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Table of ContentsINTRODUCTION . 2METHODOLOGY . 5ISSUE SYNTHESIS AND PRIORITIZATION . 5Figure 1: ISSUE PRIORITIZATION . 7Florida Department of Health in Broward County, September, 2016Page 1
INTRODUCTIONThe Mission of the Florida Department of Health in Broward County (DOH-Broward) is“to protect, promote and improve the health of all people in Florida through integratedstate, county and community efforts”. In accordance with this mission, DOH-Browardengaged the Broward County community in the Mobilizing for Action through Planningand Partnerships (MAPP) process in 2012 and in 2016. MAPP is a strategic approachto community health improvement and assists communities to improve health andquality of life through community-wide strategic planning. MAPP includes four separateassessments: Community Health Status, Community Themes and Strengths, LocalPublic Health System, and the Forces of Change.Broward County has a long history of collaboratively planning across multiple state,county, and local entities from the public and private sectors to ensure the highestquality of care that also reduce redundancies and duplication within the system of care.DOH-Broward utilized this existing community-based planning structure to assist in thedevelopment of the Community Health Assessment. The following agenciesparticipated in this process:Key Partners:Agency for Health Care AdministrationAging and Disability Resource Center of Broward CountyAlliance for a Healthier GenerationAmerican Heart AssociationAmerican Lung AssociationAT&TAudacious InquiryBANDBaptist Health SystemsBCHPPC Perinatal HIV WorkgroupBerger SingermanBrazilian Faith BasedBrickell Bay Realty GroupBroward Behavioral Health CoalitionBroward CollegeBroward County Comprehensive School Health Advisory CommitteeBroward County GovernmentBroward County Medical AssociationBroward County MunicipalitiesBroward County Public Elementary SchoolsBroward County Public SchoolsBroward County Sheriff’s OfficeBroward HealthBroward Health Coral SpringsBroward Health Imperial PointBroward Health Medical CenterBroward Healthy Start CoalitionFlorida Department of Health in Broward County, September, 2016Page 2
Broward Regional Health Planning Council, Inc.Broward Sheriff’s OfficeBroward Teachers UnionBWCCareer SourceCCB Million Meals CommitteeChildren’s Diagnostic and Treatment CenterChildren’s Services Council of Broward CountyCity of Dania BeachCity of Lauderdale LakesCommit 2B FitCommunity Action CenterCommunity AdvocatesCommunity AmbassadorsCommunity Health Action Information NetworkCooperative Feeding ProgramCoordinating Council of BrowardCordova Rodriguez & Assoc., Inc.,EMS CouncilESciences Inc.Family CentralFlorida Atlantic UniversityFlorida Department of Children and FamiliesFlorida Department of TransportationFlorida International UniversityFlorida Introduces Physical Activity and Nutrition to YouthGalt Ocean CommunityGilda’s Club South FloridaGreater Fort Lauderdale RealtorsHarvard Jolly, Inc.Health Choice NetworkHealthy Mothers, Healthy BabiesHealthy Start CoalitionHenderson Behavioral HealthHispanic Unity of FloridaHIV SurveillanceHoly Cross HospitalHospital ED’sKidCareLatino SaludLauderhill MallLegal Aid Service of Broward CountyLeukemia and Lymphoma SocietyLight of the World ClinicLocal businessesMalka & Kravitz, P.A.Florida Department of Health in Broward County, September, 2016Page 3
Maternal Child Health Systems Committee (MCHSC)Medical Staffing NetworkMemorial Healthcare SystemMiccosukee Tribe of FloridaMiller LeggMinority Development and Empowerment, Inc.Miramar Fire-RescueNova Southeastern UniversityNursesNutrition and Fitness Task Force of Broward CountyPhyl’s AcademyPhysiciansPlanned ParenthoodPRIDEPrimary Care ProvidersProject CainePublicly funded HIV testing sitesRegent BankRetired Public Health Subject Matter ExpertsRevive LivesSanofi PasteurSave-A-Lot food storesSchool Board of Broward CountySeminole Tribe of FloridaSmart Growth Partnership of Southeast FloridaSouth Florida Regional Planning CouncilSpecial OlympicsSunrise Fire / EMSSustainable Performance SolutionsTransforming Our Community’s Heath (TOUCH).Treatment providersUnited Way of Broward CountyUrban Health SolutionsUrban League of Broward CountyUS Social Security AdministrationUS Veterans AdministrationVolunteer BrowardWestern Community LeaderWhole Foods MarketWICWorkForce OneYMCA of BrowardFlorida Department of Health in Broward County, September, 2016Page 4
