Preventing Infant Mortality in Georgia February 2019 | Page 4

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Healthcare Georgia Foundation
Samples of marketing materials
developed for the Taking Care of
You Initiative.
COY adopted the Centers for Disease Control and Prevention (CDC) Health Impact Pyramid conceptual
framework and the Perinatal Periods of Risk (PPOR) framework to identify and prioritize intervention
strategies and measure changes in specific aspects of infant mortality.
CDC Health Impact Pyramid (Figure 1) categorizes interventions across five tiers: 1) changes in socioeconomic
factors; 2) changes in environmental context; 3) long-lasting protective interventions; 4) clinical interventions; and
5) counseling and health education. Tiers 3-5 capture the priority levels of TCOY: improving risk screening for
women of reproductive age, ensuring quality of care, and implementing health promotion efforts to maximize
women and infant health.
Figure 1. CDC Health Impact Pyramid