1 TITLE V OF THE SOCIAL SECURITY ACT MATERNAL AND CHILD HEALTH INFANT MORTALITY EFFORTS Michele H. Lawler, M.S., R.D. Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau
2 Program SEC. 501 (a) (1) (A-D) Title V authorizes appropriations to States to improve the health of all mothers and children. To provide and assure mothers and children access to quality maternal and child health services To reduce infant mortality and the incidence of preventable diseases and handicapping conditions among children
3 Program SEC. 501 (a) (1) (A-D) To increase the number of children appropriately immunized against disease and the number of low income children receiving health assessments and follow-up diagnostic and treatment services To promote the health of mothers and infants by providing prenatal, delivery and postpartum care for low-income, at-risk pregnant women To promote the health of children by providing preventive and primary care services
4 Program SEC. 501 (a) (1) (A-D) To provide rehabilitation services for blind and disabled individuals under the age of 16 receiving benefits under Title XVI, to the extent medical assistance for such services is not provided under Title XIX To provide and to promote family-centered, community-based, coordinated care for children with special health care needs and to facilitate the development of community-based systems of services for such children and their families.
5 Program SEC. 505 (a) (1) Title V legislation requires the State to prepare a Statewide Needs Assessment every five years that identifies (consistent with health status goals and National health objectives) the need for: Preventive and primary care services for pregnant women, mothers and infants up to age one; Preventive and primary care services for children; and Services for children with special health care needs.
6 Program Operates as a partnership between Federal and State Maternal and Child Health (MCH) and Children with Special Health Care Needs (CSHCN) programs. Implemented in collaboration with a wide range of Federal, State, local and private sector partners. Emphasizes accountability through annual reporting on key MCH indicators while providing appropriate flexibility for each State to respond to the particular needs of its MCH population.
7 Program Maternal and Child Health Block Grant helps States to support capacity and infrastructure building, population-based and enabling services, as well as direct health care services where no services are available. Decreasing the National rate of infant deaths has been and continues to be one of the primary focuses of the Maternal and Child Health Block Grant.
8 Title V and Infant Mortality Dr. Wakefield has identified Infant Mortality as a HRSA priority. Maternal and Child Health Bureau (MCHB) is collaborating with the Association of State and Territorial Health Officials (ASTHO) around the potential development of a National strategy to reduce infant mortality across the U.S.
9 Title V and Infant Mortality In 2010, ASTHO convened a meeting of State Health Officials, MCH Directors and U.S. Department of Health and Human Services Regional Health Administrators to discuss the burden of infant mortality and to identify a strategic direction for addressing this issue. MCHB plans to lend collaborative and logistical support and technical assistance to the multi-state effort initiated by ASTHO in Regions IV and VI.
10 Title V and infant Mortality Proposed Implementation: MCHB will organize a series of summits on infant mortality, beginning with Regions IV and VI. Working with ASTHO, MCHB will plan and implement follow-up activities based on the recommendations from the Regions IV and VI Infant Mortality Summit. MCHB will provide technical assistance to States to address identified needs.
11 ASTHO/MCHB Infant Mortality Summits and Follow-up Activities Specific Objectives: 1. Work with ASTHO and the State Title V Directors to identify areas of potential collaboration based on ASTHO s strategic plan for addressing infant mortality; 2. Plan and convene a series of Infant Mortality Summits to bring Federal, State, and other MCH leaders and stakeholders together to promote coordination and collaboration in planning, implementing and sharing cross-state and multi-regional efforts directed at reducing infant mortality;
12 ASTHO/MCHB Infant Mortality Summits and Follow-up Activities Specific Objectives (Continued): 3. Identify similarities and differences across States to better understand data trends and reporting, health status of at-risk populations, contributing factors (e.g., pre-term birth, pre-conception status, nutritional status and environmental/ social determinants of health) and interventions that show promising results which could potentially be replicated in other States; 4. Identify opportunities for leveraging resources and maximizing investments across Federal and State programs;
13 ASTHO/MCHB Infant Mortality Summits and Follow-up Activities Specific Objectives (Continued): 5. Identify needs and provide technical assistance through a variety of vehicles to State MCH and CSHCN programs; and 6. Define an organizational framework for continued collaboration and sharing of program successes and lessons learned across Regions, State Title V MCH Block Grant programs and their MCH partners.
