Northern Mariana Islands The MCH Federal-State Partnership


 
The CNMI's State MCH Program. including Children with Special Health Care Needs, is administered through the Division of Public Health, Department of Public Health. A Deputy Secretary oversees the Division. The MCH Program work with all programs at the Division and collaborate and partner with other agencies, both private and governmental, to assist in its work to emphasize lifestyle behavioral changes especially with health care practices, diet, and physical fitness and to ensure access and continuity of care. Maternal and child health services are provided at the following: • Southern Community Wellness Center located in the village of San Antonio; • Women's and Children's Clinic located in the village of Garapan at the Commomwealth Health Center; • Children’s Developmental Assistance Center located in the village of Garapan; Adolescent Health Center; and • Rota and Tinian Health Center. Services are provided in collaboration with other agencies, both private and governmental. For example, through a memorandum of agreement, immunization services are provided at five private health clinics on the island of Saipan.
 
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. 98.1% 98.5%
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) 87.0% 88.1%
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) 68.0% 70%
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) 68.6% 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) 43.2% 46.1%
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. 5.9% 8%
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. 76.9% 89%
The rate of birth (per 1,000) for teenagers aged 15 through 17 years. 26.8 26.5
Percent of third grade children who have received protective sealants on at least one permanent molar tooth. 65.9% 69%
The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. 0.0 30
The percent of mothers who breastfeed their infants at 6 months of age. 35.0% 50%
Percentage of newborns who have been screened for hearing before hospital discharge. 97.7% 99%
Percent of children without health insurance. 45.7% 45%
Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. 0.0% 50%
Percentage of women who smoke in the last three months of pregnancy. 100.0% 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. 100.0% 1%
Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. 29.1% 31%
Title V - MCH National Outcome Measures State 2007 Results State 2012 Goal
The infant mortality rate per 1,000 live births. 4.3 4.9
The ratio of the black infant mortality rate to the white infant mortality rate. 0.0 *
The neonatal mortality rate per 1,000 live births. 2.9 2.9
The postneonatal mortality rate per 1,000 live births. 1.4 1.4
The perinatal mortality rate per 1,000 live births plus fetal deaths. 11.4 10
The child death rate per 100,000 children aged 1 through 14. 5.7 23
Title V - MCH State Performance Measures State 2007 Results State 2012 Goal
The percent of unplanned pregnancies of birth (per 1,000) for women aged 15-44 years 78.8% 50%
Percent of women who have ever received a pap smear. 6.8% 8%
Percent of women who have ever received a mammogram. 6.5% 12.5%
Percent of eligible infants with disabilities under the age of 1 year receiving early intervention services. 30.3 50
The rate of chlamydia for adolescents aged 13-19 years. 4.5 6
The degree to which State provides nutrition education information to children aged 6 through 11 years. 15.1% 55%
The percent of pregnant women that are screened for chlamydia. 102.9% 100%
State Population: 84,546
Live Births: 1,422
 

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 1,596  $361,589 20%
Infants < 1 year old 3,202  $198,874 11%
Children 1 to 22 years old 17,940  $343,509 19%
Children with Special Healthcare Needs 219  $614,701 34%
Others 32,948  $108,476 6%
Administration   $180,795 10%
Totals 55,905 $1,807,944 100%
 
By Source of Funds
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By Category of Services
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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.

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.

3
 
 
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: 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:

1,807,944

Other MCHB Grant Programs:

566,424

Bioterrorism Grant Program:

0

Total MCH Partnership Funds:

2,374,368

 
 

CONTACT INFORMATION

For More Information on Title V:

Title V Program, contact:
Margarita Torres Aldan
MCH Program Coordinator
P.O. Box 500409
Saipan, MP 96950-0409
670-236-8703
670-236-8700
mtaldan@gmail.com
 
Title V Program's Services for Children with Special Health Care Needs, contact:
Shiella Perez
CSHCN Coordinator
P.O. Box 500409
Saipan, MP 96950-0409
670-664-4830
670-236-8700
shiellap@yahoo.com
 
 

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
COMMONWEALTH OF THE NORTHERN MARIANAS ISLANDS
Saipan, MP
$115,000
(EMSC Partnership Grants)

Title V - Community Integrated Service Systems (CISS)
 
Community-Based Integrated Service Systems (Local/State)
Commonwealth Health Center
SAIPAN, MP
$140,000
(Community-Based Integrated Service Systems (Local/State))

Title V - Special Projects of Regional and National Significance (SPRANS)
 
CNMI MCH DATA SYSTEM LINKAGE AND TRAINING INITIATIVE
Commonwealth of the Northern Mariana Islands
Saipan, MP
$94,644
(State Systems Development Initiative)

Traumatic Brain Injury
 
Traumatic Brain Injury Implementation
COMMONWEALTH OF THE NORTHERN MARIANAS ISLANDS
Saipan, MP
$70,000
(Traumatic Brain Injury Implementation)
 
Traumatic Brain Injury Protection and Advocacy
NORTHERN MARIANAS
SAIPAN, MP
$20,000
(Traumatic Brain Injury Protection and Advocacy)

Universal Newborn Hearing Screening
 
UNIVERSAL NEWBORN HEARING SCREENING
Commonwealth of the Northern Mariana Islands
Saipan, MP
$126,780
(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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