G-1878

Prenatal care/Indigenous Women

Description

Financing

Documents

Photos

History Logs

Project Description

Region: North America

Country: USA

Location: Mn, Sd, Ne, Mt, Nd

Total Budget: $183,991

Area of Focus: Maternal and child health


Credit Card Fundraising

Fundraising Goal:

$10,000

Already Donated:

$0

Still Needed:

$10,000

The project partners are seeking individual donations to bridge a funding gap. Please consider supporting this project with a credit card donation. To do this, click the "Donate Now" button below!

GG1980712: Group Prenatal Care Training for Indigenous Women

PROJECT SUMMARY

Five health centers serving indigenous women in North Dakota, South Dakota, Minnesota, Nebraska, and Montana are requesting our help to develop group prenatal care in order to reduce infant mortality and negative outcomes among the pregnant women in their communities. Indigenous communities face the highest rates of preterm birth and infant mortality in the Midwest, and have the highest rates of negative outcomes among mothers.

Group prenatal care is an evidence-based intervention that can reduce preterm birth—the number one cause of infant mortality—and improve many outcomes for the pregnant mothers, such as increasing breast-feeding initiation, reducing smoking, etc. Group prenatal care is consistent with native culture, similar to 'talking circles'.

This Global Grant will provide training in group prenatal care to all five communities in 2019. Each site will receive start-up funding for two years, data and technical support, and an opportunity to meet together at the start and end of the grant to facilitate problem solving and collaboration.

Goals: ultimately, the project will reduce preterm birth (thus, reduce infant mortality). Health outcomes for pregnant mothers will also be improved. Trust in the medical community and personal empowerment over health will increase prenatal care attendance, which is strongly related to improved health for babies and pregnant women.

Timeline: The Global Grant components are complete as of October, 2018! We are in need of financial commitments to submit this Global Grant application as soon as possible—we aim to submit by the end of January, 2019. Financial support would be need to be submitted by approximately March 2019, upon grant approval. Training is planned for June 2019 with a final follow-up session in June 2021.

PROJECT PARNTERS

INDIGENOUS HEALTH CENTERS

1. St. Vincent Health Center and Satellite Indian Health Services Clinic in Lame Deer, Northern Cheyenne reservation, 1233 N 30th St, Billings, MT 59101 Phone: 406-237-7000, https://www.sclhealth.org/locations/st-vincent-healthcare/about/

2. White Earth Home Health Agency/White Earth Service Unit for Indian Health Services (IHS), White Earth Service Unit, Indian Health Service, Ogema, MN 56569 https://www.ihs.gov/bemidji/healthcarefacilities/whiteearth/

3. Santee Sioux Health Center, 110 S. Visiting Eagle ST. Niobrara NE 68760 http://santeesiouxnation.net/santee-health-center.html

4. Elbowoods Memorial Health Center and Three Affiliated Tribes/MHA Nation MHA Nation | Three Affiliated Tribes, 404 Frontage Road New Town, ND 58763 http://www.elbowoodshealth.com

5. Rosebud Health Rosebud Comprehensive Care Facility, Hwy 18 Soldier Creek Road Rosebud, SD 57570 https://www.ihs.gov/greatplains/healthcarefacilities/rosebud/

These centers conducted formal and informal community assessments and assessed their ability to successfully begin and sustain the program. The five sites have started conducing monthly phone calls together to discuss potential challenges they may face in implementing Group Prenatal Care. They have already submitted letters of support from their Health Centers, Indian Health Services (if required), and their tribal councils.

MARCH OF DIMES

March of Dimes will provide training in group prenatal care and is willing to offer support in kind for this project. March of Dimes emphasizes health equity and thus is willing to provide staff time to developing the partnerships required for successful completion of this grant. They also have a long history of partnership with Rotary, beginning in the early days of polio eradication.

UNIVERSITY OF NORTH DAKOTA

This grant will support one public health graduate student who is from an indigenous community and who hopes to continue working with native communities using their Public Health Master's degree. Their participation in this project will leverage the project results to connect with additional native communities in the Midwest, scale up the project nationally, and ensure that results are gathered, processed, and disseminated in a culturally-appropriate and professional manner. The partnership with the University of North Dakota graduate program will bridge gaps between the native communities and the broader health and academic communities and will work closely with March of Dimes local and national staff to ensure this project has national implications.

INDIGENOUS GROUP PRENATAL CARE EXPERT

A native facilitator will be selected by an interview with the FMAM Rotary Club from a pool of applicants. The person would ideally be from an indigenous community in the Midwest, be highly interested in group prenatal care development in native communities, have wide experience developing programs in native communities, and have experience in a clinical setting. One appropriate candidate has already volunteered, from the participating Montana health center. March of Dimes has offered to provide training with national Group Prenatal Care March of Dimes staff for this individual to become an expert.

