Annual Report In fulfillment of the requirements of House Enrolled Act 1356 Section 3(12) 2008-2009 Office of Women’s Health Mission The Office of Women's Health at the Indiana State Department of Health strives to become the centralized location for the development of leadership and vision for women's health and other public health programs in the state. Staff works to maintain key partnerships with the Indiana Commission for Women, the Office of Minority Health at the Indiana State Department of Health, the Indiana University Center for Excellence in Women's Health, and other community partners. Office of Women’s Health Objectives To identify, coordinate, and set statewide priorities for women's health programs, services, and resources; To educate and advocate for women's health, providing statewide leadership for better access to and financing for health services, preventive screening, treatment services, and health education efforts; To seek funding and partnerships from private or governmental entities for programs and initiatives; To promote programs that are especially sensitive to the needs of underserved and disadvantaged women, and those with special needs; To serve as a clearinghouse for information, current research and data and to assist policy- makers; To provide leadership and mentoring opportunities for young women. Office of Women’s Health Staff Tanya Parrish, MPH, C.H.E.S. Abigail Kelly-Smith Director OWH Program Assistant Office of Women’s Health RPE Program Director Indiana State Department of Health Office of Women’s Health Phone: (317) 233-2170 Indiana State Department of Health email@example.com Phone: (317) 233-9156 firstname.lastname@example.org Laura Mosier Rizwana Biviji (Feb. 2009-present) Indiana Women’s Diabetes Initiative Director Epidemiologist Office of Women’s Health Office of Women’s Health Indiana State Department of Health Indiana State Department of Health/ Phone: (317) 234-3378 Indiana Public Health Association email@example.com Phone: (317) 233-7960 firstname.lastname@example.org Office of Women’s Health Mailing Address and Fax Office of Women’s Health Indiana State Department of Health 2 N. Meridian St. 5M Indianapolis, IN 46204 Fax: (317) 233-7833 Websites www.isdh.in.gov www.in.gov/isdh/18061.htm www.INFluence.in.gov www.hearttoheart.in.gov www.inshape.in.gov Indiana State Department of Health Judith Monroe, M.D. Mary Hill, R.N., Esq. State Health Commissioner Deputy State Health Commissioner Indiana State Department of Health Indiana State Department of Health (317) 233-7400 (317) 233-7200 email@example.com firstname.lastname@example.org Advisory Board Senator Vaneta Becker, Co-chair Maria Fletcher, MD E-mail: email@example.com Clinical Faculty Family Medicine Residency Program Senator Vi Simpson, Co-chair St. Vincent Primary Care Center E-mail: firstname.lastname@example.org E-mail: email@example.com Senator Beverly Gard Kristen Garvey E-mail: firstname.lastname@example.org Executive Director Indiana Commission for Women Senator Connie Lawson E-mail: email@example.com (L) E-mail: firstname.lastname@example.org Jill D. Hagan Rep. Vanessa Summers Vice President of Client Relations E-mail: email@example.com Harrington Wealth Management E-Mail: Esther Acree, RN, MSN, FNP Jill.Hagan@harringtonwealthmanagement.com Past President, IN State Nurses’ Association E-mail: firstname.lastname@example.org Sally Johnson Hartman, RNC, MSN Assistant Professor, Maternal/Child Health Cindy Adams, NP, Ph.D IPFW Director, Healthy Hearts Center E-mail: email@example.com The Indiana Heart Hospital E-Mail: firstname.lastname@example.org Dorothy Henry Vice President/COO, Indiana Health Care Nancy Branyas, MD Association The Care Group E-mail: email@example.com E-Mail: firstname.lastname@example.org Nancy Hines Virginia A. Caine, MD Co-founder, Ovar’coming Together Director, Marion County Health Department E-mail: nhines@MIBOR.net E-mail: Vcaine@hhcorp.org Antoniette Holt Jane B. Chappell, RN, MSN Director, Office of Minority Health Executive Director, Tri-Cap (retired) Indiana State Department of Health E-mail: jane@TRI-CAP-Indiana.org E-mail: email@example.com Susan Crosby Janet Johnson Executive Director, Women in Government Deputy Director of Children’s Services, CAPE (retired) E-mail: firstname.lastname@example.org E-mail: email@example.com Sue Phillips, BS, RN Lucia Spears, MD Community Outreach Director Indianapolis Breast Center Clark Memorial Hospital E-mail: firstname.lastname@example.org E-mail: email@example.com Jeanne Hawkins Van Tyle, Pharm.D. Leslie Raymer Professor of Pharmacy, Butler University Director of Credit Programs, IPFW E-mail: firstname.lastname@example.org E-mail: email@example.com Julia Vaughn Julie Reeves Consultant, Citizens Action Coalition of Director, State Alliances Indiana American Heart Association E-mail: firstname.lastname@example.org E-mail: email@example.com Marie Warshauer Carolin Requiz-Smith, MS Program Director, WomenHeart Director of Latino Affairs E-mail: firstname.lastname@example.org City of Indianapolis E-mail: email@example.com Mary Weiss President and CEO, Weiss Communications Joanne Sanders E-mail: firstname.lastname@example.org International