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Office of Women s Health Staff IN gov Home diabetes

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					                  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
tparrish@isdh.in.gov                             Phone: (317) 233-9156
                                                 akelly-smith@isdh.in.gov

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
lmosier@isdh.in.gov                              Phone: (317) 233-7960
                                                 rbiviji@isdh.in.gov


     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
jmonroe@isdh.in.gov                              marhill@isdh.in.gov
                                        Advisory Board

Senator Vaneta Becker, Co-chair                   Maria Fletcher, MD
E-mail: s50@in.gov                                Clinical Faculty
                                                  Family Medicine Residency Program
Senator Vi Simpson, Co-chair                      St. Vincent Primary Care Center
E-mail: s40@in.gov                                E-mail: mvfletc1@stvincent.org

Senator Beverly Gard                              Kristen Garvey
E-mail: bgard@iga.state.in.us                     Executive Director
                                                  Indiana Commission for Women
Senator Connie Lawson                             E-mail: kgarvey@dwd.in.gov
(L) E-mail: s24@in.gov
                                                  Jill D. Hagan
Rep. Vanessa Summers                              Vice President of Client Relations
E-mail: h99@in.gov                                Harrington Wealth Management
                                                  E-Mail:
Esther Acree, RN, MSN, FNP                        Jill.Hagan@harringtonwealthmanagement.com
Past President, IN State Nurses’ Association
E-mail: e-acree@indstate.edu                      Sally Johnson Hartman, RNC, MSN
                                                  Assistant Professor, Maternal/Child Health
Cindy Adams, NP, Ph.D                             IPFW
Director, Healthy Hearts Center                   E-mail: hartmans@ipfw.edu
The Indiana Heart Hospital
E-Mail: cadams@ecommunity.com                     Dorothy Henry
                                                  Vice President/COO, Indiana Health Care
Nancy Branyas, MD                                 Association
The Care Group                                    E-mail: dhenry@ihca.org
E-Mail: nbranyas@thecaregroup.com
                                                  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: aholt@isdh.in.gov

Susan Crosby                                      Janet Johnson
Executive Director, Women in Government           Deputy Director of Children’s Services, CAPE
(retired)                                         E-mail: jjohnson@capeevansville.org
E-mail: scrosby@womeningovernment.org
Sue Phillips, BS, RN                         Lucia Spears, MD
Community Outreach Director                  Indianapolis Breast Center
Clark Memorial Hospital                      E-mail: lsaries@aol.com
E-mail: sue.phillips@clarkmemorial.org
                                             Jeanne Hawkins Van Tyle, Pharm.D.
Leslie Raymer                                Professor of Pharmacy, Butler University
Director of Credit Programs, IPFW            E-mail: jvantyle@butler.edu
E-mail: raymerl@ipfw.edu
                                             Julia Vaughn
Julie Reeves                                 Consultant, Citizens Action Coalition of
Director, State Alliances                    Indiana
American Heart Association                   E-mail: jvaughngyure07@yahoo.com
E-mail: julie.reeves@heart.org
                                             Marie Warshauer
Carolin Requiz-Smith, MS                     Program Director, WomenHeart
Director of Latino Affairs                   E-mail: marie@womenheart.org
City of Indianapolis
E-mail: crequiz@indygov.org                  Mary Weiss
                                             President and CEO, Weiss Communications
Joanne Sanders                               E-mail: maryweiss@weisscomm.com
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: ifhc_gayla@iquest.net
Territories, & Canada
E-mail: jmsanders@msn.com                    Charlotte Zietlow, Ph.D.
                                             Economic Development Coordinator,
Karla S. Sneegas, MPH                        Middleway House
Executive Director                           E-mail: zietlowc@gmail.com
Indiana Tobacco Prevention & Cessation
Agency
E-mail: ksneegas@itpc.in.gov
              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.

				
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