Introduction: American Indian infants die at a rate that is two to three times higher than white American infants. The Maajtaag Mnobmaadzid Healthy Start project, funded by the MCH Bureau of HRSA, has provided an opportunity to explore and address some of the factors contributing to this disparity among seven Michigan tribes.
Methods: State and local level American Indian infant mortality and morbidity data are very sparse. Data for tribes cannot easily be separated from data for the general population. By analyzing state vital statistics data and collecting primary quantitative data, several significant factors have been identified. Additionally, "Talking Circle" focus groups were held to collect qualitative data on perceptions of the availability and quality of perinatal services, further clarifying system and access barriers.
Findings: For American Indians in Michigan, both the kinds of adverse perinatal outcomes and the risk factors for such outcomes are different from what has conventionally been the focus of national research and intervention efforts. The healthcare system serving tribes is characterized by non-specialist practices and significant geographic distances. Themes from the focus groups include a desire to access care at Tribal clinics. Further, the home visits provided by Healthy Start nurses are highly valued, and often, the only source of quality information and guidance related to pregnancy issues and infant care.
Learning objectives: 1) Gain an understanding of the disparity in perinatal outcomes between American Indian and other populations; 2) Learn a method of culturally appropriate qualitative research
See www.itcmi.org (follow buttons for Health Services and maternal and child health department)Learning Objectives: Included in abstract
Keywords: Infant Mortality, Access to Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Inter-tribal Council of Michigan, Health Services Division
Healthy Start Project (funded by MCH Bureau of HRSA)
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Consultant