METHODOLOGYThe Local Public Health System Assessment (LPHSA) was conducted in the springof 2016 using The National Public Health Performance Standards Program (NPHPSP).These assessments are intended to help users answer questions such as "What are theactivities and capacities of our public health system?" and "How well are we providingthe Essential Public Health Services in our jurisdiction?" The dialogue that occurs whileanswering these questions may help identify strengths and opportunities forimprovement. Forty-eight organizations completed the online performance ratingsurvey. The Healthcare Access Committee members completed the priority ratingquestionnaire and Florida Department of Health leadership completed the agencycontribution section. The three components were compiled to develop the 10 EssentialPublic Health Services summary. The summary includes an average overall score of69.9, with Evaluate Services scoring 86.7 and Link to Health Services 81.3. Areasscoring the lowest average scores included Research/Innovation (50.0), Diagnose andInvestigate (63.2) and Enforce Laws (63.8).The Forces of Change Assessment consisted of five community focus groups, threeprovider focus groups and fifteen key informant interviews. Major findings weregrouped into five priority areas: Preventive Care/Chronic Conditions and Management,Community Health Education and Diversity, Maternal Child Health/Prenatal Care,Access to Care and Quality of Care.The Community Themes and Strengths Assessment utilized the 2015 CommunityHealth Needs Assessment developed by Professional Research Consultants, Inc. TheCommunity Health Needs Assessment is a continuation of nine similar studiesconducted since 1994 and is a systematic, data driven approach to determining thehealth status, behaviors and needs of residents in Broward County, Florida. TheAssessment serves as a tool toward reaching three basic goals: to improve resident’shealth status, increase their life span, and elevate their overall quality of life; to reduceheath disparities; and, to increase access to preventive services. A random sample of412 Broward County residents participated in the 2015 assessment of quality of lifeincluding a health assessment.The Community Health Status Assessment was prepared in late 2015 and early2016. The assessment presented data on Population and Socio-EconomicCharacteristics, Quality of Life, Health Care Resources, Health Status, Risk YouthBehavior Survey findings, Death Indicators, Communicable Diseases, Maternal andChild Health, Vaccine-Preventable Disease and Environmental Health.ISSUE SYNTHESIS AND PRIORITIZATIONAn analysis of the four MAPP assessments identified nine health related challenges inBroward County that were identified in two or more of the four assessments and werevalidated in the Community Health Status Assessment.Florida Department of Health in Broward County, September, 2016Page 5
The challenges were then categorized into four broad categories each containing theten identified health challenges.The Community Health Assessment provided a peer comparison group selected basedon the closeness of the match between select counties and socio-demographicindicators for Broward County. Broward County’s peer groupis composed of thefollowing Florida counties: Hillsboro, Miami-Dade, Orange and Palm Beach. Data foreach of the ten identified health challenges were then compared to the peer groupaverage and the state average value. In addition, the Healthy People 2020 goal andindicator were included for each identified challenge. Healthy People 2020 tracksapproximately 1,200 objectives organized into 42 topic areas, each of which representsan important public health subject area.The Health Care Access Committee was established as a committee of theCoordinating Council of Broward. The purpose of the committee is to improve access tohealth care for the residents of Broward County, through the establishment of outcomesand indicators, which