14 Performance/Outcome Measures and Health Status Indicators Related to Infant Mortality: National Outcome Measures #1-5 Infant Mortality Rate per 1,000 live births. Ratio of the black infant mortality rate to the white infant mortality rate. Neonatal mortality rate per 1,000 live births. Postneonatal mortality rate per 1,000 live births. Perinatal mortality rate per 1,000 live births.
15 Performance/Outcome Measures and Health Status Indicators Related to Infant Mortality: National Performance Measures Percentage of women who smoke in the last three months of pregnancy (#15). Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates (#17). Percent of infants born to pregnant women receiving care beginning in the first trimester (#18)
16 Performance/Outcome Measures and Health Status Indicators Related to Infant Mortality: Health Status Indicators Low Birth Weight Percent of singleton and all live births (#1A and #1B) weighing less than 2,500 grams. Very Low Birth Weight Percent of singleton and all live births weighing less than 1,500 grams (#2A and #2B).
17 State Priority Needs Birth Outcomes (FY 2011 MCH Block Grant Applications/FY 2009 Annual Reports) Total of 30 Priority Needs Identified by 27 States Infant Mortality 17 States Pre-term Births 5 States Disparities in Adverse Birth and Pregnancy Outcomes/ Infant Health Status/Health Outcomes 5 States Low Birth Weight 5 States Health Pregnancy/Improved Pregnancy Outcomes 3 States (Some States target multiple needs.)
18 State Priority Needs Birth Outcomes CA Reduce infant mortality and address disparities by promoting preconception health and health care and by preventing causes such as birth defects, low birth weight/prematurity, SIDS, and maternal complications in pregnancy. KY Decrease the infant mortality rate and eliminate the disparities in infant mortality in KY. LA Decrease infant mortality through reduction of preterm births in the African American population. MO Reduce disparities in adverse birth and pregnancy outcomes.
19 State Performance Measures (SPMs) Birth Outcomes Title V MCH Block Grant (FY 2011 MCH Block Grant Applications/ FY 2009 Annual Reports) Total of 18 SPMs Identified by 17 States Infant Mortality/Infant Deaths 11 States Pre-term Births 3 States Substance Use (Alcohol/Tobacco) During Pregnancy 2 States Low Birth Weight 1 State Cleft Lip and/or Palate 1 State
20 State Performance Measures (SPMs) Birth Outcomes AL The degree to which Statewide fetal and infant mortality review (FIMR) is implemented. AZ The percent of preventable fetal and infant deaths out of all fetal and infant deaths. GA Infant mortality rate among infants born weighing 1,500 grams or more who survive in the first 27 days of life. NJ The percentage of Black non-hispanic preterm infants in New Jersey. WA Decrease the rate of infant mortality among the Native American population.
21 State Outcome Measures Birth Outcomes 4 States Developed an Optional Outcome Measure: MI Ratio of Native American infant mortality to the white infant mortality rate. MT Native American Infant Mortality Rate. SD The American Indian infant mortality rate per 1,000 live births. TX The ratio of the Black perinatal mortality rate to the White perinatal mortality rate.
