| Autor: |
Kroelinger CD; Division of Reproductive Health, National Center for Chronic Disease Promotion and Health Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Ellick KL; Centers for Disease Control and Prevention Foundation, Atlanta, Georgia, USA., Levecke M; Oak Ridge Institute for Science and Education, Oak Ridge Associated Universities, Oak Ridge, Tennessee, USA., Rice ME; Centers for Disease Control and Prevention Foundation, Atlanta, Georgia, USA., Mueller T; Division of Reproductive Health, National Center for Chronic Disease Promotion and Health Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Akbarali S; Association of State and Territorial Health Officials, Arlington, Virginia, USA., Pliska E; Association of State and Territorial Health Officials, Arlington, Virginia, USA., Ko JY; Division of Reproductive Health, National Center for Chronic Disease Promotion and Health Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Cox S; Division of Reproductive Health, National Center for Chronic Disease Promotion and Health Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Barfield WD; Division of Reproductive Health, National Center for Chronic Disease Promotion and Health Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. |
| Abstrakt: |
Objective(s): The opioid crisis affects the health and health care of pregnant and postpartum people and infants prenatally exposed to substances. A Learning Community (LC) among 15 states was implemented to improve services for these populations. States drafted action plans with goals, strategies, and activities. Materials and Methods: Qualitative data from action plans were analyzed to assess how reported activities aligned with focus areas each year. Year 2 focus areas were compared with year 1 to identify shifts or expansion of activities. States self-assessed progress at the LC closing meeting, reported goal completion, barriers and facilitators affecting goal completion, and sustainment strategies. Results: In year 2, many states included activities focused on access to and coordination of quality services (13 of 15 states) and provider awareness and training (11 of 15). Among 12 states participating in both years of the LC, 11 expanded activities to include at least one additional focus area, adding activities in financing and coverage of services ( n = 6); consumer awareness and education ( n = 5); or ethical, legal, and social considerations ( n = 4). Of the 39 goals developed by states, 54% were completed, and of those not completed, 94% had ongoing activities. Barriers to goal completion included competing priorities and pandemic-related constraints, whereas facilitators involving use of the LC as a forum for information-sharing and leadership-supported goal completion. Sustainability strategies were continued provider training and partnership with Perinatal Quality Collaboratives. Conclusion: State LC participation supported sustainment of activities to improve health and health care for pregnant and postpartum people with opioid use disorder and infants prenatally exposed to substances. |
