Preventing Infant Mortality in Georgia February 2019 | Page 9

Results Matter: Preventing Infant Mortality in Georgia 9 Figure 4 reports the percentage of new prenatal clients completing safe sleep education prenatally from 2012 through 2016. While all sites believed this was an area of 100% implementation prior to the inception of TCOY, early process evaluation revealed that the sites were not achieving 100% implementation. As a result, in 2014, the sites undertook quality improvement around tracking receipt of curricular components and achieved improvement. Figure 4. Percent of New Prenatal Clients with Safe Sleep Education during Pregnancy Figure 5 reflects the percentage of new prenatal clients that documented using contraception 3-months postpartum. Of note, both the Lowndes and Clayton sites began monitoring this in 2014 as part of TCOY; thus, there is no baseline data for 2012. The benchmark of Georgia women with live births using contraception at 3-6 months postpartum per the Georgia PRAMS report for 2012-2014 for this same period is 83%. Both the Clayton and Lowndes program participants, who are predominantly African-American, had rates equal to that in the Georgia PRAMS data, whereas the rates among Dougherty and Colquitt counties were lower; data on race- and income-matched populations within Georgia PRAMS are not available for comparison. Figure 5. Percent of New Prenatal Clients Using Contraception 3-months Postpartum