have been and will continue to be implemented and measuredthroughout the next several years (www.brhpc.org/benchmarks). The members of thecommittee represent various facilities, agencies and/or departments within the county.This past year the committee has updated both the Broward Benchmarks and theHealth section of the Children’s Strategic Plan. The committee continues to set goals forBroward County in many areas of health including but not limited to maternal and childhealth, mental health, health care access, primary care and dental care. The committeealso spent time looking at enrollment in Medicaid and other programs to assure BrowardCounty is working to enroll all those eligible.The Health Care Access Committee meets monthly and agreed to provide input andoversight to the Community Health Assessment and Community Health ImprovementPlans in 2013.The Health Care Access Committee reviewed and approved the Community HealthAssessment at its August 22, 2016 meeting. The Community Health Assessment wasmade available for public review and comment on the DOH-Broward website. Once thecomment period closed, subject matter experts were convened to develop theCommunity Health Improvement Plan strategies, target dates and responsible partiesfor each priority area.The Health Care Access Committee reviewed and approved the Community HealthImprovement Plan at its September 24, 2016 meeting and will provide oversight for itsimplementation. The Community Health Improvement Plan was made available forpublic review and comment on the DOH-Broward website.Florida Department of Health in Broward County, September, 2016Page 6
Figure 1: ISSUE PRIORITIZATIONFlorida Department of Health in Broward County, September, 2016Page 7
Priority #1 - Increase Access to Health ServicesWhy is this important to our community? Access to health care may be limited by poverty, poor health literacy and lack of health insurance. Broward Health, MemorialHealthcare System and the Broward Community and Family Health Centers (federally qualified health centers) are currently the largest primary health care providers inthe county. There is sometimes a detachment between the major health partners and the most vulnerable communities. There is an increased need to simplify thenavigational system of obtaining healthcare and provide linkages to services. Public health efforts to develop culturally competent and age appropriate materials for theminority, disabled and elder community is needed to increase health literacy and promote access to care. Barriers to accessing health services affect the health status ofour residents.Healthy People 2020 GoalBrowardAnnualMeasurePerformanceTarget2013 LevelObjective 1.1 Increase the proportion of Broward Countyresidents with health insurance by 5% annuallyStrategy1.Continue to provideassistance incompleting theapplication forKidCare, Medicaid andother indigent careprogramsTargetDate7/1/16 –6/30/17ResponsibleParty (lead ited Way100%78.7%ResourcesStatus ofActions TakenChildren’s Services Council fundingcontracts with DOH-Broward for five(5) Representatives to work withfamilies in Broward County. Staff islocated conveniently throughoutBroward County to assist familiesenroll into KidCare and Medicaidthrough the Florida KidCareapplication.The KidCare Outreach Programreceived a grant from the United Wayfor a project conducting enrollmentoutreach within the 33311 zip codeand surrounding area. This areahouses the hardest to reachpopulations.2.Provide culturallycompetent and ageappropriate materialsabout the applicationprocess7/1/16 –6/30/17KidCareFlorida Department of Health in Broward County, September, 2016Page 85%Percent of persons with healthinsurance (BRFSS)Implementation Achievements Accomplished WithPartner Involvement
