2010 - 2011 Annual Report

Our Mission is to Improve the Health and Well-being of Pregnant Women, Infants, and Young Children

2010 - 2011 Annual Report

From the desk of Jennifer Highland

Reflections on Substance Exposed Newborns in Sarasota County
It is heart-wrenching to watch a newborn baby, probably premature, begin to exhibit signs and symptoms that he or she was exposed to opiates, stimulants, or psychotropic drugs while in utero. There can be prolonged high-pitched crying, frantic movements and tremors; sweating; profuse diarrhea, and inability to eat or handle any stimulation whatsoever. Sometimes there is advanced warning of pending drug withdrawal - if the mother is known to have overused or abused drugs during pregnancy. Sometimes there is no warning, for example when a pregnant woman thinks her Oxycontin prescription for back pain can do no harm, because it was obtained legally by a doctors prescription. Withdrawal symptoms can start within 24 hours or several weeks of birth, and can be confusing and prolonged if multiple drugs were used. Sometimes withdrawal starts in the hospital, sometimes not until the baby has been home for a while. Without medical care and therapeutic handling, the baby may or may not live. The mother may or may not live. These are the littlest victims of one of our societys greatest ills: drug addiction. Our county has some of the highest rates in the state of Florida for drug-exposed newborns. Oxycontin use has sky-rocketed. In 2010, over 300 women in Healthy Start had drug issues. This number reflects only those who were tested and agreed to a referral. Drug addiction is directly related to mental illness and past abuse. In a recent study conducted in Sarasota County, mental illness was present in 84% of the drug addicted women, compared to 7% in non-dependent women. In general, 70% of women with drug addiction were sexually abused by the age of 16. When these moms were just little girls themselves, dreaming about what their lives could be when they grew up, they certainly didnt aspire to be a drug addict, and their dream family didnt include a baby suffering from the horrors of drug withdrawal. We must do all that we can to prevent child abuse, childhood sexual abuse, mental illness and drug addiction. We must also have readily available treatment when the cry for help is made. We must help families attain stable environments in which to live, and we must promote positive parenting skills. The Healthy Start Coalition and others are working to impact this problem. Please help us through legislative advocacy, monetary gifts to expand available Healthy Start services, or joining our Substance Exposed Newborn Prevention and Protection Committee.

Healthy Start Coalition - Income Breakdown

FL DOH 87.8% / $1,176,745 In-kind - 7.1% / $96,214 Grants 2.7% / $35,657 Donations 2.4% / $31,507

2010-2011 Healthy Start Coalition Staff and Program Coordinators

Jennifer Highland, MPH, RN Executive Director

2 The Healthy Start Coalition of Sarasota County, Inc.

Janice Baxter, ACSW Contract and Quality Assurance Manager

Monica Becket Community Liaison

Ciera Galbraith, BS Education and Development Coordinator

A Message from our Executive Board

Reflection is an important aspect of our lives and as I reflect on the past few years, I have come to realize that Healthy Start is embedded in my heart. Living a healthy life is a big part of faith and respect for the body that God gave us and it is a great honor to be a part of such a vital organization within our community. As we look to the future, it is obvious that local involvement and commitment from our community is what will allow Healthy Start to continue its goal of ensuring healthy pregnancies and most importantly healthy babies. Helping to provide services for pregnant women and their babies is not only vital to women and babies but vital to our community thriving. Lets commit now to working hard in our community to build passion for our cause, grow our volunteer base, and strive to deliver a message to everyone we come in contact with that will promote giving so that those in our community who are the most at risk have the foundation to a Healthy Start! How can we begin? Just ask one person you know to contribute and also ask them to ask one person they know to contribute and we can continue to make a real difference!

2010 Annual Award Winners

For contributions to prenatal and early child health and exceptional commitment, wisdom, leadership, and vision.

Lawton Chiles Award

Barbara White, Florida State University Mission Award

For an individual whose work with the Healthy Start Coalition has been of sustained, significant value in helping to achieve our mission.