22 State Title V MCH Infant Mortality Activities Focus On Prevention/Reduction of : Low Birth Weight and Very Low Birth Weight Late Pre-term Birth Prematurity Birth Defects SIDS Infant Injury Maternal Complications and Infections Teenage Pregnancy Title V MCH Block Grant Unintended Pregnancy
23 State Title V MCH Infant Mortality Activities Focus On Promotion of : Pre-conception and Inter-conception Care Newborn Screening Safe Sleep Title V MCH Block Grant Early and Regular Prenatal Care Smoking Cessation During Pregnancy Improved Maternal Nutritional Status/Reduction of Obesity Substance Abuse Programs Depression Screening
24 Identified State Infant Mortality Strategies Include: Reduction of Racial/Ethnic Disparities Community Education and Outreach Infant Safety Messaging, Including Sleep Position and Safe Sleep Environment Community-Based Prenatal Case Management and Care Coordination for Low-Income and High-Risk Women Reduction in Barriers to Medicaid or Other Types of Coverage Strengthening of Perinatal Systems of Care Reduction of Barriers to Early/Regular Prenatal Care Improvement of Pre-Conception Wellness Avoidance of Risky Behaviors Integration of a Life Course Approach Utilization of the CenteringPregnancy Model Use of Local Child Fatality/Fetal Infant Mortality Review Findings to Identify and Better Understand Factors That Contribute to Infant Mortality
25 State Title V MCH Infant Mortality Activities Key Data Sources Perinatal Periods of Risk (PPOR) Approach Pregnancy Risk Assessment Monitoring System (PRAMS) Fetal Infant Mortality Reviews (FIMR) Partnerships/Collaborations with: Healthy Start Projects State/Local WIC Agencies March of Dimes Injury Prevention Programs
26 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) AZ Recommendations regarding prevention of infant deaths included implementation of an infant safe sleep message, evaluation of safe sleep education programs for parents at Arizona Perinatal Trust site visits of birthing hospitals, and launching a preconception health awareness campaign which includes messaging that targets African Americans in Arizona. CA Black Infant Health (BIH) which has as its goal of reducing African American infant mortality in California uses case management and group interventions to support African American women in their pregnancies and improve birth outcomes.
27 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) DE Intervention programs in Delaware specifically aimed at reducing infant mortality include the Healthy Women, Healthy Babies program. The program, initiated in 2007, focuses on women who are members of minority groups, reside in zip codes with high numbers of infant deaths, are underinsured or uninsured, have experienced a previous poor birth outcome such as low birth weight or premature delivery, fetal death, stillbirth, or infant death, and who are coping with chronic diseases. Also, the Smart Start program is a prenatal program that traditionally has focused on prenatal care for underserved populations throughout the state.
28 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) FL In an effort to ensure that we continue to employ best practices to help reduce infant mortality, the Department of Health and the Florida Association of Healthy Start Coalitions have assembled a statewide Research to Practice Workgroup. The purpose of the workgroup is to review existing and ongoing research to ensure the continued effectiveness of the Healthy Start model. The workgroup will employ evidence-based practices to evaluate the Healthy Start program at the state and local levels, providing program improvements through the identification, implementation, and evaluation of best practices across the state.
29 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) IL The Chicago Healthy Start Project, Targeted Intensive Prenatal Case Management and Healthy Births for Healthy Communities are DHS [Department of Human Services] case management programs that target women at high-risk for poor pregnancy outcomes. The goal of these programs is to enroll the women early in pregnancy, connect her with needed medical and social services, monitor care throughout pregnancy, and encourage adoption of healthy lifestyle behaviors. In the past two years, there has been a growing focus on adoption of a lifecourse model, with recognition that good prenatal care alone is not enough to reduce the overall incidence of infant mortality.
30 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) KY Kentucky will continue to prioritize infant mortality and prematurity as a core MCH measure of well-being of women of childbearing age, and improving pregnancy outcomes. Newer approaches involve addressing contextual and community factors as well as the traditional risk factors. Fetal Infant Mortality Review (FIMR): Two fetal infant mortality review projects are currently underway in KY. One is in Louisville, which has the state's largest African American population, and the second in Bowling Green, KY, where there is a significant Hispanic population. The review teams in these areas will provide more accurate data on fetal and infant deaths along with the identification of risk factors and potential prevention strategies. System barriers that may influence infant mortality may be identified and addressed by the community team members.
31 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) LA Fetal & Infant Mortality Review Initiatives (FIMR) have been established in all regions of the state. The FIMR program (staff and coalition structure) is charged with assessing service delivery gaps including prenatal care. Partners for Healthy Babies supports public relations efforts of Fetal & Infant Mortality Review coordinators to engage local media to highlight relevant issues. The Nurse Family Partnership (NFP), nurse home visiting program provides case management services for first time mothers statewide, assuring early and adequate care for its enrollees. FIMR programs collaborate with Healthy Start programs in 5 of 9 DHH [Department of Health and Hospitals] regions and encourage providers to refer to Healthy Start and/or NFP.
