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CATE CAMPBELL, MPHWHITNEY MICHAEL, MPH
MATTHEW P. TURNER, PHD, MPH
Growing Pains: Delivering Women's Health
Services in Texas
Source: Texas Population Projections. Texas State Data Center, Austin, Texas. February 24, 2015.
2003
2005
2007
2009
2011
2013
2015
2017
2019
1
5,000,001
10,000,001
15,000,001
20,000,001
25,000,001
30,000,001
35,000,001
Projected Population Growth in Texas
Source: Texas Population Projections. Texas State Data Center, Austin, Texas. February 24, 2015.
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
0%
10%
20%
30%
40%
50%
60%
White Black Hispanic Other
Race/Ethnicity of Texas Population
Source: Texas Hospital Inpatient Discharge Public Use Data File, Q1-Q4, 2013. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
Admissionsper 100,000population8,203.9 - 19,998.02,244.0 - 8,203.81,013.2 - 2,243.98.4-1,013.1
Female Obstetric Unit Admissions per 100,000 Female Population, 2013
Source: 2012 Birth Certificate finalized data files. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
BirthRate19.2-21.517.5-19.110.5-17.45.6-10.4Less than20 births
Birth Rates per 1,000 Population, Texas Residents, 2012
Source: 2012 Birth Certificate finalized data files. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
FertilityRate86.6-108.170.1-86.563.1-70.042.4-63.0Less than20 births
Fertility Rates per 1,000 Female Population age 15-44, Texas Residents,
2012
Source: 2012 Birth Certificate finalized data files. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
Prenatal CareRate68.6-84.262.7-68.552.6-62.636.4-52.5Data suppressed
Percentage of Women Who Received Prenatal Care in the First Trimester of Pregnancy, Texas Residents, 2012
Source: 2014 Hospital survey file. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
Obstetrical Service Level321No obstetrical services
Highest Level Hospital Obstetrics Unit by County, 2014
Source: 2014 Physician licensure file. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
Population per provider4,539 - 10,800
10,801 - 27,31627,317 - 48,41648,417 - 84,511No providers
10,800StateRatio
Ratio of Population to Obstetrician/Gynecologist, 2014
Source: 2014 Nurse-midwife licensure file. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. February 24, 2015.
Population per provider204 - 4,521
4,522 - 16,90216,903 - 39,20439,205 - 81,491No providers
Population to CNMratio5739 - 8196481965 - 108107108108 - 202035202036 - 694429No CNMs
Ratio of Population to Certified Nurse-Midwives, 2014
Encouragement of earlier prenatal care for expectant mothers
Better access to higher level facilities at which to provide prenatal care, women’s health and labor and delivery services
More providers across state Programs to attract doctors to HPSAs Increased presence of medical/nursing schools
in areas with high birth and fertility rates
Conclusions
Questions?