Shelley Rence, SCHD Volunteer of the Year

2010 - 2011 Executive Board

Shara Abrams Chair Monica Becket Vice Chair Carol Selvey Secretary Mike McIntosh Treasurer Laura Gilkey At-Large, Business Mayor Kelly Kirschner At-Large, Public Official Kitty Cranor At-Large Jeff Cheng At-Large Darlene Coleman At-Large Mary Gillam CYD Star Student Shelley Rence Ex-Officio Jenna Norwood Ex-Officio Ed Chiles Honorary Ron Reagan Honorary Dr. Washington Hill Honorary Representative Keith Fitzgerald Honorary Commissioner Carolyn Mason Honorary

For a volunteer whose contributions have been of great support to families during pregnancy and infancy.

Liz Murphy

Community Partner of the Year

For outstanding collaboration to support Healthy Start Clients

United Way: 211

Business Partner of the Year Sarasota Architectural Salvage

For a family who has overcome obstacles and demonstrated a commitment to their childs health and well-being. For outstanding collaboration to support Healthy Start Clients

Thank you to our talented and generous Executive Board for your dedication, time, and energy!

Family of the Year

The Imm-Robinson Family

Anne Muir, BFA MomCare Supervisor

Miryan McDonald Administrative Assistant/ Spanish MomCare Advisor

Jamee Thumm, MPH MomCare Advisor

Beverly Phelps Save My Life Program Coordinator

Beth Rubin, RNC, CLC FIMR Coordinator

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2010 - 2011 Annual Report

Healthy Start Direct Services Program

2010 - 2011 Care Coordination Team
Shelley Rence, MA, Program Admin. Catherine Barney, BS Sarah Bauer, MSW Kathleen Boyette, MA Jessica Bravo, BS Virginia Brockman, MPH, RN Rita Jones, ACSW Angie Lombardi, BSW Pat Reynolds, MSW Suzanne Sendelbach, RN Davolene Trusty, RpHT Nancy Valles, MA, RN Sasia Bischoff, Secretary Dawn Easterbrook, Secretary Gracie Verbil, Senior Clerk Healthy Start legislation provides for universal risk screening of all Floridas pregnant women and newborn infants to identify those at risk for poor birth, health, and developmental outcomes. Florida Statute mandates that all pregnant women are offered the Healthy Start Prenatal Risk Screen at their first prenatal visit and that the Healthy Start Infant (Postnatal) Risk Screen is offered to parents or guardians of all infants born in Florida before leaving the delivery facility. The Florida Healthy Start Initiative was designed to reduce fetal and infant mortality, reduce the number of low birth weight babies, reduce prematurity, and improve health and developmental outcomes. The screens identify risk factors that may jeopardize womens health and birth outcomes. ALL pregnant women and infants are eligible to receive a FREE Healthy Start Risk Screen and services regardless of their socioeconomic or immigration status. Healthy Start services are free, voluntary, and confidential. Screening is the first step toward identifying at-risk pregnant women and infants. This year, Healthy Start provided education, counseling, and support for 1,592 Pregnant Women, and 1,028 Infants. Of these, 251 Pregnant Women and 200 Infants were considered to be highest risk for poor birth outcomes. Healthy Start Care Coordinators connected 1,539 Clients to Healthy Start Wraparound Services, and made 1,531 Community Referrals for special assistance.
100 80 60 40 20 0

Sarasota County Healthy Start Screening Rates

Prenatal Infant
2007-08 2008-09 2009-10 2010-11

Services Provided:
Childbirth Education Breastfeeding Support and Education Prenatal & Postpartum Support Help to Quit Smoking Nutrition Counseling Psychosocial Counseling Parenting Education Car Seat Safety Getting Healthy Between Pregnancies Safe Sleep and SIDS Awareness Other Specialized services to meet individual needs

Wraparound Service Providers

Natalia Cava, MS, CLC Monica Cherry, LMHC Jeanie DeLa, MS, LMHC Carol Donnelly, LMHC Dolores Dunn, LMHC Tonine Garberino, LMHC, MA Jewish Family and Childrens Service, Dale Block, LMFT Barbara Leverone, MA, LMT Dora Limoncelli, LMHC Linda Miller, LMHC Samaritan Counseling Services, Diane Brantley, LCSW Sarasota Memorial Hospital, Carol Eldridge, RN Chip Schaaff, LMHC Susan Schussler, RD, RN, CDE Mary St. Aubin, LMHC Mary Ann Stockstill, LMHC, RN, PhD

