| Alabama |
The MCH Federal-State Partnership |
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The Title V Program is administratively located within the Bureau of Family Health Services (FHS), a major unit within the Alabama Department of Public Health (ADPH). Through FHS, ADPH administers all aspects of the Title V Program except services for children and youth with special health care needs (CYSHCN). Children's Rehabilitation Service (CRS), administered by the Alabama Department of Rehabilitation Services (ADRS), is the lead agency for services to CYSHCN. This arrangement requires close collaboration between ADPH and CRS. In addition to the Title V Program, FHS administers the Title X Family Planning Grant; the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); and the State Dental Program. In addition to administering CRS, ADRS administers the Alabama Hemophilia Program. |
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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) |
59.9% |
59.9% |
| 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) |
50% |
50% |
| 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) |
65% |
65% |
| 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) |
91.7% |
91.7% |
| 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. |
38.3% |
38.3% |
| 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. |
81.9% |
89% |
| The rate of birth (per 1,000) for teenagers aged 15 through 17 years. |
28.3 |
23.9 |
| Percent of third grade children who have received protective sealants on at least one permanent molar tooth. |
26.4% |
27.7% |
| The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children. |
* |
5.7 |
| The percent of mothers who breastfeed their infants at 6 months of age. |
* |
30.5% |
| Percentage of newborns who have been screened for hearing before hospital discharge. |
95.9% |
95.7% |
| Percent of children without health insurance. |
* |
6.6% |
| Percentage of children, ages 2 to 5 years, receiving WIC services with a Body Mass Index (BMI) at or above the 85th percentile. |
* |
29.4% |
| Percentage of women who smoke in the last three months of pregnancy. |
* |
13.3% |
| The rate (per 100,000) of suicide deaths among youths aged 15 through 19. |
* |
7.7 |
| Percent of very low birth weight infants delivered at facilities for high-risk deliveries and neonates. |
84.1% |
85.6% |
| Percent of infants born to pregnant women receiving prenatal care beginning in the first trimester. |
79.2% |
85.1% |
| Title V - MCH National Outcome Measures |
State 2007 Results |
State 2012 Goal |
| The infant mortality rate per 1,000 live births. |
10.0 |
8.5 |
| The ratio of the black infant mortality rate to the white infant mortality rate. |
1.8 |
1.9 |
| The neonatal mortality rate per 1,000 live births. |
6.3 |
5.2 |
| The postneonatal mortality rate per 1,000 live births. |
3.6 |
3.3 |
| The perinatal mortality rate per 1,000 live births plus fetal deaths. |
8.6 |
8.4 |
| The child death rate per 100,000 children aged 1 through 14. |
* |
* |
| Title V - MCH State Performance Measures |
State 2007 Results |
State 2012 Goal |
| Of 0-9 year-old children enrolled in Alabama Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program, the percentage who received care coordination in the reporting year. |
6.1% |
6.2% |
| Of children and youth enrolled in Alabama Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program, the percentage who received any dental service in the reporting year. |
45.0% |
45% |
| The pregnancy rate (per 1,000) for adolescents aged 15-17 years. |
* |
34 |
| The percentage of white male high school students who chewed tobacco or snuff on 1 or more of the 30 days preceding their participation in the Youth Risk Behavior Survey (YRBS). |
* |
27.9% |
| The degree to which the State CSHCN Program assures that all CYSHCN have adequate access to primary and specialty care and allied health and other related services. |
13.0 |
15 |
| The degree to which the State CSHCN Program collaborates with schools, advocacy groups, and families to enhance inclusive participation by CYSHCN in their schools and communities. |
12.0 |
15 |
| The degree to which the Bureau of Family Health Services (Bureau) collects, analyzes, and disseminates findings from data pertinent to ongoing maternal and child health (MCH) needs assessment. |
14.0 |
18 |
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State Population: 4,627,851
Live Births: 63,235 |
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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 |
1,389 |
$2,034,994 |
2.7% |
| Infants < 1 year old |
60,117 |
$8,256,011 |
10.8% |
| Children 1 to 22 years old |
34,235 |
$38,125,132 |
49.7% |
| Children with Special Healthcare Needs |
16,346 |
$26,028,718 |
33.9% |
| Others |
102,692 |
$0 |
0% |
| Administration |
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$2,241,608 |
2.9% |
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Totals
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214,779
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$76,686,463
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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. |
2 |
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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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16 |
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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:
76,686,463 |
Other MCHB Grant Programs:
3,995,159 |
Bioterrorism Grant Program:
0 |
Total MCH Partnership Funds:
80,681,622 |
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CONTACT INFORMATION
For More Information on Title V: |
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| Title V Program, contact: | | Chris R. Haag, MPH | | Deputy Director, Bureau of Family Health Services | | Alabama Department of Public Health, PO Box 303017
| | Montgomery, Alabama 36130-3017 | | (334) 206-5331 | | (334) 206-2950 | | chaag@adph.state.al.us | | www.adph.org | | | | Title V Program's Services for Children with Special Health Care Needs, contact: | | Melinda Davis, MS, CCC-A | | Assistant Commissioner | | Children's Rehabilitation Service 2129 E. South Blvd.
| | Montgomery, AL 36116 | | (334) 281-8780 | | (334) 613-3553 | | melinda.davis@rehab.alabama.gov | | www.rehab.alabama.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
ALABAMA DEPARTMENT OF PUBLIC HEALTH
Montgomery, AL
$115,000
(EMSC Partnership Grants)
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Healthy Start
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ELIMINATING DISPARITIES IN PERINATAL HEALTH
MOBILE COUNTY HEALTH DEPARTMENT
Mobile, AL
$1,500,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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HSI FOR ELIMINATING DISPARITIES IN PERINATAL HEALTH
JEFFERSON COUNTY DEPARTMENT OF HEALTH
Birmingham, AL
$875,000
(Healthy Start Initiative-Eliminating Racial/Ethnic Disparities)
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Research
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The Impact of Caregiver's (Parent) Health Literacy on Pediatric Outcomes
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Birmingham, AL
$287,581
(MCH Research)
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Title V - Community Integrated Service Systems (CISS)
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CISS - SECCS (PLANNING)
ALABAMA DEPARTMENT OF PUBLIC HEALTH
Montgomery, AL
$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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ALABAMA'S SYSTEMS DEVELOPMENT INITIATIVE
ALABAMA DEPARTMENT OF PUBLIC HEALTH
Montgomery, AL
$94,644
(State Systems Development Initiative)
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MCH Pipeline Training Program
ALABAMA STATE UNIVERSITY
MONTGOMERY, AL
$169,934
(MCH Pipeline Training Program)
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LEADERSHIP EDUCATION EXCELLENCE IN PEDIATRIC NUTRITION
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Birmingham, AL
$175,000
(Leadership Training in Pediatric Nutrition)
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Sickle Cell Treatment Demonstration Program
HEALTH SERVICES, INC.
Montgomery, AL
$320,000
(Sickle Cell Treatment Demonstration Program)
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Traumatic Brain Injury
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Traumatic Brain Injury Implementation
ALABAMA DEPT. OF REHABILITATION SERVICES
MONTGOMERY, AL
$118,000
(Traumatic Brain Injury Implementation)
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Traumatic Brain Injury Protection and Advocacy
UNIVERSITY OF ALABAMA IN TUSCALOOSA
Tuscaloosa, AL
$50,000
(Traumatic Brain Injury Protection and Advocacy)
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Universal Newborn Hearing Screening
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Universal Newborn Hearing Screening and Intervention
AL ST DEPARTMENT OF PUBLIC HEALTH
Montgomery, AL
$150,000
(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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