Download Powerpoint - Healthy Start

Healthy Start Coalition of
Jefferson, Madison & Taylor
Counties, Inc.
State of the Infant
Taylor County
2014
Taylor County Birth Counts
• 247 babies born in 2013
– 184 White (168 in 2012)
– 60 Black (47 in 2012)
– 3 Other (6 in 2012)
(221 in 2012)
Population Estimates 2012
Infant Mortality – a volatile indicator
• No infant deaths 2013
• Rolling three year averages 5.6 infant
deaths per 1,000 2011-2013 FL is 6.2
• From fourth worst (2010-2012) in state
9 babies rate = 12.3
Volatility explained
Fetal Death Rate Remains Steady
• 2 fetal deaths in 2013
• Rolling three year average = 9.8
fetal deaths per 1,000 deliveries
2011-2013 FL is 7.2
• (2010-2012) rate = 9.4 – average is
2 fetal deaths per year
Low Birth Weight
• Currently, fifth worst rate in the State of
Florida (Madison is highest)
• 72 babies born below 2500g (5.5 lbs)
• Rate is 10.1 per 1,000 live births
• Moved down from fourth worst in state
2011-2012; 80 babies rate = 10.9
• Why is this rate not improving?
Is it Obesity During Pregnancy ??
Is it smoking rates??
Is it Pregnancy Intervals?
35.9% of pregnancies in Taylor County are not adequately spaced
Is it the support system?
57.2% of births in Taylor
County are to an unwed
mother
Worth Mention
• 22.3% of adults over the age of 25 (2011)
in Taylor County had NO high school
diploma tied with Putnam
• Taylor area has second highest positive
screening rate for Healthy Start 47%
(Gadsden 56%, State is 24%)
Healthy Start Prenatal
Screening
• 217 of 247 pregnant women responded
(screened) 2012-2013
• Results
More results
HS Screen is comprehensive
Final risk factors
Taylor Healthy Start
• Of the total births in Taylor County in FY
12/13, 82% were screened for Healthy
Start (n=217)
• 71 were positive for risks for poor birth
outcomes, another 44 were professionally
referred
• 91 NEW pregnant women were reached
by Healthy Start and funneled into care
More…
• A total of 169 pregnant women received a
Healthy Start service in Taylor County
• 35 of these were high-risk
• 179 infants (ages 0-3) received a Healthy
Start service; 26 were highest risk
• 9 infants/families received Parents as
Teachers
Bad News
• Taylor County moving
in wrong direction for
rate of REPEAT births
to teens ages 15-19
15 per 1,000 20112013) up from 12.4 10-12
• Breastfeeding rates
for minorities- gap is
widening
Breastfeeding
Initiation
Black
White
2011-13
45.9%
70.3%
2010-12
44.6%
68.7%
2009-11
45.1%
67.2%
More good…
• Taylor County traditionally has high rates
of EARLY entry into prenatal care -78.5%
of pregnant women seek care in the first
trimester (2011-13) Florida avg. is 80%, Wakulla is 86%
Root Causes
• Obesity contributing to preterm birth, low
birth weight
• Access to care – Health Department is a
SAFETY NET
• Health Literacy
• Perpetual Poverty
• Cyclical FASD
Fetal Alcohol Spectrum
Disorder
• An underlying cause of poor school
readiness rates
• An underlying cause of poor school
performance
• An underlying cause of disproportionate
rates of juvenile offenses, and subsequent
D.O.C. involvement
Types of FASD
•
•
•
Fetal Alcohol Syndrome (FAS): FAS represents the severe end of the
FASD spectrum. Fetal death is the most extreme outcome from drinking
alcohol during pregnancy. People with FAS might have abnormal facial
features, growth problems, and central nervous system (CNS) problems.
People with FAS can have problems with learning, memory, attention span,
communication, vision, or hearing. They might have a mix of these
problems. People with FAS often have a hard time in school and trouble
getting along with others.
Alcohol-Related Neurodevelopmental Disorder (ARND): People with
ARND might have intellectual disabilities and problems with behavior and
learning. They might do poorly in school and have difficulties with math,
memory, attention, judgment, and poor impulse control.
Alcohol-Related Birth Defects (ARBD): People with ARBD might have
problems with the heart, kidneys, or bones or with hearing. They might have
a mix of these.
• Completely preventable
Why focus on minority health?
• Highlights of the Minority Health profile
– Black infant death rate was 9.9, compared to
5.6 for whites (2011-13)
– Fetal death rate was 33.5, compared to 5.5
for whites (2011-13)
– Individuals below the poverty level 44.2% for
blacks, 12.4% for whites (2006-10)
– Births to unwed mothers 2:1 ratio (2010-12)
Why focus on minority health?
• -cont’d highlights
– Births < 37weeks gestation 18.1% for blacks,
compared to 10.1% for whites (2010-12)
– Births to obese mothers 42.8%, compared to 24.6%
for whites (2010-12)
– Death rate for stroke 2.1:1 (10-12)
– Death rate for congestive heart failure 2.3:1(10-12)
– Incidence rate for prostrate cancer 2.3:1(08-10)
– Death rate from diabetes 1.8:1 (10-12)
Food for thought
Solutions
• Whole Child Connection
• Medical Home Linkages for African
American women
• Education to consumers on Medicaid
Reform
• Advocate at state level for rural allocations
• Quality Programming
• Nutrition and Obesity prevention