Healthy Women, Healthy Futures
A Program Offered by the OU College of Nursing
Funded by the George Kaiser Family Foundation
Mapping Feto-Infant Mortality
Tulsa County,
All Eligible Babies, 2003-2007
Infant Mortality Rate (IMR)= 8.8
Maternal Health/
Prematurity 3.6 (41%)
Maternal
Care
Newborn
Care
Infant
Health
1.5 (17.5%)
1.5 (17.5%)
2.2 (28%)
What is HWHF?
• A multicultural, interconception women’s
health project based in the life course
perspective
• Targets non-pregnant women in poverty
with children enrolled in four Tulsa Early
Childhood Education Programs
• Provides services for up to three years
Mission
Improve the physical, emotional, social, dental,
and vision health of non-pregnant women living in
poverty to reduce premature birth and infant
mortality
HEALTHY WOMEN, HEALTHY FUTURES
Risks, Interventions & Outcomes
Women’s Environment of Poverty,
Stress, Isolation & Lack of Support
Healthy Outcomes
A Culture of Respect and Support
Medical Home and Dental Care
Behavioral Health
Behavioral
Health
Health Promotion Education
Substance
Abuse
Domestic
Violence
Depression &
Other Mental
Health Issues
Chronic Health Conditions
Disease Prevention
Improvement in Women’s
Knowledge, Behaviors and
Health Indicators
Increase in Healthy Birth Spacing/
Reproductive Live Plans
Disease Management Education
Decrease in Unintended Pregnancies
High Dental
Blood Caries
Pressure
Diabetes Asthma
High
Cholesterol
Lifestyles
Ineffective
Smoking Poor
Contraception
Lack
of
Nutrition
Physical
Activity
Referrals for Mental Health and
Treatment of Other Serious Health
Conditions
Dental and Vision Care
Assistance with Transportation
and Translation
Decrease in Low Birth Weight Infants
Decrease in Prematurity
Decrease in NICU Admissions
Decreased Infant Mortality
Nurse Educators, Health Navigators
& Collaborating Programs
Program Elements
• Development of an individualized health plan by a “team”
consisting of site nurse educator, health navigator, and
woman through home visitation and risk assessment.
• Assist women to establish a medical home, and /or
reduce barriers to access to health services through
community collaboration.
• Provision of individual and group education on healthy
lifestyles, illness prevention, health promotion and other
content areas
Program Elements
• Address chronic psychological or biological
responses to stress and learn stress control
methods
• Individual responsibility with a reproductive life
plan
• Peer social support
• Intervention and monitoring of women’s health
status and health behaviors for up to 3 years.
Program Objective One &
Outcomes
Improve women’s knowledge of
health promotion measures and
disease prevention practices
Pre and Post Test Comparison
100
92.1
89.5
90
80
90
85.5
78.8
76
71.7
71.2
70
93.2
90.9
88.6
70
66.2
65.8
62.1
61.7
60
50
40
Pretest
Post-test
30
20
10
0
Participant Comments
“ We learned information before, but didn’t
change. We now have an understanding and
can apply it.”
“ That I am learning things (in detail) that I did
not know before. I get amazed when I find
out things that I can do to prevent diseases.”
“The knowledge I have gained in the program
will stay with me for the rest of my life.”
Program Objective Two &
Outcomes
Assist women to improve their health
through development of healthy
lifestyle practices, including a
reproductive life plan, and by
facilitating access to services.
Dietary Improvements
• 42% report eating low fat to very low fat
diets. (change from 14%)
• 90% are eating low or moderate
carbohydrate diets.
• 40% increased and have maintained their
number of daily fruit and vegetable servings
to 3 or more.
Lifestyle Changes
• Weight loss
37.5% have lost weight (5-23 pounds)
(Avg 9.1)
18% changed BMI at least 1 point
• Exercise
32% increased and maintained weekly
exercise of 3 or more days/week
Health Improvements
• More than 62% lost 10 or more points of
total cholesterol typically through changes
in diet and exercise.
• 58% improved their HDL (good cholesterol)
• Participants’ difficulty coping decreased
from 33% to 24%.
Pregnancy Planning/Infant
Outcomes to Date
• 18 women have become pregnant.
All received first trimester care.
• 13 have delivered healthy term babies (37-41
weeks), weighing between 5lbs 9 oz and 9
lbs. 1 oz)
• 2 were born early, at 34-35 weeks weighing
4lbs12oz and 4lbs 15oz.
Contact Information
Su An Arnn Phipps R.N., Ph.D., C.N.E
Director-Healthy Women, Healthy Futures
University of Oklahoma College of Nursing
918.660.3955
Su-Phipps@ouhsc.edu