Guam The MCH Federal-State Partnership


 
The Guam Title V Maternal and Child Health (MCH) and Children with Special Health Care Needs (CSHCN) Program is administered as one integrated program within the Bureau of Family Health & Nursing Services, Division of Public Health, Department of Public Health and Social Services (DPHSS). The DPHSS is headed by the Director of Public Health and Social Services. The Directors position is a cabinet-level position within the Governors Office. MCH/CSHCN Program is operated as a single organizational unit and serves as both the local and state agency. This single state agency is authorized to administer Title V funds and is responsible for both MCH and CSHCN services
 
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% 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) 25.0% 100%
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) 53.5% 100%
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) 60.2% 74%
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) 60.2% 100%
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. 60.2% *
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. 23.5% 75%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 26.7 21
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 31.1% 49%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 0.0 2
The percent of mothers who breastfeed their infants at 6 months of age. 0.0% 90%
Percentage of newborns who have been screened for hearing before hospital discharge. 84.1% 78%
Percent of children without health insurance. 26.2% 13%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 10.3% 12%
Percentage of women who smoke in the last three months of pregnancy. 10.8% 10%
The rate (per 100,000) of suicide deaths among youths aged 15 through 19. 6.6 20
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. 0.0% 75%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 10.3 4
The ratio of the black infant mortality rate to the white infant mortality rate. * *
The neonatal mortality rate per 1,000 live births. 6.3 4.1
The postneonatal mortality rate per 1,000 live births. 4.0 2.5
The perinatal mortality rate per 1,000 live births plus fetal deaths. 10.6 15
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
To reduce the percent of pregnant women who received no prenatal care 0.0% 0%
Proportion of low-income women who receive reproductive health/family planning services 7.1% 14%
Percent of women who use alcohol, tobacco and other drugs during pregnancy 0.0% 5%
Percent of children younger than 18 years maltreated/neglected. 2.9% 5%
The prevalence of partner violence in adolescent relationships 10.0% 0%
The percent of high school students who have engaged in sexual intercourse 0.0% 0%
The percent of high school students who are overweight 10.0% 5%
Percent of Children with Special Health Care Needs (CSHCN) who have age appropriate completed immunizations 81.6% 48%
State Population: 173,456
Live Births: 3,187
 

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 1,750  $225,214 16.7%
Infants < 1 year old 3,501  $233,414 17.3%
Children 1 to 22 years old 3,301  $316,107 23.4%
Children with Special Healthcare Needs 1,225  $439,486 32.6%
Others 2,062  $0 0%
Administration   $134,913 10%
Totals 11,839 $1,349,134 100%
 
By Source of Funds
Chart with no titled
By Category of Services
Chart with no titled
HOTLINE CALLS
Chart with no titled

 

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.

0
 
 
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.

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).

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

3
 
 
 
FY 2007 Total: 9

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:

1,349,134

Other MCHB Grant Programs:

470,590

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

1,819,724

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Margarita Bautista Gay, RN, MN
Bureau of Family Health & Nursing Services Administrator
Department of Public Health & Social Services 123 Chalan Kareta
Mangilao, Guam 96913-6304
671-735-7111
671-734-7097
margarita.gay@dphss.guam.gov
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Margarita Bautista Gay, RN, MN
Bureau of Family Health & Nursing Services Administrator
Department of Public Health & Social Services 123 Chalan Kareta
Mangilao, Guam 96913-6304
671-735-7111
671-734-7097
margarita.gay@dphss.guam.gov
 
 

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
GOVERNMENT OF GUAM
Hagatna, GU
$115,000
(EMSC Partnership Grants)

Title V - Community Integrated Service Systems (CISS)
 
Community-Based Integrated Service Systems (Local/State)
Guam Department of Public Health & Social Services
Hagatna, GU
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
Health Families Expansion Program
GUAM DEPARTMENT OF PUBLIC HEALTH
Hagatna, GU
$50,000
(Healthy Tomorrows Partnership for Children Program)

Traumatic Brain Injury
 
Traumatic Brain Injury Protection and Advocacy
GUAM LEGAL SERVICES CORPORATION
Hagatna, GU
$20,000
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
UNIVERSITY OF GUAM
Mangilao, GU
$145,590
(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.
snapshot