Virgin Islands The MCH Federal-State Partnership


 
The Department of Health (DOH) functions as both the state regulatory agency and the territorial public health agency for the U.S. Virgin Islands. As set forth by the Virgin Islands Code, Titles 3 and 19, the Department of Health (DOH) has direct responsibility for conducting programs of preventive medicine, including special programs in Maternal and Child Health, Family Planning, Environmental Sanitation, Mental Health, and Drug and Substance Abuse Prevention. The Virgin Island Department of Health is designated as the agency in the Virgin Islands for administering the Maternal and Child Health and Children With Special Health Care Needs Program (MCH & CSHCN) pursuant to Title 19, Chapter 7, Section 151 of the Virgin Islands Code. The MCH & CSHCN Program is a unit within the Department of Health, one of 14 government departments. The Department of Health is headed by the Commissioner of Health. The Title V MCH & CSHCN Program is administered as one integrated program within the Department of Health. The MCH & CSHCN Program is operated as a single organizational unit and serves as both local and state agency. The MCH & CSHCN Program reports directly to the Deputy Commissioner for Public Health Services. This single State agency is authorized to administer Title V funds and is responsible for both Maternal and Child Health and Special Needs Children Services. The Administrative Unit is composed of the Director of MCH & CSHCN, Program Administrator St. Croix who has responsibility for clinic services management, Territorial Financial Manager St. Thomas who has responsibility for all fiscal, budgetary and financial management and Office Manager, St. Thomas.
 
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. 86.7% 95%
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) 20.0% 40%
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) 38.1% 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) 25.0% 40%
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) 14.8% 40%
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. 1.2% 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. 80.0% 75%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 16.4 15
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 1.1% 20%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 11.6 1
The percent of mothers who breastfeed their infants at 6 months of age. 43.7% 50%
Percentage of newborns who have been screened for hearing before hospital discharge. 79.3% 95%
Percent of children without health insurance. 8.8% 10%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 4.4% 10%
Percentage of women who smoke in the last three months of pregnancy. 0.7% 1%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 0.0 1
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. 41.6% 75%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 5.1 5
The ratio of the black infant mortality rate to the white infant mortality rate. 9.6 *
The neonatal mortality rate per 1,000 live births. 2.8 4
The postneonatal mortality rate per 1,000 live births. 2.3 1
The perinatal mortality rate per 1,000 live births plus fetal deaths. 6.8 7
The child death rate per 100,000 children aged 1 through 14. 15.5 20
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
The percent of CSHCN clients who access family support services. 30.0% 60%
Increase the percent of CSHCN families' participation in transition planning to at least 50%. 1.2% 50%
The percent of CSHCN who receive coordinated, comprehensive care in a medical home. 38.1% 65%
The percent of teen mothers who received parenting skills training. 36.2% 40%
Percent of infants identified with hearing loss who are receiving appropriate intervention services by age 6 months. * 95
Increase the rate of pregnant women who enroll in prenatal care in the first trimester. 415.9 700
The rate per 10000 of hospitalizations due to asthma in children 0-14. 2.0 5
State Population: 108,448
Live Births: 1,431
 

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 732  $460,048 16%
Infants < 1 year old 1,772  $460,048 16%
Children 1 to 22 years old 3,412  $820,288 28.5%
Children with Special Healthcare Needs 1,248  $854,218 29.6%
Others 852  $0 0%
Administration   $288,289 10%
Totals 8,016 $2,882,891 100%
 
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.

1
 
 
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.

0
 
 
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).

0
 
 
Family members of diverse cultures are involved in all of the above activities.

2
 
 
 
FY 2007 Total: 8

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:

2,882,891

Other MCHB Grant Programs:

135,000

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

3,017,891

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Vivian I. Ebbesen-Fludd, RN, BSN,MS
Commissioner of Health
9048 Sugar Estate
St. Thomas, VI 00802
(340) 774-0117
(340) 777-4001
CommissionerFludd@usvi-doh.org
 
Title V Program's Services for Children with Special Health Care Needs, contact:
C. Patricia Penn
Director, MCH & CSHCN Program
#2C Contant, AQ Bldg., 2nd Floor
St. Thomas, VI 00802
(340) 776-3580 ext 2706
(340) 774-8633
patricia.penn@usvi-doh.org
 
 

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
VI DEPARTMENT OF HEALTH
St. Thomas, VI
$115,000
(EMSC Partnership Grants)

Traumatic Brain Injury
 
Traumatic Brain Injury Protection and Advocacy
VI ADVOCACY INCORPORATED
FREDERIKSTED, VI
$20,000
(Traumatic Brain Injury Protection and Advocacy)
 


* 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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