Feature spotlight

Healthy Births for Healthy Communities (HBHC)
The goal of the Healthy Births for Healthy Communities (HBHC) pilot project is to improve birth outcomes in two of Chicago’s west side communities, North Lawndale and Austin and to use the lessons learned from the project to improve the Maternal and Child Health service system in Illinois. HBHC has the right partners to accomplish those goals. It is a collaborative project with community leadership and partners from the Illinois Departments of Human Services and Healthcare and Family Services as well as the Michael Reese Health Trust, the Irving Harris Foundation, the Illinois Children’s Healthcare Foundation and the Steans Family Foundation. The project seeks to find, enroll and provide interventions to previously unserved women, who bear a disproportionate share of adverse birth outcomes. The HBHC interventions began in July 2006 with intensive Outreach services. In early 2007, the HBHC Interconceptional Care intervention was launched. HBHC services end on June 30, 2010 with a full evaluation to be released in the Fall of 2010.

Outreach
The purpose of Healthy Births for Healthy Communities (HBHC) is to improve pregnancy outcomes in North Lawndale and Austin. Intensive outreach, one of two components of the HBHC project, is focused on: a) finding pregnant women in North Lawndale and Austin who did not receive Family Case Management and/or WIC services during their prior pregnancy(ies); and, (b) referring these women to these services in their current pregnancy. The job activities for the HBHC outreach workers include finding women who are pregnant and linking them to a prenatal case management program. The outreach has been conducted on the street and in store fronts, in schools and in health clinics and within social service agencies. The majority of the target (unserved) women have been found within the service system. The results point to the need to develop better mechanisms for coordination between service providers Outreach services in North Lawndale are provided by Westside Association for Community Action and in Austin by Westside Health Authority.


HBHC Outreach workers and Evaluators at a project celebration

Interconceptional Care Program
In order to improve pregnancy outcomes in North Lawndale and Austin, the Healthy Births for Healthy Communities project developed an interconceptional care component (ICCP). The ICCP focuses on finding women in North Lawndale and Austin who recently experienced an adverse birth outcome (low birth weight, prematurity, or fetal demise) and providing them with a tailored program of medical and social support services in-between pregnancies, in order to improve the outcome of a subsequent pregnancy. ICCP services are provided to North Lawndale women by Access Community Health Network, and services for Austin women are provided by PCC Community Wellness Center (PCC). Key components of the program are: early identification of the at-risk woman, a consistent medical home with an increased number of medical visits during the 18 month intervention; reproductive education, reproductive goal setting and consistent contraceptive use; intensive case management including regular dialogue with the patient’s health care provider; and health education and assistance with setting and achieving goals.

For more information