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MCH in Indian Country - Partnerships to Identify and Address Health Disparities 14 th Annual MCH Epidemiology Conference December 10, 2008 Judith Thierry,

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Presentation on theme: "MCH in Indian Country - Partnerships to Identify and Address Health Disparities 14 th Annual MCH Epidemiology Conference December 10, 2008 Judith Thierry,"— Presentation transcript:

1 MCH in Indian Country - Partnerships to Identify and Address Health Disparities 14 th Annual MCH Epidemiology Conference December 10, 2008 Judith Thierry, DO, MPH Indian Health Service Stacy Bohlen National Indian Health Board

2 Albuquerque Portland Billings California Phoenix Oklahoma Nashville Navajo Tucson Alaska Indian Health Service Aberdeen Bemidji Service Population: 1.9 Million

3 Indian Health Service, DHHS Health Care System “ITU” Federal - 12 Area Offices, 31 Hospitals, 52 Health Centers, 31 Health Stations, 2 School Clinics Tribal - 15 Hospitals, 254 Health Centers, 166 Alaska Village Clinics, 112 Health Stations, 18 School Clinics Urban Indian Programs - 34 community to comprehensive health care programs

4 Urban Indian Health Organizations Nationwide (34)

5 Tribal Epidemiology Centers (TEC) Closing the Health Gap SIDS and Infant Mortality Initiative Building MCH Epidemiology Capacity Alaska Native Tribal Health Consortium -ANTHC Epi Center North West Portland Area Indian Health Board TEC Great Lakes Inter-Tribal Council TEC United South and Eastern Tribes TEC Inter Tribal Council of Arizona, Inc TEC Northern Plains Tribal Epidemiology Center AATCHB Seattle Indian Health Board/ Urban Indian Health Institute

6 Northern Plains Tribal Epi Center

7 “Native Americans rank at or near the bottom of nearly every social, health and economic indicator.” A Quiet Crisis: Federal Funding and Unmet Needs in Indian Country U.S. Commission on Civil Rights

8 IHS

9 Percent of Population Below Poverty Level, 2000 Census AIAN (alone ) IHS total 29.2% US 12.4%

10 Percent of Males Unemployed, Age 16 and Older, 2000 Census AIAN (Alone) IHS total 16.3% US all races 4 %

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12 Percent of User Population Under Age Five, FY 2004 US all races CY 2003 = 6.8% IHS Total-All Areas = 9.3

13 Percent of User Population Over Age 54, FY 2004 US all races CY 2003 = 21.9% IHS Total all Areas = 12.3%

14 YRBS 2003, Navajo Nation High Schools, BIE Funded Schools, Arizona Public Schools & the U.S. Unintentional Injury and Violence 2003 NNHS 2003 BIA 2003 AZ 2003 USA Attempted suicide in the past year 20%18%7.8%6.1% Smoke cigarettes in the past year 37.7%52%20.9%21% Offered drugs on school property 31% 28.1%28.7% Enrolled in PE classes29.4%48%37.9%55.7% Compiled by Donna R. Perry, MD, FAAP, FSAM, Chinle Service Unit

15 Infant Mortality by UIHO Service Areas Source: U.S. Centers for Health Statistics Notes: Results pertain to UIHO service areas with 10 or infant deaths to AI/AN mothers.*Significant difference between rates for AI/AN and all races combined. “Partial” refers to the inclusion of only those counties with a 1990 population of 250,000 or more. The Health Status of Urban Indians and Alaska Natives: An Analysis of Select Vital Records and Census Data Sources. March 2004 Urban Indian Health Institute, a division of the Seattle Indian Health Board Six-year Averages,

16 Birth Rates among Mothers with Diabetes, CY IHS total 49.0/1000 US all-races 29.3%

17 Mothers Who Smoked During Pregnancy, CY Percent of Mothers Who Smoked (All Births) Percent of Mothers Who Smoked (LBW) US all-races 12.2%

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