32 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) MI Priorities for the period will not only focus on the traditional risk factors associated with infant mortality, including low birth weight, preterm birth and unintended pregnancy, but also on the social determinants of health and the patterns of health established during the life course. Strategies will focus on improving the preconception and inter-conception health status of women of childbearing age, including addressing chronic disease, obesity and domestic violence factors. Increasing the proportion of intended pregnancies, including reducing adolescent pregnancy, will also continue to be an important effort. With a grant from the Kellogg Foundation, the Department will develop and implement a training curriculum for state staff on multi-culturalism and the effects of racism in areas such as developing a common language, analysis and definition of racism, and understanding the connection of their work to institutional racism.
33 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) MN The infant mortality reduction initiative provides resources, education, and technical assistance to local health departments, tribal governments, and community agencies to improve birth outcomes and reduce infant mortality with a particular focus on reducing racial and ethnic disparities in infant mortality and other poor birth outcomes. MDH [Minnesota Department of Health] also supports work to improve the health disparities around infant mortality that exists in the tribal communities in Minnesota. Partners in the program include the Office of Minority and Multicultural Health, the American Indian Community Action Team, the March of Dimes, the Department of Human Services, Twin Cities Healthy Start, Minnesota SID Center, Tribal nursing directors, urban American Indian programs, local health departments, and ACOG Minnesota.
34 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) MS Mississippi PRAMS is part of a CDC initiative to reduce infant mortality and low birth weight deliveries in Mississippi through the identification and monitoring of selected maternal experiences and behaviors including unintended pregnancy, prenatal care, breastfeeding, smoking, drinking, and mother and infant health. NJ Increasing Healthy Births is a state priority that encompasses reducing low birth weight, preterm births, infant mortality, and increasing first trimester prenatal care and adequate prenatal care (NPM #8, 15, 17, 18). Several initiatives address healthy births including Healthy Mothers, Healthy Babies Coalition outreach activities, Healthy Start outreach activities, Community Action Team projects based on FIMR findings, and most recently the Access to Prenatal Care Initiative.
35 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) OK Another example is the statewide infant mortality reduction initiative, "Preparing for a Lifetime, It's Everyone's Responsibility." MCH provides leadership for this initiative with critical support provided by state and community-based partners to impact preconception and interconception care and education; maternal infections; prematurity; postpartum depression; breastfeeding; tobacco use; infant safe sleep; and, infant injury prevention. PA Specific interventions include home visiting programs, prenatal care for uninsurable women, faith based initiatives, community round table discussions, and community intervention grants.
36 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) TN Currently-funded activities include intervention for pregnant smokers, CenteringPregnancy clinical services, obstetrical faculty to increase capacity for services, health education for pregnant women, Tennessee Initiative for Perinatal Quality Care (TIPQC) to improve health outcomes for mothers and infants through quality improvement methodologies, education and outreach for pregnant Hispanic women, and pilot projects for fetal-infant mortality review teams TX Planning focused on sleep safety for infants, including collaboration with the Texas Department of Family and Protective Services (DFPS) continued in FY09 through a cross agency work group called the Infant Health Workgroup. In addition, DSHS [Department of State Health Services] has partnered with DFPS on two safe sleep projects, including an online training for CPS [Child Passenger Safety] caseworkers in assessing a sleep environment for safety when working with a family.
37 State Title V MCH Infant Mortality Activities (Excerpts from FY 2011 Applications/FY 2009 Annual Reports) VA Prematurity and low birth weight are major contributors to infant mortality. The Infant Mortality Working Group during the past year has developed ways to share information with pregnant women, their families and others in the community. Their emphasis is on helping expectant moms with birth preparations that include information on prenatal care, nutrition, controlling weight gain, not smoking and carrying a baby to full term whenever possible. One innovative program that has been implemented is text4baby. VT VDH is working to improve health outcomes using the framework of social determinants and also the Lifecourse approach to public health interventions. WI Eliminating racial and ethnic disparities in birth outcomes has been identified as one of the highest priorities for WI.
