Reducing Maternal and Child Health Disparities among Latino Immigrants in South Carolina Through a Tailored, Culturally Appropriate and Participant-Driven Initiative

Abstract

Newly arrived Latino immigrants in South Carolina (SC), especially Latina mothers, experience many health related barriers including a general lack of health services information. The PASOs program, which means “steps” in Spanish, uses education, outreach, partnerships and advocacy to empower Latino families to utilize available health care services throughout SC. PASOs is a community-based program conducted by college trained bilingual/bicultural facilitators with the support from community health care workers (promotores de salud). Participants (n=523) were expectant mothers with an average age of 27 (SD=6) years, mostly from Mexico (69%), with an average of 9 (SD=4) years of education and 7 (SD=5) years living in the US. Repeated measures analyses from pre-test to post-test indicated significant knowledge improvement (p<0.005) regarding the importance of prenatal care, signs of preterm delivery, benefits of breastfeeding, and the importance of folic acid intake during periconception. By the end of the course, the majority of the Latinas (93%; p<0.0001) were able to name a birth control method they planned to use following their current pregnancy. Results of this study emphasize the benefits associated with the implementation of a culturally-appropriate program with newly arrived Latino immigrants, including an increase on preconception, pregnancy, and post-pregnancy knowledge.