1. DHMIC 8 th Annual Summit 4/17/13 David A. Paul, MD Chair, Delaware Healthy Mother and Infant Consortium Professor of Pediatrics, Thomas Jefferson University Attending Neonatologist Christiana Hospital, Kent General Hospital

2. Welcome www.healthywomende.com

3. Annual Review of Data and Progress

4. Delaware Infant Mortality Deaths/1000 live births 13.5% Reduction in Delaware Infant Mortality !

5. Delaware Infant Mortality by County 2005-2009 vs 2006-2010 Deaths/1000 live births

6. Delaware Infant Mortality 2006-2010 Deaths/1000 live births Disparity ratio 2.6

7. Delaware Infant Mortality Temporal Trends in Disparity uNew Castle -little change over time –2002-06: Black NH IMR 16 –2006-10: Black NH IMR 15.8 u Kent Count 40% reduction in Black IMR 2006-10 compared to 2001-05 u Sussex County 34% reduction in Black IMR compared to 2001-2005

8. Health Equity Awards 2013 uAnnounced at lunch session

9. Leading Causes of Infant Death Delaware 2006-2010 uDelaware 1.Prematurity 2.Birth Defects 3.SIDS

10. Distribution of Deaths/Births by BW Delaware 2006-2010 DeathsBirths

11. Leading Causes of Infant Death By Race Delaware 2006-2010  White 1.Birth Defects 2.Prematurity 3.SIDS  Black 1.Prematurity 2.SIDS 3.Maternal Complications  Hispanic 1.Birth Defects 2.Prematurity 3.Cord Complications

12. Source: CDC CPONDER, PONDER systems

14. Delaware Safe Sleep Campaign

15. Safe Sleep Initiative Christiana NICU 2012 1= February, 2012 59= August, 2012

16. Safe Sleep Initiative Christiana NICU 2012 1= February, 2012 59= August, 2012

17. Premature Births in Delaware

18. Other Fun Facts u Most popular names 2010 –Michael, William, Anthony –Isabella, Sophia, Ava u 19.4% births Tuesday, 8.9% September u Declining fertility rate DE and US u 2006-2010 DE Teen birth rate below US average: All Races, Black, White u Birth to single mothers –47% (7 th highest, US mean 40.8%) u Cesarean Births –33.9% (19 th highest, US mean 32.8%)

19. DHMIC Next 5 Years uReduce Disparities uSafe sleeping campaign uBreast feeding u Mental health u Life course approach u Community health workers