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Prenatal Care for Hispanic and African American Women

KEY FINDING #1:

Pregnant Hispanic and African American women seek prenatal care later in their pregnancies compared to Caucasian women. As a result, the percentage of African American babies born in Chester County with low birth weight is significantly higher compared to white and Hispanic babies. Further, infant mortality rates in Chester County are also significantly higher for black infants (13.62 per 1000) than all other races/ethnicities tracked (3.99 overall).

  • The Chester County Hospital (TCCH) will ensure that its Prenatal Center's operating expense budget of $392,600 is fully funded for FY2014, which includes a sizable annual Hospital subsidy to cover revenue shortfalls.
  • The Prenatal Center will seek to expand access to its services by achieving budgeted visits and births for FY2014.
  • TCCH will maintain Prenatal Center hours and services in Kennett Square, PA -- a community with a largely Latino population -- to ensure easy access to prenatal care and to reduce the barriers posed by transportation difficulties in the county.
  • The Prenatal Center will strive to exceed the Healthy People 2020 goals.
    • Exceed the Healthy People 2020 Goal of 7.8% for the percentage of low birth weight babies in the Prenatal Center (a lower rate is better). FY2013 Baseline through March 2013 = 5.7%.
    • Exceed the Healthy People 2020 Goal of 81.9% for the percentage of Prenatal Center mothers who are breastfeeding at six weeks post-partum (a higher rate is better). FY2013 Baseline through March 2013 = 94.8%.
  • The Prenatal Center will partner with similar organizations providing prenatal services, such as La Comunidad Hispana and ChesPenn Health Services, to share best practices in prenatal care and to adopt protocols that ensure efficient and seamless transitions in care for those patients that move between the programs.
  • TCCHHS will co-Chair a taskforce to investigate and to better understand the specific cultural, community and health care barriers to accessing prenatal care in the African American community. Taskforce members will include representatives from the provider community (hospitals, physicians and clinics), faith-based organizations, community leadership, funding agencies, and social service organizations.
    • By December 2013, the taskforce will create and begin to implement a plan to address and ultimately
      improve access to and utilization of prenatal care in the first trimester.

      2010 Baseline: 57% of African American women seek care in the first trimester
      2016 Goal: 10% improvement to 62.7%

      2010 Baseline: low birth weight among African American babies is 13.9%
      2016 Goal: 10% improvement to 12.5%

      2010 Baseline: African American infant mortality of 13.62 per 1000 births
      2016 Goal: 10% improvement to 12.26 per 1000 births

Last Updated: 6/27/2013