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The administration of the MCH Block Grant is under the direction of the Administrator of the Section for Healthy Families and Youth (HFY), with oversight from the Director of the Division of Community and Public Health within the Missouri Department of Health and Senior Services. The Title V program supports needs assessment and activities designed to improve the health status of women, particularly mothers and women of reproductive age, and infants and children, including children with special health care needs. Funds are directed to supporting essential Maternal and Child Health services and prevention programs. Services under Title V administrative control include Missouri School Health Services Program, injury prevention activities, and the Adult Head Injury Services program. Numerous other programs and services funded through the MCH Block Grant, general revenue, and other funds are under the Title V Director's control and include Medicaid case management services, Elks Mobile Dental Unit, Chronic Disease Prevention, Environmental and Communicable Disease Control and others. |
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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. |
96.2% |
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) |
64.1% |
65.3% |
| 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) |
51.8% |
53% |
| 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) |
64.8% |
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) |
90.1% |
91.3% |
| 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. |
54.4% |
54.6% |
| 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. |
82.1% |
87.2% |
| The rate of birth (per 1,000) for teenagers aged 15 through 17 years. |
21.6 |
20.6 |
| Percent of third grade children who have received protective sealants on at least one permanent molar tooth. |
28.6% |
35.6% |
| The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. |
3.6 |
2.8 |
| The percent of mothers who breastfeed their infants at 6 months of age. |
34.7% |
35.7% |
| Percentage of newborns who have been screened for hearing before hospital discharge. |
97.1% |
99% |
| Percent of children without health insurance. |
10.5% |
10.3% |
| Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. |
30.3% |
28% |
| Percentage of women who smoke in the last three months of pregnancy. |
20.4% |
18% |
| The rate (per 100,000) of suicide deaths among youths aged 15 through 19. |
8.5 |
6 |
| Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. |
76.2% |
81% |
| Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. |
84.1% |
86.6% |
| Title V - MCH National Outcome Measures |
State 2007 Results |
State 2012 Goal |
| The infant mortality rate per 1,000 live births. |
7.5 |
7.1 |
| The ratio of the black infant mortality rate to the white infant mortality rate. |
2.8 |
2.3 |
| The neonatal mortality rate per 1,000 live births. |
5.0 |
4.8 |
| The postneonatal mortality rate per 1,000 live births. |
2.5 |
2.3 |
| The perinatal mortality rate per 1,000 live births plus fetal deaths. |
9.9 |
9.7 |
| The child death rate per 100,000 children aged 1 through 14. |
22.6 |
20.4 |
| Title V - MCH State Performance Measures |
State 2007 Results |
State 2012 Goal |
| Percent of women who have reported smoking during pregnancy. |
17.7% |
15.3% |
| Percent of tobacco use among children 14-18 years of age. |
23.8% |
21.3% |
| Percent of mothers who are prepregnancy overweight by 20% or more. |
36.9% |
36.4% |
| Percent of high school students who met currently recommended levels of physical activity. |
43.5% |
48.5% |
| Percent of women who enrolled in WIC during first trimester of pregnancy. |
41.6% |
43.3% |
| The incidence of emergency room visits for diseases of teeth and jaw for children ages 15 and under per 1,000 population. |
0.9 |
0.8 |
| The incidence of domestic violence per 100,000 population. |
633.5 |
656.8 |
| Percent of women 18-44 years of age who reported frequent mental distress (FDM) for fourteen or more days during the past thirty days their mental health was not good. |
12.5% |
12.3% |
| Percent of special needs children ages 3-5 enrolled in public preschool programs. |
5.0% |
5.2% |
| Percent of children ages 0-19 years old who received health care at a FQHC. |
7.8% |
10% |
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State Population: 5,878,415
Live Births: 81,388 |
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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 |
43,136 |
$1,328,130 |
5.7% |
| Infants < 1 year old |
81,100 |
$1,743,700 |
7.4% |
| Children 1 to 22 years old |
184,331 |
$8,653,658 |
36.9% |
| Children with Special Healthcare Needs |
4,568 |
$7,591,866 |
32.4% |
| Others |
20,164 |
$2,941,804 |
12.5% |
| Administration |
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$1,188,154 |
5.1% |
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Totals
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333,299
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$23,447,312
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100%
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| 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 |
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Family members participate on advisory committee or task forces and are offering training, mentoring, and reimbursement, when appropriate. |
3 |
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Financial support (financial grants, technical assistance, travel, and child care) is offered for parent activities or parent groups. |