3.Continue to providereferrals to othersources of funding forineligible Medicaidand/or KidCare clients7/1/16 –6/30/17DOHBroward;CareerSource;2-1-14.Continue to enrolleligible clients into theMedicaid system7/1/16 –6/30/17DOHBroward;Monitor effects of7/1/16 – DOHimplementation of6/30/17Broward;MemorialHealthcare Reform onHealth Careinsurance coverageSystemlevels to include HITSProgram (HealthIntervention withTargeted Services)Resources Funding/time/people/materialsKidCare Outreach Staff have a binderof information for children’s servicesas well as adult services that is usedin referring families in need. Inaddition, all families are educated on2-1-1 Broward resource line.Florida KidCare Outreach enrollschildren into Medicaid, Medikids,Healthy Kids, and Children’s MedicalServices through the KidCareapplication.5.Status Complete or In-ProgressFlorida Department of Health in Broward County, September, 2016Page 9
Priority #2 – Reduce the Incidence of Communicable and Infectious DiseasesWhy is this important to our community? Reporting of communicable and sexually transmitted diseases (STDs) is important in the planning and evaluation of diseaseprevention and control programs, in the assurance of appropriate medical therapy, and in the detection of common-source outbreaks. Broward County consistently ranksin the top 2-3 for newly diagnosed HIV cases in the entire United States. The rates of STDs have increased since 2001 in both Broward County and the State. BrowardCounty’s infectious syphilis and congenital syphilis rates are amongst the highest in the State.HealthyBrowardAnnualMeasurePeople 2020PerformanceTargetGoal2014 LevelObjective 2.1 Reduce New HIV Infections and Rates per 100,000 by 10% annuallyTarget DateResponsible Party(lead and partners)1. Increase the number of HIV tests conductedby 5% annuallyBy 3/31annually Collaborate with hospitals, FederallyQualified Health Centers (FQHC) andprimary care providers to educate on theprovision of HIV testing as part of routinemedical care12/31/17 Conduct face-to-face meetings withhospital emergency department medicalpractitioners, administrators and primarycare providers on the importance of routineHIV testing Provide technical assistance and physiciantool kits to enhance provider skills inimplementation of HIV testing as part ofroutine medical care12/31/17 Provide training on HIV testing technologiesQuarterlyDOH-Broward HIVPreventionProgram; Publiclyfunded HIVtesting sitesDOH-Broward HIVPreventionProgram; HospitalED’s, FQHCDirectors andprimary careprovidersDOH-Broward HIVPreventionProgram; BrowardHealth Facilities;EMS CouncilDOH-Broward HIVPreventionProgram; BCHPPCPerinatal HIVWorkgroupDOH-BrowardStrategy12/31/17Florida Department of Health in Broward County, September, 20163.538.6ResourcesStatus ofActions TakenFundingPage 1010%New HIV Infections and Rates per100,000 (FL CHARTS)Implementation Achievements Accomplished WithPartner Involvement
Early InterventionProgram2. Condom DistributionIdentify condom distribution partnersin the public and private sectorsQuarterlyIntegrate condom distribution withactivities such as community-levelinterventions to promote condom useand other risk reduction behaviors3. Collaborative PartnershipsAnnually Build the capacity of communityleaders to address disparities with HIVHigh Impact Prevention (HIP)strategies, through training andtechnical assistanceQuarterly Coordinate with HIP contractedagencies to serve target areas andpriority populationsQuarterly Recruit local businesses to participatein the Business Responds to AIDS(BRTA) projectQuarterly4. Reduce the number of pediatric HIV casesto zero7/1/16 –6/30/17 Educate OB/GYN’s, labor and deliveryhospitals and birthing center staff tocomply with Florida Statutes and evidence-7/1/16 –6/30/17DOH-Broward HIVPreventionProgram; localbusinesses andorganizationsDOH-Broward HIVPreventionProgramDOH-Broward HIVPreventionProgram; BrowardCounty HIVPreventionPlanning Council;communityambassadorsDOH-Broward DOH-Broward HIVPreventionProgram; localbusinessesDOH-BrowardPerinatal HIVDirectorDOH-BrowardPerinatal HIVDirector; 8Florida Department of Health in Broward County, September, 2016Page 11
