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- Title
Public health prevention in maternity programme: supporting the local system.
- Authors
Scott, Becca; Gardiner, David
- Abstract
Too many children in the North East and North Cumbria Integrated Care System do not have the best start in life, and maternity care offers an early opportunity to initiate positive change. In 2018, a new model of regional public health leadership was developed to complement the developing local maternity system with a focus on prevention and reducing health inequalities. With the support of local maternity system partners, the programme set out to improve the quality of preventative intervention available to women and their families in the perinatal period. The programme focused on tobacco, alcohol, breastfeeding, reproductive health, perinatal mental health, healthy weight, immunisations and making every contact count. Through audit and co-production of regional pathways, it increased awareness, enabled greater consistency of service provision and supported quality improvement. As part of a large, evolving health and care system, the programme worked through significant challenges, such as complex leadership and governance models, prioritisation and ensuring that resources supported practice development across all local maternity services in the North East and North Cumbria Integrated Care System. Greater progress was made in areas such as reducing maternal smoking and increasing rates of breastfeeding, reflecting the critical role of local leadership. There is clear evidence of the programme's value to the local system. Ongoing evaluation and work to embed a sustainable model of delivery remain important.
- Subjects
ENGLAND; SMOKING prevention; MATERNAL health services; MEDICAL quality control; INSTITUTIONAL cooperation; AUDITING; BODY weight; IMMUNIZATION; EVALUATION of human services programs; LEADERSHIP; PUBLIC health; MENTAL health; PREVENTIVE health services; HUMAN services programs; NATIONAL health services; QUALITY assurance; INTERPROFESSIONAL relations; ALCOHOL drinking; BREASTFEEDING; PUERPERIUM; INTEGRATED health care delivery; HEALTH equity; REPRODUCTIVE health; HEALTH promotion; REFLECTION (Philosophy); PREGNANCY
- Publication
British Journal of Midwifery, 2023, Vol 31, Issue 4, p220
- ISSN
0969-4900
- Publication type
Article
- DOI
10.12968/bjom.2023.31.4.220