Palau The MCH Federal-State Partnership


 
MCH Administration: Title V Maternal and Child Health Program is administered and implemented by the Ministry of Health, Bureau of Public Health under Family Health Unit of the Division of Primary and Preventive Services. The Family Health Unit is managed by the FHU Administrator. FHU is tasked with the implementation of this grant. It works in collaboration with different departments within the Ministry of Health (e.g., Bureau of Hospital and Clinical Services, Behavioral Health, Primary and Preventive Services, STI/HIV/AIDS Program) and with the communities (e.g., schools and parents of children with special health care needs)
 
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. 0.0% 99%
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) 90.3% 92%
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) 57.7% 60%
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) 10.6% 15%
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) 57.7% 69%
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. 76.7% 85%
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. 95% 100%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 6.5 5.6
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 87.1% 94%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 0.0 0
The percent of mothers who breastfeed their infants at 6 months of age. 52.4% 72%
Percentage of newborns who have been screened for hearing before hospital discharge. 81.4% 95%
Percent of children without health insurance. 0% 0%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. * 2%
Percentage of women who smoke in the last three months of pregnancy. 57.4% 45%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 0.0 0
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 0.0% 0%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 33.3% 54%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 7.1 5.9
The ratio of the black infant mortality rate to the white infant mortality rate. 0.0 0
The neonatal mortality rate per 1,000 live births. 7.1 5.5
The postneonatal mortality rate per 1,000 live births. 0.0 0
The perinatal mortality rate per 1,000 live births plus fetal deaths. 14.1 7
The child death rate per 100,000 children aged 1 through 14. 108.8 40
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Percent of 0-2 years of age who test positive for hearing defects that receive further evaluation and treatment 0.0 0
Percentage of newborns screened positive for genetic disorder who receive further evaluation and treatment 0% 100%
Percent of adults women of reproductive age group whose BMI is over 27 are identified and provided on-site education and referred for weight management program. 0% 90%
Percent of children in 1st to 12th grade who receive annual health screening 68.7% 100%
The rate of depression for adolescents ages 11 - 19. 65.6 40
The percentage of children and adolescents ages 18 and under who report using (smoke and/or chew) tobacco products in the past 30 days. * 28
Percent of pregnant women entering prenatal care in the first trimester 33.3% 48%
Percent of Pre-term delivery 9.0% 2%
Percent of parents/caretakers who report that their children with special healthcare needs receive quality health care 90.3% 93%
State Population: 20,842
Live Births: 259
 

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 506  $58,500 22%
Infants < 1 year old 279  $46,000 17.3%
Children 1 to 22 years old 9,548  $52,000 19.6%
Children with Special Healthcare Needs 300  $63,000 23.7%
Others 1,238  $30,000 11.3%
Administration   $15,914 6%
Totals 11,871 $265,414 100%
 
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.

2
 
 
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.

2
 
 
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: 13

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:

265,414

Other MCHB Grant Programs:

359,644

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

625,058

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Berry Watson
FHU/MCH Unit Administrator
P.O. Box 6027
Koror, Palau 96940
(680) 488-2712
(680) 488-8135
berry@palaunet.com
www.palau-health.net
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Dr. Yuriko Bechessrak
Chief, Pediatric Services
P.O. Box 6027
Koror, Palau 96940
(680) 488-2172
(680) 488-8135
y_bechesrrak@palau-health.net
www.palau-health.net
 
 

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.

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
REPUBLIC OF PALAU BUREAU OF HEALTH SERVICES
Koror, PW
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
PALAU INTERAGENCY PROJECT FOR CHILDREN WITH SPECIAL NEEDS
REPUBLIC OF PALAU BUREAU OF HEALTH SERVICES
Koror, PW
$94,644
(State Systems Development Initiative)

Universal Newborn Hearing Screening
 
Universal Newborn Hearing Screening and Intervention
Republic of Palau
Palau, PW
$125,000
(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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