| Alaska |
The MCH Federal-State Partnership |
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The Section of Women's, Children's and Family Health within the Division of Public Health, Alaska Department of Health and Social Services, administers the MCH Title V program. Services included within Title V administrative control include: 1. CSHCN related programs cover Specialty Clinics (Cleft Lip and Palate Clinic and Neurodevelopmental/Autism Clinics, Birth Defects, Genetics and Metabolic Clinics, Newborn Metabolic Screening, and Early Hearing Detection and Intervention (EHDI) Program/Universal Newborn Hearing screening 2. Direct and Enabling services for women and children through grants or contracts include Breast and Cervical Cancer Screening Outreach, parent navigation services for CSHCN, and Family Planning and Reproductive Health Services offered through Public Health nursing centers, community health centers and federally qualified health centers and partnerships serving adolescent populations 3. Data collection and surveillance activities include the Alaska Birth Defects/ FAS Registry, the Alaska Maternal and Infant Mortality Review/Child Death Review, PRAMS, Toddler Survey (CuBS), Alaska Surveillance of Child Abuse and Neglect, and special research and data analysis projects. Other programs that are not administered by Title V, but collaborate closely with Title V include programs influencing the health and safety of young children and adolescents including Early Intervention/Infant Learning program, EPSDT, Alaska Immunization Program, Women, Infants and Children (WIC) Nutrition program, Family Violence Prevention, Childhood and Adolescent Injury Prevention, Family Nutrition, and the Early Comprehensive Care Systems (ECCS), Strengthening Families Initiative, Assuring Better Child Development Screening Academy,Early Childhood Mental Health. Several of these aforementioned programs receive Title V funding in support of their outcome objectives.
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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. |
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) |
51.8% |
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) |
39.3% |
45% |
| 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) |
62.2% |
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) |
85.1% |
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. |
42.2% |
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. |
* |
90% |
| The rate of birth (per 1,000) for teenagers aged 15 through 17 years. |
* |
18 |
| Percent of third grade children who have received protective sealants on at least one permanent molar tooth. |
52.4% |
55% |
| The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. |
* |
4.5 |
| The percent of mothers who breastfeed their infants at 6 months of age. |
* |
70% |
| Percentage of newborns who have been screened for hearing before hospital discharge. |
92.5% |
100% |
| Percent of children without health insurance. |
* |
8.5% |
| Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. |
21.6% |
20% |
| Percentage of women who smoke in the last three months of pregnancy. |
* |
13.5% |
| The rate (per 100,000) of suicide deaths among youths aged 15 through 19. |
* |
27 |
| Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. |
* |
90% |
| Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. |
* |
85% |
| Title V - MCH National Outcome Measures |
State 2007 Results |
State 2012 Goal |
| The infant mortality rate per 1,000 live births. |
* |
6 |
| The ratio of the black infant mortality rate to the white infant mortality rate. |
* |
* |
| The neonatal mortality rate per 1,000 live births. |
* |
2.7 |
| The postneonatal mortality rate per 1,000 live births. |
* |
* |
| The perinatal mortality rate per 1,000 live births plus fetal deaths. |
* |
6.5 |
| The child death rate per 100,000 children aged 1 through 14. |
* |
34 |
| Title V - MCH State Performance Measures |
State 2007 Results |
State 2012 Goal |
| Percentage of mothers of newborns who say their physician or health plan would not start prenatal care as early as they wanted or they could not get an appointment as early as they wanted. |
* |
15% |
| Percent of women who smoked during the last 3 months of pregnancy among women who smoked 3 months prior to pregnancy and were talked to about the effects of smoking by a prenatal health care provider. |
* |
60% |
| Percentage of children ages 10-11 who are at-risk for being overweight. |
40.1% |
35% |
| Rate (per 1,000) of substantiated reports of harm children ages 0 through 18.