Breakdown of Wraparound Services

Prenatal:
23% 13% 15% 22% 24% 3%
Smoking Cessation Breastfeeding Support Childbirth Education Parenting Education Psychosocial Counseling Nutrition Counseling

Postnatal:
24% 22%

1%

21%

32%

4 The Healthy Start Coalition of Sarasota County, Inc.

In the last fiscal year MomCare served 1,945 new Pregnancy Medicaid clients, which is an increase from the previous year. Our MomCare Advisors contacted a large number of these women, 1,774, mostly by phone and occasionally by home visit. Our program served 1,046 women who identified themselves as White, 352 as Hispanic and 249 as Black. As MomCare is often the first contact a pregnant Mom has after learning she is pregnant, we are in a position to educate. The message about being and staying healthy before, during and after pregnancy needs to be heard more than once and MomCare is a partner in the on-going education of women of childbearing age. In addition to assisting pregnant women obtain and stay engaged in prenatal care, our focus last year included: The creation of a new hand-out on Maternal Infections which are hazardous during pregnancy and should be treated. Encouraging Moms to breastfeed and letting them know about services offered by WIC, the Healthy Start Program and SMH Emphasizing healthy weight gain during pregnancy Reminding women about the Medicaid Family Planning Waiver after delivery so that spacing babies is part of general awareness We cover these topics and many others in our conversations and follow up with brochures, flyers and other useful material. When we call Moms after delivery and ask them if they found the MomCare program useful, most women say they found it very helpful and read all the information they received.

Fetal and Infant Mortality Review Project

The FIMR Project is an action-oriented community process that continually assesses, monitors, and works to improve service systems, community education, and resources for women, infants, and families. This project is a county-wide effort to better understand issues associated with fetal and infant mortality (when a fetus or an infant dies during the first year of life) and to develop strategies that improve local perinatal systems of care. The FIMR Project is composed of two groups: the Case Review Team (CRT) and the Community Action and Education Group (CAEG). The CRT reviews and examines de-identified fetal and infant deaths to identify barriers to care, gaps in services, trends in service delivery, and availability of community resources for families. The CRT documents opportunities for improvement, and reports them to the CAEG. The CAEG translates the CRT recommendations into an Action Plan of chosen priorities, and works to implement them into the community.

This years areas of focus include:

Improving Access to Healthy Start Services Kick counts and Awareness of Fetal Movement Maternal infections, such as periodontal disease or genitourinary infections

Safe Sleep and SIDS Awareness Campaign for African-American Families

Sponsored by Grants from The Community Foundation of Sarasota County and The CJ Foundation for SIDS
Thanks to the support of the CJ Foundation for SIDS, and the Community Foundation of Sarasota County, the Healthy Start Coalition has kicked off the Beds for Babies campaign, a new community education component of the Save My Life Program for African-American families. The program is designed to help parents and other caregivers reduce the high incidence of death from Sudden Infant Death Syndrome (SIDS) in AfricanAmerican communities. National research has revealed that African-American babies are twice as likely to die of SIDS as white babies are. Overall, SIDS is the leading cause of death in all infants under 1 year of age, and most SIDS deaths occur between the ages of 2 and 4 months. The Save My Life program has held Safe Sleep/SIDS Awareness presentations throughout the year, utilizing the Back to Sleep Public Education and African-American Outreach curricula published by the National Institute of Child Health and Human Development. Families who are already enrolled in Save My Life Childbirth Education Classes, and others in the community, were invited to participate in the Beds for Babies Safe Sleep/SIDS Awareness program after successful completion of the Childbirth Education Series. Often, infants are at risk simply because they lack a safe place to sleep. Parents who complete both the Childbirth Education Series and the Safe Sleep classes were given a high-quality, convertible Pack-n-Play crib upon completion of all classes. These cribs play an important role in preventing SIDS, by providing the infant with a safe place to sleep.

