Mono County Maternal, Child, & Adolescent Health 2016-2020

1. Mono County Maternal Child & Adolescent Health 2016-2020 Title V Needs AssessmentPublic Health Planning Team Meeting Presented by: Sandra Pearce, RN, PHN, MS, CNS MCAH Director January 23, 2014

2. Outline • Purpose of Meeting and Needs Assessment Participation • Title V Maternal, Child, and Adolescent Health (MCAH) Block Grant • 10 Essential Public Health and MCAH Services • The Title V Needs Assessment and Timeline • California’s MCAH Priorities • Local Data • Priority Setting for Mono County

3. Why Are We Here? • MCAH cannot do this without you! • Collaborative effort to prioritize and determine the most effective use of the County’s MCAH funds over the next 5 years. • What is the County’s capacity to achieve local goals, and ability to leverage funds, avoid duplication of services, and use resources wisely. • Public Health Planning Team • Review the indicator data and prioritize local health problems • Develop problem statements • Identify partners and interventions to address selected priorities • Community Partners and Stakeholders • Consult on factors that contribute to local priorities • Develop mutually beneficial goals and interventions between agencies • Network and build working relationships to maximize resources

4. Mission: • To improve the health of all of America’s mothers and children. • Vision: • An America where all children and families are healthy and thriving. • Partnership: • Collaboration on the federal, state, and local level. • Flexibility: • Allows states and local jurisdictions to address the unique needs of their MCAH populations. Title V MCAH Block Grant

5. The 10 Essential Public Health Services www.jhsph.edu/WCHPC/publications/pubmchfx.pdf 10 MCAH Essential Services

6. Title V Needs Assessment • At the beginning of every five year grant cycle, a comprehensive statewide needs assessment must be conducted of the MCAH population. • The state decentralizes this process by having each local jurisdiction conduct their own needs assessment. • The goals of the local needs assessment process include: • Obtaining stakeholder /community partner input • Building local jurisdiction needs assessment capacity • Identifying public health issues that would be missed by only using state level information • Developing an action plan to address identified issues

7. Timeline • Public Health Planning Team Meetings • January 23, 2014: • Review needs assessment process and identify and prioritize problems. • February 27, 2014: • Analyze problems and develop problem statements. • March 27, 2014: • Identify strategies, partners and activities to address selected priority problems. • Community Partner and Stakeholder Participation • April – May 2014 • Local Needs Assessment Due to State MCAH: June 16, 2014 • 5 Year Action Plan Due to State MCAH: May 15, 2015 • State Needs Assessment due to Federal MCAH: July 2015

8. California’s MCAH Priorities Goal 1: Improve Outreach and Access to Quality Health and Human Services • Access to health care • Access to dental care • Access to mental health care Goal 2: Improve Maternal Health • Late initiation of prenatal care and/or inadequate prenatal care • Perinatal mood and anxiety disorders • Partner/family violence Goal 3: Improve Infant Health • SIDS/SUID • Prematurity/Low birth weight • Perinatal substance use

9. California’s MCAH Priorities Goal 4: Improve Nutrition and Physical Activity • Exclusive breastfeeding initiation and duration • Overweight/obesity – children, adolescents, or women Goal 5: Improve Child Health • Childhood Injury • Child abuse • Oral health Goal 6: Improve Adolescent Health • Adolescent sexual health • Adolescent pregnancy • Adolescent injuries • Adolescent violence • Adolescent mental health

10. There are many data limitations in a small county with few residents. • The difference of one case can make local rates seem very high or very low. • Confidence intervals, which tell us if differences in rates are significant, are wide. Therefore, Mono County’s rates are often statistically equivalent to the State’s rates, even if they seem much better or worse. • Data can be insufficient for data analysis when there are too few cases. • Data is often grouped by years or by multiple counties so there is enough data to analyze. Grouping counties can lead to an incorrect picture of local health indicators. The Data • Mono County strives to have significantly better rates than the State, and to surpass the Healthy People 2020 objectives. Healthy People provides science-based, 10-year national objectives for improving the health of all Americans.

11. Local rates have surpassed the HP2020 objectives Local rates are statistically equivalent to HP2020 objectives Local rates are significantly better than the State Local rates are statistically equivalent to the State Local rates are higher or lower than the State, but significance cannot be determined. Local rates are significantly worse than the State or HP2020 objectives Data Legend

12. Goal 1 Indicator Data • Improve Outreach and Access to Quality Health and Human Services * Data is preliminary and undergoing a final review

13. Goal 2 Indicator Data • Improve Maternal Health * Data is preliminary and undergoing a final review

14. Goal 2 Indicator Data (continued) • Improve Maternal Health * Data is preliminary and undergoing a final review

15. Goal 3 Indicator Data • Improve Infant Health * Data is preliminary and undergoing a final review

16. Goal 4 Indicator Data • Improve Nutrition and Physical Activity * Data is preliminary and undergoing a final review

17. Goal 5 Indicator Data • Improve Child Health * Data is preliminary and undergoing a final review

18. Goal 6 Indicator Data • Improve Adolescent Health * Data is preliminary and undergoing a final review

19. Priorities