North Carolina The MCH Federal-State Partnership

 
The Title V Maternal and Child Health Block Grant is administered by the NC Department of Health and Human Services, Division of Public Health, Women's and Children's Health Section. Programs and services within the Women's and Children's Health Section's administrative control include: Maternal Health Services, Women's Preventive Health Services (including the Title X program), Children's Preventive Health Services, Children's Specialized Health Services, Genetic Services, Immunization Services, Early Intervention Services, and Nutrition Services (including the Special Supplemental Nutrition Program for Women, Infants, and Children [WIC], Child and Adult Care Food Program, and Summer Food Service Program for Children). 		 
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) 58.3% 75%
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) 46.5% 75%
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) 63.7% 80%
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. 39.9% 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. 82.4% 90%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 24.6 24
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 42.0% 50%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 5.0 4
The percent of mothers who breastfeed their infants at 6 months of age. 16.2% 17.5%
Percentage of newborns who have been screened for hearing before hospital discharge. 94.6% 98%
Percent of children without health insurance. 13.1% 10%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 30.4% 25%
Percentage of women who smoke in the last three months of pregnancy. 11.5% 10%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 6.8 6
Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. 78.2% 83%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 81.9% 87%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. * 8
The ratio of the black infant mortality rate to the white infant mortality rate. * 2
The neonatal mortality rate per 1,000 live births. * 5.7
The postneonatal mortality rate per 1,000 live births. * 2.5
The perinatal mortality rate per 1,000 live births plus fetal deaths. * 7.8
The child death rate per 100,000 children aged 1 through 14. * 20
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
Number of children affected in substantiated reports of abuse and/or neglect as compared with previous years. 14744 14000
The number of children in the State less than three years old enrolled in early intervention services to reduce the effects of developmental delay, emotional disturbance, or chronic illness. 15048 16000
Percent of children 2-18 who are overweight. Overweight is defined as a body mass index (BMI) greater than or equal to the 95th percentile for gender and age. 17.4% 10%
The percent of women responding to the Pregnancy Risk Assessment Monitoring System (PRAMS) survey that they either wanted to be pregnant later or not then or at any time in the future. 47.6% 38%
Percent of women of childbearing age taking folic acid regularly. 38.5% 50%
The ratio of school health nurses to the public school student population. 1,340.8 1100
Percent of women with live, term births who gain within the Institute of Medicine (IOM) Recommended Weight Gain Ranges. 32.9% 38%
Percent of non-pregnant women of reproductive age who are overweight/obese (BMI>26). 46.7% 40%
State Population: 9,061,032
Live Births: 127,841
 
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 66,787  $57,759,605 24.8%
Infants < 1 year old 125,134  $22,869,095 9.8%
Children 1 to 22 years old 88,149  $110,398,998 47.5%
Children with Special Healthcare Needs 57,922  $26,884,412 11.6%
Others 129,457  $13,902,947 6%
Administration   $633,451 .3%
Totals 467,449 $232,448,508 100%
 
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.
3		  
 
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.
1		  
 
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.
2		  
 
 
FY 2007 Total: 15
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:

232,448,508
Other MCHB Grant Programs:

7,189,670
Bioterrorism Grant Program:

0
Total MCH Partnership Funds:

239,638,178
 
 
CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Kevin Ryan
Chief, Women's and Children's Health Section
WCHS/DPH MSC 1928
Raleigh, NC 27699-1928
919-707-5512
919-870-4828
kevin.ryan@ncmail.net
http://wch.dhhs.state.nc.us/
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Carol Tant
Head, Children & Youth Branch
WCHS/DPH MSC 1928
Raleigh, NC 27699-1928
919-707-5610
919-870-4880
carol.tant@ncmail.net
http://wch.dhhs.state.nc.us/
 
 
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
N.C. Dept. of Health and Human Services
Raleigh, NC
$115,000
(EMSC Partnership Grants)
 
EMSC Targeted Issue Grants
University of North Carolina at Chapel Hill
Chapel Hill, NC
$200,000
(EMSC Targeted Issue Grants)

Healthy Start
 
HEALTHY START INITIATIVE: ELIMINATING DISPARITIES IN PERINATAL HEALTH
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Raleigh, NC
$732,315
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE
PEMBROKE, NC
$400,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Raleigh, NC
$750,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
 
ELIMINATING DISPARITIES IN PERINATAL HEALTH
NC DEPARTMENT OF HEALTH & HUMAN SERVICES
Raleigh, NC
$900,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)

Research
 
INTERGENERATIONAL PATHWAYS TO COMPETENCE IN MINORITY FAMILIES
University of North Carolina at Chapel Hill
Chapel Hill, NC
$183,152
(MCH Research)
 
MCH Research
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$180,431
(MCH Research)
 
School Competence of African American School Youth
University of North Carolina at Chapel Hill
Chapel Hill, NC
$224,206
(MCH Research)
 
MCH Research
Research Triangle Institute
Durham, NC
$105,063
(MCH Research)
 
Contextual Influences On Pregnancy Outcomes
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$100,000
(MCH Research)
 
Effects of Interdisciplinary Training on MCH Professionals, Organizations and Systems
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$299,996
(MCH Research)
 
Promoting Nutrition and Physical Activity in Child Care Centers
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$299,995
(MCH Research)

Title V - Community Integrated Service Systems (CISS)
 
CISS - SECCS (PLANNING)
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES
Raleigh, NC
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
State Implementation Grants for Integrated Community Systems for CSHCN
NORTH CAROLINA DEPT OF HEALTH AND HUMAN SERVICES
Raleigh, NC
$295,500
(State Implementation Grants for Integrated Community Systems for CSHCN)
 
Healthy Tomorrows Partnership for Children Program
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$50,000
(Healthy Tomorrows Partnership for Children Program)
 
STATE SYSTEMS DEVELOPMENT INITIATIVE (SSDI)
STATE OF NORTH CAROLINA
Raleigh, NC
$94,644
(State Systems Development Initiative)
 
HEMOPHILIA DIAGNOSTIC AND TREATMENT CENTERS
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$360,000
(Hemophilia Treatment Centers (SPRANS))
 
GENETICS SERVICES
Piedmont Health Services and Sickle Cell Agency
Greensboro, NC
$185,000
(Genetic Services Project)
 
Children's Oral Healthcare Access Program
NC DEPARTMENT OF HEALTH & HUMAN SERVICES
Raleigh, NC
$159,679
(Childrens Oral Healthcare Access Program)
 
Family Professional Partnership/CSHCN
Exceptional Children's Assistance Center
Davidson, NC
$95,700
(Family Professional Partnership/CSHCN)
 
Epidemiological MCH/SPH Institute
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Chapel Hill, NC
$26,000
(Epidemiological MCH/SPH Institute)
 
Sickle Cell Treatment Demonstration Program
STEDMAN-WADE HEALTH SERVICES, INC.
Wade, NC
$318,832
(Sickle Cell Treatment Demonstration Program)
 
ASTDD COMMUNICATION NETWORK FOR MCH ORAL HEALTH INFORMATION
ASSOCIATION OF STATE AND TERRITORIAL
NEW BERN, NC
$400,000
(Oral Health)
 
CHILD CARE HEALTH CONSULTANT TRAINING PROGRAM
University of North Carolina at Chapel Hill
Chapel Hill, NC
$291,667
(Child Care)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
N.C. Dept. of Health and Human Services
Raleigh, NC
$100,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
Disability rights North Carolina
Raleigh, NC
$57,490
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
STATE OF NORTH CAROLINA
RALEIGH, NC
$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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