It is for a long period of time that the United States of America has made a decline in the pace at which it handles the issue on mortality as compared to other industrialized countries. A large number of babies die before reaching their first birthday. A section of these problems could be prevented through the application of adequate prenatal care as well as taking the right form of food combination. Even though 7 percent of the birth is related to a decline of birth weight, these babies result to an approximate of 60 percent of most of the cases(Liljestrand, 2011). The price of taking care of a birth weight infant may be approximated to be $400,000. On the other hand, the price for prenatal care that may hinder the decline in birth weight situation may be approximately $400. In the early cases of low birth weight, the costs for the hospital were approximated to be $2 billion.
When looking at the infant mortality issue, there are certain things that one should keep in mind, they are; medical, social and organizational matters. On the issue of medical matters, there are a large number of people that accepts to the fact that for a decline in the infant mortality rate there will have to be a rise in the application of preventive measures. Technology has played a key role in the reduction of the infant mortality rate. The percent infant mortality was 18 it has since increased to 30 percent. The increase has been blamed on cocaine and intended pregnancies in addition to an increase in teen birth rate and racial disparity in birth delivery.
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The cost of the low birth weights that results to infant mortality are very high. Very low birth weight of the babies needs neonatal intensive care unit (NICU) care with costs that go above $3,500 for each baby or infant and the total cost nay even go above $1 million for an extended stay. Moreover to the NICU costs, there are also extraordinary cost of controlling these patients requires a stable financial access, physical and emotional characteristics.
The strategy aims at addressing these issues through focusing on interventions that were there initially in three instances with an increased a high mortality rate whence there later on increasing the efforts in the whole of the states and community around. This strategy involves three stages of before pregnancy, during pregnancy and later after pregnancy(Maryland.gov, 2011). It is composed of the advancement of an extensive women’s health center, creating a medical eligibility for the prenatal care and the creation of a standardized hospital discharge rules that will be ventured towards ensuring risk appropriate follow up to the mothers and babies. The outcome is set to be healthier women after being conceived, earlier entry into the care services of prenatal and finally a postpartum and neonatal evaluation that will be aimed at healthier babies and lesser babies in the region.
The interventions are focused at varied points in the life span: before conception, during and after conception.
Strategy 1 - Before conception- an extensive Women’s Health Centers
Having access to the difficult and varied forms of aspects that lead to infant mortality, the interventions of the strategy has to start from the time the baby is born. The health of the mother when conceiving the baby has had been connected to having an effect on the baby. Family planning, which is focused on controlling the number of children that a family has, has in more often been the start of the health care system, public family planning mechanism centers in all of the desired sites. The extensive services involve screening and access to Medicaid, nutrition, abuse of drugs treatment, mental well-being, and hindrance to any form of violence, smoking and the control of the weight of the patient.
Strategy 2- During Pregnancy – Early entry into Prenatal Care
When one is pregnant the addressing of the pregnancy through prenatal care in quite important. Medicaid applications for women who are pregnant at local health centers are expedited through a speedy certification of eligibility. The inability to complete an application in the time that is set, more so 10 days; the mother is taken in Medicaid and allowed a period of 90 days of coverage as the application is being handled. There will also be a Quick Start prenatal program that involves screening first, counseling and referral services and the help in acquiring the services of prenatal program.
Allowing access to prenatal services and help in acquiring the prenatal program is a significant step in handling the issue of infant mortality. The establishment of partnership with other health departments and centers would work more towards the creation of extensive and cheap prenatal services.
Strategy 3 – After Delivery – More Comprehensive Follow Up Care
When a mother has delivered, the women that have been through detrimental pregnancy process like low birth weights have to be noted and a well-managed step is made so as to ensure risk management program for the mother and the baby. The health centers works towards ensuring that women that are risk have access to proper services like sleep instruction, breast feeding, mental health and drug abuse. A proper method of discharging the patient should be done. The strategy also desires to apply a home visiting program and young teen prevention practices with an appropriate funding.
The strategy also aims at reaching out to the community and educating them on the issues related to infant mortality, this is a component of the strategies. The approach looks at evaluating the data and targeting variations, creating on the strengths and associations established, acquiring an extensive systems method. It is with time that these extensive services will be and efforts made that they will be expanded to other places so as to apply to them.
These strategy is the best one to be applied for the reduction of infant mortality rate as it aims at not eradicating on what the region has built on, but aims at building on what has already been created, thus adding value to the existing prenatal care systems. The strategy aims at providing access to the poor families to have access to medical care and also creating a stable family attribution that would be ventured towards being responsible for their families.
As common with any other strategy being put across, there are bound to be challenges that may arise. The challenges to reducing the infant mortality rate are based on the economic decline that the families are facing on the available health departments and health centers in addition to the resources that are applied in handling them(Lewis, 2011). There is a rise in the patients that are uninsured, families face high financial pressures that accrue to their medical bills. There has been also a rise in the number of malpractices that may result to limited number of providers that are in a position to assist in early prenatal care.
Even though there seems to be big challenges facing this project, the strategy aims to transition the resources that are available so as to enhance an extensive and reliant women’s Health Center, expediting early entry into the prenatal care and consequently the assurance cultural-sensitive focus on the services to women and babies who are born and are at risk and have the need for the assistance being offered. The strategy offers a systems transformation method that aims at minimizing the high infant mortality rate.
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