1. www.kdheks.gov Healthy Kansans living in safe and sustainable environments

2. Background Information PROGRESS TO DATE Meeting on July 17, 2009 Rosemary Fournier, Michigan Gianfranco Pezzino, KHI Healthy Kansans living in safe and sustainable environments

3. Background Information PROGRESS TO DATE (cont.) Meeting on Aug 27, 2009 Jamie Kim, GIS and trend data Susan McLoughlin, MCH Coalition KC Susan Wilson, Healthy Babies Wichita Healthy Kansans living in safe and sustainable environments

4. Background Information How many Kansas children ages birth to 18 die each year? Healthy Kansans living in safe and sustainable environments ~500

5. Background Information How many of those are infants? Healthy Kansans living in safe and sustainable environments ~ 300 (2/3 of child deaths)

6. Background Information How many infants die before one month of age (neonatal)? Healthy Kansans living in safe and sustainable environments ~ 200 (2/3 of infant deaths)

7. Background Information How does U.S. compare with other countries? How does Kansas compare with U.S. and other States? Healthy Kansans living in safe and sustainable environments

8. Background Information Healthy Kansans living in safe and sustainable environments

9. Background Information Healthy Kansans living in safe and sustainable environments YearCountBirthsKS rateKS rateUS rate 2003262393536.666.85 2004284395537.186.79 2005297397017.486.87 2006293408967.166.69 2007333419517.946.77(p) 2008303418157.25n/a

10. Background Information Recent Annie E. Casey report – Kansas ranked 29 th among states – in IMR IA 5.1, NE 5.6, CO 5.7, KS 7.1, MO 7.4, OK 8.0 ( 2006 ) Healthy Kansans living in safe and sustainable environments

11. Background Information Neonatal Linked to conditions in pregnancy before pregnancy due to health. of mother Healthy Kansans living in safe and sustainable environments

12. Background Information Postneonatal Linked to conditions/states of poverty parenting adequacy community supports other Healthy Kansans living in safe and sustainable environments

13. Background Information Review Highlights/Trends IMR 2004-2007 - KS > U.S. KS BIMR 98-07 - Signif. ↑ Neonatal IMR - KS ↔ U.S. (2006) Sedg WNMR - Signif. ↓ comparing 98-02 to 03-07 Healthy Kansans living in safe and sustainable environments

14. Background Information Review Highlights/Trends Postneonatal KS > U.S. (2.9 vs. 2.2, 2006) Signif. ↑ in PMR in past 10 yrs 56% of W and 86% of B infant deaths = SG, WY, SN, JO and GE Healthy Kansans living in safe and sustainable environments

15. Background Information Does infant mortality disproportionately impact certain populations in KS? Healthy Kansans living in safe and sustainable environments

16. Background Information BIMR 2.2-2.8x WIMR 17.5 vs. 6.2 (2006) 15.7 vs. 6.5 (2007) 13.3 vs. 6.16 (2008) Healthy Kansans living in safe and sustainable environments

17. Background Information BIMR 2-2.5 x WIMR Healthy Kansans living in safe and sustainable environments Significant Increase

18. Background Information Family Health = Infant Health ECONOMIC DOWNTURNS Linked to – decreases in family health – increases in infant deaths (poor health/access, etc) Healthy Kansans living in safe and sustainable environments

19. Background Information Communities making significant in-roads to reduce IMR/disparities? – Dane Co, Wisconsin – San Diego, California – Sedgwick Co Healthy Kansans living in safe and sustainable environments

20. Background Information KS COMMUNITIES – Fed Projects MCH Coalition of Greater KC Healthy Babies – Sedgwick Co Healthy Kansans living in safe and sustainable environments

21. Background Information Fed Projects MODEL--Healthy Start CRT (community research) CAT (community action) Policy, supports & systems issues Healthy Kansans living in safe and sustainable environments

22. Background Information OTHER – BEST PRACTICES Fed Healthy Start Projects Michigan Kellogg Foundation Healthy Kansans living in safe and sustainable environments

23. Background Information OTHER – BEST PRACTICES Southern States Nebr IMR disparity workgroup UIC researcher Healthy Kansans living in safe and sustainable environments

24. Background Information OTHER – BEST PRACTICES Don’t sell yourself short Within Our Reach Healthy Kansans living in safe and sustainable environments

25. Background Information Healthy Kansans living in safe and sustainable environments Strategies to prevent high risk pregnancies: – Preconceptional care/well-women care – Family Planning – Genetic Counseling – Prepregnancy nutrition – Reduce poverty

26. Background Information Healthy Kansans living in safe and sustainable environments Strategies to prevent LBW and preterm birth: – Prenatal care/risk assessment – Psychosocial interventions/stress reduction – Health education and promotion – Preterm birth prevention programs – Prenatal home visiting – Outreach and case-management – Medical management of high-risk pregnancies – Reduce poverty

27. Background Information Healthy Kansans living in safe and sustainable environments Strategies to improve birth weight-specific mortality: – Regionalization of perinatal care – Treatments for VLBW infants (e.g., surfactant) – Reduce poverty

28. Background Information Healthy Kansans living in safe and sustainable environments Strategies to reduce postneonatal mortality: -Back to sleep campaign -Access to well-child care and immunizations -Postnatal home visiting -Social support -Improved nutrition, housing -Reduce poverty

29. Background Information PRELIMINARY REC’S DISCUSSION Enhance public health surveillance Partner w/ Child Death Review Board Partner w/ local communities Healthy Kansans living in safe and sustainable environments

30. www.kdheks.gov Healthy Kansans living in safe and sustainable environments Linda Kenney, MPH Director, Bureau of Family Health 1000 SW Jackson St., Ste 220 lkenney@kdheks.gov

31. www.kdheks.gov Healthy Kansans living in safe and sustainable environments