Delaware The MCH Federal-State Partnership


 
The Delaware Department of Health and Human Services, Division of Public Health is the state agency responsible for administration of the Title V Maternal and Child Health program. Included under the Title V are public health clinic based programs - Smart Start, Kids Kare, Child Development Watch, and Oral Health - and initiatives under the Infant Mortality Elimination Program - Family Practice Team Model, Preconception Health Care, Fetal Infant Morality Review, and the Pregnancy Risk Assessment and Monitoring Surveillance (PRAMS) survey. Other associated programs include Newborn Metabolic Screening, Universal Newborn Hearing, the Early Comprehensive Childhood Systems Initiative, and the State Systems Development Initiative.
 
MATERNAL & CHILD HEALTH (MCH) MEASURES
Title V - MCH National Performance Measures State 2007 Results State 2012 Goal
The percent of screen positive newborns who received timely follow up to definitive diagnosis and clinical management for condition(s) mandated by their State-sponsored newborn screening programs. 100.0% 100%
The percent of children with special health care needs age 0 to 18 years whose families partner in decision making at all levels and are satisfied with the services they receive. (CSHCN survey) 61.1% 65%
The percent of children with special health care needs age 0 to 18 who receive coordinated, ongoing, comprehensive care within a medical home. (CSHCN Survey) 48.1% 50%
The percent of children with special health care needs age 0 to 18 whose families have adequate private and/or public insurance to pay for the services they need. (CSHCN Survey) 63.2% 65%
Percent of children with special health care needs age 0 to 18 whose families report the community-based service systems are organized so they can use them easily. (CSHCN Survey) 88.1% 90%
The percentage of youth with special health care needs who received the services necessary to make transitions to all aspects of adult life, including adult health care, work, and independence. 42.4% 50%
Percent of 19 to 35 month olds who have received full schedule of age appropriate immunizations against Measles, Mumps, Rubella, Polio, Diphtheria, Tetanus, Pertussis, Haemophilus Influenza, and Hepatitis B. 76% 80%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 22.0 20
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 34% 40%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 1.8 1.7
The percent of mothers who breastfeed their infants at 6 months of age. 35.7% 36%
Percentage of newborns who have been screened for hearing before hospital discharge. 93.7% 100%
Percent of children without health insurance. 12.3% 10%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 20.2% 17%
Percentage of women who smoke in the last three months of pregnancy. 6.8% 5.5%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 5.8 5.4
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 79.3% 82%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 73.9% 80%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 8.3 6.9
The ratio of the black infant mortality rate to the white infant mortality rate. 2.5 2.1
The neonatal mortality rate per 1,000 live births. 6.1 5
The postneonatal mortality rate per 1,000 live births. 2.3 2.2
The perinatal mortality rate per 1,000 live births plus fetal deaths. 8.0 7.8
The child death rate per 100,000 children aged 1 through 14. 12.8 12
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of women delivering live-born infants reporting any cigarette smoking during pregnancy 6.8 10
Percent of live births to women who have another birth in less than 18 months 11.0 9
The percent of extremely low birth weight black infants among all live births to black women 3.1 1.4
The rate of children under age 1 who die as a result of Sudden Infant Death Syndrome 72.0 65
The percent of youth reporting any use of alcohol in the last 30 days. 45.6 43
Percent of youth during the last 12 months who feel so sad or hopeless almost every day for two weeks or more in a row that they stopped doing usual activities 26.6 23
The percent of Medicaid children, including children with special health care needs, under age 21 who receive coordinated, ongoing, comprehensive care within a medical home. 94.2 95
Hospital discharge rate for children from five through 17 years with asthma 18.5 17
The percent of young adults with special health care needs cared for in Delaware who transition appropriately to adult health and social services when they reach their 18th bi 42 0
Decrease the rate of deaths from 33 to 30 to children ages 14 years through age 21 caused by motor vehicle crashes. * 0
State Population: 864,764
Live Births: 11,988
 

TITLE V FEDERAL - STATE BLOCK GRANT EXPENDITURES

By Number of Individuals Served and Population Group
Populations Served Number of Individuals Served Expenditures FY 2007
Pregnant Women 2,460  $3,072,573 24.7%
Infants < 1 year old 12,666  $810,152 6.5%
Children 1 to 22 years old 2,533  $4,405,349 35.4%
Children with Special Healthcare Needs 908  $2,346,380 18.8%
Others 4,768  $1,784,523 14.3%
Administration   $39,159 .3%
Totals 23,335 $12,458,136 100%
 
By Source of Funds
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By Category of Services
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HOTLINE CALLS
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FAMILY PARTICIPATION IN CSHCN PROGRAM
 
Family members participate on advisory committee or task forces and are offering training, mentoring, and reimbursement, when appropriate.

