Teenage pregnancy

Universal access to free contraception and sexual health services for local young people is available through a number of channels – primary care (GPs, pharmacies), sexual health clinics and, more specifically, through the new City and Hackney Children and Young People’s Health and Wellbeing Service (which involves both an educational/outreach and clinical component). A free condom scheme is also available for local young people up to age 25. See Section 3.7 for a full description of relevant contraception and sexual services for young people in Hackney and the City.

Maternal smoking

The prevention of maternal smoking is realised through wider prevention initiatives targeted at stopping people from starting smoking, community tobacco control initiativesC and access to high quality stop smoking services to support successful quit attempts in smokers before they become pregnant.

The new Children and Young People’s Health and Wellbeing Service (see Section 3.7.1) addresses both smoking prevention and cessation, with the primary aim of reducing smoking prevalence in 15 year olds (a key Public Health Outcomes Framework indicator). 2

Maternal weight

For information on local obesity prevention initiatives targeting diet and physical inactivity, see the ‘Lifestyle and behaviour’ JSNA chapter.

Prior to pregnancy, support to lose weight is available through adult weight management services commissioned by Hackney Council and the City of London Corporation.  In both local authority areas, eligible adults can be referred into an integrated service that includes dietary advice, physical activity programmes and behaviour change approaches to support participants to achieve and sustain clinically beneficial weight loss. Joint work is currently being undertaken by City and Hackney CCG, Hackney Council and the Corporation of the City of London to review the maternal obesity pathway.

Maternal mental health

For information on local mental health prevention initiatives, see the ‘Mental health and substance misuse’ JSNA chapter.

Joint work is currently being undertaken by City and Hackney CCG, Hackney Council and the Corporation of the City of London to review the service offer around maternal and perinatal mental health.

Maternal and infant nutrition

In order to prevent congenital abnormalities (such as neural tube defects) and conditions in infancy caused by vitamin insufficiencies (such as rickets), free Healthy Start vitamins are offered universally to pregnant people and children in Hackney and the City. Specifically, vitamins are available to Hackney and City residents who are pregnant or who have given birth within the last year, as well as children from four weeks up to their fourth birthday.D

In order to maximise acceptability and take-up, the vitamins have been approved by the Vegetarian Society, are kosher- and halal-certified, and contain no milk, egg, gluten, soya or peanut residues. These vitamins can be collected from local pharmacies, and a pilot to distribute vitamins through some Children’s Centres in Hackney began in October 2016. For uptake of these vitamins locally, please see Local Data and Unmet Need section.

Healthy Start food vouchers are a national initiative to encourage consumption of milk, fruit and vegetables to facilitate healthy eating and prevent the consequences of a diet low in fruit and vegetables. However, unlike the vitamin scheme, these are not available universally, but only if the family receive certain benefits or if the pregnant person is under 18 years of age.

Notes

  1. For instance, enforcement of smoke free spaces, restricting under-age sales or limiting the availability of cheap tobacco.
  2. Although all infants are eligible from four weeks of age, infants who have more than 500ml of formula milk a day do not require these vitamin supplements
  3. For instance, enforcement of smoke free spaces, restricting under-age sales or limiting the availability of cheap tobacco.
  4. Although all infants are eligible from four weeks of age, infants who have more than 500ml of formula milk a day do not require these vitamin supplements

References

  1. Public Health England, “Hackney Local Authority HIV surveillance data tables,” 2015
  2. Public Health England, “Hackney Local Authority HIV surveillance data tables,” 2015