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All children in Hays & Caldwell are physically and mentally healthy

Percent of Hays & Caldwell live births with prenatal care beginning in the first trimester

Current Value

71.0%

2017

Definition

Line Bar Comparison

Story Behind the Curve

What factors are contributing to mothers receiving prenatal care in the first trimester?

  • Availability of providers
  • More education about PN care - TV, social media
  • Normalization of receiving PN full term
  • Reliable/inexpensive pregnancy tests
  • Teen-focused education/prevention
  • Availability of transportation through specific programs (THV)
  • Improved access to information via the internet – scheduling
  • Increased access to care with Seton in Kyle
  • Improved access to healthcare with ACA
  • Product placement at area business

What factors are restricting mothers from receiving prenatal care in the first trimester? 

  • Barrier of transportation, especially rural
  • Providers accepting Medicaid, won't accept new patients
  • Stigmatization of unintended pregnancy
  • Uninsured population
  • Lack of education about the importance of PN care
  • Inequitable treatment for Women of Color/low-income women
  • Cultural competency amongst providers
  • Language barriers
  • Cultural barriers with not enough female providers)
  • Generational attitudes (Mom didn't get it, so I won't)
  • Community leadership doesn't connect to the value of PN visits and why they should support it

Partners

Partner

  • State and Federal agencies
  • Providers
  • Elected officials
  • EHS/HS/THV
  • Retail/businesses
  • CARTS
  • SMCISD/Hays CISD
  • Community leaders/Faith-based organizations
  • Networx

Role or Contribution

  • Funding, T/TA
  • Delivering service, insurance agencies Policies
  • Program and services
  • Promote PN health, provide products and services
  • Transportation
  • Education
  • Advocacy and support
  • Monday Mommy Mail

What Works

Evidence-Based Practices

  • Early Head Start
  • Nurse Family Partnership
  • PAT
  • Family Connect
  • March of Dimes
  • PSA
  • PPI
  • Launch a Promotora network

Promising Practices

  • Target campaign to notify media
  • Bill translators for doctor visits
  • Provide free pass via Carts for pregnant women
  • Cultural competency training for providers
  • Engage faith-based to play role
  • Mentorship
  • Deliver bilingual programming (Sister Song, Mama Sana, etc)
  • Targeted advocacy
  • Engage health insurers that provide Medicaid and Health Care
  • Adopt a "Care-A-Van" model

No Cost/Low-Cost Solutions

  • Engage community groups such as Kiwanis Club, etc.

Off the Wall Thinking

  • School mid-wife
  • Sex ed

Strategy #1

Prioritized Strategy: Create targeted advocacy to community groups, helping them to understand the importance of Prenatal Care and to become champions

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Strategy #2

Prioritized Strategy: Grow the coalition by directly reaching out to new partners with specific roles to play or contributions to offer

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Strategy #3

Prioritized Strategy: Implement the "Care-A-Van" model that puts information and resources directly into underserved areas of Hays County

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