2022-2026 Perinatal Health Strategic Plan

Goal 2 - Strengthen Families and Communities

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 Point 5. Invest in community building

  1. Lower barriers to broadband internet deployment
  2. Educate community leaders and low-income households on affordable broadband options
  3. Increase access to stable, safe, and affordable housing
  4. Increase access to nutrition education and healthy foods by referring families to local WIC clinics and other nutrition food assistance and nutrition education resources (e.g., SNAP, NSLP, CACFP, SNP)
  5. Incorporate active transportation infrastructure (e.g., sidewalks, bicycle routes, public transit) into jurisdictional planning
  6. Reduce exposures to environmental toxins including, but not limited to, lead, agricultural pesticides, flame retardants, and PFAS
  7. Support civic participation through building community networks and increasing voter participation and engagement with policymakers at the local and state levels
  8. Invest in programs and resources to mitigate and reduce forms of community violence including intimate partner violence, police brutality and over-policing, gun violence, and human trafficking

 Point 6. Support coordination and cooperation to promote reproductive justice within communities

  1. Increase implementation sites for programs that offer evidence-based and community-informed reproductive life planning, including Teen Pregnancy Prevention Initiatives (TPPI), Healthy Beginnings, and fatherhood initiatives
  2. Develop and implement programs in schools and community settings about puberty, reproductive health care, healthy relationships, and selecting a provider for youths and their parents/caregivers
  3. Work with state partners to implement reproductive life planning and reproductive justice trainings for health care providers, school staff, and others
  4. Increase businesses, faith entities, and public buildings that qualify as breastfeeding friendly, and normalize breastfeeding in public spaces

 Point 7. Enhance coordination and integration of family support services

  1. Increase enrollment of community agencies and providers into NCCARE360
  2. Increase the use of Care Management for High-Risk Pregnant Women (CMHRP) and NCCARE360
  3. Decrease fragmentation in service delivery by automatically transitioning postpartum people on Pregnancy Medicaid to Medicaid, if eligible, or to the NC "Be Smart" Family Planning Medicaid Program
  4. Complete a feasibility study on adding Medicaid coverage for antepartum, intrapartum, and postpartum doula services
  5. Increase the number of Prepaid Health Plans (PHPs) that cover doula services
  6. Increase the number of patient and family advisory councils within DPH agencies, and increase patient and community membership on advisory boards of contracted partners
  7. Elevate the role of community health workers in addressing the social drivers of health
  8. Develop a statewide structure for maternal home visiting to ensure equitable access for all pregnant and postpartum women
  9. Promote the use of the Breastfeeding Attrition Prediction Tool - Breastfeeding Control (BAPT-BFC), and/or another applicable screening tool, by maternal health providers to identify mothers at risk for not meeting their breastfeeding goal
  10. Expand efforts to prevent infant deaths related to unsafe sleep environments.

 Point 8. Strengthen father and co-parent involvement in families

  1. Increase implementation sites for evidence-based parenting programs to strengthen parenting skills (e.g., Family Connects, Triple P, CenteringParenting, Nurturing Parenting)
  2. Improve/develop guidelines for the inclusion of males and other caregivers in preconception, prenatal, interconception, postpartum, and early childhood health and human services
  3. Institute gender equity in policies, and use evidence-based strategies to promote healthy family relationships (e.g., normalizing the use of paid family leave and kin care leave by fathers, installing changing tables in men's restrooms)
  4. Increase implementation sites for evidence-based fatherhood programs to promote fatherhood engagement within the family (e.g., 24/7 Dad and DoctorDad)

Last Modified: April 24, 2023