Title
CONSIDERATION OF A GRANT IN THE AMOUNT OF $3,000.00 TO THE WICHITA MEDICAL RESEARCH AND EDUCATION FOUNDATION FOR WOMEN'S PRECONCEPTION HEALTH AND HEALTH CARE FOR THE SEDGWICK COUNTY HEALTH DEPARTMENT.
RECOMMENDED ACTION: Approve the electronic submission of application for the grant, and if awarded authorize acceptance of the grant, the establishment of budget authority as provided in the Financial Considerations section of this Request. Per Resolution 64-2013, this will be submitted to the County Manager for final approval and signature.
Body
Grant Renewal: No
Never Applied: Yes
Applied; not awarded: No
Grant Summary and Timeline: Adverse birth outcomes continue to be a major public health concern in Sedgwick County. Based on most recent data from KDHE (2010-2012), Sedgwick County rates of preterm birth and infant mortality surpass state rates. The Sedgwick County preterm birth rate is 9.5%, compared to the state rate of 8.9%. Recent data (2008-2012) also reveal that Sedgwick County had the highest number of infant deaths in the state (22% of total infant deaths in the state).The Sedgwick County infant mortality rate (14.1 deaths per 1,000 live births) is twice as high as the state infant mortality rate (6.4 deaths per 1,000 live births). Further, there are also significant racial/ethnic and socioeconomic disparities in preterm birth and infant mortality that exist at the county and state level.
Accumulating scientific evidence has demonstrated the importance of women's health before pregnancy in preventing poor birth outcomes. One of the goals included in the Center for Disease Control and Prevention's (CDC) national recommendations for preconception health and health care is "to assure that all women of childbearing age in the United States receive preconception care services that will enable them to enter into pregnancy in optimal health." Since then, researchers and public health professionals have been charged with identifying strategies to optimize women's preconception health and ensure that women receive preconception care services. Unfortunately, utilization of preconception care services among women is low, and the barriers to utilization are unknown in the literature. At the local level, little is known about utilization of preconception care services and possible associations to local birth outcomes such as prematurity and infant mortality.
Analysis: This small grant will be used to conduct a pilot study to identify the key facilitators and barriers to women's use of preconception care services in Sedgwick County. Findings from this project will have important implications for the development of health promotion campaigns, interventions and policies aimed at improving maternal and infant health outcomes. Exploring this area may lead to enhancements to current community efforts to improve maternal and infant health which primarily focus on services during pregnancy. Information obtained will be vital to the health equity of all women in Sedgwick County.
Financial Considerations:
Grant period starts: February 1, 2015
Grant period ends: December 31, 2015
Source of funding
Grant: $3,000.00
Required Match: $0.00
Required Cash Match: $0.00
Required In-Kind Match: $0.00
Other funding: $0.00
TOTAL SOURCES: $3,000.00
Uses of funding
Operational costs: $3,000.00
Personnel: $0.00
Contractual services: $ 1850.00
Operational supplies: $ 940.00
Equipment: $0.00
Indirect administrative costs: $210.00
Capital projects cost: $0.00
TOTAL USES: $3,000.00
Source of matching funds: N/A
Source of other funding: N/A
Budget Authority Adjustment: Additional budget authority in the amount of $3,000 is being requested. Funds will be managed through a new fund center.
Personnel considerations: N/A
Expected measurable outcomes:
1. Collect and analyze qualitative information to identify the preconception care use.
2. Collect and analyze quantitative information to identify the preconception care use among reproductive age women (18-44 years old).
3. Share information with key stakeholders locally to assist in the development of interventions (ex. public health campaigns, clinical interventions, policies).
Alternatives: Without this funding we will be unable to explore preconception care service use among women in Sedgwick County and will continue to address maternal and infant health outcomes without the full understanding of impact of care over the woman's life course.
Policy considerations:
Legal considerations: The County has the ability to apply for this grant pursuant to its home rule powers under K.S.A. 19-101 et seq. Also, the Manager has the ability to approve this grant pursuant to the County's grant policies and procedures.