·     Decrease in preterm births by 8% (from 10% to 9.2%)

·     Decrease infant mortality and morbidity by 4% (from 4.8% to 4.6/1,000 births)


  1. Implement state-wide breastfeeding plan to increase rates of breastfeeding


  2. Expand One Key Question intervention into primary care settings to reduce rates of unintended pregnancies


  3. Support the Child Death Review and Maternal Mortality Review Advisory Council


  4. Promote Safe Sleep practices to reduce rates of SUIDS


  5. Expand Integrated Perinatal Substance Abuse Treatment System of Care to promote healthier pregnancies, births and development


  6. Expand access to contraception (focusing on Long Acting Reversible Contraception) to increase rates of intended pregnancies


  7. Expand access to 17p to support healthier pregnancies and reduce rates of premature births


Please contact chairs of the committees listed below for more information about the committee work and how to get involved.
We support neighbor-island travel.  Please contact Kerrie Urosevich at for more information.

Pre- and Inter-conception Care

Chair: Candice Radner Calhoun
Priorities: Long Acting Reversible Contraception and One Key Question

Care During Pregnancy and Delivery

Chair: Don Hayes and Lin Joseph
Priorities: Screening, Assessment, Brief Intervention and Referral to Treatment (SBIRT) and increasing appropriate utilization of 17P (alpha-hydroxyprogesterone caproate)

Infant Health and Safety

Chair: Lisa Kimura
Priorities: Safe Sleep and breastfeeding exclusivity for six months



The Hawaii Maternal and Infant Health Collaborative fulfills the work of Team 1


Hawaii Maternal and Infant Health Collaborative (HMIHC), founded in 2013, is a public private partnership committed to Improving Birth Outcomes and Reducing Infant Mortality. The Collaborative was developed in partnership with the Executive Office of Early Learning’s Action Strategy with help from the Department of Health and National Governor’s Association. The Action Strategy provides Hawaii with a roadmap for an integrated and comprehensive early childhood system, spanning preconception to the transition to Kindergarten.

The Collaborative helps advance goals within the Action Strategy by focusing on ensuring that children have the best start in life by being welcomed and healthy. The Collaborative has completed a strategic plan and accompanying Logic Model, The First 1,000 Days, aimed at achieving the outcomes of 8% reduction in preterm births and 4% reduction in infant mortality by 2018.

To date over 80 people across Hawaii have been involved in the Collaborative. These members include physicians and clinicians, public health planners and providers, insurance providers and health care administrators. The work is divided into three primary areas and coordinated by a cross sector leadership team. Work is specific, outcome driven, informed by data and primarily accomplished in small work groups. We encourage your participation by contacting the Team Leaders.


2016 Priorities

The HMIHC 2016 Priorities are designed to achieve the following goals:

  • Reduce unintended pregnancies and improve birth spacing, as measured by births spaced 18 months from delivery to next conception.

  • Decrease preterm births and ensure infants are born healthy, as measured by an increase in full term birth rate and a decrease in the number of infants born substance exposed.

  • Reduce infant mortality by focusing on preventable infant deaths, as measured by infant back to sleep position and exclusive breastfeeding at six months.


One Key Question


An example of an HMIHC priority is One Key Question, an initiative that asks women of child-bearing age “Would you like to become pregnant in the next year?”

One Key Question (OKQ) is an initiative created by Oregon Foundation for Reproductive Health (OFRH) that is a simple program designed to incorporate pregnancy intention screenings in primary care settings. Screening women for their pregnancy intentions could prove to be the proactive intervention needed to increase the proportion of pregnancies that are wanted, planned, and as healthy as possible.

The goal is to incorporate pregnancy intention screenings in routine and proactive settings, where patients are screened every 3 months to a year, regardless of the reason for the woman’s visit.