnant women don’t get adequate prenatal care.

Some Arizona counties have been labeled maternal health deserts because of lack of medical care. Cochise, Graham, Gila, La Paz, Santa Cruz and Yuma are the worst off. Around 50% of the babies born in Arizona are born to unwed mothers (which makes them more likely to live in poverty with their Moms.) And around 50% of the live births are funded by AHCCCS (Arizona’s Medicaid program).

Arizona’s lack of attention to maternal and child health and our stingy social safety net policies have exacerbated the situation and cost the state lives and money. Each premature baby born under AHCCCS costs the state around $1 million. How many of these one-million-dollar babies are accidents due to lack of access to affordable birth control and the scarcity of women’s health clinics, particularly in rural Arizona? We should be funding women’s health and well baby clinics in rural Arizona and should be hiring community health workers to do outreach with pregnant women and new Moms. You can hire an army of community health workers for the cost of one or two premature babies.

Continue reading In #AZ, Maternal & Child Health Is in Crisis (video)