Women-Inspired Neighborhood (WIN) Network: Detroit FAQs

1. Why is this project called Women-Inspired Neighborhood Network and how is it connected to Sew Up the Safety Net?

  • The name Women-Inspired Neighborhood (WIN) Network: Detroit was conceived of by Nada Dickinson, a CNN (Community Neighborhood Navigator) in the Osborn area. It was then officially chosen after community voting. The name resonates to the core of what the program is about: inspiring and connecting women to resources and support to be their best. WIN Network: Detroit is formally known as Sew Up the Safety Net for Women and Children. It is a program of the Detroit Regional Infant Mortality Reduction Task Force.

2. How were the 3 neighborhoods selected for this project?

  • All 3 project neighborhoods (Brightmoor, Chadsey Condon, and Osborn) are included in the Skillman Foundation's "Good Neighborhoods" initiative. We wanted to work in the areas of need that are well organized, have the capacity/infrastructure needed to support this initiative, and are contiguous with one or more of the participating health systems.

3. How will this project impact the infant mortality rate in Detroit?

  • Reduction in social determinants of health will improve pregnancy outcomes for the participants.
  • This project is designed to "sew up the safety net" by connecting the right people (at-risk women and neighborhood navigators) to the right resources/places (clinical and social services in or near their neighborhood), at the right time (before women present with poor birth outcomes).
  • The long-term vision is to identify gaps in care and services, and develop game-changing programs and policies that will ultimately create a tightly woven community quilt that protects and preserves the lives of the women, children and families of the communities we serve.

4. What is the difference between this project and others that have been conducted around the issue?

  • WIN Network: Detroit is not designed to duplicate any existing efforts. Rather, it is our intention to facilitate better coordination among agencies/ programs so that women receive the care and support they need to achieve healthier pregnancies and periods of interconception.
  • The combined effort of all four major health care systems as well as countless service agencies in the metropolitan area creates a paradigm shift in health care, approaching health from a medical and social needs perspective.
  • Considering health needs in relation to the life-course sets new standards for prevention of poor pregnancy outcomes through preconception and interconception interventions as well as during pregnancy.

5. What is the organizational structure of this project?

  • The project includes a Project Manager who supervises the direct service staff of Community & Neighborhood Navigators (CNNs). 6 CNNs will work within the target neighborhoods and carry out the interventions that have been developed by various planning and implementation committees (Clinical Interface, Curriculum, Information Technology, Social Marketing & Communication, and Evaluation).

6. Who are the "CNNs" and what will they do?

  • Community & Neighborhood Navigators, "CNNs", are community health and outreach workers who will provide peer mentoring to women enrolled in the project.
  • CNNs will conduct project recruitment; use screening, assessment, and evaluation tools to begin the interventions; visit pregnant women in their homes and guide them through the Baby Basics curriculum, connect interconception women with resources; make referrals and connect with healthcare providers; and provide overall support and advocacy to project participants.

7. When will participant enrollment begin?

  • Participant enrollment will begin in January 2012. Only women who are pregnant during the enrollment period are eligible to participate in the "Pregnant" cohort. Women who are not pregnant during the enrollment period, but have already given birth and may plan to become pregnant again in the future (interconception), may join the "Non-Pregnant" cohort.

8. What are the basic eligibility criteria for project participants?

  • Must live in one of the three targeted project neighborhoods
  • Ages 18-34, Pregnant or Interconception
  • Basic English skills
  • No reported use of illegal substances
  • No debilitating diagnosed mental health conditions or cognitive impairment

9. What are the measurable intended outcomes of this project?

  • No preventable infant deaths among project participants
  • All women will be provided with 5 connections to resources and we will ensure that all women have participated in at least two of these connections.
  • Reduce health risk outcomes: increased inter-pregnancy interval, reduced sex-risk behavior, reduced drug/alcohol use behavior
  • Improve characteristics critical for successful parenting (i.e., literacy, education, employment status, improved access to equitable health care, access to healthy food and transportation)
  • Increase knowledge of 500 health care providers on healthcare equity and disparity, social determinants, community-based services, and referral resources
  • 100% of participants and an additional 100 women not enrolled in the project will visit the WIN Network: Detroit website

10. Why is healthcare equity education involved?

  • Providers will receive training in understanding the social determinants of health and how to best assist patients in addressing related needs.
  • Providers will gain a better understanding of the social, behavioral, economic, environmental, and psychosocial factors that influence women's health and will gain a better understanding of health equity and health disparities in our community.
  • Providers will have an opportunity to meet and work with their public health partners and learn to connect at-risk women to available resources.
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