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FY 2009 Budget Justification

 

Maternal and Child Health Block Grant

# Key Outcomes FY 2004 Actual FY 2005 Actual FY 2006 FY 2007 FY 2008 Target FY 2009 Target Out-Year Target
Target Actual Target Actual
Long-Term Objective: Expand the capacity of the health care safety net
10.1 Decrease the number of ninsured children (Baseline - 2000: 8.4 M)             8 M NA (a) NA (a)
Long-Term Objective: Promote outreach efforts to reach populations most affected by health disparities
10. IV.B.1 Decrease the ratio of the black infant mortality rate to the white infant mortality rate 2.44 to 1 2.38 to 1 Prelim. data (b) 2.2 to 1 Nov-08 2.2 to 1 Nov-09 2.2 to 1 2.1 to 1 NA
Long-Term Objective: Promote effectiveness of health care services
10.III.A.1 Reduce the infant mortality rate (Baseline – 2000: 6.9/1,000) 6.8/1000 6.9/1000 Prelim. Data (b) 6.8/1000 8-Nov 6.8/1000 Nov-09 6.8/1000b 6.7/1000 NA (a)
10. III. A.2 Reduce the incidence of low birth weight births 8.10% 8.20% 7.40% 8-Nov 7.50% Nov-09 7.40% 7.30% NA
10.III.A.3 Increase percent of pregnant women who received prenatal care in the first trimester 83.90% 83.9 84% 8-Nov 84% Nov-09 85% 86% NA
10.2 Reduce neonatal deaths to 4.5 per 1,000 live births (Baseline - 1999: 4.7/1,000 live births)             4.5/1000 NA* NA*
10.III.A.4 Increase percent of low-birth weight babies who are delivered at facilities for high-risk deliveries and neonates 73.30% 67.70% 77% 68.10% 76% Nov-08 76% 77% NA
10.3 Increase maternal survival rate (Baseline-1999:8.3 deaths/100,000 live births             8/100,000 NA (a) NA (a)
10.III.A.5 Reduce maternal illness and complications due to pregnancy d 36.8/1000 39.2/1000 30.0/1000 8-Nov 30.0/1000 Nov-09 37.0/1000 (d) 36.0/1000 (d) NA

 

# Key Outputs FY 2004 Actual FY 2005
Actual
FY 2006 FY 2007 FY 2008 Target/ Est. FY 2009 Target/ Est. Out-Year Target/ Est.
Target/ Est. Actual Target/ Est. Actual
Long-Term Objective: Expand the capacity of the health care safety net
10I.A.1 Increase the number of children served by Title V. 26.8 M 27.8 M 22.5 M 29M 22 M Nov-08 28 M 29 M NA
10. I.A. 2 Increase the number of children receiving Title V services who are enrolled in and have Medicaid and SCHIP coverage 9.8 M 10.1 M 6.2 M 11M 9.8 M Nov-08 11 M 11.5 M NA
Efficiency Measure
10.E Increase the number of children served by the Ti8tle V Block Grant per $1 million in funding 31,515 38,402 32,394 41,868 32,500 Nov-08 38,000 39,000 NA
Number of Grants
  Grants to States 59 59   59   59 59 59 NA
  SPRANS:                  
  Research 28 34   39   43 42 43  
  Training 149 130   135   131 88 89  
  Hemophilia 12 12   12   12 12 12  
  Genetics 23 27   21   17 17 20  
  MCHIP 168 177   191   196 193 213  
  One-time 100 104   103   66 104 ---  
  Subtotal, SPRANS 480 484   501   465 456 374 NA
  CISS 167 122   64   65 65 51 NA
  Total, MCH Block Grant 706 665   624   589 580 484  
  Appropriated Amount ($ Million) 729.817 723.928   692.521   693 666.155 666.155  

Notes:

a Long term measure with 2008 established as out-year target date.
b Vital statistics compiled by the National Center for Health Statistics, Centers for Disease Control and Prevention (CDC) 2007. Deaths: Preliminary data for 2005, Health E-Stats, September 12, 2007
c The target for FY 2008 was changed from 6.5/1000 to 6.8/1000 to reflect the complexity of the infant mortality problem.
d Indicator: Hospitalizations per 1000 deliveries due to illness and complications resulting from pregnancy. Data Source is Vital Statistics compiled by the National Center for Health Statistics, Centers for Disease Control and Prevention on medical risk factors during pregnancy. Actual data reported in FY 2004 and 2005 are based on the average rates for two common illnesses in pregnancy (i.e., diabetes and pregnancy-induced hypertension). The targets for FY 2006 and 2007 were developed based on earlier data which examined the three most common conditions of pregnancy ((i.e., diabetes, pregnancy-induced hypertension, anemia) These targets are not appropriate for the data as it is currently collected. This difference in data collection is due to changes in the revised 2003 Certificate of Live Birth.
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