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14.8 |
12 |
| Percentage of women who recently had a live-born infant who reported their prenatal health care provider advised them not to drink alcohol during their pregnancy.
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* |
99% |
| Prevalence (per 100) of unintended pregnancies that resulted in a live birth among women who reported having a controlling partner during the 12 months prior to getting pregnant.
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* |
35% |
| Percentage of women who recently had a live-born infant who reported that they always or often felt down, depressed, or hopeless since their new baby was born. |
* |
8% |
| Prevalence at birth (per 1,000) of Fetal Alcohol Spectrum Disorders (FASD).
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19.1 |
17 |
| Percentage of infants who are reported to have a Cleft Lip/Palate defect who access the Title V sponsored Cleft Lip and Palate Specialty Clinic within the first year of life. |
* |
30% |
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State Population: 683,478
Live Births: 10,991 |
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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 |
12,515 |
$339,931 |
3.2% |
| Infants < 1 year old |
11,110 |
$964,953 |
9.1% |
| Children 1 to 22 years old |
6,097 |
$1,524,528 |
14.4% |
| Children with Special Healthcare Needs |
4,250 |
$6,374,653 |
60.2% |
| Others |
0 |
$555,110 |
5.2% |
| Administration |
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$832,692 |
7.9% |
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Totals
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33,972
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$10,591,867
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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. |
2 |
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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. |
3 |
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FY 2007 Total:
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17 |
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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:
10,591,867 |
Other MCHB Grant Programs:
925,350 |
Bioterrorism Grant Program:
0 |
Total MCH Partnership Funds:
11,517,217 |
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CONTACT INFORMATION
For More Information on Title V: |
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| Title V Program, contact: | | Stephanie Birch | | Section Chief/Title V and CSHCN Director | | 4701 Business Park Blvd Suite 20 Building J
| | Anchorage, Alaska 99503-7123 | | 907-334-2424 | | 907-269-3465 | | Stephanie.Birch@alaska.gov | | | | | | Title V Program's Services for Children with Special Health Care Needs, contact: | | Stephanie Birch | | Section Chief/ Title V & CSHCN Director | | 4701 Business Park Blvd
| | Anchorage, Alaska 99503-7123 | | 907-2334-2424 | | 907-269-3465 | | Stephanie.Birch@alaska.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
STATE OF ALASKA DEPT OF HEALTH & SOCIAL SVCS
Juneau, AK
$115,000
(EMSC Partnership Grants)
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Title V - Community Integrated Service Systems (CISS)
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Community-Based Integrated Service Systems (Local/State)
STATE OF ALASKA DEPT OF HEALTH & SOCIAL SVCS
Anchorage, AK
$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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BUILDING DATA CAPACITY IN ALASKA
STATE OF ALASKA DEPT OF HEALTH & SOCIAL SVCS
Juneau, AK
$94,644
(State Systems Development Initiative)
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Children's Oral Healthcare Access Program
State of Alaska, Dept of Health & Social Services
Anchorage, AK
$159,516
(Childrens Oral Healthcare Access Program)
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Healthy Behaviors in Women
SOUTHEAST ALASKA REGIONAL HEALTH CONSORT
Juneau, AK
$141,190
(Healthy Behaviors in Women)
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Traumatic Brain Injury
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Traumatic Brain Injury Implementation
STATE OF ALASKA DEPT OF HEALTH & SOCIAL SVCS
Anchorage, AK
$100,000
(Traumatic Brain Injury Implementation)
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Traumatic Brain Injury Protection and Advocacy
DISABILITY LAW CENTER OF ALASKA
ANCHORAGE, AK
$50,000
(Traumatic Brain Injury Protection and Advocacy)
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Universal Newborn Hearing Screening
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UNIVERSAL NEWBORN HEARING SCREENING
STATE OF ALASKA DEPT OF HEALTH & SOCIAL SVCS
Juneau, AK
$125,000
(Universal Newborn Hearing Screening and Intervention)
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* Data not available |
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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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