Picking Interventions and Strategies, Part I:Problem Analysis/Mapping

South Side Families and BabiesCommunity Team Meeting, January 21, 2014

Life Course Perspective

Biological

BehavioralPsychological

Environmental

Societal

Political

Risk and

Protective Factors

Social Determinants of Health

• Circumstances and conditions in which people are born, grow up, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes.

Social Determinants of Health

An Analysis of South Side Infant Deaths• PPOR data shows that the biggest

contributor for South Side infant and fetal deaths are those in the maternal health and prematurity box

• Methods for reducing deaths in the maternal care box require more robust fetal death data FIMR!!!

• Sleep-related deaths is a leading cause of death in the infant health box and that there is a lot being done in Franklin County around safe sleep promotion

Maternal Health/Prematurity

3.1Maternal

Care

2.3

Newborn Care

1.4*

Infant Health

1.9

* Unreliable rate2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of

Epidemiology

Where Do We Want to Focus Our Work?

Maternal Health/Prematurity

3.1

Maternal Care

2.3

Newborn Care

1.4*

Infant Health

1.9

2004-2009 Ohio Department of Health Vital Statistics Data Analyzed by Office of Epidemiology

* Unreliable rate

Voting Results

• OPTION A– Intervention 1 and 2

targeting maternal health and prematurity

• OPTION B– Intervention 1 targeting

maternal health and prematurity and intervention 2 targeting infant health

XX XX

Where are we now?

• Assessment of health status problems

• Health services needs assessment

• Development and selection of interventions

• Setting objectives

• Programming and implementation • Evaluation: monitoring progress towards

achievement of objectives

What is the problem?

How will we fix it?

Is what we’re doing working?

What is a Problem Analysis?

• A way to better understanding a health problem, factors that affect the health problem, and how we can prevent it

• An important step in program planning that links health problems to appropriate, effective, and impactful interventions

Example: Motor

Vehicle Crash

Injuries in Children 0-6

Years

Components of a Problem Analysis• The problem• Precursors

– Build the framework for identifying alternative interventions that lower risk or make up for those that can’t be changed

• Consequences– Symptoms that cause the problem to be noticed

• Linkages

Precursors and Consequences

• Direct factors (Individual) – Age, sex, race– Describe individuals and may be biological, medical, or behavioral– Have the most influence on the problem

• Secondary factors (Family, Community, Neighborhood)– Attitudes, beliefs, behaviors– Include socioeconomic, psychological, and familial characteristics– Precursors to direct factors

• Tertiary factors (Society)– Include societal, policy, and environmental factors

Why We Need YOU!

• You know the South Side community best• Your input helps refine the problem analysis• Data is important, but a complete

understanding of health problems requires a local perspective and lived experience

Next Steps

• Break up into small, DIVERSE groups• Brainstorm the problem

– Your facilitator will give more specific instructions

• Build a collective model or diagram which we will use as a map for tackling infant mortality for the duration of the next 2.5 years