38 Contact Information Michele Lawler, M.S., R.D. Deputy Director Division of State and Community Health MCHB/HRSA
Christopher Kus, M.D., M.P.H. Association of Maternal and Child Health Programs, Public Witness Testimony House Labor, Health and Human Services and Education Appropriations Subcommittee March 13, 2013
Graduate Student Epidemiology Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment Program Evaluation 2015 Program Guide Submit your application
Graduate Student Epidemiology Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment Program Evaluation 2016 Program Guide Submit your application
Critical Component: Access to Health Insurance and Medical Homes Goal 1: Comprehensive Medical Home for Mother and Child * A. Increase the percentage of mothers and children 0-5 who have access to a medical
1 A Strategic Plan for Improving Preconception Health and Health Care: Recommendations from the CDC Select Panel on Preconception Care Presentation by Kay A. Johnson, MPH, EdM Research Assistant Professor,
VIRGINIA S 2015 MATERNAL AND CHILD HEALTH BLOCK GRANT (Title V) Virginia Department of Health Executive Summary May 2014 1 VIRGINIA S 2015 MATERNAL AND CHILD HEALTH BLOCK GRANT (Title V) Virginia Department
Graduate Student Epidemiology Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment Program Evaluation 2014 Program Guide Submit your application
Iowa s Maternal Health, Child Health and Family Planning Business Plan CHILD HEALTH Who we are... A public-private partnership that... Promotes access to regular preventive health care services for children
LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS MATERNAL AND CHILD HEALTH (MCH) BLOCK GRANT* What is the MCH Block Grant? It is a grant from the U.S. government to State governments. The state must supply
, Minnesota Maternal and Child Health Annual Report 29-213 THE CURRENT CONDITION OF MATERNAL AND CHILD HEALTH IN OLMSTED COUNTY Population Report This page intentionally left blank 2 , Minnesota Maternal
Maternal and Child Health Information Resource Center Graduate Student Internship Program To promote training in MCH Epidemiology Real-World Experience in: Data Analysis and Monitoring Needs Assessment
FAMILY HEALTH SERVICES DIVISION Profiles 2014 OVERVIEW Family Health Services Division Overview Data Sources Life Course Perspective and Title V Priorities Population Overview Births Infant Mortality Chapter
Mississippi State Department of Health Title V Healthy Start Regional Meeting Birmingham, AL August 1-2, 2016 State Priority Needs Mississippi (SPN) SPN 1: Decrease infant mortality SPN 2: Increase access
BabyFirst Solano Perinatal Substance Abuse Project MCH PHLI Leadership May 2011 Maternal, Child & Adolescent Health Bureau 1 The Perinatal Substance Abuse Project is designed to help babies be born substance
March of Dimes 2016 Chapter Community Grants Program Community Award Application March of Dimes Maryland National Capital Area Chapter 175 West Ostend St., Suite C-2 Baltimore, MD 21230 Marchofdimes.org/marylandmetrodc
Maternal and Child Health 2014-2015 Chapter 5: Maternal and Child Health 157 2014-2015 Health of Boston Maternal and Child Health Birth rates, infant mortality rates (IMR), and infant characteristics of
Incorporating Life Course, Social Determinants, and Health Equity into California s MCAH Programs Shabbir Ahmad, DVM, MS, PhD Maternal, Child and Adolescent Health Program Center for Family Health California
Public Health Nurse Home Visiting Programs Presented by Meredith Krugel, RN, LCSW Douglas County Public Health Nurse Home Visiting Oregon currently has four different nurse home visiting programs: Maternity
PUBLIC HEALTH IMPROVEMENT PARTNERSHIP PUBLIC HEALTH ACTIVITIES & SERVICES INVENTORY TECHNICAL NOTES HEALTHY FAMILY DEVELOPMENT Nurse-Family Partnership Nurse-Family Partnership is a voluntary program of
Extended MPH Degree Program School of Public Health Department of Epidemiology University of Washington Epidemiology 521 Epidemiology of Maternal and Child Health Problems Winter / Spring, 2010 Instructor:
AN INTRODUCTION TO THE ISSUE OF LOW BIRTH WEIGHT MAGGIE FRANCIS VICTORIA C. SMITH OCTOBER 2009 TABLE OF CONTENTS I. AN OVERVIEW OF LOW BIRTH WEIGHT II. CURRENT PROGRAMS IN MISSISSIPPI ADDRESSING LOW BIRTH
Rate per 1,000 women ages 15-44 Maternal, infant, and child health Health issues of mothers and their infants and children are an important focus of the Santa Clara County Public Health Department s prevention
