Judith Thierry, D.O., FACOP, FAAP

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MCH short tour IHSProgramsDataNatalityepi
Judith Thierry, D.O., FACOP, FAAP Maternal and
Child Health Coordinator Indian Health
Service 301-443-5070 jthierry_at_hqe.ihs.gov
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http//www.ihs.gov/MedicalPrograms/MCH/MC.asp
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IHS and Tribal Infrastructure http//www.ihs.gov
/FacilitiesServices/AreaOffices/AreaOffices_index.
asp Aberdeen Area http//www.ihs.gov/FacilitiesS
ervices/AreaOffices/Aberdeen/ PIMR perinatal
infant mortality review - quarterly review Each
area or federal administrative region has a
counterpart Aberdeen Tribal Chairmans Health
Board http//www.aatchb.org/ - Tribal Epi
Center, Tobacco, Healthy Start, Head Start
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Births at IHS Tribal Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Alaska Area Native Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Aberdeen Area IHS Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Albuquerque Area IHS Hospitals
FY1992 FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Billings Area IHS Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Navajo Area IHS Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Oklahoma Area IHS Tribal Hospitals
FY1992 FY2003
Tribal
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at Phoenix Area IHS Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Births at IHS Tribal Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Table A. Infant, neonatal, and postneonatal
deaths and mortality rates by specified race or
national origin of mother United States, 2002
linked file
Live Number of deaths Mortality rate per
1,000 live births Race of mother births
Infant Neonatal Postneonatal Infant Neonatal
Postneonatal All races ...................
4,021,825 27,970 18,791 9,179 7.0 4.7 2.3
White ..................... 3,174,807 18,395
12,352 6,044 5.8 3.9 1.9 Black
..................... 593,743 8,201 5,533
2,668 13.8 9.3 4.5 American Indian1
.............. 42,367 366 195 171 8.6 4.6
4.0 Asian or Pacific Islander ..........
210,908 1,006 710 296 4.8 3.4 1.4
Chinese .................. 33,673 101 79 22
3.0 2.4 0.7 Japanese .................
9,264 45 34 11 4.9 3.7 Hawaiian
................. 6,772 65 38 27 9.6 5.6
4.0 Filipino ................... 33,016 190
134 55 5.7 4.1 1.7 Other Asian or Pacific
Islander .... 128,183 605 424 181 4.7 3.3
1.4
Figure does not meet standard of reliability or
precision based on fewer than 20 deaths in the
numerator. 1Includes Aleuts and Eskimos.NOTES
Infant deaths are weighted so numbers may not
exactly add to totals due to rounding. Neonatal
is less than 28 days, and postneonatal is 28 days
to under 1 year.
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42,000 366 52
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Cause of death 2002 Congenital anomalies . . . .
. . . 80 Sids . . . . . . . . . . . . . . . . . .
. . . 52 Short gestation and low birth weight
46 Maternal complications affected by pregnancy .
. . . . . . . . . . . . . . . 22 (9th)
Complications of placenta, cord and membranes . .
. . . . . . . . . . . . . . 7 Other (accidents,
infection) . . 159 366
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Maternal Death Rates
Per 100,000 Live Births
1973 75 80
85 90 95
97
Calendar Year
NOTE AI/AN unadjusted and adjusted rates for
race misreporting are the same.
Trends in Indian Health 2000-2001 Chart 3.22
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2000 Decennial Census Data

• 2000 Census Population for All U.S.
• AI/AN Alone 2,476,956
• Multiple-Race 1,643,345
• AI/AN Alone/Combination 4,199,301
• 2000 Census Bridged Population
• AI/AN Alone 2,984,150
• IHS Projections for 2000
• AI/AN 2,484,773

Jo Ann Pappalardo Lead Statistician and Team
Leader Demographic Statistics Team April
9, 2004
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Data Sources Used by IHS

• 1990/2000 Decennial Census Data
• National Center for Health Statistics Vital Event
  Files
• IHS Patient Care Database

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Indian Health Service
Aberdeen
Bemidji
Service Population 1.6 Million
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IHS Medical Programs supporting Comprehensive
Services MCH http//www.ihs.gov/MedicalPrograms/MC
H/MC.asp WH http//www.ihs.gov/MedicalPrograms/MCH
/Wh.asp DAV http//www.ihs.gov/MedicalPrograms/MCH
/W/DV00.cfm Child Health http//www.ihs.gov/Medica
lPrograms/MCH/CH.asp National Child Abuse Project
http//www.ovccap.ihs.gov/ Patient Education
Protocol (SIDS) http//www.ihs.gov/NonMedicalProgr
ams/HealthEd/index.cfm?moduleinitiativeoptionpr
otocolsnewquerydsp_NatlPatientEd_Protocols.cfm
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Northern Plains Tribal Epi Center
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Urban Indian Health Institute http//www.uihi.org/
note the march 2004 publication 60-70
natives in urban areas and 40 or 30 on
reservation. Urban Programs are funded at 1-2
of all IHS budget.
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IHS Urban ProgramAmerican Indians and Alaska
NativePopulation by Year

• Total Urban AI/AN Population
• (all counties)
• Year 2000 628,158
• Year 2001 638,186
• Year 2002 648,184
• Represents all counties including those counties
  located in the IHS Service Areas

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• Tribal Epidemiology Centers
• http//www.ihs.gov/medicalprograms/epi/tec.asp
  Charged with collecting data relating to and
  monitoring progress towards meeting the health
  status objectives evaluating delivery systems
  and data systems and assisting tribes to
  identify high priority needs for health care
  delivery and health education.
• Northern Plains or Aberdeen http//www.aatchb.org/
  epi/pr.htm Iowa, Nebraska, North and South
  Dakota 18 tribes
• Portland http//www.npaihb.org/epi/Epihome.html
  43 federally recognized tribes of Washington,
  Oregon and Idaho. Infant mortality project
  http//www.npaihb.org/epi/NWTIMP/NWTIMP20-20Arti
  cle.pdf
• Alaska http//www.anhb.org/epicenter/index.html
• Arizona http//www.itcaonline.com/program_epidem.
  html Utah,
• Arizona and Nevada
• Nashville 13 tribes http//www.usetinc.org/defaul
  tpage.cfm?ID31
• Bemidji http//www.glitc.org/epicenter/index.html
  
• Michigan, Wisconsin and Minnesota
• Urban Indian Program http//www.uihi.org/ 34
  cities

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Closing the Health Gap HHS Initiative IHS
SIDS/ IMR Initiative (HRSA - LBW and SIDS
4 state African American pilot)
Tribal Epidemiology Centers
Billings Area MIAMI sites.- FASD and Infant
Mortality
Aberdeen Area Northern plains healthy start sites
extending and enhancing Healthy Start
Activities and performance measures
Navajo Area injuries and birth defects
MCH coordinator IHS jthierry_at_hqe.ihs.gov
301-443-5070
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Births at Aberdeen Area IHS Hospitals FY1992
FY2003
Data from IHS Division of Program Statistics, 202
Reports (1992-2003)
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Judith Thierry, D.O., MPH, FACOP, FAAP Maternal
and Child Health Coordinator Indian Health
Service 301-443-5070 jthierry_at_hqe.ihs.gov