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Maternal and Child Health (MCH) Division 10/10/2018 1

Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

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Page 1: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Maternal and Child Health (MCH) Division

10/10/2018 1

Page 2: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

210/10/2018

Infant Mortality

• The death of a baby before his/her first birthday

• The Infant Mortality Rate (IMR) is an estimate of the

number of infant deaths for every 1,000 live births

• Infant mortality is the No. 1 indicator of health status

in the world

Page 3: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

310/10/2018

Infant Mortality in Indiana

• Annual United States births: ~ 3.98 million

~ 23,000 babies die before age 1

• Annual Indiana births: ~ 83,000

~ 600 babies die before age 1

• Indiana is consistently worse than the U.S. and the national goal

• IN = 7.5 deaths per 1,000 live births

• U.S. = 5.9 deaths per 1,000 live births

• Healthy People 2020 Goal = 6.0 deaths per 1,000 live births

Source: Birth Rate from- https://www.cdc.gov/nchs/fastats/births.htm

Page 4: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

410/10/2018

Infant Mortality in Indiana by Race

7.9 7.56.9

7.8 7.5 7.76.7 7.1 7.1 7.3 7.5

6.4 6.55.5

6.4 6.06.9

5.5 5.8 5.9 6.4 6.4

18.1

15.714.9

16.114.7

12.3

14.5 15.3 14.7

13.214.4

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate

per

1,0

00 liv

e b

irth

s

Indiana Whites Blacks

Page 5: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Infant Mortality Rates by Ethnicity

Indiana

2010 – 2016

2010 2011 2012 2013 2014 2015 2016

Indiana 7.5 7.7 6.7 7.1 7.1 7.3 7.5

Non-Hispanic 7.4 7.7 6.6 7.1 7.1 7.2 7.4

Hispanic 8.6 7.4 8.1 7.3 6.9 8.5 9.0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

Rate

per

1,0

00 liv

e b

irth

s

Note: Hispanic ethnicity can be of any race.

Source: Indiana State Department of Health, Maternal & Child Health Epidemiology Division [January 5, 2018]Indiana Original Source: Indiana State Department of Health, PHPC, ERC, Data Analysis Team

5

Page 6: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

610/10/2018

Infant Mortality in Indiana by Race

Perinatal Risks 46.4

Congenital Malformations

22.2

SUIDs 13.6

Assaults / Injuries 3.7

All Other6.3

% Distribution of Infant DeathsN = 623

Perinatal Risks

Congenital Malformations

SUIDs

Assaults / Injuries

All Other

%

%

%

%

3.5

1.7

1.0

0.30.5

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

Cause-Specific Mortality Rates*

Per 1,000 Live Births

*Note: Cause-specific mortality rates may not exactly equal the overall infant mortality rate due to rounding.Source: Indiana State Department of Health, Maternal & Child Health Epidemiology Division [Jan. 5, 2018]Indiana Original Source: Indiana State Department of Health, PHPC, ERC, Data Analysis Team

Page 7: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

The MCH MOMS Helpline mission is to reduce the infant mortality rate in Indiana by

connecting families with access to available resources focused on improving the health

of mothers and their children.

10/10/20187

2016 2017 2018

March 1 MOMS Helpline rebranded

November 2017, Liv was launched

January 2018 - June 2018 Labor of Love has had 1,274

hits

Number of calls from launch - Sept. 1, 2018 is 6,446

Since the launch date, Nov. 2017, Liv has had

1,314 downloads

January 2018 - June 2018 MCH MOMS Helpline

website has had 1,381 hits

MOMS HelplineTimeline

This is a visual representation of the timeline of the events that have been identified critical to the progress MOMS Helpline has had since the launch date, March 1, 2018.

Page 8: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

MOMS Helpline Goals

10/10/20188

• Inform and connect families with

resources available for mothers, infants,

and children

• Promote healthy lifestyle education and

positive behavior for women during

preconception and child bearing stage,

and connect them to health education

services

• Promote the MOMS Helpline and the

Labor of Love campaign goals

throughout Indiana

Page 9: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

10/10/20189

Call the MOMS Helpline

Resources

Referrals Advocacy

Follow-up

Health Insurance

Enrollment

Indiana Medicaid

Enrollment

Information

Service Overview

Call the MOMS Helpline focus:

• Locating and connecting with health care provider

• Care for your baby• Care for moms

Page 10: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Locating and Connecting with Health Care Providers

Our specialists help our community members find a health care

professional appropriate to their need in their area based on their ZIP

Code. Health care professionals includes but are not limited to:

• Primary care providers

• OB/GYNs

• Dentists

• Pediatricians

• Certified nurse midwives

10/10/201810

Page 11: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Care for Your Baby and Child

Nutrition

• Special supplemental nutrition program for Women, Infants, &

Children (WIC)

• Supplemental Nutrition

Assistance Program (SNAP)

• Healthy food

Immunizations

• Schedules

• Site locations

• MyVAX Indiana

10/10/201811

Page 12: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Care for Your Baby and Child (cont.)