Contra Costa County Fetal Infant Mortality Review Program Suzzette C. Johnson, MSW MPA Sylvia V. Taqi-Eddin, MA-CP Family, Maternal and Child Health Programs Contra Costa Health Services National NFIMR
Attachment: Services to Pregnant Women Participating in Early Head Start A healthy pregnancy has a direct influence on the health and development of a child. The prenatal period has a lasting impact on
ISSUE BRIEF June 2008 Intimate Partner Violence among Pregnant and Parenting Women: Local Health Department Strategies for Assessment, Intervention, and Prevention Introduction This issue brief illustrates
Federal Efforts to Improve Maternal and Infant Health Data Capacity and Health Outcomes US Centers for Disease Control and Prevention (CDC) Centers for Medicare & Medicaid Services (CMS) Health Resources
Fetal and Infant Mortality Review: Activities of the Yolo County FIMR Team and Analysis of Local FIMR Data FIMR Program 2008 i Fetal and Infant Mortality Review: Activities of the Yolo County FIMR Team
National Health Policy Forum Promoting Evidence-Based Interventions: Maternal, Infant & Early Childhood Home Visiting (MIECHV) A State Perspective on Home Visiting New Jersey Home Visiting Initiative Contact
Wendy Martinez, MPH, CPH County of San Diego, Maternal, Child & Adolescent Health Describe local trends in birth Identify 3 perinatal health problems Identify 3 leading causes of infant death Age Class
PUBLIC HEALTH INTERVENTIONS FOR NEONATAL ABSTINENCE SYNDROME DISCLOSURE No financial COI to disclose Eric Reynolds MD MPH OBJECTIVES To discuss the epidemiology and current scope of the Neonatal Abstinence
National Infant Mortality Collaborative Innovation and Improvement Network (CoIIN) Title X Grantee Meeting August 19, 2015 Sabrina Selk, ScD Senior Analyst Department of Applied Research and Evaluation
on on medicaid and and the the uninsured Health Coverage for the Population Today and Under the Affordable Care Act April 2013 Over 50 million s currently live in the United States, comprising 17 percent
MEMORANDUM TO: Dr. Michael Lu, Associate Administrator Maternal and Child Health Bureau, Health Resources and Services Administration FROM: AMCHP Board of Directors DATE: February 14, 2014 RE: Final Recommendations
Quality Maternity Care: the Role of the Public Health Nurse Lori Webel-Edgar RN, MN Program Manager-Reproductive Health Simcoe Muskoka District Health Unit Barrie, Ontario session overview quality maternity
Illinois Public Health Association Maternal and Child Health Section Reorganizing Illinois Maternal and Child Health System Rarely does the need and opportunity for substantial change converge with a vision
St. Vincent s Medical Center Clay County Implementation Strategy Implementation Strategy Narrative Overview St. Vincent s Medical Center Clay County is a 64-bed hospital which opened its doors to the community
State of Mississippi Oral Health Plan 2006 2010 Vision Statement: We envision a Mississippi where every child enjoys optimal oral health; where prevention and health education are emphasized and treatment
National Organization on Fetal Alcohol Syndrome Kathleen Tavenner Mitchell, MHS, LCADC AIA Conference October 7 2005 Vision The vision of the National Organization on Fetal Alcohol Syndrome () is a global
9.5 Fetal and Infant 9.5.1 Fetal Between 2001 and 2005, there were 24 fetal on average per year in Kalamazoo County. Fetal mortality rates are calculated by dividing the number of fetal in a time period
January 2014 RDA Report 11.202 Olympia, Washington Pregnant and Parenting in Care in Washington State: Comparison to Other and Women who Gave Birth Laurie Cawthon, MD, MPH Barbara Lucenko, PhD Peter Woodcox,
Public Health Nurse Home Visiting Frequently Asked Questions When did nurse home visiting begin? Home visiting became a national public health strategy to improve the health status of women and children
The Indian Health Service (IHS) Public Health Nursing (PHN) Scope of Work (SOW) describes population-based program components, goals, objectives and activities. The levels of PHN practice include individual/family,
Healthy People 2020: Who s Leading the Leading Health Indicators? Don Wright, MD, MPH Deputy Assistant Secretary for Disease Prevention and Health Promotion Who s Leading the Leading Health Indicators?
