Harbor-UCLA Medical Center (First year funding)*
Los Angeles County
$100,000
The Maternal-Child Cohort Intervention project will enroll women with gestational diabetes/pre-diabetes in a coordinated maternal-child preventive care program to promote: i) her role in establishing healthy lifestyle to control/prevent diabetes and achieve healthy weights for herself and her child; ii) breastfeeding during the first six months of life; iii) effective, safe contraception and diabetes control/prevention during interconception; and iv) planned pregnancies in optimal glycemic control.  The project will use case management to implement best practices and preventive care protocols by coordinating existing separate medical and social services.

PHFE-WIC Program (First year funding)*
Los Angeles County
$99,449
The WOW – WIC Offers Wellness project will: i) explore Los Angeles County WIC data to locate neighborhoods with high rates of prematurity and low birth weight in WIC mothers; ii) identify and train a Care Coordinator to implement care coordination strategies/activities/protocols for postpartum WIC mothers, iii) design and implement a database such that, for the first time, WIC women may be tracked during their interconception period and iv) evaluate the impact of WOW by comparing women receiving WOW services with women at a matched control site.

Sutter Teen Programs (First year funding)*
Sacramento County
$73,000
The Teen Care project will provide interconception risk assessment and intervention through home visitation to pregnant and parenting teens with high risk medical and/or social risk factors or with prior adverse pregnancy outcomes.  The goals of the project are to achieve decreased adverse birth outcomes; positively impact changeable health behaviors and create a replicable package of interconception services for pregnant and parenting teens that includes innovative, culturally appropriate resources such as on-line risk assessment tools.
*These projects are proposed to run for three years but continuation funding will be determined annually based on a review of project progress.

Community Service Grants
Bay Area Division
Bay Area CenteringPregnancy  
$47,762
This project will improve social support and perinatal outcomes of African American, minority and immigrant Latina women in Alameda County and San Francisco counties through the use of CenteringPregnancy, a model for group prenatal care. This project will implement CenteringPregnancy at three urban prenatal clinics with high concentrations of at-risk, low-income and minority women.

Central Valley Division
Community Medical Center, Diabetes Care Center
$50,000
The grant funds will be used to hire a half-time Registered Dietitian/Registered Nurse who is also a Certified Bilingual (English/Spanish) Diabetes Educator.  The Registered Dietitian/Registered Nurse will provide nutrition education, support services and diabetes mellitus education for high-risk pregnant women with gestational or pre-existing diabetes and for women at high risk due to previous poor outcomes, chronic conditions (i.e. diabetes, hypertension) or other risk factors.

Greater Capital Division
Shasta County Public Health Department 
$13,130
The We Care project will provide all medical offices utilizing the 4 P’s Plus screening tool with the materials and support to implement the “I am Concerned” Brief Intervention, aimed at educating all pregnant women who screen positive about the harmful effects of substance use on their unborn baby, encouraging them to quit, and providing referral services to assist them.   The project will also provide the entire community with educational materials to promote a community culture that supports providers in addressing perinatal substance use with their patients and supports women in their efforts to abstain from substance use during pregnancy.

Inland Empire Division
Clinicas de Salud del Pueblo, Inc.
$75,195
The grant will provide continued support to the Bebes Saludables/Healthy Babies project, which provides prenatal risk assessment, pregnancy case management and education services for high risk, Hispanic women who are indigent and reside in Southeast Riverside County.  The goal of this project is to improve the health of babies by preventing birth defects and infant mortality through the use of the Comenzando bien curriculum, which has historically been successful within this organization’s clinics. This project will serve 500 women at 5 sites in Imperial and Riverside Counties. 
* This project also serves Imperial County  

Los Angeles Division
Maternal and Child Health Access
$48,500
The Creating Capacity to Reduce Barriers to Care project will assist pregnant women, particularly high-risk pregnant women, to navigate Medi-Cal and other health coverage programs in order to gain access to early and continuous prenatal care, and to move their newborns into seamless health coverage. This program will enable agencies and the women they serve to: better understand eligibility for public prenatal care programs, children’s health care and public benefits program such as the WIC program; find their eligibility worker; make and resolve complaints; understand the breadth and extent of their prenatal and children’s health care coverage and understand when their coverage or care is being delayed or denied and know what to do about it.

Miller Children’s Hospital – MemorialCare Center for Women 
$50,000
A regional outreach education and performance improvement project addressing risk reduction strategies utilizing the March of Dimes Preterm Labor Assessment Toolkit.  The project would educate providers and nurses, support changes in delivery of care and partner with patient education providers to teach pregnant women signs and symptoms of preterm labor.  The program has two major goals: 1) to increase the knowledge of pregnant women regarding the signs and symptoms of premature labor in order to access timely care and 2) standardize the assessment and disposition of women presenting to hospitals in Southeast Los Angeles County allowing for timely and appropriate interventions as needed and transport to a higher level of care when necessary.

Orange County Division
Orange County Perinatal Council
$5,647
Funding will cover administrative costs for quarterly meetings of the Teen Resource Roundtable and will sponsor a Prematurity Prevention event in November 2007 for organizations who provide services to pregnant and parenting teens. The grant monies will also be used to print and distribute 550 additional copies of the Orange County Teen Resource Directory.

San Diego Division
CTIS Pregnancy Risk Information Line, UCSD  (This project serves clients across the state)
$47,872
This project will provide enhanced outreach to improve access to a statewide maternal child health counseling service that provides risk assessments and referral for high risk pregnancy exposures that may lead to birth defects, preterm delivery or low birth weight.  The target population for this enhanced outreach is low-income pregnant women who are clients at selected WIC sites in San Diego County. To increase access to and participation in CTIS services, several methods will be used: an on-site CTIS Health Educator to assist WIC staff in providing expanded screening and referral to CTIS, an educational video on the benefits of CTIS services and a dedicated phone line for clients to contact CTIS from their WIC office.

Valley Division
Health Services Agency Foundation
$20,100
This grant will launch a pilot project introducing CenteringPregnancy group prenatal care to low-income women.  In this model, traditional one-on-one visits are replaced by in-depth two-hour visits involving enhanced education, social support and self-empowerment.

Total: $613,729