Integrating Preconception Health
into Daily Practice:
Strategies for Workforce
Development
Giannina Donatoni, M.T.(A.S.C.P.), Ph.D.
Los Angeles County- Department of Public Health
Maternal, Child and Adolescent Health Programs
Thank you to
Denise Gee, R.D., M.P.H.
Cynthia Harding, M.P.H.
Victoria Lombardo, M.S.N., R.N.
Maryjane Puffer, B.S.N., M.P.A.
Diana Ramos, M.D., M.P.H.
Naveen Sangwan, M.B.A., M.P.H.
Today’s Presentation
 Setting the stage
 From data to training
 Strategies for workforce development
Los Angeles County
Preconception Health Collaborative
California Family Health Council
LA Best Babies Network
LA County Department of Public Health
March of Dimes
PHFE – WIC Program
Perinatal Advisory Council –
Leadership, Advocacy, and Consultation
VA Greater Los Angeles Healthcare System
Los Angeles County
Preconception Health Community Profile
Foundations
Churches
Schools
LAC Dept
LAC Dept
Parks & Recreation
First5 LA
Mental Health
California Family
Black Infant
Breastfeeding
Health Councils
Health Program Hospitals
Medical Case
Task Force of
Children's Medical
Management
Greater Los
Asthma
Child Health &
Services
Immunization
Angeles
Coalition
Disability Prevention
Lead Prevention
MCH
Los Angeles County
Women's Health
Access
Maternal, Child, and
Public
Health
Department
Adolescent Health
Chronic Disease
Planning/Evaluation/
Development
Service
Planning
Areas
Sexually Transmitted
Disease
Physical Activity
Office of Aids
Programs/Policies
Communicable Alcohol/Drug
Health Assessment &
Diseases
Prevention
Epidemiology
LA Best
Physicians
Health
March of
Healthy
Babies
Midwives
Plans
Dimes
Births
Network
Nurse Practitioners
Learning
Community Clinics
LA Care
Collaboratives
Association
PHFE-WIC
LAC
Dept of Public
Social Services
Speakers’ Bureau Presentation
 Public Health workforce
 Importance and relevance
to the life course
 Key time to address
 Strategies to address
 Preventive services to
address
Speakers’ Bureau Presentation
Content
 Abuse
 Behavioral
 Chronic Disease
 Diet, Drugs, and Dads
 Environmental Exposures
 STIs, Shots, and Screening
Speakers’ Bureau Presentation
Post-Training Evaluation
 99% knew components of preconception
health
 20% could identify optimal opportunities
to address preconception health
 16% could not determine how to
incorporate preconception health into their
work
 Define preconception health and its components
 Describe at least two models of integrating
preconception health into practice
 Identify specific strategies to put into daily
practice
Engage with Data
http://publichealth.lacounty.gov/ha/reports/habriefs/2007/Preconception_
Final_sec.pdf
Preconception Health Update
Post-Training Evaluation
 72% address healthy weight
 69% address contraception
 63% folic acid
 70% promote
breastfeeding
 72% use online
resources
Preconception Health Collaborative Web Site
http://publichealth.lacounty.gov/mch/ReproductiveHealth/Preconception
Health/PreconceptionHealth_rev.htm
Interconception and Preconception
Health Summit
 Interconception Care Project of California
algorithms and patient education materials
 Relate maternal and infant health, birth
outcomes, and interconception/preconception
health
 Link to life course
Strategies for Workforce
Development
 Preconception health components and life course
 Provide action steps for integration into daily
practice
 Pre/post test questionnaires to assess quality and
effectiveness of training
 Commitment cards to motivate and suggest
activities
Los Angeles County
Department of Public Health
Maternal, Child, and Adolescent Health
Programs
Giannina Donatoni, M.T.(A.S.C.P.), Ph.D.
gdonatoni@ph.lacounty.gov