Representative International Alliance of Theatrical Stage Gayla Winston, MPH Employees, Moving Picture Technicians, President, IN Family Health Council, Inc. Artists & Allied Crafts of the U.S. Its E-mail: email@example.com Territories, & Canada E-mail: firstname.lastname@example.org Charlotte Zietlow, Ph.D. Economic Development Coordinator, Karla S. Sneegas, MPH Middleway House Executive Director E-mail: email@example.com Indiana Tobacco Prevention & Cessation Agency E-mail: firstname.lastname@example.org Office of Women’s Health Activities for 2008-2009 INFluence (Indiana Female Leaders Unite) INFluence (Indiana Female Leaders Unite) provides an avenue by which powerful Hoosier women (leaders in government, business, health care, education, media, and faith-based and community organizations) are: Educated about critical women’s health issues Given a charge to educate about and advocate for women’s health in their own spheres of influence Provided with toolkits to help them accomplish this goal Judy Monroe, M.D., State Health Commissioner, conceived the INFluence vision when she became the first female State Health Commissioner in Indiana. She believes that women of influence have the power to carry critical women’s health messages far and wide, and make these issues relevant and visible at work, at school, at home, in policy, in the media, in faith communities, and among health care professionals. In response to the first two INFluence Women’s Health Forum, many local forums have been held across Indiana to spread the message about tobacco marketing to young women as well as the issue of addiction and female leaders have been called to action. The Office of Women’s Health identified Heart Health as the next topic for INFluence. A kick-off forum was scheduled for May, 2009, but had to be postponed due to public health staff and resources needing to be directed towards the H1N1 outbreak. The kick-off event is being planned for the fall of 2009. Indiana Women’s Diabetes Initiative (IWDI) Indiana officially began the ASIST 2010 project on September 1, 2007 after receiving a three year grant award from Health and Human Services. The grant period runs from September 1, 2007 through August 31, 2010. The project has been titled the Indiana Women’s Diabetes Initiative and its purpose is to establish a Patient Navigation System for women with type 1 and type 2 diabetes. The grant is being implemented in 3 pilot counties and focuses on Healthy People 2010 objectives for diabetes and the cross cutting focus areas of nutrition and overweight and physical activity and fitness. The Indiana Diabetes Advisory Council serves as the public health system/collaborative partnership for this project. A gender focus is achieved by creating a Women’s Health Committee under the Indiana Diabetes Advisory Council that also serves as the women’s health steering committee for the grant. Each pilot county utilizes evidence-based strategies to focus on specified Healthy People 2010 objectives and improve outcomes for Hoosier women with diabetes. Initial grant activities included choosing the 3 pilot counties, hiring a project director and contracting with partners to hire an epidemiologist and 3 program coordinators (one for each pilot county). The participating partners are Elkhart County Health Department (Northern Indiana), Howard County Medical Society Project Access (Central Indiana) and Lawrence County Hoosier Uplands Project Management Office (Southern Indiana). During 2008-2009 the focus for IWDI has been enrolling women, conducting follow ups, and continuing to establish and nurture partnerships that can assist women in better self managing their diabetes. The Project Director built a network of collaborative partnerships on the state level and the Program Coordinators conducted community outreach and developed a resource toolkit to assist women with diabetes enrolled in the program to reach their goals and better self manage their chronic disease. The following Healthy People 2010 Objectives serve as the key measurements for all clients enrolled in IWDI: Diabetes 5-1 Increase the proportion of persons with diabetes who receive formal diabetes education. 5-12 Increase the proportion of adults with diabetes who have a glycosylated hemoglobin measurement at least once a year. 5-13 Increase the proportion of adults with diabetes who have an annual dilated eye examination. 5-14 Increase the proportion of adults with diabetes who have at least an annual foot examination. 5-15 Increase the proportion of adults with diabetes who have at least an annual dental examination. 5-17 Increase the proportion of adults with diabetes who perform self-blood-glucose-monitoring at least once daily. Nutrition and Overweight 19-1 Increase the proportion of adults who are at a healthy weight. 