Iowa The MCH Federal-State Partnership


 
The Iowa Title V Maternal and Child Health Services Block Grant Program- Administered by the Bureau of Family Helath; Division of Health Promotion and Chronic Disease Prevention, Iowa Department of Public Health. The bureau's responsibilities include: 1) conducting a statewide needs assessment; 2) developing policies, plans, and programs to improve the health of women, infants, children, adolescents, and families; and 3) administering family planing programs. The bureau is administratively responsible for coordinating Title V servcies for children and youth with special health care needs through a contract with the University of Iowa, Department of Pediatrics, Child Health Specialty Clinics (CHSC).
 
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) 64.7% 79.2%
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) 57.4% 73.3%
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) 68.6% 87.6%
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) 92.9% 97.6%
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. 47.3% 60.4%
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. 88.4% 96%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 15.6 14
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 44.5% 50%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 4.6 2
The percent of mothers who breastfeed their infants at 6 months of age. 44.9% 54%
Percentage of newborns who have been screened for hearing before hospital discharge. 98.2% 100%
Percent of children without health insurance. 2.8% 2.5%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 32.5% 20%
Percentage of women who smoke in the last three months of pregnancy. 14.9% 10%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 10.1 9.4
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 94.2% 97%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 77.7% 89%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 5.5 *
The ratio of the black infant mortality rate to the white infant mortality rate. 2.2 *
The neonatal mortality rate per 1,000 live births. 3.3 *
The postneonatal mortality rate per 1,000 live births. 2.2 *
The perinatal mortality rate per 1,000 live births plus fetal deaths. 8.6 *
The child death rate per 100,000 children aged 1 through 14. 18.8 *
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of children served by family support programs, whose primary delivery method is a home visit, that are served through evidence-based programs. 42.0% 70%
Percent of early care and education businesses who have received a training or service from a child care nurse consultant. 29.7% 50%
Percent of Medicaid enrolled children zero to five years who receive developmental evaluations. 8.0% 30%
Percent of children who needed care from a specialist who received the care without problem. 85.1% 93%
Percent of children 0-3 years served by Early ACCESS (IDEA, Part C). 2.7% 3.3%
Percent of Iowa counties that have at least one participating targeted community in the CDC nutrition and physical activity obesity prevention project. 12.1% 48%
Percent of Medicaid enrolled children ages 9-35 months receiving a blood lead test. 61.4% 70%
Percent of Medicaid enrolled children ages 1-5 years who receive dental services. 42.1% 47%
Rate (per 1,000 births) of infant deaths due to prematurity. 3.0 2.7
Number of professionals trained on the use of appropriate maternal depression screening tools and the available referral resources. * 1700
State Population: 2,988,046
Live Births: 40,610
 

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 10,810  $1,936,580 11.5%
Infants < 1 year old 38,552  $295,055 1.8%
Children 1 to 22 years old 122,351  $7,551,603 44.9%
Children with Special Healthcare Needs 6,598  $6,552,534 39%
Others 64  $0 0%
Administration   $473,706 2.8%
Totals 178,375 $16,809,478 100%
 
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.

2
 
 
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).

3
 
 
Family members of diverse cultures are involved in all of the above activities.

1
 
 
 
FY 2007 Total: 15

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:

16,809,478

Other MCHB Grant Programs:

2,321,581

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

19,131,059

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
M. Jane Borst
Title V Director
321 East 12th Street
Des Moines, IA 50319
5151-281-4911
515-242-6013
jborst@idph.state.ia.us
www.idph.state.ia.us
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Brian Wilkes
Co-Director & Chief Administrator
100 Hawkins Drive
Iowa City, IA 52242
319-384-7292
319-356-3715
brian-wilkes@uiowa.edu
http://www.uihealthcare.com/CHSC
 
 

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
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$115,000
(EMSC Partnership Grants)

Healthy Start
 
HEALTHY START COMMUNITIES
VISITING NURSE SERVICES
Des Moines, IA
$900,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
State Implementation Grants for Integrated Community Systems for CSHCN
UNIVERSITY OF IOWA
Iowa City, IA
$300,000
(State Implementation Grants for Integrated Community Systems for CSHCN)
 
MCH DATA ENHANCEMENT PROJECT
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$94,644
(State Systems Development Initiative)
 
Children's Oral Healthcare Access Program
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$160,000
(Childrens Oral Healthcare Access Program)
 
State Grants for Perinatal Depression
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$203,508
(State Grants for Perinatal Depression)
 
Consumer Initiatives for Genetic Resources and Services
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$100,000
(Consumer Initiatives for Genetic Resources and Services)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
IOWA DEPARTMENT OF PUBLIC HEALTH
Des Moines, IA
$118,600
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
IOWA PROTECTION & ADVOCACY SERVICES, INC.
West Des Moines, IA
$50,000
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
UNIVERSITY OF IOWA HOSPITALS & CLINICS
Iowa City, IA
$139,829
(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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