MATERNAL/CHILD HEALTH ROOT CAUSE ANALYSIS

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors

Lifestyle Choice Factors
Physical Environment Factors
Psycho-Social Factors
Spiritual Factors

BIOLOGICAL

Number

• Poor nutrition
• Nutritional factors = anemia, obesity, vit. Def

4

• Too early Pregnancy
• Mom's too young
• Early maturity

3

• Lack of knowledge of biology of disease (decay germs)

0

• Genetic problems

0

• Not Obtaining early diagnosis of preventable disease

0

ECONOMIC

Number

• Low paying job with no benefits
• Lack of decent jobs with living wage
• Poverty
• Small business can't afford insurance for employees
• No insurance

15

• Poor/ no education
• Lack of education and how insurance works (including Medicaid)
• Inability to read/write

6

• Unsafe, unsanitary housing
• No affordable housing

3

• Whose responsibility govt, private, public, self?
• Good ol' boy mentality in Texas Gov.
• Proportion of prespent on prevention

7

• Employers who don't allow time off for prenatal visits

2

• No transportation to social service office

0

• Mexico vs. US "What I have is Better"

0

HEALTHCARE SYSTEM

Number

• Healthcare systems hidden agenda to monopolize
• We need one system too many silos
• Frustrated providers, increased meetings
• Need to collaborate with traditional system
• Not enough providers in the community for unfunded prenatal care

13

• Medicaid/CHIP application process
• Access to Care?

7

• Newsletter of all efforts
• Lack of input on info on available services
• Confusing
• Provider lack of system knowledge
• Lack of education (emphasis on after disease education vs. before education.

3

• Use of folk medicinal practices

0

LIFESTYLE CHOICES

Number

• Drug-alcohol abuse
• Substance Abuse
• EOTH/Drug abuse
• Smoking (low birth weight)

6

• Parenting education
• Parental belief "not my kid"

4

• Disconnected families
• Too few parents
• Single parents

3

• Mom's that are too young
• Teens not understanding infant care and infant needs
• Teens not appreciating need for early prenatal self-care

3

• Influx of Hispanic young women with limited education

1

• Lack of exercise

0

• Poor nutrition habits with lack of knowledge

0

• Pregnant women - not have prenatal care - afraid to seek

0

• "More kids the better"

0

PHYSICAL ENVIRONMENT

Number

• Transportation Barriers

8

• No positive play environment

1

• Poor housing/crowded

0

• Poor air quality

0

• Pervasive sexuality

0

• Convenient location and hours

0

• Value east and south east communities (get hazards out, physical resources in markets, theaters, etc.

0

PSYCHO - SOCIAL

Number

• Lack of contact with system-isolation for young Hispanic wives who have just arrived/ do not speak English
• Isolation
• No family support system nearby

7

• Post Acculturation Stress Syndrome (P.A.S.S.)
• Culture shock
• Educational system prohibits acceptance and diversity

5

• Lack of appreciation of values of early prenatal care
• Belief that if you are not ill you don't need to seek healthcare
• Belief that pregnancy is normal and doesn't require healthcare

3

• Distrust of system

2

• Stress
• Stressed parents without resources

1

• Schools that don't actively encourage pregnant teens to stay in school

1

• Don't understand or value need for early prenatal care

0

• Kids with disabilities long-term care

0

• Lack of basic knowledge about child development

0

• Threat of being reported to INS (undocumented) if health care is sought

0

SPIRITUAL

Number

• Develop a sense of community - spirit, pride and mobilize resources there
• Lack of community spirit/neighborhoods
• Coordination (lack of) with community grass root systems

9

• Search for self-worth, love
• Young - active staved for love

1

• Feelings that certain things out of your control

0

• Church belief no birth control?

0