Michigan Family Planning Update Conference September 2017 Lynette - PowerPoint PPT Presentation

Michigan Family Planning Update Conference September 2017 Lynette Biery- PA-C, MSc Director, Bureau of Family Health Services Maternal Child Health Director, Michigan Department of Health & Human Services

“We can’t solve problems by using the same kind of thinking we used when we created them.” ~Albert Einstein

Population Health Administration Sue Moran Bureau of Family Health Services Lynette Biery Women, Infants Division of Division of Child Division of and Children Maternal and and Adolescent Immunizations (WIC) Division Infant Health Health Bob Swanson Stan Bien Brenda Fink Carrie Tarry

Division of Maternal and Infant Health  The Division works to improve and ensure women, infants, and families are healthy and thriving before, during, and after pregnancy.  Key programs and priorities include:  Reduce maternal morbidity and mortality  Reduce teen pregnancy  Ensure planned pregnancy  Administration of the Maternal Infant Health Program – Medicaid funded Home Visiting  Safe Sleep Programming and Education  Early Hearing Testing  Division touched 600,000 families in 2016, 21 million media images, and 105 unique regional organizations.

Infant Mortality Rate: Michigan, 2000-2015 (rate per 1,000 live births) 16 # Infant 15 Year # Live Births Death IMR 14 2000 136,048 1,112 8.2 13 2001 133,247 1,066 8.0 Rate per 1,000 live births 12 2002 129,518 1,054 8.1 11 2003 130,850 1,112 8.5 10 2004 129,710 984 7.6 8,2 8,0 8,1 8,5 9 2005 127,518 1,013 7.9 7,6 7,9 7,4 8,0 7,4 7,5 7,1 6,6 6,9 7,0 6,8 6,8 8 2006 127,537 940 7.4 7 2007 125,172 997 8.0 6 2008 121,231 894 7.4 5 2009 117,309 881 7.5 4 2010 114,717 817 7.1 3 2011 114,159 749 6.6 2 2012 112,708 783 6.9 1 2013 113,732 799 7.0 0 2014 114,460 773 6.8 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 6 2015 113,211 765 6.8 Data source: Michigan resident live birth files and infant mortality files, Division for Vital Records and Health Statistics, MDHHS

Trend of Infant Mortality by Race/Ethnicity and Black/White Ratio, Michigan, 2005-2015 25 3,5 3,1 3,0 3,0 2,8 2,8 Rate per 1,000 live births 3,0 2,8 2,8 2,6 2,6 20 2,4 Black/White Disparity 2,3 2,5 18,5 18,5 15 16,3 16,1 15,9 2,0 14,4 14,3 14,2 13,2 12,9 9,7 12,4 1,5 10 8,4 7,7 7,7 7,6 7,6 7.0 6,9 6,3 6,2 1,0 4,7 5 6,2 5,9 5,7 5,7 5,5 5,5 5,4 5,1 5,1 5,1 0,5 5.0 0 0,0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 White non-Hispanic Black non-Hispanic Hispanic Black/White Disparity Data source: Michigan resident live birth files, and infant mortality files, Division for Vital Records and Health Statistics, MDHHS 7

Michigan Infant Mortality Reduction Plan  Implement Regional Perinatal Care System  Reduce premature births and low birth weight  Increase infants born healthy and continue to thrive  Reduce sleep related infant deaths and disparities  Expand Home Visiting to promote healthy women and children  Promote behavioral health services

Michigan Infant Mortality Reduction Plan  Support better health status for women and girls  Reduce unintended pregnancies  Achieve health equity and eliminate racial and ethnic disparities by addressing social determinates of health

Aligning Goals

Michigan’s Family Planning Programs: Key Partners  Family Planning is a key contributor to Michigan’s Infant Mortality Reduction Plan:  Access to family planning helps couples have healthier pregnancies, time and space births, and to achieve desired family size  Positive impact on maternal health  Decrease risk of prematurity and low birth weight  Reduces pregnancy related mobility and mortality

Michigan’s Family Planning Programs: Key Partners  Positive impact on women’s social and economic advancement  Education and workforce participation  Higher incomes  Family stability  Mental health and happiness  Children’s well being  Provides gateway to primary care, behavioral health and other social and medical needs – you may be the only provider that client sees all year!

Michigan’s Family Planning Programs: Key Partners  Served 66,189 women and men  20% of clients were teens  9% were males – Represents an 80% increase from 2015 to 2016!  60% living at or below 100% of the federal poverty level  84% of women aged 15-44 years reported using a most effective or moderately effective method of contraception  12% of women reported using a long-acting reversible method of contraception – up from 9% in 2015!

Thank you!  Questions?  Comments!