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MCAH FIVE YEAR NEEDS ASSESSMENT. Introduction and background Information…. Federal MCH Bureau…. Provides states w/ Title V funds Funds support systems of care for local MCAH population Requires all states to submit a statewide needs assessment every 5 years. The State of California:.

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Mcah five year needs assessment

MCAH FIVE YEAR NEEDS ASSESSMENT

Introduction and background

Information…


Federal mch bureau
Federal MCH Bureau….

  • Provides states w/ Title V funds

  • Funds support systems of care for local MCAH population

  • Requires all states to submit a statewide needs assessment every 5 years.


The state of california
The State of California:

  • Is unique in terms of its size and diversity: population, geography, maternal/child health needs

  • Depends on receiving input from the 61 local MCAH jurisdictions

  • Produces a comprehensive analysis re: public health issues and unmet needs for MCH population


The primary goal of the local needs assessment
The Primary Goal of the Local Needs Assessment…..

  • To evaluate the needs and assets of the local MCAH systems

  • To make recommendations on strengthening the system

  • To enable the state to better tailor resources based on local needs


Primary focus
PRIMARY FOCUS

  • Capacity Assessment: 10 ESSENTIAL PUBLIC HEALTH SERVICES for MCAH population

  • Analysis of the 27 Health Status Indicators: Where do we stack up in comparison to HP 2010 goals and the state?

  • Manageable short list (5-7) major problems & unmet needs identified in the MCH population in local jurisdiction


2004 2009 priorities
2004-2009 PRIORITIES

  • LOW BIRTH WEIGHT

  • BLACK INFANT MORTALITY

  • PRETERM BIRTHS

  • TEEN PREGNANCY

  • CHILDHOOD OBESITY

  • PERINATAL SUBSTANCE ABUSE


2004 2009 priorities1
2004-2009 PRIORITIES

  • LOW BIRTH WEIGHT

  • TOTAL: 7%

  • HISPANIC/WHITES: 6-7%

  • AFRICAN AMERICAN: 11-12%

  • HEALTHY PEOPLE 2010 GOAL: 5%


2004 2009 priorities2
2004-2009 PRIORITIES

  • BLACK INFANT DEATH RATE:

  • 2004: 7%

  • 2005: 14%

  • 2006: 6%

  • HEALTHY PEOPLE 2010 GOAL: 4%


2004 2009 priorities3
2004-2009 PRIORITIES

  • PRETERM BIRTHS

  • TOTAL RATES: 11-12%

  • HISPANIC/WHITES: 11-12%

  • AFRICAN AMERICANS: 14-15%

  • HEALTHY PEOPLE 2010 GOAL: 7.6%


2004 2009 priorities4
2004-2009 PRIORITIES

  • TEEN DELIVERIES

  • Rates per 1,000

  • TOTAL: 41.4

  • HISPANIC: 70

  • AFRICAN AMERICAN: 38

  • WHITE: 18

  • H.P. 2010 GOAL: 43


2004 2009 priorities5
2004-2009 PRIORITIES

  • PERINATAL SUBSTANCE ABUSE

  • 1992: 11.6%

  • 2005: 14%

  • 2007: 24%


Capacity assessment
CAPACITY ASSESSMENT

  • PURPOSE:

  • To understand current organizations/systems comprising local MCAH infrastructure

  • To identify strengths/weaknesses in local MCAH system (10 Essential P.H. Services.)

  • To improve MCAH activities, evaluate strategies, strengthen capabilities of local MCAH program


Local mcah infrastructure
LOCAL MCAH INFRASTRUCTURE

  • CONSISTS OF:

  • PUBLIC HEALTH MCAH PROGRAM

  • ALL OTHER ORGANIZATIONS IN RIVERSIDE COUNTY THAT SERVE THE MATERNAL/CHILD POPULATION


Capacity assessment1
CAPACITY ASSESSMENT

  • REQUIRES COMMITMENT FROM STAKEHOLDERS TO PARTICIPATE THROUGH ENTIRE PROCESS (WE NEED YOUR INPUT!)

  • PROCESS WILL TAKE NO MORE THAN 5 MEETINGS

  • MCAH WILL PROVIDE FEED-BACK TO GROUP ONCE PROCESS COMPLETED


Mcast 5 tools
MCAST – 5 TOOLS

  • Total of 10: One for each of the Essential Public Health Services

  • Assess ability of local jurisdiction to provide/support necessary health care to Mat/Child population

  • Answers are not scored: No “right” or “wrong” or even “best” answers

  • Value of assessment: in discussion it stimulates


Mcast 5 tools1
MCAST – 5 TOOLS

  • Discuss Process Indicators

  • Rate on 4 point scale:

  • 1 = weak or minimal

  • 4 = strong or optimal

  • Complete SWOT Analysis: Strengths, Weaknesses, Opportunities, or Threats



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