Challenges and Progress in Building a Comprehensive Statewide System for Fetal Alcohol Spectrum Disorders Prevention...

Area of Science:

• Public Health
• Maternal and Child Health
• Neurodevelopmental Disorders

Background:

• Fetal Alcohol Spectrum Disorders (FASD) represent a significant maternal and child public health issue in Hawai'i.
• A decade of focus has been placed on addressing FASD within the state.
• Understanding the progress and challenges in establishing a statewide system is crucial.

Purpose of the Study:

• To conduct a historical assessment of Fetal Alcohol Spectrum Disorders (FASD) related activities in Hawai'i.
• To map the challenges and progress in developing a comprehensive statewide system for FASD prevention and intervention.
• To identify key factors influencing the success and limitations of FASD initiatives in an island state.

Main Methods:

• A historical assessment approach was employed.
• Activities related to FASD prevention and intervention were reviewed.
• Progress and challenges in building a statewide system were analyzed.

Main Results:

• Progress includes increased FASD education and training, and public awareness initiatives.
• The establishment of a State FASD Coordinator role catalyzed support and collaboration.
• Key challenges include the loss of the Coordinator position, reliance on external resources, and inadequate surveillance infrastructure.

Conclusions:

• Lack of consistent funding and resources impeded the development of a state strategic plan.
• Limited local capacity for training integration remains a barrier.
• A coordinated system and strategic plan are essential to effectively reduce and prevent FASDs in Hawai'i.