based standards for pregnant women onHIV care Increase HIV testing awareness during the3rd trimester among pregnant womenbirthing hospitals7/1/16 –6/30/17 Conduct HIV clinical/prevention grandrounds at two birthing hospitals annually7/1/16 –6/30/17 Conduct annual perinatal symposium incollaboration with the Perinatal HIVProvider NetworkAnnuallyDOH-BrowardPerinatal HIVDirector ; birthinghospitals; HealthyStart Coalition;Urban League Distribute perinatal toolkits to OB/GYNproviders7/1/16 –6/30/17 Expand capabilities of the HIV PerinatalProvider Network to include identificationof strategies to further reduce future HIVperinatal transmissions.7/1/16 –6/30/175. Increase number of people who receivetheir HIV positive test results from a DOHBroward registered testing site to 95% whoare linked to partner services Require that HIP contracted agencies referall positive individuals upon diagnosis toDOH-Broward partner services Disease intervention staff will locate thepartners, advise them of their exposure,offer onsite HIV testing services and referthem to HIV Linkage Coordinators7/1/16 –6/30/17DOH-BrowardPerinatal HIVDirectorDOH-BrowardPerinatal HIVDirector; Birthinghospitals, HealthyStart CoalitionDOH-BrowardSTD ProgramManager7/1/16 –6/30/177/1/16 –6/30/17DOH-BrowardPerinatal HIVDirector;OB/GYNsDOH-BrowardPerinatal HIVDirector; DOH-BrowardSTD ProgramManagerFlorida Department of Health in Broward County, September, 2016Page 12
Explore the opportunity to conduct geomapping analysis of the DOH-Browardregistered testing sites and include allrelevant services on the Broward AIDSweb siteAnnuallyDOH-BrowardCommunicableDisease Director& HIV PreventionDirectorFlorida Department of Health in Broward County, September, 2016Page 13
Objective 2.2 Reduce sustained domestic transmission of primary and secondarysyphilis in males by 10% and in females by 1% annually.StrategyTarget Date1.Conduct STD prevention and surveillanceactivities7/1/16 –6/30/172.Integrate STD and HIV prevention planningthrough the joint planning process of theHIV Prevention Planning Council and RyanWhite Part AIncrease public awareness regarding HIVand STD’s and mobilize community supportfor prevention efforts7/1/16 –6/30/173.7/1/16 –6/30/17Responsible Party(lead and partners)HealthyPeople 2020GoalBrowardPerformance2015 LevelAnnualTargetMale: 6.7Female: 1.3Male: 29.8Female: 2.010%1%ResourcesStatus ofActions TakenDOH-BrowardSTD ProgramManagerDOH-BrowardSTD ProgramManagerDOH-BrowardSTD ProgramManager; PRIDE;Latino Salud; BWCFlorida Department of Health in Broward County, September, 2016Page 14MeasureNew primary and secondarysyphilis Infections Rates per100,000 (FL CHARTS)Implementation Achievements Accomplished WithPartner Involvement
State of FloridaGoalObjective 2.3 Reduce the Congenital Syphilis Cases to 0 birthsannuallyStrategy0 new casesTarget DateResponsible Party(lead and partners)DOH-BrowardSTD ProgramManagerDOH-BrowardPerinatal HIVDirector;OB/GYNs;Birthing Facilities1.Conduct STD prevention and surveillanceactivities7/1/16 –6/30/172.Continue direct outreach to OB-Gyn’s,delivering family practice doctors, laborand delivery hospitals and birthing centers7/1/16 –6/30/17Florida Department of Health in Broward County, September, 2016HealthyPeople 2020Goal9.6 per100,000birthsResourcesBrowardPerformance2015 LevelAnnual TargetMeasure30Congenital Syphilisbirths (FL CHARTS)Status ofActions TakenPage 15Implementation Achievements Accomplished WithPartner Involvement
Priority #3 – Improve Maternal, Infant and Child HealthWhy is this important to our community? While Broward County’s White and Black infant mortality rates are lower than the state, the Broward County Black ratecontinues to be more than two and a half times the white rate and above the Healthy People 2020 goal. The Healthy People 2020 Goal as well as State of FloridaImmunization Goal for Kindergartener’s and 7th graders is 95%. Broward County currently does not meet the 95% goal for these age groups. The annual cervical cancerscreening rate in Broward County is two-thirds that of the goal set by Healthy People 2020.Objective 3.1 Increase the Proportion of Women Who Receive Cervical CancerScreening Based on the Most Recent Guidelines by 10% annually.Strategy1.2.3.Continue to market to women under age50 providers that offer low cost/free paptestsProvide education to encourage HPVprevention and/or immunization and othersafer sex practices to all ages and gendersContinue to provide outreach andeducation to identified high incidence areasTarget DateResponsible Party(lead and partners)7/1/16 –6/30/17DOH-Broward7/1/16 –6/30/17DOH-Broward; IAC7/1/16 –6/30/17DOH-BrowardFlorida Department of Health in Broward County, September, 2016HealthyPeople 2020GoalBrowardPerformance2013 LevelAnnualTarget93%56.2%10%ResourcesStatus ofActions TakenImmunization& STDProgramsBRFSSPage 16MeasureCervical Cancer screeningrates (BRFSS)Implementation Achievements AccomplishedWith Partner Involvement
Objective 3.2 Increase Vaccination Coverage Levels for Children in Kindergarten by1% annuallyStrategyTarget DateResponsible Party(lead and partners)1.Provide back to school immunizations toschool aged children entering kindergartenin partnership with community basedproviders and municipalities10/20162.Hold a Health Fair in support of back toschool community immunization campaign8/20163.Market community immunizationcampaign through outreach activities toPublic and charter schools, municipalsummer camps, Children’s Services Council,etc.Provide immunization for children enteringschool without necessary immunizationsnot reached in campaign6/2016 –8/2016DOH- Broward;IAC; SBBC1/2017 –5/2017DOH- Broward;SBBC4.DOH- Broward ;School Board ofBroward County(SBBC); LauderhillMallDOH- Browardstaff; CommunityProviders; SBBCFlorida Department of Health in Broward County, September, 2016HealthyPeople 2020GoalBrowardPerformance2015/16 LevelAnnual Target95%94.2%1%ResourcesStatus ofActions TakenDOHBrowardstaff; SBBC;vaccineDOHBrowardstaff; SBBC;vaccineDOHBrowardstaff; SBBC;vaccineDOHBrowardstaff; SBBC;vaccinePage 17MeasureKindergarten immunizationlevels (FL CHARTS)Implementation Achievements Accomplished WithPartner Involvement
Objective 3.3 Increase Vaccination Coverage Levels for 2 year old children by 1%annuallyStrategy1.Target DateResponsible Party(lead and partners)Conduct Reminder Recall and AFIXAssessment trainings to Broward CountyPediatric Practices onConduct Shots-By-Two trainings to DOHBroward and community organizations thatserve infants7/1/16 –6/30/17DOH-Broward7/1/16 –6/30/17DOH-Broward; IAC;WIC; CBOs3.Work with labor and delivery hospitals toensure newborns are enrolled in Shots-ByTwo Program7/1/16 –6/30/17DOH-Broward; IAC4.Provide technical assistance to providersand staff on Florida SHOTS and Shots-ByTwo programConduct medical assistant training threetimes per year7/1/16 –6/30/17DOH-Broward7/1/16 –6/30/17DOH-Broward2.5.Florida Department of Health in Broward County, September, 2016HealthyPeople 2020GoalBrowardPerformance2015/16 LevelAnnual Target95%84.0%1%ResourcesStatus of ActionsTakenDOHBrowardstaffDOHBrowardstaff; Shotsby TwomaterialsDOHBrowardstaff; Shotsby TwomaterialsDOHBrowardstaffDOHBrowardstaffPage 18Measure2 year old immunizationlevels (FL CHARTS)Implementation Achievements Accomplished WithPartner Involvement
HealthyPeople 2020GoalObjective 3.4 Reduce the Rate of Infant Deaths in Blacks by 1% annually.Strategy1.Ensure that the Black Infant Death DisparityIssue is interwoven throughout allMaternal Child Health System through itsActive Subcommittees powered by theBroward Healthy Start Coalition.(Fetal Infant Mortality Review CommunityAction Group, Black Infant Health PracticeInitiative, Breastfeeding Coalition, InfantHealth/Safe Sleep, Infant Health/SubstanceExposed, Maternal Health, Perinatal HIV) alongwith the March of Dimes2.Target DateObjectivehas beenintegratedsince 2013Develop comprehensive toolkitincorporating items from allsubcommitteesb) Create comprehensive marketing andsocial media strategyc) Create videos for waiting areas forPediatricians, OB/GYNS, EarlyChildhood Court, Child Supportd) Provide 10 educational sessions forhealthcare professionals, communitybased providers and/or medicalproviders to inform them on safe sleeppractices, Perinatal HIV, Babies areWorth the Wait, car safety, Disparitiesin Infant Mortality and shaken babysyndromeBroward HealthyStart Coalition(BHSC)Ronik-RadlauerOngoingFIMR CAGa)Responsible Party(lead and partners)April 2017Broward HealthyStart Coalition(BHSC)July 2017Aug 20176.0ResourcesBrowardPerformance2015 LevelOverall: 5.4Black: 9.1White: 3.0Status ofActions Taken1%MeasureInfant Mortality Rates per1,000 live births (FL CHARTS)Implementation Achievements Accomplished WithPartner InvolvementDOHBrowardfunding viaBrowardHealthy StartCoalitionOngoingFIMR CAG/MCH System meet monthly.Community Action Teams as identified inStrategies meet monthly to review their ActionPlans.DOHBrowardFunding