Results-Based Accountability Success Story

Turn the Curve Action Plan Details

Story Behind the Curve:

Factors pushing up on the data

• Programs targeting moms
• Coalition efforts where collective impact is achieved by leveraging partner resources
• Increased availability of resources through UTRGV and Nurse Family Partnership
• Pregnancies that are planned for
• ACA

Factors pushing down on the data

• Fear
• Teenage pregnancies
• Intimidation
• Cultural norms (Machismo, Shamefulness experienced by woman, not wanting to share the news)
• Emotional immaturity
• Lack of education
• Not utilizing resources
• Migrant worker population
• Lack of resources
• Location of the resources make them not easily accessible for some people
• Unplanned pregnancies
• Family dynamics
• Commitment from partners
• Political environments
• Inhibiting information

Partners: 

• THV (NFP)
• UTRGV
• Clergy
• Maximus/Promotoras
• School Districts
• WIC
• Local Government
• Foundations
• Community/Informal leaders
• Parental engagement groups

Contributions they can make: Education, Services, Referrals, Partners, Funding and Support

Solutions: 

Evidence-Based Programming

• *MCHV-THV, Nurse Family Partnership, Parents as Teachers, and Head Start
• *Community Health Workers
• *Mobile clinics

Promising Practices

• *Health Fairs “on steroids”
• Outreach
• Hospital Prenatal Classes
• Fatherhood programs
• TxHW

No Cost/Low Cost ideas

• *Incentives for seeking care
• Promoting 211
• Social media awareness campaign

Off the Wall ideas

• *Town hall meetings
• Sex education in schools
• Confidential application
• Turquoise table

* – Indicates a solution voted on/selected by the group

Strategy: 

• Continue to engage and inform parents and caregivers about the importance of prenatal care
• Train Community Health Workers about the importance of prenatal care as a cost-effective way to inform residents in hard-to-reach communities
• Host Health Fairs designed to inform and engage residents on early childhood health issues
• Leverage the capacity of existing mobile clinics by having Community Health Workers ride along on community visitations to directly engage with residents
• Create incentives for residents that seek care
• Directly engage with residents about prenatal care by hosting town hall meetings

Strategy #1:

Prioritized Strategy: Continue to engage and inform parents and caregivers about the importance of prenatal care through MCHV-THV, Nurse-Family Partnership, Parents as Teachers, and Head Start

Action Steps:

• Create and implement a marketing campaign to market the opportunities (one pager)
  • Non-profit organizations, For-profit companies
  • Similar to the mandatory model already in place with WIC/HCHD/HCCS
  • Include marketing as a mandatory orientation (just as child abuse, human trafficking)
• Market through the media to bring awareness – Action Completed!
  • Think Prenatal
  • Strong Moms Make Strong Babies/Smart Moms Make Smart Babies (But will make this an inclusive campaign in the visuals for the campaign)
    • The health coalition implemented the Strong Moms Make Strong Babies campaign in April
  • Support for this effort might be able to come from HCHD or even HHSC
  • All partners agree to post this on their website
  • Hidalgo County Health Department is also creating a PSA, to be completed by end of June

Strategy #2:

Prioritized Strategy: Engage promotoras to inform residents about the importance of prenatal care

Strategy #3:

Prioritized Strategy: Leverage the capacity of existing mobile clinics by having Community Health Workers ride along on community visitations to directly engage with residents

Additional Resources: