The Maternal and Child Health nursing staff focus on improved pregnancy outcomes. Services include home visits, pregnancy materials, clinic visits, and one-on-one new baby visits. The program also offers free pregnancy testing and breastfeeding instruction and support (by appointment).

- Child and teen check-ups (Eligible children ages 0 - 20 years who are enrolled in Medical Assistance or MinnesotaCare) - Dental, hearing, and vision screening for school children - Growth, development assessments, and physical exams - Maternal and Child Health Programs offering home and office visits for pregnant women and families with children - Referral and follow-up services for children with special needs - Reproductive and Sexual Health Services include: ?- Birth control options and reproductive health consultations, free condoms, and pregnancy testing - Cervical cancer, Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), and Syphilis screening - Routine Gynecological and Breast Examination - Sexual health education, testing, and treatment for sexually transmitted infections (STIs) - Vaccinations Other services include: - Activities to reduce child abuse - Foot care (Visit website for location hours and services) - Health screenings for individuals such as blood sugar, cholesterol, and hemoglobin - Minnesota Senior Health Options - Nursing home visits - Public health preparedness activities/information including infectious disease outbreaks - Presentations for students about health issues - Statewide Health Improvement Program (SHIP) interventions to prevent obesity by implementing policy, systems, and environmental changes to increase physical activity and intake of healthy food choices

A program for infants and children ages birth - 3 to help parents track their child's development. The program: - Helps parents learn about their child's health and development - Offers a professional, most often a nurse, to conduct home visits with the parent and child - Offers questionnaires and handouts for fun activities - Provides a fun way to get ideas about "what to teach" and "at what age" to teach it - Refers to Early Childhood Screenings for children who are of age

Home visiting service by public health nurses during pregnancy and through the first two years of life after a baby is born. Home visits are voluntary and there is no charge. Visits focus on the woman's health, the infant's health and development, parenting and caretaking role, and the family's plans for the future. The program includes: - Childbirth and breastfeeding education - Family planning information - Health screenings and linkage to community resources - Lead counseling - Mental wellbeing referrals and support - Parenting education and child developmental screenings - Supportive nurse visits - Smoking cessation information - WIC/nutrition counseling

- Free car seat education; car seats available to those who qualify - Child care consultation services with contracted child care centers - Education related to injury prevention including home safety - Family home visits to provide antepartum, postpartum, breast feeding, family planning, infant care, child growth, and development assessments, education, promotion of parenting - Follow Along Program to provide information regarding growth, development, and screen for need for referral to other services, including medical and early childhood special education - Provide services to children with special needs, including waiver case management, personal care attendant assessment - Support to schools including assistance with early childhood screenings

Family Spirit Home-visiting intervention program to support young Native parents from pregnancy to 3 years postpartum. Parents gain knowledge and skills to achieve development for their preschool-age children across the domains of physical, cognitive, social-emotional, language-learning, and self-help. The Family Spirit Program consists of 63 lessons. Goals of the program: - Prepare for labor and delivery - Learn how your baby develops - Understand nutrition for you and your baby - Keep your baby safe - Strengthen family relationships - Access community resources - Achieve personal goals - Calm your baby - Help your baby be smart and happy - Use your cultural practices in parenting - Enjoy being a parent Maternal and Child Health Prenatal Visits: Public Health Nurse will discuss normal body changes during pregnancy, nutritional needs during pregnancy, healthy choices during pregnancy, and referrals for other available services. Postpartum Visits: After delivery, a Public Health Nurse is available to discuss topics including normal body changes after pregnancy, breastfeeding support, family planning and birth control methods that are best for parent, information on infant development, weight, and measurement, parenting techniques, car seat safety, sleep safety, and referrals for other available services. Well-Child Services: Public Health Nurse is available to visit during regularly scheduled appointments. Topics covered during these visits including baby's height, weight, and development, feeding baby (breastfeeding, bottle feeding, starting solids), sleep habits, how to play with baby and activities that stimulate development, and referrals for other available services. Family Planning: Individual or group education sessions about family planning methods, good physical health before and during pregnancy, and sexually transmitted diseases. Breastfeeding Counseling: Public Health Nurses trained in lactation counseling offering education and support during the prenatal and postpartum period to help mothers get a good start on nursing. One-on-One Childbirth education and Family Spirit education. Parenting Education: Public Health staff will meet with parents to provide age-specific parenting education, explain developmental stages that children go through, and discuss alternative ways to discipline children. Women, Infants and Children (WIC) Provides benefits for pregnant women, infants, and children ages 1 - 4 years such as: - Breastfeeding education and support - Formula for infants for breastfeeding - Healthy foods - Nutrition education

- Blood pressure screening - Breastfeeding mothers support - Case management and care coordination - Child and teen checkup outreach - Family planning services - Financial assistance available for prenatal care, pelvic exams, PAP smears, pregnancy testing, etc. - Follow Along Program: Home visits for newborns, including questionnaires sent to the home until child is four years old. If something on a questionnaire causes concern, a nurse will visit the home and take action if appropriate. - Food recall information - Home health care including home nursing with blood pressure screening, diabetes education for newly diagnosed patients, instructions for new diets, and monitoring of medication administration. Home Health Aides assist with bathing and personal care, meal preparation, and assistance with hair and oral care. Physical therapists, occupational therapists, and speech therapists provide services also. - Immunizations: available for children and young adults, birth through age 18. Hepatitis B and Tdap for a fee for adults. Flu shots available from October through December. - Mantoux testing (tuberculosis) - Loan closet - Maternal and child health (car seats available for low-income families) - Prenatal care and education including safety and proper use of car seats - School health nurses consult with teachers on topics such as AIDS, teen pregnancy prevention, self-breast exams, and nutrition. Preschool screenings as well as immunization, vision, and hearing clinics.

Public health nurse for one-to-one counseling on prenatal care and postnatal care including breastfeeding, nutrition, child development, safe - sleep techniques, and much more.

Program follows children ages birth - 36 months by asking parents fill out questionnaires about their child. Some children need special assistance to be healthy and learn skills such as sitting, walking, or talking. Provides opportunities for education about age-appropriate child health and development, empowering parents to compare their child's development to that of other children in his/her age group.

Provides community health services such as: - Breastfeeding and lactation consultant - Car seat education - Childbirth education classes - Child and teen checkups - Child home safety checks - Communicable disease follow-up and cancer prevention - Community nutrition educator - Diabetes prevention - Doula program to support women throughout pregnancy, childbirth, and postpartum - Family planning - Immunizations for adults and children - Maternal child health home visiting - Parenting education ?- Tobacco Cessation

- Immunization Registry (Immtrack) - a database to track immunizations of children - Printouts of a child's immunization records are available at a parent's request for daycare, camp, school, etc. - Public Health nurse services provided to pregnant women and infants - Home visits for families to improve health outcomes, related to pregnancy and postpartum, feeding support, weight checks, health education, family planning, child development, and other education needs

Promotes positive health outcomes relating to child growth, development, and reproduction including: - Car seat classes - Family home visiting services - Prenatal services: Includes pregnancy health education, pregnancy tests, and stress management - Postpartum services: Personalized home visit for newborns that includes an assessment of newborn's health, breastfeeding support, and nutrition education

Provides a variety of family home visiting services by registered nurses and family health specialists to support families, parents, caregivers, and children. - Home visits to pregnant women to instruct on healthy pregnancy behaviors and preparation for labor and delivery - Home visits to families with newborns and children; instruction on child growth, child care seat safety, development, nutrition, parenting, and child care, as well as connecting families to a wide variety of other community resources - Home visits to families experiencing stress or crisis related to parenting. Services are educational and supportive and are supervised by a Public Health Nurse; parents can self-refer ?- Home visits for children or youth with a disability or special health needs; provide health education, resources, and referrals to support families Family determines visit frequency, which can be as few as one or two visits to longer term visits up to three years. Visits can be in person or virtual to fit the family's needs.

Provides family home visiting programs and other health services from a public health nurse, including: - Breastfeeding services ?- Follow Along Program - Postpartum support - Prenatal support

Family Spirit Home-visiting intervention program to support young Native parents from pregnancy to 3 years postpartum. Parents gain knowledge and skills to achieve development for their preschool-age children across the domains of physical, cognitive, social-emotional, language-learning, and self-help. The Family Spirit Program consists of 63 lessons. Goals of the program: - Prepare for labor and delivery - Learn how your baby develops - Understand nutrition for you and your baby - Keep your baby safe - Strengthen family relationships - Access community resources - Achieve personal goals - Calm your baby - Help your baby be smart and happy - Use your cultural practices in parenting - Enjoy being a parent Maternal and Child Health Prenatal Visits: Public Health Nurse will discuss normal body changes during pregnancy, nutritional needs during pregnancy, healthy choices during pregnancy, and referrals for other available services. Postpartum Visits: After delivery, a Public Health Nurse is available to discuss topics including normal body changes after pregnancy, breastfeeding support, family planning and birth control methods that are best for parent, information on infant development, weight, and measurement, parenting techniques, car seat safety, sleep safety, and referrals for other available services. Well-Child Services: Public Health Nurse is available to visit during regularly scheduled appointments. Topics covered during these visits including baby's height, weight, and development, feeding baby (breastfeeding, bottle feeding, starting solids), sleep habits, how to play with baby and activities that stimulate development, and referrals for other available services. Family Planning: Individual or group education sessions about family planning methods, good physical health before and during pregnancy, and sexually transmitted diseases. Breastfeeding Counseling: Public Health Nurses trained in lactation counseling offering education and support during the prenatal and postpartum period to help mothers get a good start on nursing. One-on-One Childbirth education and Family Spirit education. Parenting Education: Public Health staff will meet with parents to provide age-specific parenting education, explain developmental stages that children go through, and discuss alternative ways to discipline children. Women, Infants and Children (WIC) Provides benefits for pregnant women, infants, and children ages 1 - 4 years such as: - Breastfeeding education and support - Formula for infants for breastfeeding - Healthy foods - Nutrition education

- Child and teen check-ups - Family Home Visiting Program: Public Health offers home visits to families with children under the age of 4 when there is an identified need. - Provides free, confidential information on all methods of family planning options available - Immunizations - Prenatal education - Postpartum/newborn visits - WIC program - Clinic Services - Car Seat Safety - Blood Lead Testing.

The Family Home Visiting Program's goal is to prevent child abuse. Public Health Nurses provide home visits over an extended period to develop goals for the child(ren) and family, provide education on child development and home safety. The nurses also provide developmental screenings, environmental assessments and referrals to other community resources that may be beneficial for the family. This program also provides information about safe sleep for infants including specific guidelines for parents.

Program follows children ages birth - 36 months by asking parents fill out questionnaires about their child. Some children need special assistance to be healthy and learn skills such as sitting, walking, or talking. Provides opportunities for education about age-appropriate child health and development, empowering parents to compare their child's development to that of other children in his/her age group.

Partners with families to promote healthy lifestyles and nurturing environments. Child and Family Health Services support families with the following services: - Breastfeeding classes and resources: breastfeeding support services are available in home, at the Horizon Public Health Office Alexandria main site, and via telephone. - Child and Teen Checkups (C&TC): complete head-to-toe health and development checkups for persons under 21 years old. - Child passenger safety: specialists can answer questions regarding child safety seats and check your car seats. - Family Home Visiting: registered nurses provide a variety of home visiting programs including prenatal, postpartum and ongoing parenting support services. - Follow Along Program: for parents of children ages birth - 5 at no cost to learn if your child is talking, moving, playing and developing on track for his/her age.

- Connection and access to community services according to specific needs - Parenting skills support and education - Provides home visiting, newborn/postpartum follow-up home visits, and parenting information and support - Public Health nurse available to answer questions and offer health information for pregnant and parenting families

The Public Health provides a broad range of services to residents to promote and protect the health of those who live and work in Kandiyohi County. Services under this Public Health includes: Asthma Home Based Services: - Includes up to three home visits - Learn about asthma triggers in the home and reduce triggers - Learn about community resources Prenatal Programs for Expectant Parents: - Child passenger safety seat program to conduct car seat checks - Expectant parenting classes offered four times a year by public health nurses and parent educators - Follow Along Program to track child's development to see if their child is playing, talking, growing, moving, and behaving like other children their age - Prenatal visits and family home visiting to have a home nurse visit them to offer education and support and post-partum until their baby reaches two years of age Public Immunization Clinics: - Annual seasonal flu clinics offering immunizations - Assessment of immunization levels in the community - Education related to vaccine preventable diseases and communicable diseases - Infectious disease investigations - Services and outreach to immigrants and refugees new to the community - Tuberculosis education and medication management

Helps ensure the health of pregnant, and postpartum women, infants, and special needs children. Information and assistance are provided through public health clinics or home visits such as: - After-home care and resources to assist new mothers such as exercise programs, health needs, parenting education, newborn care, nutritional needs, and infant growth and development - Car seat program providing education and distribution of car seats for children birth to 8 years - Child immunizations, physical development screening, and well-baby checks at public health clinics - Fetal Alcohol Syndrome/Fetal Alcohol Effect including home visits - Guidelines for parents to provide safe care and a healthy environment for their child - Identification of problems and early intervention activities in conjunction with families and schools to assist families with special needs children - Nutritional assessment and counseling/education - Prenatal health needs include nutrition, weight gain, exercise, and substance use - Preparation of labor and delivery - Prevention of child maltreatment - Special care for high risk pregnant women - Supportive community resources

County public health nurses visit families in homes or in offices to offer health promotion screening and health education. Visits are voluntary and tailored to the individual family's interests and needs. Nurses can offer a variety of discussions about: - Breastfeeding - Child health, growth, development, and safety - Family planning - Infant care - Nutrition - Parenting - Pregnancy health

Family Home Visiting is a service provided by public health nurses (PHNs), offering home visits to partner with and support families during pregnancy and parenting. The PHNs work alongside families to promote a healthy pregnancy, a positive parent-child relationship, knowledge of parenting and child development, parental resilience, and referral to resources that provide basic needs and social supports. PHNs have been trained in and utilize the Maternal Early Childhood Sustained Home-Visiting (MECSH) program, an evidence-based home visiting model. Newborn/postpartum Visits (aka New Baby Visits) are available to all families with a new baby. The nurse visits families in their home during the first two weeks after the birth to offer teaching and support related to care of the baby, postpartum recovery, and family adjustment.??????

Partners with families to promote healthy lifestyles and nurturing environments. Child and Family Health Services support families with the following services: - Breastfeeding classes and resources: breastfeeding support services are available in home, at the Horizon Public Health Office Alexandria main site, and via telephone. - Child and Teen Checkups (C&TC): complete head-to-toe health and development checkups for persons under 21 years old. - Child passenger safety: specialists can answer questions regarding child safety seats and check your car seats. - Family Home Visiting: registered nurses provide a variety of home visiting programs including prenatal, postpartum and ongoing parenting support services. - Follow Along Program: for parents of children ages birth - 5 at no cost to learn if your child is talking, moving, playing and developing on track for his/her age.