Louisiana The MCH Federal-State Partnership


 
Louisiana's Title V program is administered by the State Sections of Maternal and Child Health and Children's Special Health Services. These programs are housed within the Office of Public Health's Center for Preventive Health. The Office of Public Health is one of the five major agencies within the Louisiana Department of Health and Hospitals. The MCH program serves a large portion of the State's large medically indigent MCH population, providing personal health services and local public health functions at parish health units distributed throughout the State. In addition to direct service provision, MCH is involved in enabling, population-based, and infrastructure building services.
 
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. 97.9% 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) 62.2% 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) 49.6% 55%
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) 65.5% 70%
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) 89.3% 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. 41% 44%
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. 73% 91%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 29.5 24
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 18.0% 25%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 4.2 4
The percent of mothers who breastfeed their infants at 6 months of age. 15.2% 16.2%
Percentage of newborns who have been screened for hearing before hospital discharge. 96.6% 99%
Percent of children without health insurance. 16.7% 8%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. * 10.5%
Percentage of women who smoke in the last three months of pregnancy. 17.7% 13.5%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 12.0 8.8
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 88.1% 90%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 87.1% 91%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. * *
The ratio of the black infant mortality rate to the white infant mortality rate. * *
The neonatal mortality rate per 1,000 live births. * *
The postneonatal mortality rate per 1,000 live births. * *
The perinatal mortality rate per 1,000 live births plus fetal deaths. * *
The child death rate per 100,000 children aged 1 through 14. * *
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of all children and adolescents enrolled in public schools in Louisiana that have access to school-based health center services. 7.3 8.3
Percent of women in need of family planning services who have received such services. 18.8% 26.5%
Rate of children (per 1,000) under 18 who have been abused or neglected. 9.0 8.7
Percent of CSHS patients with case management (follow-up visits) from a nurse, social worker, or nutritionist. 72.6% 85%
Percent of infants receiving WIC services through Public Health Units, aged 0-1, screened by the Louisiana Risk Assessment (LRA)-Infant version. 8.0% 20%
Percent of women who use alcohol during pregnancy. 6.8% 5%
Rate of infant deaths due to Sudden Infant Death Syndrome. 0.9 1
Percent of state fetal and infant deaths reviewed by a Feto-Infant Mortality Review (FIMR). * 50%
Percent of licensed day care centers with a health consultant contact. 85.4% 100%
State Population: 4,293,204
Live Births: 63,399
 

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 54,091  $7,249,303 18%
Infants < 1 year old 63,700  $6,934,901 17.2%
Children 1 to 22 years old 74,003  $13,364,150 33.2%
Children with Special Healthcare Needs 13,078  $8,450,373 21%
Others $890,522 2.2%
Administration   $3,314,687 8.2%
Totals 204,872 $40,203,936 100%
 
By Source of Funds
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By Category of Services
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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.

2
 
 
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).

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

3
 
 
 
FY 2007 Total: 17

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:

40,203,936

Other MCHB Grant Programs:

4,755,725

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

44,959,661

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Joan Wightkin, DrPH, MPH
MCH Administrator
Office of Public Health, 1450 L & A Rd
New Orleans, Louisiana 70001
504-219-4630
504-219-458
jwightki@dhh.la.gov
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Susan Berry, MD
CSHCN Director
P.O. 60630
New Orleans, Louisiana 70160
504-568-5055
504-568-7529
sberry1@dhh.la.gov
 
 

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
Louisiana DHH, OPH, Bureau of EMS
Baton Rouge, LA
$115,000
(EMSC Partnership Grants)

Healthy Start
 
NORTH LOUISIANA AREA HEALTH EDUCATION CENTER
NORTH LOUISIANA AREA HEALTH
BOSSIER CITY, LA
$500,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
HEALTHY START INTIATIVE
CITY OF NEW ORLEANS
New Orleans, LA
$2,125,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
FAMILY ROAD OF GREATER BATON ROUGE, INC.
Baton Rouge, LA
$700,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
Healthy Start Initiative-Eliminating Racial/Ethnic Disparities
The Family Tree Information, Education, Counseling Center, Inc
Lafayette, LA
$538,575
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
LOUISIANA STATE DOH & HOSPITALS
Metairie, LA
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
LOUISIANA STATE SYSTEMS DEVELOPMENT INITIATIVE
LOUISIANA OFFICE OF PUBLIC HEALTH
New Orleans, LA
$94,644
(State Systems Development Initiative)
 
Family Professional Partnership/CSHCN
Bayou Land Families Helping Families
Thibodaux, LA
$95,700
(Family Professional Partnership/CSHCN)
 
State Grants for Perinatal Depression
Louisiana Office of Public Health
Baton Rouge, LA
$205,806
(State Grants for Perinatal Depression)
 
Epidemiological MCH/SPH Institute
Administrators of the Tulane Educational Fund, DBA: Tulane University SPHTM
New Orleans, LA
$26,000
(Epidemiological MCH/SPH Institute)
 
Training CED/COR Pediatric and Child Psychiatry
LOUISIANA STATE UNIVERSITY HSC
SHREVEPORT, LA
$15,000
(Training CED/COR Pediatric and Child Psychiatry)

Traumatic Brain Injury
 
Traumatic Brain Injury Protection and Advocacy
ADVOCACY CENTER
NEW ORLEANS, LA
$50,000
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING12/23/02
LOUISIANA OFFICE OF PUBLIC HEALTH
Metairie, LA
$150,000
(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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