Thursday, September 12, 2024
9/12/2024
PROJECT: Healthy Start APPLICANT NAME: Supporting Healthy Initiatives For Tulsa APPLICANT ADDRESS: 110 S. Hartford Ave., Tulsa, OK 74120 PRINCIPLE INVESTIGATOR: Corrina Jackson, CEO/Project Director - Healthy Start PROJECT DIRECTOR NAME: Corrina Jackson, CEO/Project Director - Healthy Start CONTACT NUMBERS: 918-521-8375 E-MAIL ADDRESS: cjackson@shift-tulsa.org WEB ADDRESS: www.shift-tulsa.org GRANT FUNDS REQUESTED: $1,100,000 PREFERENCE: Urban The purpose of the Supporting Healthy Initiatives For Tulsa Healthy Start (SHIFT HS) is to reduce infant and maternal morbidity and mortality overall, and to reduce racial disparities in infant and maternal morbidity and mortality across an urban region of Tulsa County, Oklahoma defined geographically by a set of 19 zip codes: 74103, 74104, 74105, 74107, 74108, 74112, 74114, 74119, 74120, 74128, 74129, 74132, 74133, 74134, 74135, 74136, 74137, 74145, and 74146. SHIFT HS will focus on providing services primarily to the African American population. The 2019-21 total infant mortality rate (IMR) of 6.4/1,000 live births in these zip codes exceeds the 2021 national rate of 5.4/1,000. At 14.2/1,000 live births, the rate among African Americans is the highest of any racial/ethnic group in the proposed area. In addition, African American infants have especially poor birth outcomes. Among infants born in the service area during the 2019-21 time period, African American infants were substantially more likely to be low or very low birth weight at 14.2% compared to 8.3% overall, and to be born preterm (prior to 37 weeks) at 15.5% compared to 11.3% overall. Similar disparities exist across the board for pregnancy-related risk factors among African American women. Oklahomans are in poorer health in general than most other Americans, and because of extreme racial disparity, African Americans are the least healthy subpopulation in the state. According to United Health Foundation’s America’s Health Rank ings: 2023 Annual Report, Oklahoma ranks 47th among states in overall health status, 41st in health outcomes, 47th in health behaviors, and 48th in clinical care. In addition to health challenges, many families in the proposed service area experience challenges based on family structure, support, limited finances, and difficulties accessing limited community resources. African American families are especially vulnerable to such challenges. According to 2017-21 Census data, almost 30% of all families with children living in the area are single parent families, while among African American families specifically, nearly 70% are single parent families. An estimated 14.6% of the area’s total population, and 28.3% of the African American population live below the official federal poverty level (FPL). An estimated half of all service area residents live below 300% of poverty, which serves as a proxy for self-sufficiency in the Tulsa area. SHIFT HS, an existing Healthy Start program, will continue to provide individual clinic-based care coordination in three area clinics. In addition to four Care Coordinators, two Community Health Workers will recruit new clients and provide outreach services in the community, and a Fatherhood Coordinator will provide services for fathers/partners referred by Care Coordinators and Navigators. A group-based health and parenting education component will be developed and implemented and will be offered to both care coordination participants and non-care coordination participants living in the service area. This module will focus on prenatal health, postpartum health, infant health, child development and parenting education. Additionally, SHIFT HS will facilitate the collective impact of consumers, health practitioners, community maternal and child health representatives, the Tulsa Health Department, and Title V to implement community action and systems change and address social determinants of health by creating a new, consumer-led Communit y Consortium.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