Beds for Babies

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2010 - 2011 Annual Report

Activity 1: Prematurity Prevention

Premature babies are at increased risk for newborn health complications, such as breathing and feeding problems, and temperature regulation. Over one-third of premature babies die. Premature babies also face an increased risk of lasting disabilities, such as mental retardation, learning and behavioral problems, cerebral palsy, lung problems, and vision and hearing loss. Studies also suggest that babies born prematurely may be at an increased risk of certain adult health problems, such as diabetes, high blood pressure, and heart disease. Nationally, the average hospital cost for a premature baby is $49,033, more than 10 times higher than of a full-term baby. If these costs hold true for Sarasota County, this translates to almost

Objective: Reduce prematurity rates and Increase Pre/Inter-conception Health Awareness among Women of Childbearing Age
$17 million dollars for the 339 premature babies born in 2009. In Sarasota County, the 2008 prematurity rate was 12.0%. The 2009 rate was down slightly at 11.6%, however provisional data shows a slight increase in 2010, to 11.7%.

Percentage of Pre-term Births (<37 Weeks Gestation)

15%

Florida Sarasota County

2010 12%

Service Del
2007 2008 2009 2010

Strategies to address this issue:

9%

Implement Right from the Start and Text4Baby Campaign materials, targeted to women of childbearing age (15-44) residing in Sarasota County. Increase Interconception Education and Counseling services for women who are between pregnancies or have experienced a loss.

Activity 2: Smoking Cessation

Objective: Reduce Tobacco Use Rate Among Pregnant Women and Women of Childbearing Age in Sarasota County
Tobacco use during pregnancy can cause a reduction in birth weight, and increase the risk of intrauterine growth retardation, spontaneous abortion, placenta previa, placental abruption, fetal death, and pre-term birth. Life-long effects to a fetus exposed to tobacco smoke can include behavioral and developmental problems. Second and third-hand smoke can also pose serious risks for infants, and other children in the household. Reported tobacco use by pregnant women in Sarasota County continues to increase, even as the Florida state average decreases, making this activity a high priority.

We have taken a the health and ne childbearing age, pre infants. With this, w over-arching strateg improving the healt families in Sar

Percentage of Pregnant Women who Smoke

15% 12% 9% 6% 3% 0%

Sarasota County Florida

Strategies to Address this Issue:

2006

2007

2008

2009

2010

Promote uniform counseling messages and support for women at risk of continuation of tobacco use during pregnancy, or between pregnancies. Increased counseling by service and healthcare providers who interface with pregnant women, utilizing the Make Yours a Fresh Start Family program, which incorporates the 5 As Approach to Addiction - Ask, Advise, Assess, Assist, Arrange and the Gulfcoast South AHEC Get with the Guidelines Program.

6 The Healthy Start Coalition of Sarasota County, Inc.

Activity 3: Reduce Substance Abuse During Pregnancy

Objective: Improve screening of and prenatal treatment for pregnant drug abusing women in Sarasota County
Uncontrollable life events and feelings of helplessness and hopelessness which seem to be occurring more often in our stressful economic environment can result in loss of stability and meaning in a persons life. This is fertile ground for alcohol or drug dependence, mental illness, abusive relationships, and family dissolution. Low self-esteem, lack of self-confidence and feeling powerless and isolated can lead to drug abuse. Women with drug or alcohol problems in pregnancy are at increased risk of miscarriage, fetal death, placental abruption, infections and postnatal depression. Babies are at risk for being born premature or of low birth weight, having birth defects, withdrawal symptoms or impaired development throughout life. Continued use after pregnancy may lead to child neglect, physical abuse, or childhood malnutrition. A Sarasota County study showed that 84% of drug-addicted women had problems with mental illness, compared to 7% of non-dependent women. In general 70% of women who abuse drugs have been sexually abused by the age of 16, and most had at least one parent who abused alcohol or drugs.

Number of Healthy Start Clients with Reported Substance Abuse

350 280 210 140 70 0

- 2015

livery Plan

Prenatal Drug Abusing Women Substance Exposed Infants

2007-08 2008-09 2009-10 2010-11

birds eye view of eeds of women of regnant women, and we have created an gy for advancing and th and well-being of rasota County.