ROTARIANS

HOST ROTARY CLUB: Fargo-Moorhead AM, Fargo, ND, USA, District 5580

INTERNATIONAL ROTARY CLUB SPONSOR: Rotary Club of Thunder Bay (Fort William), Thunder Bay, ON, Canada, District 5580

Rotary Clubs will be responsible for:

1. administrative tasks, including extensive workload arranging regular monthly billing/reimbursement components for the many sites and partners involved.

2. identifying and providing guidance and support for appropriate graduate student and native group prenatal care expert. The host Rotarians will work with the university and with health centers to identify individuals, arrange supervision plans, and get paperwork in place with the university and health center to create a billing mechanism.

3. participating and preparing the training at the start of the grant and the follow-up session at the end of the grant. Tasks will include: printing of banners, pamphlets, training booklets and materials for the training; arranging the training site including location/meals/hotel blocks/IT support; participate during training session and follow-up session.

ASSESSMENT OF NEED

Each of the five sites conducted community assessments, per requirements of the Rotary International Global Grant process. In summary, the assessments revealed:

1. a need for increased cultural and spiritual connections for pregnant moms,

2. the communities' belief that they would benefit from having more social support and holding group sessions for pregnant women.

3. a lack of trust in medical providers, which group prenatal care overcome by bridging the gap between the formal health system and the trusted professionals and paraprofessionals working in the community.

Note: Individual community assessments are available upon request and will be submitted with Global Grant application.

SUSTAINABILITY

Initial training costs and start-up funds are the primary barrier for communities who wish to implement group prenatal care. Further, when group prenatal care is first implemented at a health centers, technical support is often needed for the program to overcome challenges and gain momentum. After this initial start-up period when training, additional funds and technical support are needed, prenatal care—including group prenatal care—is a covered Medicaid benefit.

Therefore, this grant will help sites overcome the major barrier to implementing group prenatal care: technical support, training and start-up funding. After this two-year period, the sites will be able to sustain the cost of group prenatal care after the two-year grant period.

BUDGET AND FINANCIAL SUPPORT NEEDS

The total budget for this project is approximately $184,000 and includes the following components:

1. Training: All health centers will be trained in group prenatal care techniques in a 2-3 day session, provided by March of Dimes. Transportation, room, and board will be provided to attend the training.

2. Individual site support: each site has submitted individual budgets for start-up supplies, such as blood pressure cuffs and other medical supplies, a stipend for elders or other guest speakers to bless the session and/or provide specialized discussions on substance use or other topics of interest, cultural crafts to connect the women with their culture, healthy snacks for the participants, and booklets or other materials for the participants. All sites will receive technical support and data support from March of Dimes, an indigenous group prenatal care expert, and a graduate student at the University of North Dakota.

3. Collaboration/partnership opportunity: At the end of the grant period, providers will meet again to discuss grant results and plans for follow up.

We need to raise nearly $34,000 from clubs and individuals in order to leverage funds from District 5580 ($67,000) and The Rotary Foundation ($84,000).   To date we have received pledges of approximately $22,000, but we need your support!

Primary Host Partner

District: 5580

Rotary Club of: Fargo-Moorhead AM

Primary Contact: Herb Schmidt

Email: hjs2107@gmail.com

Primary International Partner

District: 5580

Rotary Club of: Thunder Bay (Fort William)

Primary Contact: Robert Hookham

Email: robert.hookham51@gmail.com

Project Status

Your project is "Fully Pledged". This means the amount of the pledges is equal to the total budget of the project. Now the project needs to be finalized and go through the approval process with The Rotary Foundation. This process gets started on the administration page.

Project listed for the 2018-19 Rotary Year.

The TRF Grant application number is #1980712.

Proposed Financing

Existing Contributions Towards This Project

Date

Cash

DDF

Total

Thunder Bay (Port Arthur) (5580)

4-Jan-19

$250

$500

$750

District 5610 DDF

4-Jan-19

-

$5,610

$5,610

Del Mar (5340)

10-Jan-19

$5,000

$5,000

$10,000

Pelican Rapids (5580)

11-Jan-19

$1,000

$2,000

$3,000

Williston (5580)

11-Jan-19

$250

$500

$750

Thunder Bay (Fort William) (5580)

11-Jan-19

$3,000

$6,000

$9,000

Bismarck Far West (5580)

11-Jan-19

$500

$1,000

$1,500

Prior Lake (5960)

11-Jan-19

$1,000

$0

$1,000

Sun Lakes (5495)

12-Jan-19

$1,500

$0

$1,500

Nipigon (5580)

12-Jan-19

$2,000

$4,000

$6,000

Grand Rapids (5580)

15-Jan-19

$2,500

$5,000

$7,500

West St. Paul & Mendota Heights (5960)