Baby Items

• Clothing

• Baby cribs

• Car seat

Baby Programs

• Safe Sleep

• Baby & Me Tobacco Free

Children Care

• Child care locations

• Child safety resources

• Early education programs

• Child abuse and prevention

10/10/2018 12

Page 13: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Care for Moms

Housing Assistance

• Homes for pregnant teens

• Women’s shelters

Behavioral Health Providers

• Substance abuse programs

• Postpartum depression (PPD) support

groups

10/10/2018 13

Page 14: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Care for Moms (cont.)

Transportation Providers

• Medical appointments

• Nutrition

• Special Supplemental Nutrition

Program for WIC

Education

• Breastfeeding classes and support

• Nurse-Family Partnership

program

• Healthy Families program

10/10/2018 14

Page 15: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Community Outreach

Labor of Love Summit

State Leadership Meeting

Indiana Perinatal Network

INShape Black Minority Health Fair

Indiana Latino Expo

State Fair

Public Safety + Public Health Opioid

Conference

MCE Baby Showers

Indiana Emergency Response

March of Dimes Baby Showers

Community Baby & Safety Showers

Community Health & Wellness Fairs

The MOMS Helpline connects with families and providers

through community events across Indiana!

10/10/201815

Page 16: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

10/10/2018 16

Collaborations and Partnerships

Community Outreach

MOMS Helpline makes a consistent effort to get connected with

community members and help raise awareness in communities about

the resources and information available. Through the community

outreach efforts, MOMS Helpline has been able to inform the

communities about infant mortality and available resources.

External Partnership

MOMS Helpline partners with

external organizations to be able

to get all resources and act as

the hub for partnerships between

organizations. MOMS Helpline

has a partnership with 2-1-1 to

ensure more access to resources

in Indiana.

Internal Partnership

MOMS Helpline utilizes different

internal programs and assists programs

that are coordinated internally by

informing community members about

the programs. Through the most recent

partnership, MOMS Helpline will be

serving as the centralized access point

for the Help Me Grow Indiana program

that is anticipated to be launched soon.

Page 17: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

MCH Programs Supported by the MOMS Helpline

10/10/2018 17

Safe Sleep Program

Page 18: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Labor of Love

The MOMS Helpline also raises awareness through the Labor of Love

campaign, a product of ISDH in cooperation with other

organizations. To combat unacceptable rates of infant mortality in

Indiana, ISDH, through its Maternal & Child Health Division, is

initiating a statewide sustained education and outreach effort. This has

been identified as the agency’s No. 1 priority.

10/10/201818

Page 19: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

10/10/2018 19

Communication Avenues

Providers

• Doctors

• Specialists

• Public health

agencies

• Transportation

• Case managers

• Social workers

• Food assistance

• County offices

• Government offices

Text

Phone

Email

Coming soon!

Text

Phone

Coming soon!

Page 20: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Pregnancy Mobile Application

10/10/2018 20

As part of the statewide efforts to reduce Indiana’s infant mortality rates,

ISDH has launched a pregnancy mobile application called Liv. The app

provides valuable health resources to parents, caregivers and women of

child-bearing age who are pregnant or planning to be pregnant.

• Searchable library filled with articles, checklists, and quizzes

• Interactive resource locators with GPS maps

• Phone connection to the MOMS Helpline

Improving the health of mothers and their children is the main goal of

the Liv app.

Page 21: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

2110/10/2018

Pregnancy Mobile Application

Page 22: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

2210/10/2018

Call Data by Needs

13%

5%

5%

4%

4%

2%

3%

3%2%

2%

57%

Dental care

Primary care provider

Financial assistance

WIC

Insurance

Housing

Baby supplies

Safe sleep

Car seat

Prenatal care

Transportation

Total calls: 6,446Liv downloads from launch date Nov. 2017: 1,314Anticipated calls in 2019: 23,400

Page 23: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Connect with the MOMS Helpline!

Want to collaborate? Need more information about our program? Have

questions? Contact an MCH MOMS Helpline specialist at:

1-844-MCH-MOMS (1-844-624-6667)

• Monday through Friday 7:30 a.m. – 5:00 p.m. (Eastern)

• Voicemail available outside of regular business hours

• Spanish-speaking specialists available

• Language line available

Visit our website at http://www.MOMSHelpline.isdh.IN.gov

Email us at [email protected]

Download Liv using the QR code or by searching for “Liv” or

“Liv pregnancy app” in Google Play or the App Store

Page 24: Maternal and Child Health (MCH) DivisionMaternal and Child Health (MCH) Division 10/10/2018 1. 2 10/10/2018 Infant Mortality • The death of a baby before his/her first birthday •

Questions?

10/10/2018 24