Research shows that alcohol and substance abuse is similarly distributed across all income levels, yet drug screening is fairly confined to public health institutions, but not private prenatal care providers. Through community action being taken by our Substance Exposed Newborn Prevention and Protection Committee (SEN), we hope to improve screening of and prenatal treatment for pregnant drug abusing women. The SEN Committee has been meeting regularly for over two years, and is comprised of numerous providers, agencies and organizations working together to address the multitude of activities to assure pregnant women get help and babies are born substance-free.

Strategies to Address this Issue:

Participating Agencies:
Healthy Start Department of Children and Families Healthy Families First Step Mothers and Infants Program Sarasota Memorial Hospital NICU WATCH CMS Medical Foster Care Family Partnership Center The Florida Center FASD Clinic SCHD Womens and Childrens Health Clinics Safe Children Coalition University Pediatrics Family Safety Alliance Sarasota Partnership for Childrens Mental Health

Substance Exposed Newborn Prevention and Protection Committee

ChildSpace Parenting Classes for Substance Exposed Newborns

Sponsored by a Grant from the Sarasota County Foundation

Along with our basic Care Coordination, Childbirth Education, Breastfeeding Education and Support, Psychosocial Counseling, Parenting, and Smoking Cessation services, Healthy Start has instituted an exciting service at Sarasota Memorial Hospitals Neonatal Intensive Care Unit ChildSpace Parenting Classes led by Barbara Leverone (left). This service is offered to all substance exposed infants who are born at SMH. Barbara Leverone offers interactive skills for parents to use with their infants to ease the drug withdrawal pain, and encourage healthy physical and mental development. Barbara continues to offer her ChildSpace program to the families when they leave SMH to ensure ongoing support to these high risk infants.
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2010 - 2011 Annual Report

Activity 4: Reduce Obesity

Obese women are at increased risk for gestational hypertension, pre-eclampsia, gestational diabetes, spontaneous abortion, and cesarean delivery. Cesarean

Objective: Provide community education and enhanced Healthy Start services to reduce hazards of obesity during pregnancy.
delivery is particularly dangerous due to potential for additional serious complications. Hazards to the fetus when the mother is obese are fetal macrosomia, neural tube defects, and fetal death, and children of obese women are more likely to experience childhood obesity.

Strategy to Address this Issue:

Provide community education and enhance Healthy Start services to reduce the hazards of obesity during pregnancy, utilizing ACOG recommendations on obesity, nutrition, and exercise during pregnancy.

Activity 5: Reduce Maternal Infections

Urinary Tract Infections (UTIs) are one of the most common bacterial infections during pregnancy. Pregnant women may or may not have any symptoms of UTI. Women of very low socioeconomic status are five times as likely to have a UTI. UTIs are associated with fetal and maternal risks, such as kidney infection, hypertension, amnionitis, pre-term birth, intrauterine growth retardation, low birth weight and perinatal mortality. Gingivitis and Periodontitis, which are inflammatory, infectious diseases of the gums, increase the

Objective: Improve public awareness of the risks of maternal infections during pregnancy and the importance of prevention and adherence to protocols.
risk for poor birth and pregnancy outcomes such as pre-term birth, low birth weight, and gestational diabetes. Changes in hormones during pregnancy can increase susceptibility to these problems. Women who have low incomes, belong to racial or ethnic minority groups, or participate in Medicaid are half as likely to receive oral health care while pregnant. Not receiving information about the importance of oral health from prenatal care providers significantly reduces the likelihood that pregnant women will seek oral health care.

2010 Healthy Coalition Deliver

Strategy to Address this Issue:

Improve public awareness of the risks of maternal infections during pregnancy and the importance of prevention and adherence to treatment protocols.

