Comprehensive Prenatal-Perinatal Services Network
The Comprehensive Prenatal-Perinatal Services Network Program (CPPSN) was established in 1987 in New York State. The Perinatal Networks are primarily community-based organizations sponsored by the Department of Health whose mission is to organize the service system at the local level to improve perinatal health. Funding for the Networks is targeted to localities based on percent of low birth weight births, infant mortality rate, percent of women entering care in the third trimester or having no prenatal care, rate of teen pregnancies and teen births.
The Networks work with a consortium of local health and human service providers to identify and address gaps in local perinatal services. The networks also sponsor programs targeted to specific at-risk members of the community. They also respond to provider needs for education on special topics, such as screening for substance abuse among pregnant women, smoking cessation or cultural sensitivity training. Each of the 15 Perinatal Networks targets a region, ranging in size from several Health Districts in New York City to large multi-county regions in rural upstate areas
Over the past decade, the Perinatal Networks have become involved in a range of initiatives, including child abuse prevention, lead screening and abatement, Healthy Start, and many others. Networks play a significant role in providing information about and facilitating enrollment in the Child Health Plus program and Medicaid managed care.
- Assist with access to comprehensive prenatal care for pregnant women, particularly underserved, hard-to-reach pregnant women;
- Ensure the availability of a comprehensive system of perinatal care that addresses the continuum of perinatal health services: this includes services for women before they become pregnant to maternal and child health services;
- Identify and address community-specific problems that may lead to poor birth outcomes;
CPPSN objectives include:
- Develop and implement programs to increase access to prenatal and perinatal care, with particular emphasis on serving women who are:
- uninsured or underinsured;
- substance using;
- HIV positive;
- likely to have poorer birth outcomes than the general population (such as minority women);
- entering prenatal care late or not at all; and,
- women whose infants might be at risk of child abuse or neglect.
- Promote healthy behaviors during pregnancy and reduce the impact of risky behaviors on birth outcomes.
- Work to increase perinatal HIV counseling and testing rates.
- Help improve individual and family health including promoting enrollment of children in Child Health Plus and women and children in Medicaid, and increasing case finding for the Office of Children and Family Services' (OCFS) Healthy Families New York Home Visiting Program.
- Facilitate the implementation of Medicaid managed care.
- Reduce the rate of adolescent pregnancy in network communities.
- Improve access to family planning and reproductive health services for women at risk of unintended pregnancy.
- Reduce the percentage of women who smoke or use other substances during pregnancy.