3 |
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Family members are involved in the Children with Special Health Care Needs elements of the MCH Block Grant Application process. |
3 |
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Family members are involved in service training of CSHCN staff and providers. |
1 |
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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 |
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Family members of diverse cultures are involved in all of the above activities. |
1 |
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FY 2007 Total:
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14 |
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Total Possible:
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18 |
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Scale: |
0 = Not Met |
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1 = Partially Met |
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2 = Mostly Met |
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3 = Completely Met |
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MCH PARTNERSHIP FUNDS
FY 2007 |
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Title V Federal-State Block Grant:
23,447,312 |
Other MCHB Grant Programs:
4,273,676 |
Bioterrorism Grant Program:
0 |
Total MCH Partnership Funds:
27,720,988 |
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CONTACT INFORMATION
For More Information on Title V: |
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| Title V Program, contact: | | Melinda Sanders, MSN, RN | | Title V Director | | DCPH, MO Dept of Health & Senior Services
| | Jefferson City, MO 65102 | | 573-751-6253 | | 573-751-6185 | | Melinda.Sanders@dhss.mo.gov | | | | | | Title V Program's Services for Children with Special Health Care Needs, contact: | | Gary Harbison | | CSHCN Director | | SHCN, DCPH, Mo Dept of Health & Snr Services
| | Jefferson City, MO 65102 | | 573-751-6241 | | 573-751-6237 | | Gary.Harbison@dhss.mo.gov | | | | |
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FY 2007 TITLE V AND MCHB DISCRETIONARY GRANTS
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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.
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Emergency Medical Services for Children (EMSC)
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EMSC Partnership Grants
MISSOURI DEPARTMENT OF HEALTH
Jefferson City, MO
$115,000
(EMSC Partnership Grants)
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EMSC Targeted Issue Grants
WASHINGTON UNIVERSITY, SCHOOL OF MEDICINE
Saint Louis, MO
$198,623
(EMSC Targeted Issue Grants)
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Healthy Start
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HEALTHY START INITIATIVE
Maternal & Child Health Coalition
Kansas City, MO
$1,500,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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Healthy Start Initiative-Eliminating Racial/Ethnic Disparities
Maternal, Child and Family Health Coalition of Metropolitan St. Louis
St. Louis, MO
$550,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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Healthy Start Initiative-Eliminating Racial/Ethnic Disparities
Missouri Bootheel Regional Consortium, Inc.
Portageville, MO
$900,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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Title V - Community Integrated Service Systems (CISS)
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Community-Based Integrated Service Systems (Local/State)
MISSOURI DEPARTMENT OF HEALTH
Jefferson City, MO
$140,000
(Community-Based Integrated Service Systems (Local/State))
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Title V - Special Projects of Regional and National Significance (SPRANS)
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Health Families Expansion Program
SOUTH SIDE DAY NURSERY
Saint Louis, MO
$50,000
(Healthy Tomorrows Partnership for Children Program)
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STATE SYSTEMS DEVELOPMENT INITIATIVE
MISSOURI DEPARTMENT OF HEALTH
Jefferson City, MO
$94,644
(State Systems Development Initiative)
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GREAT PLAINS REGIONAL HEMOPHILIA DIAGNOSTIC TREATMENT CENTERS PROGRAM
CHILDREN'S MERCY HOSP (KANSAS CITY, MO)
Kansas City, MO
$405,000
(Hemophilia Treatment Centers (SPRANS))
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Traumatic Brain Injury
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Traumatic Brain Injury Implementation
MISSOURI DEPARTMENT OF HEALTH
Jefferson City, MO
$118,600
(Traumatic Brain Injury Implementation)
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Traumatic Brain Injury Protection and Advocacy
MISSOURI PROTECTION & ADVOCACY SERVICES
Jefferson City, MO
$51,809
(Traumatic Brain Injury Protection and Advocacy)
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Universal Newborn Hearing Screening
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UNIVERSAL NEWBORN HEARING SCREENING
MISSOURI DEPARTMENT OF HEALTH
Jefferson City, MO
$150,000
(Universal Newborn Hearing Screening and Intervention)
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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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