Whats Going On

1
Whats Going On?

• Trends in Maternal and Child Health in Colorado

2
Colorado MCH Conference 2009

• Sue Ricketts, M.A., Ph.D.
• Epidemiology, Planning and Evaluation Branch
• Prevention Services Division
• Colorado Department of Public Health and
  Environment

3
A Look at 26 Indicators

• Comparisons to Healthy People or Colorado 2010
  goals
• Good news We are close to or meeting almost
  half the goals
• Bad news We are at some distance or far from
  more than half the goals

n 26 indicators
4
What Direction are We Going In?

• Progress, standing still, or losing ground?

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26 Indicators with Recent Data

• Maternal and Infant Indicators
• Smoking before conception
• Unintended births
• Inadequate maternal weight gain during pregnancy
• First trimester prenatal care
• Low birth weight LBW, VLBWs in Level III
  hospitals
• Breastfeeding initiation
• Newborn hearing screening
• Mortality rates perinatal, neonatal,
  postneonatal, infant
• Black/White infant mortality ratio

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26 Indicators with Recent Data (contd.)

• Child and Teen Indicators
• Motor vehicle death rates child, teen
• Injury hospitalization child, teen, overall
• Child care center child health consultants
• Children with special health care needs family
  participation rate
• Immunization providers in registry
• Child mortality rate
• Teen fertility rate
• Teen homicide rate
• Teen suicide rate

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How are we doing?
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Meeting the Goals
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Close to the Goals
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At Some Distance from the Goals
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Far from the Goals
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Two Improving Indicators

• Look more closely at
• Teen fertility
• Motor Vehicle death (child and teen)

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Teen Fertility Age 15-17
Close to the goal and improving
Births per 1,000 Females
Colorado 2010 goal 21.0
Data Set Release Year
14
Child and Teen Motor Vehicle Death
Teen Age 15-19
Deaths per 100,000 in Age Group
Healthy People 2010 goal 9.2
Child Age 0-14
Data Set Release Year
15
Two Worsening Indicators

• Look more closely at
• First trimester prenatal care
• Low birth weight

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First Trimester Prenatal Care
Close to the goal but worsening
Healthy People 2010 goal 90.0
Percent
Data Set Release Year
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Low Birth Weight
At some distance from the goal
Percent
Healthy People 2010 goal 5.0
Data Set Release Year
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What do most poorly performing indicators have
in common?
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Conclusions

• Most progress is being made with
• Child indicators
• Teen indicators
• Little change is taking place with
• Maternal/pregnancy indicators
• Perinatal indicators
• Infant indicators

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Trying Something New
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What will the next 10 years look like?

• Healthy People 2020 goals will be released next
  year
• Will indicators that are improving continue to
  move toward the new targets?
• Will indicators that have not moved in recent
  years stay the same or improve?
• We can have an impact on what happens in the
  future

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Statistics

• Thats the gist of what I want to say. Now get
  me some statistics to base it on.

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Contact Information

• Call or email me with your questions
• Sue Ricketts
• sue.ricketts_at_state.co.us
• 303-692-2316