Activity 6: Reduce Elective C-Sections

When miscalculation of fetal age occurs, an infant is delivered at a fetal age younger than believed, which may result in a late pre-term birth if the infant is less than 37 completed weeks of gestation. The problems are then two-fold: Babies born by C-section are more likely to go to the Neonatal Intensive Care Unit, have respiratory difficulties, and feeding problems. Because important organs are still developing during the last few weeks of gestation, late pre-term delivery can result in vision or hearing problems, trouble

Objective: Reduce the high rate of elective deliveries by Cesarean Section prior to 39 completed weeks of gestation Sarasota County Births (2931 Total)
sucking and swallowing, and possibly long term affects such as behavioral or developmental issues, such as Attention Deficit Disorder. Cesarean sections are also more dangerous than vaginal births. Risks for women who have elective C-Sections include hemorrhage, reactions to anesthesia, infection, scar adhesion and increased rates of maternal deaths. Extended postpartum pain and discomfort and difficulty breastfeeding may also occur.

C-Section 38.9% Vaginal Delivery 61.1%

Strategy to Address this Issue:

Improve public awareness of the potential negative health impact to moms and babies by choosing elective C-Sections prior to 39 weeks of gestation through participation in the March of Dimes/Florida Association of Healthy Start Coalitions three-year social marketing campaign.

8 The Healthy Start Coalition of Sarasota County, Inc.

Objective: Improve breastfeeding initiation and duration rates in order to improve Infant and Maternal Health
The short- and long-term risks to babies resulting from lack of breastfeeding have been well-documented in professional literature for almost two decades, and include threats to optimal health, development, and cognition. Risks also exist for mothers who dont breastfeed. Not breastfeeding has economic impact due to higher medical expenditures incurred for certain childrens health problems and the loss of the mothers work time to attend to ill children, all of which are welldocumented. Numerous professional organizations and the Surgeon General adamantly support breastfeeding and have developed clear guidelines for increasing breastfeeding, yet Sarasota County breastfeeding rates appear to be falling rather than increasing. The Healthy Start Coalition has conducted three county-wide breastfeeding surveys since

Activity 7: Increase Breastfeeding Rates

2002. While the sample size for the survey was not large, the falling initiation rates compare with decreases shown in WIC data for Sarasota County, and barriers to breastfeeding for working mothers are consistent with larger surveys.
80% 70% 60% 50% 40% 30% 20% 10% 0% At Birth At 6 Months At 1 Year

Breastfeeding Rates in Sarasota County

Year 2008 Year 2002

- 2015 hy Start n Service ry Plan

Strategy to Address this Issue:

Improve breastfeeding rates among Healthy Start clients by working along the continuum from pregnancy through the postpartum phase.

Breastfeeding Advocates of Sarasota County

The Coalition has reconvened the Breastfeeding Advocates of Sarasota County (BASC). BASC consists of agencies, organizations and interested individuals working to improve breastfeeding through education, direct services, and workplace support.

Objective: Reduce Racial Disparities in Birth Outcomes, such as Prematurity, Low Birthweight, and Fetal/Infant Death, in Sarasota County
The majority of babies born in Sarasota County are healthy, bringing joy and comfort to their moms and dads. For those parents whose babies are not born healthy, a disproportionate number are African-American. The Healthy Start Coalition has worked to bring about greater public awareness regarding our maternal and infant racial health disparities. African-American babies are being born to soon and too small, with greater instances of fetal and infant death. Unfortunately, this gap doesnt narrow with age or education. Health outcomes for whites improve as their socioeconomic status improves, but this is not necessarily so for African-Americans. More research is being conducted to study what could be the answer: that health, including maternal health, is threatened by the long-term impact of stress caused by poverty, inequities, racism, and other factors, and that long-term stress may actually have inter-generational effects.

Activity 8: Reduce Racial Birth Disparities

Racial Disparities in Birth Outcomes in Sarasota County - 2009

20

Black White

Save My Life Program for African-American Families

The Save My Life Program offered by the Healthy Start Coalition in Newtown incorporates health education for African-American women during the span of childbearing years through partnerships with Second Chance Last Opportunity, Newtown Selby Goodwill, Children First, Jobs Etc. and others. In addition, childbirth, breastfeeding, and safe sleep education programs are offered to pregnant African-American women, and in-home breastfeeding support is provided to new moms.

15

10

Low Birthweight Prematurity

Fetal Death

Infant Death

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2010 - 2011 Annual Report

Save the Date!