Violence Assessment and Follow-up In Public Health Data Sets Background Summer, 2012 This project was initiated to explore existing data on assessment of violence in the lives of women seeking services
Virginia Department of Medical Assistance Services (DMAS) - Involvement with Text4Baby Background on Text4Baby Launched in February 2010 Initiative of the National Healthy Mothers Healthy Babies Coalition
Report of the Secretary s Advisory Committee on Infant Mortality (SACIM): Recommendations for Department of Health and Human Services (HHS) Action and Framework for a National Strategy Submitted January,
Working Together to Ensure Healthier Families Nurse-Family Partnership Overview 2 "There is a magic window during pregnancy it s a time when the desire to be a good mother and raise a healthy, happy child
Health Disparities in H.R. 3590 (Merged Senate Bill) Definitions: Health disparity population is defined in the bill as defined in Section 485E (Sec. 931) Current Law: a population is a health disparity
Kansas Maternal and Child Health Service Manual Bureau of Family Health Division of Public Health Kansas Department of Health and Environment Revised January 2015 Vision: Title V envisions a nation where
THE FUTURE OF HIGHER EDUCATION IN TEXAS WOODY L. HUNT, CHAIRMAN HIGHER EDUCATION STRATEGIC PLANNING COMMITTEE September 17, 2015 1 Let s talk about higher education in Texas and the educational competitiveness
The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures by R. Louise Floyd, DSN, RN; Brian W. Jack, MD; Robert Cefalo, MD, PhD; Hani Atrash, MD, MPH; Jeanne Mahoney, BSN,
Health Profile for St. Louis City The health indicators of St. Louis City show that the city has many health problems. To highlight a few, the city s rates of sexually transmitted diseases (i.e., HIV/AIDS,
State Medicaid Coverage of Perinatal Services: Summary of State Survey Findings November 2009 The Kaiser Family Foundation Usha Ranji, M.S. Alina Salganicoff, Ph.D. The George Washington University Medical
The governmental public health system in the United States is comprised of federal agencies, state health agencies, tribal and territorial health departments, and more than 2,500 local health departments.
NOM # 1 2 3 National Outcome Measures and National Performance Measures Kansas Maternal and Child Services Block Grant National Outcome Measures Percent of pregnant women who receive prenatal care beginning
Populations of Color in Minnesota Health Status Report Update Summary Spring 2009 Center for Health Statistics Minnesota Department of Health TABLE OF CONTENTS BACKGROUND... 1 PART I: BIRTH-RELATED HEALTH
Overview Established in 1996 by the Florida Legislature as a separate agency under the Governor State Health Office in Tallahassee 67 County Health Departments 22 Children s Medical Services area offices
TOTAL FUNDS REQUESTED (for GRANTEE/ PROJECT CHARACTERISTICS (i.e., the first year of the project): goals and description of the project, $155,496 Infant Mental Health Association Updated Florida's statewide
Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of
Mississippi State Department of Health Fiscal Years 2012-2016 Strategic Plan Prepared in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Office of Health Administration
MATERNAL AND CHILD HEALTH OF ASIAN AMERICANS, NATIVE HAWAIIANS, & PACIFIC ISLANDERS Good health begins before we are born and can last a lifetime. Likewise, health disparities can begin even before birth.