viaBrowardHealthy StartCoalitionSeekinggrantfundingIn processOverall, fetal and infant mortality rates havedecreased.2a-c. Seeking funding for development oftoolkit, marketing/social media strategy, andcreation of videos.2d. In process. Three (3) symposia were held in2015 regarding Perinatal HIV, substance use andother challenges for healthcare professionals.Numerous activities in the community tookplace regarding Safe Sleep practices, includingthe Model Behavior program, DOSE (Direct OnScene Education) for first responders, and carseat safety.7/1/16 –6/30/17Florida Department of Health in Broward County, September, 2016AnnualTargetPage 19
3.Black Infant Health Practice InitiativeEducate Black women and families aboutthe risk of fetal and infant mortality andprovide resources.a) Showers2Empowerb) Caribbean Radio, BECON TVc) Distribute info on Palm Cards to localbarber shops, nail salons, hair salonsd) Conduct “Shop Talks”7/1/16 –6/30/17Broward HealthyStart Coalition(BHSC)Urban League ofBroward CountyHealthy Mothers,Healthy tfeeding CoalitionEncourage and promote breastfeedingthrough culturally sensitive education andsupporta) WIC will continue to act as the leadagency assisting leaders and otherswho influence individuals or groups totake action and promote policies insupport of breastfeedingb) Increase the number of businesses thatsupport breastfeeding using the“Business Case for Breastfeeding”programc) Increase the number of “BreastfeedingChildcare Facilities”d) Distribute toolkit for OB/GYNs andpediatricianse) Continue educational opportunitiesregarding the importance of initiationand duration of breastfeeding7/1/16 gFlorida Department of Health in Broward County, September, 2016Page 20Disparity rates for fetal mortality havedecreased, however disparity rates for infantmortality have increased. This is currently beingfurther evaluated.3a. Showers2Empower: held each May forAfrican American community and each Octoberfor Creole speaking community. Numeroustopics presented (safe sleep, car seat safety,drowning prevention, HIV/STIs, etc.). Giveawaysprovided. Over 200 women and partnersattended May 2016, over 40 women andpartners attended October 2015.3b. In process3c. In process3d. In process: “Shop Talks” are opportunities toengage people where they congregate-hairsalons, nail salons, etc. to educate thecommunity.Breastfeeding initiation rates have increased ashave duration rates.4a. Ongoing4b. In process. Currently, 8 Gold awards and 1Silver.4c. In process. Currently 16 facilities4d. In process4e. Ongoing presentations atShowers2Empower, hospitals, pediatrician andOB/GYN offices as well as community-basedorganizations
5.6.Infant Health/Safe SleepEducate Black Community about Safe Babypractices including Safe Sleepa) Provide educational sessions forhealthcare professionals and MCHcommunity partnersb) Incorporate a mandatory safe sleeppolicy for all child care providersc) Utilize strong social marketingmessages through PSAs, bus ads, radiointerviews, etc.d) Distribute free safe sleep posters andmaterials to all MCH organizations andprograms that work with pregnant andparenting familiesInfant Health/Substance ExposedNewbornsa) Create a data development system andshared measurement tool to track thespecific needs and outcomesassociated with perinatal substanceabuseb) Collaborate with Early Childhood Courtto help family law attorneys and judgesmake better decisions regarding babiesin the child welfare systemc) Promote Infant Mental Health througheducation, ongoing communitytrainings and advocacyd) Educate attorneys, pediatricians,judges, and family physicians regardingthe importance of recognizing traumain the early years to make appropriatetreatment recommendations7/1/16 –6/30/177/1/16 –6/30/17Healthy MothersHealthy BabiesCommunityPartnersCSC for SafeSleepCoordinatorCSC andothers forCribs4KidsOngoingBroward HealthyStart Coalition(BHSC)BrowardBe
Broward College Broward County Comprehensive School Health Advisory Committee . Urban League of Broward County US Social Security Administration US Veterans Administratio n Volunteer Broward . contracts with DOH-Broward for five (5) Representatives to work with families in Broward County. Staff is located conveniently throughout
