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Needs Assessment for Creating a Patient-Centered, Community-Engaged Health Program for Homeless Pregnant Women.

Tegan Ake1, Sabina Diehr1, Leslie Ruffalo1

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Homeless pregnant women need better access to education, transportation, baby care, advocacy, and necessities. This study informs a new medical education program to address these maternal and infant health needs.

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Area of Science:

  • Public Health
  • Medical Education
  • Sociology

Background:

  • Homelessness during pregnancy is linked to adverse birth outcomes.
  • Identifying unmet needs is crucial for developing targeted interventions.
  • Service-learning programs can enhance medical student training in community-responsive care.

Purpose of the Study:

  • To conduct a needs assessment among homeless pregnant women in Milwaukee, WI.
  • To identify specific maternal and infant perinatal health needs.
  • To inform the design of a patient-centered service-learning program for medical students.

Main Methods:

  • Conducted two 1-hour focus groups with 13 homeless women at a local shelter.
  • Utilized open- and close-ended questions to explore pregnancy experiences and support needs.
  • Employed content analysis to identify frequent themes from scribe notes.

Main Results:

  • Identified 13 key themes, with the top 5 being: pregnancy education, access/transportation, baby care, advocacy, and material necessities.
  • Homeless women expressed a desire for specific support and resources.
  • Both participants and medical students showed interest in a collaborative partnership.

Conclusions:

  • The needs assessment findings will guide the development of a shelter-based medical education program.
  • The program aims to address the identified needs of homeless pregnant women.
  • The initiative will prepare medical students for patient-centered, community-responsive care.