Local businesses and the Sarasota Community rally together to make our 2nd Annual Major Fundraiser a fabulous success!
We are so grateful to all of our Supporters for attending our 2nd Annual An Evening for Healthy Start Fundraiser! With your help, we raised over $4,000 to provide direct services to pregnant women and infants across Sarasota County! Thanks to your support, we were able to expand our Breastfeeding Support Services, and provide Client Transportation to Prenatal and Pediatric Appointments! Please mark your calendars for our next Evening - January 26th, 2012 - 6 - 9pm. With live music by local Latin-dance Band, Big Night Out, an elegant selection of wine from Vin Cella, and food from some of Sarasotas best restaurant, this years event promises to be even bigger and better than ever!
Next years Evening will be held on Thursday, January 26th, from 6-9pm. Featuring Live Music by Big Night Out, an elegant selection of wine from Vin Cella and light fare from Sarasotas best restaurants, including Nancys Bar-B-Q!

Special Thanks to our Fabulous Sponsors!

Major Sponsors: Sarasota Architectural Salvage Bowman Originals SarasotaWine.com The Equines Peter Acker Photography Food Sponsors: Owens Fish Camp Nancys Bar-B-Q Cakes By Ron Pastry Art Carrs Corner Cafe Local Coffee & Tea Publix Silent Auction Sponsors: Dr. Glori Enzor, D.D.S Coquillage The Naked Florist Lourdes Nail and Hair Studio Everything But the Girl The Studio Salon and Spa Raffle Sponsors: Mattisons City Grille Sarasota Candle Company World Coin European Focus Media on Main MOZAIC Restaurant Ophelias by the Bay Knicks Tavern Christianas Too Jays Deli Pamela Wexler-Rubin Shannon Imm

Cats, Bears, and Guest Bartenders - Oh my!

Local Celebrities and musicians get behind the bar to collect donations for Healthy Start as part of the Shamrock Pubs Summer Guest-Bartending Series
Our Education and Development Coordinator, Ciera Galbraith, volunteered alongside best friend and bandmate, Aimee Guerin, to try their hands at bar-tending on Friday, July 8th at the Shamrock Pub in downtown Sarasota. As a part of Shamrocks Summer Celebrity Guest-Bartending Series, all tips collected went directly to Healthy Start! With help from local bands Cats in the Basement and The Black Bear Affair, Ciera and Aimee collected $573 in donations - not bad for only 3 hours behind the bar! Special Thanks to all who came out and had a drink for a good cause! We were also able to utilize this event as a great tool to promote interconception health. Guests were treated to preconception health information, and complimentary condoms. Complimentary root beer was also on tap for pregnant women, or women planning a pregnancy.

10 The Healthy Start Coalition of Sarasota County, Inc.

Healthy Start Community Baby Showers

Cosponsored by the Kiwanis Clubs of Sarasota, Venice, and North Port

The Community Baby Shower is held annually to provide education, information, and gifts to pregnant women and families in our community. This year, our Coalition hosted our first-ever North Port Baby Shower, and the Sarasota Baby Shower served its largest attendance ever! Sarasota Community Baby Shower This year, in addition to our Annual Sarasota Community Baby Shower, we partnered with the North Port Community to hold the first ever North Port Community Baby Shower! On Saturday, April 16th, from 10:30am - 12:30 pm, at the George Mullen Activity Center in North Port, approximately 70 families, with more than 200 attendees overall, attended our first-ever North Port Community Baby Shower. Event Chair, Monica Becket, recruited more than 30 North Port businesses and organizations to make this event a resounding success. The Early Bird Kiwanis, The Noon Kiwanis, The Knight Owl Kiwanis Clubs all donated large gift items such as strollers, cribs, and car seats for the door prize raffle. Families were thrilled to win these essential baby items. North Port Publix provided Baby Shower Cake for all guests, and their mascot, Plato the Dinosaur, was a wonderful treat for the children in attendance. On Saturday, May 7th, 2011, the Healthy Start Coalition of Sarasota County celebrated Mothers Day by partnering with the Kiwanis Club of Sarasota to present its 17th Annual Community Baby Shower! This fun and FREE event was held at the Boys and Girls Club of Sarasota. Over 135 families attended, with more 320 total attendees. Exhibitors from local health organizations provided families with helpful information and community referrals. Dozens of raffle and door prizes were given away throughout the day, including cribs, car seats, and strollers, donated by the Kiwanis Club of Sarasota. Guests enjoyed healthy and delicious snacks sponsored by Whole Foods Market, and the kids loved the clown sponsored by Jackson Hewitt Tax Services. The Children Firsts Nurturing Dads Initiative sponsored a Diaper Derby for crawling infants, with the winner receiving a prize of more than 200 diapers!

