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Turning the ship: making the shift to a life-course framework.

Angela M Rohan1, Patrice M Onheiber, Linda J Hale

  • 1Wisconsin Division of Public Health, Department of Health Services, 1 W. Wilson Street, Room 218, Madison, WI, 53703, USA, angela.rohan@dhs.wisconsin.gov.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Disparities

Background:

  • Wisconsin's Maternal and Child Health (MCH) Program adopted the life-course perspective over nine years ago.
  • This framework guides initiatives in women's health, early childhood systems, and addressing racial disparities in birth outcomes.

Purpose of the Study:

  • To describe the integration of the life-course perspective within Wisconsin's MCH Program.
  • To share lessons learned and identify opportunities for improving MCH work.

Main Methods:

  • Increased awareness of the life-course framework among professionals and the public.
  • Engaged communities affected by health disparities through focus groups and social marketing.
  • Integrated MCH efforts with non-MCH programs, like chronic disease management.
  • Shifted Title V resources to support early childhood systems.

Main Results:

  • Successfully integrated the life-course perspective across various MCH initiatives.
  • A train-the-trainer model proved effective for partner education and application.
  • Engagement with special populations, advocates, and local communities was crucial.

Conclusions:

  • The life-course perspective is a valuable framework for addressing racial and ethnic disparities in health.
  • Wisconsin's experience offers guidance for other MCH programs seeking to adopt this approach.