Department of Health and Human Services Title V Maternal Child - - PowerPoint PPT Presentation

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Department of Health and Human Services Title V Maternal Child - - PowerPoint PPT Presentation

Jul 09, 2023 183 likes •600 views

Steve Sisolak Richard Whitley Governor Director State of Nevada Department of Health and Human Services Title V Maternal Child Health (MCH) Block Grant Data Updates Division of Public and Behavioral Health Kagan Griffin, MPH, RD MCH

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Department of Health and Human Services

State of Nevada

Steve Sisolak Governor Richard Whitley Director

Helping people. It’s who we are and what we do.

Division of Public and Behavioral Health

Kagan Griffin, MPH, RD MCH Epidemiologist

Title V Maternal Child Health (MCH) Block Grant Data Updates

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Overview

  • The Federally Available Data (FAD) is provided by

the Maternal Child Health Bureau (MCHB) to assist states in reporting the Title V MCH National Outcome Measures (NOMs) and National Performance Measures (NPMs)

  • This resource allows state to make comparisons to

U.S. and other state data, as well as examine trends

  • ver time

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Nevada Data Trends and Highlights

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MCH Outcome Measures Positive Trends

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NOM 1: Percent Of Women Who Receive Prenatal Care Beginning In The First Trimester

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Data Source: National Vital Statistics System (NVSS)

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NOM 1: Percent Of Women Who Receive Prenatal Care Beginning In The First Trimester

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Data Source: National Vital Statistics System (NVSS) Healthy People 2020 Objective

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Percent Of Women Who Receive Prenatal Care Beginning In The First Trimester

2010 2011 2012 2013 2014 2015 2016 2017 2018

Nevada

65.9 66.8 68.1 68.4 70.7 72.6 73.1 74 74.6

United States

73.1 73.7 74.1 74.2 76.7 77 77.1 77.3 77.5

Healthy People 2020 Objective

77.9

NV % Change 2010-2018

+13.2%

Data Source: National Vital Statistics System (NVSS)

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Prenatal Care In The First Trimester By Educational Attainment

Data Source: National Vital Statistics System (NVSS)

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Prenatal Care In The First Trimester By Educational Attainment

Healthy People 2020 Objective Data Source: National Vital Statistics System (NVSS)

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NOM 5: Percent Of Preterm Births (<37 Weeks Gestation)

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NOM 5: Percent Of Preterm Births (<37 Weeks Gestation)

Healthy People 2020 Objective

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Percent Of Preterm Births (<37 Weeks Gestation)

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Nevada

10.8 10.9 10.5 10.4 9.8 10.1 9.9 10.4 10.7 10.1

United States

10.1 10 9.8 9.8 9.6 9.6 9.6 9.8 9.9 10

HP 2020 Objective

9.4

NV % Change 2009-2018

  • 6.5%

Data Source: National Vital Statistics System (NVSS)

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Percent Of Preterm Births (<37 weeks) By Race and Ethnicity

White Black Asian *AI/AN *API Multiple Race Hispanic

2018

9.3 13 11.1 11.8 15.6 11.5 9.4

2017

9.9 14.8 10.5 9.9 9 11.7 10.1

2016

9.9 14.2 11 13.6 14 10.3 9.4

Met 2020 Objective?

*AI/AN – American Indian/Alaska Native *API - Native Hawaiian/Other Pacific Islander

Data Source: National Vital Statistics System (NVSS)

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NOM 21: Percent Of Children, Ages 0-17, Without Health Insurance

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Data Source: American Community Survey (ACS)

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Percent Of Children, Ages 0-17, Without Health Insurance

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Nevada

17.96 17.86 16.11 16.58 13.89 9.68 7.63 6.06 7.11 7.9

United States

8.52 8.05 7.5 7.1 7.14 6.02 4.86 4.44 4.79 4.9

NV % Change 2009-2018

  • 56.01%

Data Source: American Community Survey (ACS)

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Data Source: American Community Survey (ACS)

Percent Of Children, Ages 0-17, Without Health Insurance By Race and Ethnicity

White Black Asian *AI/AN *API Multiple Race Hispanic

2018

6.2 4.9 5.6 20.9 6 10.4

2017

5.3 4.9 7.2 6.5 3.1 4.3 9.8

2016

3.89 4.26 3.03 9.13 3.8 3.5 9.19

Change from 2016-2018

*AI/AN – American Indian/Alaska Native *API - Native Hawaiian/Other Pacific Islander

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NOM 22.2: Percent of Children, Ages 6 Months-17 Years, Who Are Vaccinated Annually Against Seasonal Influenza

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Data Source: National Immunization Survey (NIS)-Flu

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NOM 22.2: Percent of Children, Ages 6 Months-17 Years, Who Are Vaccinated Annually Against Seasonal Influenza

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Data Source: National Immunization Survey (NIS)-Flu Healthy People 2020 Objective

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Percent of Children, Ages 6 Months-17 Years, Vaccinated Annually Against Seasonal Influenza

2009- 2010 2010- 2011 2011- 2012 2012- 2013 2013- 2014 2014- 2015 2015- 2016 2016- 2017 2017- 2018 2018- 2019