Personal Responsibility Education Program A Snapshot of the PREP Performance Measures Report to Congress The Personal Responsibility Education Program (PREP) funds formula block grants to U.S. states and
IT S ALL ABOUT THE SHOES: From theory to data to action FIMR is making a difference in our communities Lisa Norman, RN, BSN Mary Craig, RN, MSN, MS Annelle Tanner, EdD, MSN, RN National Fetal and Infant
Challenges and Progress: Implementing HIV Screening in Health-Care Settings Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV/AIDS,
Mississippi State Department of Health Fiscal Years 2014-2018 Strategic Plan Prepared in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Office of Health Administration
Black Infant Health Practice Initiative Survey Responses - Perinatal Periods of Risk (PPOR) Intervention Services Providers Section: Maternal Health/Prematurity Improving Infant Health or the Health of
Chapter 3 Maternal Child Health Subchapter 4 Home Visiting Rule 1.0 Authority This rule is adopted pursuant to Act No. 66 of the Acts of the 2013 Sess. (2013) (An act relating to home visiting standards.),
U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending by State and Program Report as of 3/7/2011 5:40:51 PM HUD's Weekly Recovery Act Progress Report: AK Grants
Health of Wisconsin Summary Grades Life stage Health grade Health disparity grade Infants (less than 1 year of age) C D Children and young adults (ages 1-24) B D Working-age adults (ages 25-64) B C Older
A COMPREHENSIVE PLAN TO IMPROVE THE HEALTH OF ALL OKLAHOMANS 2010-2014 OKLAHOMA HEALTH IMPROVEMENT PLAN [BACKGROUND] K E Y H E A L T H I N D I C A T O R S Since 1992, our infant mortality rate is consistently
Getting from Good to Great in Home Visiting: Systems Coordination PEW HOME VISITING CAMPAIGN WEBINAR SERIES A series of five webinars highlighting promising practices in administering state home visiting
INTRODUCTION Infant Mortality Rate is one of the most important indicators of the general level of health or well being of a given community. It is a measure of the yearly rate of deaths in children less
infant mortality rate per 1,000 live births ARE FLORIDA'S CHILDREN BORN HEALTHY AND DO THEY HAVE HEALTH INSURANCE? Too Many of Florida's Babies Die at Birth, Particularly African American Infants In the
San Diego County Report Card on Children and Families REPORT CARD 2013 5 NORTH COASTAL 5 78 5 805 52 ± 0 5 10 20 Miles Map Date: 2013 Maps/Analysis by County of San Diego, EMS Contact Isabel Corcos, Leslie
Preconception Interconception Care Symposium And Domestic Violence Robin E. Johnson, MD MPH Acknowledgement ACOG District IX Interconception Care Advisory Panel Sub-committee members for DV and Post partum
Dental Public Health Activity Descriptive Report Practice Number: 06005 Submitted By: New York State Department of Health Bureau of Dental Health Submission Date: January 2012 Last Updated: January 2012
PUBLIC HEALTH RESEARCH AND EVALUATION Note to readers and users of the Healthiest Wisconsin 2020 Profiles: This Healthiest Wisconsin 2020 Profile is designed to provide background information leading to
Larry R. Kaiser, MD President The University of Texas Health Science Center at Houston HealthCare Workforce: UTHealth Experience CHALLENGE To train the Healthcare Workforce of the 21 st Century SOLUTIONS:
TITLE V MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO STATES PROGRAM GUIDANCE AND FORMS FOR THE TITLE V APPLICATION/ANNUAL REPORT OMB NO: 0915-0172 EXPIRES: 12/31/2017 U.S. Department of Health and
From the Bottom to the Top: How Alaska Became a Leader in Perinatal Regionalization Alaska has a geography problem at 2.3 times the size of Texas, its vast landscape and harsh climate renders some areas
P R E V E N T I O N Examples of prevention activities conducted by the MSACD Prevention Program include: The MSACD Prevention Program serves as the state expert on Fetal Alcohol Syndrome (FAS) and other
Health Resources and Services Administration Autism Spectrum Disorder Activities Through the Combating Autism Act, HRSA s Maternal and Child Health Bureau (MCHB) funded coordinated investments to enable
PARTNERING TO ADVANCE THE TRIPLE AIM AND IMPROVE PUBLIC HEALTH IN MINNESOTA Edward P. Ehlinger, MD, MSPH Commissioner Minnesota Department of Health September 13, 2014 Triple Aim of Health Reform Institute
A Descriptive Study of Depression, Substance Abuse, and Intimate Partner Violence Among Pregnant Women 1 OVERVIEW This presentation is based on the study of pregnant women enrolled in the Augusta Partnership
February 2015 Fact Sheet Where Are States Today? Medicaid and CHIP Eligibility Levels for Adults, Children, and Pregnant Women as of This fact sheet provides an overview of eligibility levels for parents,