Other Events
World Breastfeeding Week Door Decorating Contest August 1-7, 2010 Ready, Set, Grow! Family Fair August 7, 2010 2010 Annual Meeting September 23, 2010 Introduction to Healthy Start October 12th, 2010 $25,000 Match-Donation Challenge December 1st - 31st, 2010

North Port Community Baby Shower -

Healthy Start at the Sarasota Farmers Market December 23rd, 2010 August 13th, 2011 Gulfcoast South AHEC Community Health Worker Program - Smoking Cessation December 2010 - April 2011 Jackson Hewitt Tax-Season Diaper Drive March 1 -April 15, 2011 Make Yours a Fresh Start Family Training August 26, 2011 Breastfeeding Support Worker Update September 9, 2011

Special Thanks to our 2011 Baby Shower Exhibitors!

Bippy Diapers Birthways Family Birth Center Born to Read / Sarasota Library Children First Children FirstNurturing Dads Initiative Citizens Dispute Settlement Program Dr. Kevin Schapley DMD, PA Dr. Susan Flagel, Pediatrician Early Learning Coalition Family Nutrition Program Family, Career & Community Leaders of America First Federal Bank of Florida First Physicians Group First Step Mothers & Infants Florida KidCare Gulf Central Early Steps Gulfcoast South Area Health Education Center Healthy Families Knit 2 Quit La Leche League Mom Care Natural Parenting North Port Library North Port Social Services/Clothes Closet NP Parks & Recreation P.E.A.R.L Positive Bounds Publix Rosemary Birthing Home Sarasota County Health Department Sarasota Memorial Hospital Sarasota Partnership for Childrens Mental Health Seeport Optometry Sign & Rhyme State College of Florida The Florida Center YMCA Child Development Center WIC

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Thank you to our Donors and Community Partners!

Healthy Start depends on the generosity of our community to ensure a brighter, healthier future for families in Sarasota County. We gratefully acknowledge all of our donors for their contributions.
Individuals:
Shara Abrams George Alberici Harold and June Apisdorf Ann Babcock Richard R. Babcock Cari Beard Monica Becket Ruby Bell Marjo Biddenger Deb Boterf Mary Anne Bowie Bill Cannady Jeff Cheng John and Catherine Cranor Leita Kaldi Davis Carol Donnelly Dolores Dunn Michael Feiertag Keith Fitzgerald John Flaherty Ellen Fontana Keisha Gaines Michelle Giambra Joe Gonzales Gregory Paul Hanes Meghan Connolly Hanes Michael and Mary Jane Hartenstine Dr. Washington and Pauline Hill Frances Holman Cameron Icard James Johnson Deborah Kaufman Philip King Kelly Kirschner Jeffrey and Susan Kral David Kramer Philip Lonzen Joy Luce Cathy Matthews Mike McIntosh Sue Moreland Jenna Norwood Laurel Phipps William W. Potts, Jr. Chip Schaaff John and Valerie Schaub Leland and Carol Selvey Kathryn Shea Nancy Shoemaker Linda Spivey Linda Stone Diane Taylor Patti Treubert Ann Voorhees Erika D. Wagner Timothy and Kim Williams Deborah and Joseph Yohn

Organizations & Foundations:

Church of Palms Community Foundation of Sarasota County C.J. Foundation for SIDS Gulfcoast Community Foundation of Venice Gulf Coast South Area Health Education Center KBR Foundation Sarasota Council of Concern Sarasota County Foundation Sarasota Kiwanis Foundation

www.healthystartsarasota.org

If you are interested in making a tax-deductible donation, please call us at (941) 373-7070