Nevada

26.9 49.9 45.55 51.1 50.05 51.5 48.81 45.63 49.5 51.84

United States

43.7 51 51.52 56.55 58.92 59.28 59.31 59.04 57.86 62.56

HP 2020 Objective 70 NV % Change 2009/2010- 2018/2019

+92.7%

Data Source: National Immunization Survey (NIS)-Flu

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NOM 23: Teen Birth Rate, Ages 15-19, Per 1,000 Females

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Data Source: National Vital Statistics System (NVSS)

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Data Source: National Vital Statistics System (NVSS)

Teen Birth Rate, Ages 15-19, Per 1,000 Females

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Nevada

44 38.9 36 33.7 30.7 28.8 27.7 24.2 21.9 20.5

United States

37.9 34.3 31.3 29.3 26.4 24.2 22.3 20.3 18.8 17.4

NV % Change 2009-2018

  • 53.4%
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Teen Birth Rate Per 1,000 Female Population Ages 15-19 By County Nevada Residents- 2019*

*2019 data is preliminary and subject to change

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MCH Outcome Measures Negative Trends

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NOM 4: Percent Of Low Birth Weight Deliveries (<2,500 Grams)

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Data Source: National Vital Statistics System (NVSS)

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NOM 4: Percent Of Low Birth Weight Deliveries (<2,500 Grams)

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Data Source: National Vital Statistics System (NVSS) Healthy People 2020 Objective

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Percent Of Low Birth Weight Deliveries (<2,500 Grams)

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Nevada

8.1 8.3 8.2 8 8 8.3 8.5 8.5 9.1 8.7

United States

8.2 8.1 8.1 8 8 8 8.1 8.2 8.3 8.3

HP 2020 Objective

7.8

NV% Change 2009-2018

+7.4%

Data Source: National Vital Statistics System (NVSS)

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Percent Of Low Birth Weight Deliveries (<2,500 Grams) By Race and Ethnicity

White Black Asian *AI/AN *API Multiple Race Hispanic

2018

7.7 12.7 10.2 8.6 10 10.5 7.7

2017

7.9 15.6 9.8 7.9 7.1 10.7 7.9

2016

7.7 14.3 9.1 5.9 11.7 7.8 7.3

Met 2020 Objective?

*AI/AN – American Indian/Alaska Native *API - Native Hawaiian/Other Pacific Islander

Data Source: National Vital Statistics System (NVSS)

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NOM 16.3: Adolescent Suicide Rate, Ages 15-19, Per 100,000

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Data Source: National Vital Statistics System (NVSS)

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Data Source: National Vital Statistics System (NVSS)

Adolescent Suicide Rate, Ages 15-19, Per 100,000

2007- 2009 2008- 2010 2009- 2011 2010- 2012 2011- 2013 2012- 2014 2013- 2015 2014- 2016 2015- 2017 2016- 2018

Nevada

6.5 5.7 8.9 8.9 9.6 8.3 10 10.9 13.5 15.2

United States

7.2 7.4 7.8 8.1 8.3 8.4 8.9 9.5 10.5 11.1

NV % Change 2007/2009- 2016/2018

+133.85%

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Data Source: National Vital Statistics System (NVSS)

Adolescent Suicide Rate, Ages 15-19, Per 100,000 By Urban/Rural Residence

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Data Source: National Vital Statistics System (NVSS)

Adolescent Suicide Rate, Ages 15-19, Per 100,000 By Urban/Rural Residence

Nevada 2016-2018 Overall Rate

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NOM 9.1: Infant Mortality Rate Per 1,000 Live Births

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Data Source: National Vital Statistics System (NVSS)

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NOM 9.1: Infant Mortality Rate Per 1,000 Live Births

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Data Source: National Vital Statistics System (NVSS) Healthy People 2020 Objective

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Data Source: National Vital Statistics System (NVSS)

Infant Mortality Rate Per 1,000 Live Births

2009 2010 2011 2012 2013 2014 2015 2016 2017

Nevada 5.8 5.5 5.7 4.9 5.3 5.5 5.2 5.8 5.8 United States 6.4 6.1 6.1 6 6 5.8 5.9 5.9 5.8 HP 2020 Objective 6 NV% Change 2009-2017

0%

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Data Source: National Vital Statistics System (NVSS)

2015-2017 Infant Mortality Rate Per 1,000 Live Births By Race and Ethnicity

*AI/AN – American Indian/Alaska Native *API - Native Hawaiian/Other Pacific Islander

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Data Source: National Vital Statistics System (NVSS)

2015-2017 Infant Mortality Rate Per 1,000 Live Births By Race and Ethnicity

Healthy People 2020 Objective

*AI/AN – American Indian/Alaska Native *API - Native Hawaiian/Other Pacific Islander

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Conclusions

  • Nevada has seen some improvements for certain

measures, but disparities still exist

  • Title V MCH will continue to monitor the

disparities that exist for race and ethnicity, education level, and urban vs. rural residence

  • These data will be used to inform programming

and activities that will help improve negative

  • utcomes and trends

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Questions?

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Contact Information

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Kagan Griffin, MPH, RD

MCH Epidemiologist kgriffin@health.nv.gov

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Acronyms

  • ACS- American Community Survey
  • FAD- Federally Available Data
  • HP 2020- Healthy People 2020
  • MCH-Maternal and Child Health
  • MCHB- Maternal Child Health Bureau
  • NIS-National Immunization Survey
  • NOM-National Outcome Measure
  • NPM-National Performance Measure
  • NVSS- National Vital Statistics System

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