HHS

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Yesenia Acosta, M.S. Clinical Care Coordinator Hartford Healthy Start

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Our mission is to reduce the infant mortality and morbidity rate in the City of Hartford.

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Hartford Healthy Start is a federally funded program convened by the Department of Pubic Health, in collaboration with the Public Health Foundation of Connecticut and community partners, including the Hartford Department of Health and Human Services, local hospitals and community-based health centers in the city. Hartford Healthy Start plays a vital role in the community: to help pregnant women and mothers deliver healthy, happy babies. Hartford Healthy Start is focusing its efforts on the African American population, in which the infant mortality rate is higher than in the overall statewide rate.

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HHS Partners: Hartford Health Department (HHD) Community Health Services (CHS) Charter Oak Health Clinic (CO) ST Francis Hospital (SFH) Hispanic Health Council (HHC) Hartford Hospital (HH)

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HHS Goals: Increase the number of low-income pregnant women in Hartford who enter prenatal care early and who receive adequate prenatal care services; Increase interconception care among low-income women; Increase the number of low-income women who are screened for perinatal depression during the prenatal and postpartum periods and; Increase the number of low-income women and children up to two years of age who have a medical home

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Five Core Services: Direct Outreach and Client Recruitment Case Management Health Education services to program and community participants Screening and referral for maternal depression Maternal and child continuity of care from delivery through two years postpartum

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Services: Health Education Maternity Preparation Depression Screenings Emotional & Psychosocial support Community Service Advocacy and Referrals And much more!

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Information on this page can be found in the print version of Child Health USA 2007. Suggested Citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Child Health USA 2007. Rockville, Maryland: U.S. Department of Health and Human Services, 2008.

Infant Mortality Statistics: 

Infant Mortality Statistics The infant mortality rate is 6.8 infant deaths per 1,000 live births, and the rate of deaths hasn’t declined since 2000 Premature birth, low birth weight and shorter gestation periods account for more than 60% of U.S. infant deaths With 13.6 deaths, African Americans have the highest death rates among all ethnic and population groups. African-American are four times likely to die as infants as compared to non-Hispanic White infants. The smallest and most premature babies have enormous impact on infant mortality, according to the reports. Less than 2% of births-those babies born before 32 weeks of pregnancy-account for more than half of the deaths. Poverty, limited access to health care, stress, racism, poor prenatal care, lack of exercise, and diet and nutrition are factors that can contribute to negative pregnancy and birth outcomes, which can lead to high infant mortality rates Researchers say lifelong conditions of high stress and low support may contribute to poor nutrition and physical responses that put fetuses at risk.

Infant Mortality Statistics cont….: 

Infant Mortality Statistics cont…. Chronic emotional stress results from many factors, including physically demanding jobs and a lack of control in the workplace, single parenthood, and financial worries- all problems experienced disproportionately by women of color. Obesity prevention programs may help reduce infant death rates, as researchers have found link between mothers obesity and death risk of infant born to them Educational discrepancies are also apparent across color lines when confronted with infant mortality. College-and graduate-school educated black mothers have a higher infant mortality rate than white mothers who did not complete high school There are 104 Healthy Start programs throughout the nation that work to eliminate the racial and ethnic disparities in infant mortality. This continuum of care extends beyond the welfare of newborns and includes mothers, fathers, and families- the whole community. CDC 2008. Infant Mortality Statistics from 2005 Period Linked Birth/Infant Death data Set. National Vital Statistic Reports 57(2). Table 2. http://www.cdc.gov/nchc/data/nvsr/pdf

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To improve access to health care services so that moms and babies in Hartford are Healthy