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Background Information
PROGRESS TO DATE• Meeting on July 17, 2009• Rosemary Fournier, Michigan• Gianfranco Pezzino, KHI
Healthy Kansans living in safe and sustainable environments
Background Information
PROGRESS TO DATE (cont.)• Meeting on Aug 27, 2009• Jamie Kim, GIS and trend data• Susan McLoughlin, MCH Coalition KC• Susan Wilson, Healthy Babies Wichita
Healthy Kansans living in safe and sustainable environments
Background Information
How many Kansas children ages birth to 18 die each year?
Healthy Kansans living in safe and sustainable environments
~500
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How many of those are infants?
Healthy Kansans living in safe and sustainable environments
~ 300 (2/3 of child deaths)
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How many infants die before one month of age (neonatal)?
Healthy Kansans living in safe and sustainable environments
~ 200 (2/3 of infant deaths)
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How does U.S. compare with other countries?
How does Kansas compare with U.S. and other States?
Healthy Kansans living in safe and sustainable environments
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Healthy Kansans living in safe and sustainable environments
Background Information
Healthy Kansans living in safe and sustainable environments
Year Count Births KS rateKS rate US rate2003 262 39353 6.666.66 6.852004 284 39553 7.187.18 6.792005 297 39701 7.487.48 6.872006 293 40896 7.167.16 6.692007 333 41951 7.947.94 6.77(p) 2008 303 41815 7.257.25 n/a
Background Information
• Recent Annie E. Casey report – Kansas ranked 29th among states – in IMR
• IA 5.1, NE 5.6, CO 5.7, KS 7.1, MO 7.4, OK 8.0 (2006)
Healthy Kansans living in safe and sustainable environments
Background Information
Neonatal Linked to conditions in • pregnancy • before pregnancy due to health . of
mother
Healthy Kansans living in safe and sustainable environments
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Postneonatal Linked to conditions/states of
• poverty• parenting adequacy• community supports• other
Healthy Kansans living in safe and sustainable environments
Background Information
Review Highlights/TrendsIMR 2004-2007 - KS > U.S.
KS BIMR 98-07 - Signif. ↑
Neonatal IMR - KS ↔ U.S. (2006)• Sedg WNMR - Signif. ↓ comparing 98-02 to
03-07
Healthy Kansans living in safe and sustainable environments
Background Information
Review Highlights/TrendsPostneonatal• KS > U.S. (2.9 vs. 2.2, 2006) • Signif. ↑ in PMR in past 10 yrs
56% of W and 86% of B infant deaths = SG, WY, SN, JO and GE
Healthy Kansans living in safe and sustainable environments
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Does infant mortality disproportionately impact certain populations in KS?
Healthy Kansans living in safe and sustainable environments
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BIMR 2.2-2.8x WIMR17.5 vs. 6.2 (2006)15.7 vs. 6.5 (2007)
13.3 vs. 6.16 (2008)Healthy Kansans living in safe and sustainable environments
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BIMR 2-2.5 x WIMR
Healthy Kansans living in safe and sustainable environments
Significant Increase
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Family Health = Infant HealthFamily Health = Infant Health
ECONOMIC DOWNTURNSLinked to
– decreases in family health– increases in infant deaths
(poor health/access, etc)Healthy Kansans living in safe and sustainable environments
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Communities making significant in-roads to reduce IMR/disparities?
–Dane Co, Wisconsin–San Diego, California–Sedgwick Co
Healthy Kansans living in safe and sustainable environments
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KS COMMUNITIES – Fed Projects • MCH Coalition of Greater KC• Healthy Babies – Sedgwick Co
Healthy Kansans living in safe and sustainable environments
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Fed Projects MODEL--Healthy Start• CRT (community research)• CAT (community action)• Policy, supports & systems issues
Healthy Kansans living in safe and sustainable environments
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OTHER – BEST PRACTICES• Fed Healthy Start Projects• Michigan• Kellogg Foundation
Healthy Kansans living in safe and sustainable environments
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OTHER – BEST PRACTICES• Southern States• Nebr IMR disparity workgroup• UIC researcher
Healthy Kansans living in safe and sustainable environments
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OTHER – BEST PRACTICES• Don’t sell yourself short• Within Our Reach
Healthy Kansans living in safe and sustainable environments
Background Information
Healthy Kansans living in safe and sustainable environments
• Strategies to prevent high risk pregnancies:– Preconceptional care/well-women care– Family Planning– Genetic Counseling– Prepregnancy nutrition– Reduce poverty
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Healthy Kansans living in safe and sustainable environments
• Strategies to prevent LBW and preterm birth: – Prenatal care/risk assessment– Psychosocial interventions/stress reduction– Health education and promotion– Preterm birth prevention programs– Prenatal home visiting– Outreach and case-management– Medical management of high-risk pregnancies– Reduce poverty
Background Information
Healthy Kansans living in safe and sustainable environments
• Strategies to improve birth weight-specific mortality: – Regionalization of perinatal care– Treatments for VLBW infants
(e.g., surfactant)– Reduce poverty
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Healthy Kansans living in safe and sustainable environments
• Strategies to reduce postneonatal mortality:- Back to sleep campaign- Access to well-child care and immunizations- Postnatal home visiting- Social support- Improved nutrition, housing- Reduce poverty
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PRELIMINARY REC’S DISCUSSION• Enhance public health surveillance• Partner w/ Child Death Review
Board• Partner w/ local communities
Healthy Kansans living in safe and sustainable environments
www.kdheks.gov
Healthy Kansans living in safe and sustainable environments
Linda Kenney, MPH
Director, Bureau of Family Health1000 SW Jackson St., Ste 220
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