3
 
 
Financial support (financial grants, technical assistance, travel, and child care) is offered for parent activities or parent groups.

3
 
 
Family members are involved in the Children with Special Health Care Needs elements of the MCH Block Grant Application process.

3
 
 
Family members are involved in service training of CSHCN staff and providers.

3
 
 
Family members hired as paid staff or consultants to the State CSHCN program (a family member is hired for his or her expertise as a family member).

2
 
 
Family members of diverse cultures are involved in all of the above activities.

2
 
 
 
FY 2007 Total: 16

Total Possible:

18
Scale:  0 = Not Met
1 = Partially Met
2 = Mostly Met
3 = Completely Met

 


MCH PARTNERSHIP FUNDS
FY 2007

Title V Federal-State Block Grant:

12,458,136

Other MCHB Grant Programs:

799,077

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

13,257,213

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Alisa Olshefsky, MPH
Director, Maternal and Child Health
417 Federal Street
Dover, DE 19901
302-744-4901
302-739-3313
alisa.olshefsky@state.de.us
http://www.dhss.delaware.gov/dhss/dph/chca/dphmchhome.html
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Alisa Olshefsky, MPH
Director, Maternal and Child Health
417 Federal Street
Dover, DE 19901
302-744-4901
302-739-3313
alisa.olshefsky@state.de.us
http://www.dhss.delaware.gov/dhss/dph/chca/dphmchhome.html
 
 

FY 2007 TITLE V AND MCHB DISCRETIONARY GRANTS

Note: If the title of the grant is underlined in the list below, you can view a copy of the abstract for that grant by clicking on the title (hyperlink). If the title of grant is not underlined, no abstract is currently available.

Emergency Medical Services for Children (EMSC)
 
EMSC Partnership Grants
Delaware Department of Health & Social Services, Dover, DE
Dover, DE
$115,000
(EMSC Partnership Grants)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
Delaware Department of Health & Social Services, Dover, DE
Dover, DE
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
DELAWARE STATE SYSTEMS DEVELOPMENT INITIATIVE
Delaware Department of Health & Social Services, Dover, DE
Dover, DE
$94,644
(State Systems Development Initiative)
 
Children's Oral Healthcare Access Program
DE ST DEPARTMENT OF HEALTH & SOCIAL SERVICES
DOVER, DE
$160,000
(Childrens Oral Healthcare Access Program)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
Delaware Department of Health & Social Services, Dover, DE
Dover, DE
$118,600
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
COMMUNITY LEGAL AID SOCIETY, INC
Wilmington, DE
$50,000
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
Delaware Department of Health & Social Services, Dover, DE
Dover, DE
$120,833
(Universal Newborn Hearing Screening and Intervention)
 


* Data not available



Population Data: For the 50 states, the District of Columbia, and Puerto Rico: Population estimates (July 1, 2007), U.S. Bureau of the Census, for the remaining seven jurisdictions: 2007 CIA World Factbook; Washington, DC. Live Births: National Vital Statistics Reports, Vol. 56, No. 7 (December 5, 2007), Centers for Disease Control. 2006 Live Birth data for Guam was not available, therefore 2005 data was used from National Vital Statistics Reports, Vol. 55, No.11 (December 28, 2006), Centers for Disease Control. 2005 data for the Pacific Islands was retrieved from Pacific Regional Information System (PRISM). 2005 Live Birth data was obtained directly from FM.

MCH Partnership Funds – FY 07: This MCH Partnership total includes other MCHB grant programs, which was collected from HRSA’s Electronic Handbook (EHB) System for Fiscal Year 2007.
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