19-2 Reduce the proportion of adults who are obese. Physical Activity and Fitness 22-1 Reduce the proportion of adults who engage in no leisure-time physical activity. Smoking Cessation 27-1 Reduce tobacco use by adults. Rape Prevention and Education Grant In September of 2007, The Office of Women’s Health assumed the management of the Center for Disease Control’s Rape Prevention and Education (RPE) Cooperative Agreement. The CDC is transitioning to a true primary take on prevention by focusing on changes that need to occur in individuals, families, and their environments to prevent initial sexual violence perpetration and victimization. The Program Director convened a diverse group of stateholders to establish the Sexual Violence Primary Prevention Council for Indiana. The first major task for this group is to create a state plan on the primary prevention of sexual violence. Plan development is underway, which included a thorough needs and resources assessment. A significant part of the assessment was collecting public feedback through community forums held in each of the 10 public health districts across the state in the fall of 2008. The Program Director also supervised the contracted efforts of the RPE funding. Four contractors received funding this year to carry out the work of sexual violence primary prevention: INCASA (the Indiana Coalition Against Sexual Assault), MESA (Multicultural Efforts to End Sexual Assault, out of Purdue University), INCSAPP (Indiana Campus Sexual Assault Primary Prevention Program, out of Purdue University), and PeopleWorks Associates. Women and Heart Disease In keeping with Indiana's commitment to support healthy, productive citizens, the First Lady of Indiana, Cheri Daniels, and the Indiana State Department of Health’s Office of Women's Health continue to work together to focus on heart disease among women. Heart to Heart is the First Lady’s initiative that encourages women to have heart-to-heart conversations about heart disease. The four goals are to: Increase awareness that heart disease is the number one killer of women Empower women to reach out to and support others in living a heart healthy lifestyle Educate women on how to live a heart healthy lifestyle Provide a collection of resources for more information and support for women OWH and the Office of the First Lady also worked together to organize and promote Mrs. Daniels’ Heartland Walk for Health at the Indiana State Fair in August 2008. The Heartland Walk for Health is another opportunity for Mrs. Daniels to spread her message about heart health and fitness. Staff from the Office of the First Lady currently serve on the INFluence Task Force and continue to coordinate heart health activities through the INFluence Initiative. Strategic Plan In an effort to take advantage of limited resources and ensure the biggest possible impact on women’s health is achieved, OWH is undergoing a strategic planning process. A part time epidemiologist was hired to help ensure that OWH programming and priorities are developed based on the latest data and science available and to assist with the creation of the strategic plan. The outcome of this process will be a strategic plan that will help guide OWH staff over the next several years by ensuring specific priorities for the office are established and that statewide impact is achieved. A planning committee has been assembled to give feedback into the strategic planning process as well as a small work group that is working very closely on gathering data, conducting a thorough needs assessment, and prioritizing the direction of the Office. Next Steps for the Office of Women’s Health INFluence (Indiana Female Leaders Unite) The INFluence kick-off event is being rescheduled for the fall of 2009. This year’s INFluence initiative will utilize the social-ecological model to frame the Top 9 List with action items as the individual, interpersonal, organizational, community/county, and society/state levels. Mini-grants will again be made available to local communities to host INFluence events. A task force has been established that will meet year round to carry out the goals and activities of INFluence. ASIST 2010 Grant The upcoming year will include additional partnership development, continual recruitment, assessment, and follow up with clients, and review of the data to determine the impact and assist staff in modifying the program as needed. As we enter year three of this three year grant we will be determining what works well and what needs to be tweaked in an effort to create sustainability and expansion beyond the life of the HHS grant. Rape Prevention and Education Grant During the next year, the Program Director will continue to lead the Sexual Violence Primary Prevention Council in the creation of Indiana’s first sexual violence state plan. The key recommendations of the state plan will be presented to the public in the fall of 2009 with the full plan expected to be released in early 2010. The Program Director, council members, and contracted agencies will then begin work on implementing the many goals and outcomes listed in the state plan. Strategic Plan Efforts will continue with the planning committee and work group to develop a five year strategic plan for OWH. The plan is due to be finished in early 2010 and will determine the focus for the Office from 2010 through 2014. Once the plan is finalized it will be released to internal and external partners as well as the general public and then implementation of the plan will begin.