Health advocates and workers met at the Naismith Memorial Basketball Hall of Fame to review a newly released maternal infant strategic plan for Springfield and taking part in roundtable discussions on how to implement its goals and strategies.
SPRINGFIELD – Local health advocates said Friday they are convinced that a stronger collaboration and commitment can help reduce the infant mortality rates in Springfield that have been persistently higher than state averages.
Health advocates and workers met Friday at the Naismith Memorial Basketball Hall of Fame conference room, reviewing a newly released Maternal Infant Strategic Plan for Springfield and taking part in roundtable discussions on how to implement its goals and strategies.
“There was a lot of energy and commitment by the participants,” said Helen R. Caulton-Harris, the city’s director of health and human services. “We expect there will be a lot of energy and movement to reduce the infant mortality rate in the city of Springfield.”
The infant mortality rate in Springfield is 8.3 deaths per 1,000 births (before age 1), as compared to a rate of 4.3 deaths in Massachusetts, according to the strategic health plan. The numbers reflect average rates over a three-year period (2007-2009) from the Massachusetts Community Information Profile statistics provided by the state Department of Public Health.
The rates in Springfield were highest among blacks (13.6 deaths per 1,000), followed by Hispanics (8 deaths), and whites (6 deaths), the report stated.
Historically, Springfield has been in the top four in the state for its high infant mortality rates, Caulton-Harris said.
“It’s unacceptable,” Caulton-Harris said. “You know it’s unacceptable.”
The strategies in the plan include: improving the quality of prenatal care; strengthening the involvement of fathers; closing the local educational gap; and providing care between conceptions to women with prior adverse pregnancy outcomes, the plan states.
“We are here to address a community tragedy,” said Dr. Andrew Balder, senior medical director of the Baystate Medical Center HealthNet Plan, who chaired the local Fetal and Infant Mortality Review Committee that developed the action plan.
Factors including “race, age, education, parity, household type, poverty, maternal behavior and location” appear to have some connection to “poor birth outcomes,” according to the report.
The renewed efforts this year are intended “breathe life” into the ongoing work on health care providers, said Frank P. Robinson, executive director of Partners for a Healthier Community of Springfield. The city needs to approach the problem “with a new set of solutions, or to lift up past solutions we have not followed through on,” he said.
The infant mortality rates have pretty much stayed constant over the past 30 years, with a “persistent gap and a persistent disparity, in terms of birth outcomes for women of color compared to white women,” and for women of the city in general compared to the state, Robinson said.
The report also recommends improvements in health literacy and behavioral skills, and the promotion of health equity, and for local health providers and programs to be designed that address cultural differences and language barriers.