Online Program

Strengthening public health infrastructure to improve maternal and child health on the navajo nation

Sunday, November 3, 2013

Christa Zubieta, BSN, MPH, Indian Health Services Four Corners Regional Health Center (FCRHC), TeecNosPos, AZ
Mae-Gilene Begay, MSW, Community Health Representative/Outreach Program, Navajo Nation Division of Health, Window Rock, AZ
Darlene Begay, Acting Community Health Supervisor, IHS FCRHC Community Health Department
Eric Howser, BSN, MPA, IHS FCRHC Community Health Department
Thomas Stephens, BSN, MPH, IHS FCRHC Community Health Department
Marie Bastin, BSN, MPH, IHS FCRHC Community Health Department
Charlene Poyer, IHS FCRHC Community Health Department
Michelle Valentine, IHS FCRHC Community Health Department
Shirley Cisco, Shiprock CHR Outreach Program
Darlene Yazzie, Shiprock CHR Outreach Program
Sue Nicholls, Shiprock CHR Outreach Program
Shirley Capitan, Shiprock CHR Outreach Program
Ann Vaughn, MD, IHS FCRHC Primary Care Clinic
Doris Tsinnijinnie, CNA, Shiprock CHR Outreach Program
Improving maternal and child health outcomes is a global public health priority. A myriad of socio-economic factors on the Navajo Nation contribute to poor outcomes. Implementing a holistic, strengths-based approach is imperative to elevate the health of Navajo women, children, and families. At the IHS Four Corners Regional Health (FCRHC), which serves some of the most remote communities on the Navajo reservation, the Navajo Nation Community Health Representative (CHR) Outreach Program, in partnership with the FCRHC Community Health Department (Public Health Nurses and Health Promotion/Disease Prevention staff) and Johns Hopkins Center for American Indian Health, is implementing the Family Spirit Program, a rigorous and evidence-based maternal and child health home visiting program. The Family Spirit Program was designed specifically for and with Native American communities. The program uses a family strengthening approach and is culturally tailored to reflect traditional beliefs and practices. Health educators use a curriculum designed to be taught sequentially or independently, and conduct home visits any time between 28 weeks gestation until the child's third birthday. Anticipated health outcomes, based on previous Family Spirit research trials, include reduced maternal depression, increased maternal knowledge and engagement, increased parent self-efficacy, and fewer behavioral problems in infants. IHS Community Health staff and Navajo Nation CHRs will describe implementation and evaluation of the Family Spirit Program at the FCRHC and discuss how this unique IHS/CHR collaboration can serve as a model for promoting equity and strengthening public health infrastructure, capacity, and integration of community and clinic-based services.

Learning Areas:

Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Public health or related nursing

Learning Objectives:
Discuss factors contributing to poor maternal and child health outcomes on the Navajo Nation Discuss stengths and assests to improving health in Navajo communities Describe Family Spirit Program implementation and evaluation in Navajo communities served by the IHS Four Corners Regional Health Center (FCRHC) Discuss strengthening of public health infrastructure and capacity and community-clinic integration through IHS/CHR partnership

Keyword(s): Navajo, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a CHR with the Navajo Nation CHR Program. I work directly with Family Spirit Program implementation in the communities of the FCRHC.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.