The FSM MCH Program has planned for and will continue to a community-based approach to the delivery of MCH program services and related preventive health services. This involves bringing maternal and child health services, health education and screening programs directly to residents of the areas. Management training programs will be conducted directly for the program staff and service providers as a means of improving efficiency and effectiveness of the program. The services will be conducted at public health clinics, community clinics, local parish halls, schools, community centers and sports facilities in close cooperation with more than ten local community organizations. FSM MCH program chose a conceptual framework that uses a primary prevention and early intervention–based approach with the goal of optimizing health and well‐being among the MCH population across the life course, taking into account the many factors that contribute to health outcomes.
The selected priorities are: Improve women’s health through cervical cancer and anemia screening, Improve perinatal/infant outcomes through Gestational Diabetes and anemia screening during early and adequate prenatal care services, Hearing and anemia screening and promoting breastfeeding, Improve child health through providing vaccinations and screening for developmental delays, Reduce childhood injury, Improve adolescent health by providing well medical visits and promoting healthy adolescent behaviors, Provide a transitional services for youth identified as having Special Health Care Needs, Improve oral health of children and Reduce tobacco use in pregnant women.
The goal of the FSM Family Planning Program outreach plan is to provide individuals with information about the following subjects:
1) family planning benefits,
2) family planning services and methods and,
3) clinic locations, services, and hours.
This is accomplished through a variety of promotional strategies. The Family Planning Title X program will continue to address issues relating to those women at risk by virtue of their age, parity, spacing, marital status and/or physical health, e.g. fetal deaths. However, high priority to be particularly addressed during this upcoming grant period are the vulnerable population of teenagers or adolescents and the hard to reach populations on the outer islands. States will ensure services are provided in private and confidential settings and are well integrated with other reproductive health services, including obstetrics care, HIV/STI counseling and testing, breast and cervical cancer screening and with linkages for treatment of sexual violence. FSM will implement the Title X Project Plan through a combination of direct service provision, increase capacity of primary care providers to deliver high quality reproductive health services, and increased community outreach and engagement.
The FSM EHDI Program will implement the activities and strategies proposed in the grant to achieve the overall goal of which is to develop a comprehensive and coordinated statewide Universal Newborn Hearing Screening and Intervention (UNHSI) system of care targeted towards ensuring that newborns and infants are receiving appropriate and timely services, including screening, evaluation, diagnosis, and early intervention. There are three goals that lead to this overall goal:
1) increasing health professionals’ engagement within and knowledge of the EHDI system,
2) improving access to early intervention (EI) services and language acquisition, and
3) improving family engagement, partnership, and leadership within the EHDI programs and systems.
The inclusion of legislation that mandates newborn hearing screening in each FSM state will force local allocations to this endeavor beyond Federal funding focusing on key elements of the projects, such as strategies or services and interventions which have been effective in implementing EHDI system reform by improving infrastructure support mechanisms and those that have led to improved outcomes for deaf and hard of hearing children.