Authors

Swati Raychowdhury, Jiann-Ping Hsu College of Public Health, Georgia Southern UniversityFollow
Stuart H. Tedders, Jiann-Ping Hsu College of Public Health, Georgia Southern UniversityFollow
Greta O'Steen, Perinatal Health Program Director, Southeast Health District, Waycross, GeorgiaFollow
Sarah Jones, MPH Candidate, Georgia Southern University

Multi-Level Evaluation of a Perinatal Health Program in Rural Southeast Georgia

Abstract

Problem: Infant mortality has declined steadily in the past decade, however, significant disparities associate with lack of adequate perinatal health services and barriers to access disproportionately impact women residing in rural areas. In Georgia, data suggest significant challenges with respect to birth outcomes, and this problem seems to be exacerbated in rural regions of state. The objective of this presentation is to report on the impact of a regional perinatal health care collaborative implemented in rural southeast Georgia.

Method: Analysis of pre-intervention and post-intervention birth outcomes (gestational age, birth weight and infant mortality) served as the focal point programmatic evaluation. Differences in mean gestational age and mean birth weight were analyzed using a t-test (α = 0.05). Proportional differences in low birth weight and infant mortality were assessed using the chi-square test (α = 0.05). Differences were investigated relative to race (white and nonwhite).

Results: Analysis of white participants showed no significant difference in any birth outcomes investigated. Furthermore, analysis of non-white PHP participants suggested significant improvements in all birth weight (p < 0.001), gestational age (p = 0.007), low birth weight (p = 0.002), and infant mortality (p = 0.007).

Conclusion: The perinatal health program in southeast Georgia demonstrated considerable effectiveness as measured through pre-intervention and post-intervention birth outcomes. The potential for improved health outcomes of high risk pregnant women and infants as a result of adequate perinatal care may also lead to the achievement of Healthy People 2010 within this region.

First Page

34

Last Page

42

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Recommended Citation

Raychowdhury, Swati; Tedders, Stuart H.; O'Steen, Greta; and Jones, Sarah (2007) "Multi-Level Evaluation of a Perinatal Health Program in Rural Southeast Georgia," Journal of the Georgia Public Health Association: Vol. 2: No. 1, Article 4.
DOI: 10.20429/jgpha.2007.020104
Available at: https://digitalcommons.georgiasouthern.edu/jgpha/vol2/iss1/4