19-Jan-19

$1,000

$0

$1,000

Brainerd (5580)

19-Jan-19

$1,865

$3,731

$5,596

Meenambakkam (3232)

30-Jan-19

$1,000

$0

$1,000

Fargo-Moorhead AM (5580)

30-Jan-19

$7,684

$15,368

$23,052

Fargo Moorhead PM (5580)

30-Jan-19

$1,300

$2,600

$3,900

Moorhead (5580)

30-Jan-19

$1,300

$2,600

$3,900

Fargo-West (5580)

30-Jan-19

$1,300

$2,600

$3,900

Fargo (5580)

30-Jan-19

$1,300

$2,600

$3,900

Wabasha (5960)

30-Jan-19

$100

$0

$100

District 5890 DDF

30-Jan-19

-

$5,000

$5,000

Amount Requested from The Rotary Foundation

$16,924

$64,109

$81,033

Additional Contribution (not matched by The Rotary Foundation)

$5,000

Total

$183,991

Note: as of July 1, 2015 there is a 5% additional support fee for cash contributions. This fee does not appear in the financials above because it does not apply if the funds are sent directly to the project account (without going through TRF, and therefore without Paul Harris credit). Clubs sending their cash contribution to TRF must be aware they will have to send an additional 5%.

Project Supporting Documents

Project Photos


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History Log Entries

31-Dec-18

System Entry

System Entry: Creation of project page.

3-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,000 by Alicia Helion Belay of the Rotary Club of Pelican Rapids, District 5580.

3-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $500 by Alicia Helion Belay of the Rotary Club of Bismarck Far West, District 5580.

3-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $250 by Alicia Helion Belay of the Rotary Club of Williston, District 5580.

3-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $2,000 by Alicia Helion Belay of the Rotary Club of Nipigon, District 5580.

4-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $250 by Alicia Helion Belay of the Rotary Club of Thunder Bay (Lakehead), District 5580.

4-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $3,000 by Alicia Helion Belay of the Rotary Club of Thunder Bay (Fort William), District 5580.

4-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $250 by Alicia Helion Belay of the Rotary Club of Thunder Bay (Port Arthur), District 5580.

4-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,500 by Alicia Helion Belay of the Rotary Club of Sun Lakes, District 5495.

4-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $5,610 DDF by dave lorenz of District 5610.

10-Jan-19

System Entry

System Entry: Pledge of $5,000 with $5,000 DDF by Karin Davies of the Rotary Club of Del Mar, District 5340.

11-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,000 with $2,000 DDF by David Gottenborg of the Rotary Club of Pelican Rapids, District 5580.

11-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $250 with $500 DDF by Marsha Schmidt of the Rotary Club of Williston, District 5580.

11-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $3,000 with $6,000 DDF by Bob Hookham of the Rotary Club of Thunder Bay (Fort William), District 5580.

11-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $500 with $1,000 DDF by Greg Carlson of the Rotary Club of Bismarck Far West, District 5580.

11-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,000 by Mary Haugen of the Rotary Club of Prior Lake, District 5960.

12-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,500 by Stan Kaufman of the Rotary Club of Sun Lakes, District 5495.

12-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $2,000 with $4,000 DDF by Linda Nicol of the Rotary Club of Nipigon, District 5580.

15-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $2,500 with $5,000 DDF by Brandon Otway of the Rotary Club of Grand Rapids, District 5580.

15-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $2,500 with $5,000 DDF by Brandon Otway of the Rotary Club of Grand Rapids, District 5580.

15-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $2,500 with $5,000 DDF by Brandon Otway of the Rotary Club of Grand Rapids, District 5580.

19-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,000 by Bridget McCauley Nason of the Rotary Club of West St. Paul & Mendota Heights, District 5960.

19-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,500 with $3,000 DDF by Rick Bricker of the Rotary Club of Brainerd, District 5580.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,000 by PP Dr.B. Dakshayani PhD of the Rotary Club of Meenambakkam, District 3232.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,300 with $2,600 DDF by Alicia Helion Belay of the Rotary Club of Fargo-Moorhead AM, District 5580.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,300 with $2,600 DDF by Deb Maertens of the Rotary Club of Fargo Moorhead PM, District 5580.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,300 with $2,600 DDF by John Andreason of the Rotary Club of Moorhead, District 5580.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,300 with $2,600 DDF by Melvin Whitney of the Rotary Club of Fargo-West, District 5580.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $1,300 with $2,600 DDF by Heather Ranck of the Rotary Club of Fargo, District 5580.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $100 by Sharon Burke of the Rotary Club of Wabasha, District 5960.

30-Jan-19

by Alicia Helion Belay

System Entry: Pledge of $5,000 DDF by Carmen Cuneo of District 5890.

31-Jan-19

by Alicia Helion Belay

System Entry: Project is now "Fully Pledged".

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