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California Maternal and Child Health 5-Year Needs Assessment: Strengthening Local Systems

This project focuses on evaluating and enhancing local MCAH systems in California to address priority issues like low birth weight, infant mortality, preterm births, teen pregnancies, childhood obesity, and substance abuse. The goal is to tailor resources to meet the specific needs of diverse MCAH populations. Through capacity assessments and SWOT analysis, recommendations will be made to improve the overall MCAH infrastructure. Stakeholder input is crucial for a successful assessment process, with the aim of facilitating targeted interventions.

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California Maternal and Child Health 5-Year Needs Assessment: Strengthening Local Systems

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  1. MCAH FIVE YEAR NEEDS ASSESSMENT Introduction and background Information…

  2. Federal MCH Bureau…. • Provides states w/ Title V funds • Funds support systems of care for local MCAH population • Requires all states to submit a statewide needs assessment every 5 years.

  3. The State of California: • Is unique in terms of its size and diversity: population, geography, maternal/child health needs • Depends on receiving input from the 61 local MCAH jurisdictions • Produces a comprehensive analysis re: public health issues and unmet needs for MCH population

  4. The Primary Goal of the Local Needs Assessment….. • To evaluate the needs and assets of the local MCAH systems • To make recommendations on strengthening the system • To enable the state to better tailor resources based on local needs

  5. PRIMARY FOCUS • Capacity Assessment: 10 ESSENTIAL PUBLIC HEALTH SERVICES for MCAH population • Analysis of the 27 Health Status Indicators: Where do we stack up in comparison to HP 2010 goals and the state? • Manageable short list (5-7) major problems & unmet needs identified in the MCH population in local jurisdiction

  6. 2004-2009 PRIORITIES • LOW BIRTH WEIGHT • BLACK INFANT MORTALITY • PRETERM BIRTHS • TEEN PREGNANCY • CHILDHOOD OBESITY • PERINATAL SUBSTANCE ABUSE

  7. 2004-2009 PRIORITIES • LOW BIRTH WEIGHT • TOTAL: 7% • HISPANIC/WHITES: 6-7% • AFRICAN AMERICAN: 11-12% • HEALTHY PEOPLE 2010 GOAL: 5%

  8. 2004-2009 PRIORITIES • BLACK INFANT DEATH RATE: • 2004: 7% • 2005: 14% • 2006: 6% • HEALTHY PEOPLE 2010 GOAL: 4%

  9. 2004-2009 PRIORITIES • PRETERM BIRTHS • TOTAL RATES: 11-12% • HISPANIC/WHITES: 11-12% • AFRICAN AMERICANS: 14-15% • HEALTHY PEOPLE 2010 GOAL: 7.6%

  10. 2004-2009 PRIORITIES • TEEN DELIVERIES • Rates per 1,000 • TOTAL: 41.4 • HISPANIC: 70 • AFRICAN AMERICAN: 38 • WHITE: 18 • H.P. 2010 GOAL: 43

  11. 2004-2009 PRIORITIES • PERINATAL SUBSTANCE ABUSE • 1992: 11.6% • 2005: 14% • 2007: 24%

  12. CAPACITY ASSESSMENT • PURPOSE: • To understand current organizations/systems comprising local MCAH infrastructure • To identify strengths/weaknesses in local MCAH system (10 Essential P.H. Services.) • To improve MCAH activities, evaluate strategies, strengthen capabilities of local MCAH program

  13. LOCAL MCAH INFRASTRUCTURE • CONSISTS OF: • PUBLIC HEALTH MCAH PROGRAM • ALL OTHER ORGANIZATIONS IN RIVERSIDE COUNTY THAT SERVE THE MATERNAL/CHILD POPULATION

  14. CAPACITY ASSESSMENT • REQUIRES COMMITMENT FROM STAKEHOLDERS TO PARTICIPATE THROUGH ENTIRE PROCESS (WE NEED YOUR INPUT!) • PROCESS WILL TAKE NO MORE THAN 5 MEETINGS • MCAH WILL PROVIDE FEED-BACK TO GROUP ONCE PROCESS COMPLETED

  15. MCAST – 5 TOOLS • Total of 10: One for each of the Essential Public Health Services • Assess ability of local jurisdiction to provide/support necessary health care to Mat/Child population • Answers are not scored: No “right” or “wrong” or even “best” answers • Value of assessment: in discussion it stimulates

  16. MCAST – 5 TOOLS • Discuss Process Indicators • Rate on 4 point scale: • 1 = weak or minimal • 4 = strong or optimal • Complete SWOT Analysis: Strengths, Weaknesses, Opportunities, or Threats

  17. Capacity Needs Assessment Process • Questions?

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