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MCAH FIVE YEAR NEEDS ASSESSMENT

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

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  1. MCAH FIVE YEAR NEEDS ASSESSMENT Introduction and background Information…

  2. 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.

  3. 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

  4. 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

  5. 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

  6. 2004-2009 PRIORITIES • LOW BIRTH WEIGHT • BLACK INFANT MORTALITY • PRETERM BIRTHS • TEEN PREGNANCY • CHILDHOOD OBESITY • PERINATAL SUBSTANCE ABUSE

  7. 2004-2009 PRIORITIES • LOW BIRTH WEIGHT • TOTAL: 7% • HISPANIC/WHITES: 6-7% • AFRICAN AMERICAN: 11-12% • HEALTHY PEOPLE 2010 GOAL: 5%

  8. 2004-2009 PRIORITIES • BLACK INFANT DEATH RATE: • 2004: 7% • 2005: 14% • 2006: 6% • HEALTHY PEOPLE 2010 GOAL: 4%

  9. 2004-2009 PRIORITIES • PRETERM BIRTHS • TOTAL RATES: 11-12% • HISPANIC/WHITES: 11-12% • AFRICAN AMERICANS: 14-15% • HEALTHY PEOPLE 2010 GOAL: 7.6%

  10. 2004-2009 PRIORITIES • TEEN DELIVERIES • Rates per 1,000 • TOTAL: 41.4 • HISPANIC: 70 • AFRICAN AMERICAN: 38 • WHITE: 18 • H.P. 2010 GOAL: 43

  11. 2004-2009 PRIORITIES • PERINATAL SUBSTANCE ABUSE • 1992: 11.6% • 2005: 14% • 2007: 24%

  12. 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

  13. LOCAL MCAH INFRASTRUCTURE • CONSISTS OF: • PUBLIC HEALTH MCAH PROGRAM • ALL OTHER ORGANIZATIONS IN RIVERSIDE COUNTY THAT SERVE THE MATERNAL/CHILD POPULATION

  14. 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

  15. 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

  16. 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

  17. Capacity Needs Assessment Process • Questions?

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