Infant Mortality

1
Infant Mortality

• Presentation to Quality/Transparency/Prevention
  Workgroup
• Governors Health Reform Commission

Joseph Hilbert, Virginia Department of
Health November 14, 2006
2
National and Virginia Infant Mortality Rates by
Race and Ethnicity1982-2004
3
Populations at Highest Risk of Infant Mortality

• African American
• Unmarried
• Low income
• Less than a high school education
• Enter prenatal care late or not at all
• Many smoke and have poor nutrition

4
Prevention Efforts

• Regional Perinatal Councils
• Abstinence Education
• Teen Pregnancy Prevention
• Girls Empowered to Make Success
• Partners in Prevention
• Family Planning Clinics
• Resource Mothers Program
• Healthy Start Program
• Newborn Screening

5
Prevention Efforts

• Safety Net
• Prenatal care in local health departments
• WIC in local health departments
• Community Health Centers
• Setting Standards/Quality of Care
• Neonatal Regulations
• Screening for domestic violence, perinatal
  substance use, and perinatal depression
• Web-based training on Bright Futures and
  Perinatal Depression

6
Obesity

• Presentation to Quality/Transparency/Prevention
  Workgroup
• Governors Health Reform Commission

Joseph Hilbert, Virginia Department of
Health November 14, 2006
7
Virginia Adult Obesity Rates
8
Overweight and At Risk for Overweight WIC
Children
9
Recommendations Centers for Disease Control

• Coordinate and integrate efforts across state
  agencies, schools, local governments, and with
  non-governmental organizations to promote
  physical activity and nutrition
• Establish strong wellness policies and the state
  and local levels
• Utilize state and local level data for
  decision-making and policy development
• Help schools assess their own health policies and
  programs
• Promote the use of evidence based interventions
• Promote assessment of student achievement in
  physical education and nutrition education

10
VDH CHAMPION Initiative

• Development of an aggressive coordinated
  strategic plan that addresses obesity in Virginia
  
• Compilation and provision of a state wide
  electronic resource guide including a directory
  on community and state prevention programs
• VDH identifying already developed and evaluated
  programs
• Advisory committee will advise on which programs
  to adopt and include in final plan
• VDH will provide training, technical support and
  seed money to community groups implementing one
  of the programs in the plan
• Data will be collected from all programs and made
  available to public
• VDH will apply for appropriate state level grants
  and support communities in their applications