Healthy Kansans living in safe and sustainable environments

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

Background Information How many of those are infants? Healthy Kansans living in safe and sustainable environments ~ 300 (2/3 of child deaths)

Background Information How many infants die before one month of age (neonatal)? Healthy Kansans living in safe and sustainable environments ~ 200 (2/3 of infant deaths)

Background Information 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

Background Information Healthy Kansans living in safe and sustainable environments

Background Information Healthy Kansans living in safe and sustainable environments YearCountBirthsKS rateKS rateUS rate (p) n/a

Background Information Recent Annie E. Casey report – Kansas ranked 29 th 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

Background Information Postneonatal Linked to conditions/states of poverty parenting adequacy community supports other Healthy Kansans living in safe and sustainable environments

Background Information Review Highlights/Trends IMR KS > U.S. KS BIMR Signif. ↑ Neonatal IMR - KS ↔ U.S. (2006) Sedg WNMR - Signif. ↓ comparing to Healthy Kansans living in safe and sustainable environments

Background Information Review Highlights/Trends Postneonatal 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

Background Information Does infant mortality disproportionately impact certain populations in KS? Healthy Kansans living in safe and sustainable environments

Background Information BIMR x WIMR 17.5 vs. 6.2 (2006) 15.7 vs. 6.5 (2007) 13.3 vs (2008) Healthy Kansans living in safe and sustainable environments

Background Information BIMR x WIMR Healthy Kansans living in safe and sustainable environments Significant Increase

Background Information Family Health = Infant Health ECONOMIC DOWNTURNS Linked to – decreases in family health – increases in infant deaths (poor health/access, etc) Healthy Kansans living in safe and sustainable environments

Background Information 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

Background Information KS COMMUNITIES – Fed Projects MCH Coalition of Greater KC Healthy Babies – Sedgwick Co Healthy Kansans living in safe and sustainable environments

Background Information Fed Projects MODEL--Healthy Start CRT (community research) CAT (community action) Policy, supports & systems issues Healthy Kansans living in safe and sustainable environments

Background Information OTHER – BEST PRACTICES Fed Healthy Start Projects Michigan Kellogg Foundation Healthy Kansans living in safe and sustainable environments

Background Information OTHER – BEST PRACTICES Southern States Nebr IMR disparity workgroup UIC researcher Healthy Kansans living in safe and sustainable environments

Background Information 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

Background Information 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

Background Information 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

Background Information 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

Healthy Kansans living in safe and sustainable environments Linda Kenney, MPH Director, Bureau of Family Health 1000 SW Jackson St., Ste 220

Healthy Kansans living in safe and sustainable environments