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ALASKA TITLE V BLOCK GRANT Maternal Child Health Needs Assessment 2015-2019 Survey Results Maternal Child Health Epidemiology Unit Section of Women’s Children’s Family Health Division of Public Health Alaska Department of Health and Social Services December 24 th , 2014 1

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Page 1: Maternal Child Health Needs Assessment 2015-2019 Survey ...dhss.alaska.gov/dph/wcfh/Documents/mchepi/MCHBlockGrant/2015… · Alaska Maternal & Child Health Needs Assessment Survey

ALASKA TITLE V BLOCK GRANT

Maternal Child Health Needs Assessment 2015-2019 Survey Results

Maternal Child Health Epidemiology Unit Section of Women’s Children’s Family Health

Division of Public Health Alaska Department of Health and Social Services

December 24th, 2014

1

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TABLE OF CONTENTS

Who took the survey? __________________________________________________________ 1

Number and Percent of Respondents by Region _____________________________________ 2

Population 1 (Newborns/Infants)

Top 3 Major Health Concerns and Respondent Comments __________________________________ 4

Areas that MCH Public Health System Can Improve Well Baby and Preventative Health Care _______________________________________________ 8 Growth and Developmental Screenings _______________________________________________ 15 Genetic Testing and Counseling _____________________________________________________ 20

Population 2 (Children 1-10 yrs)

Top 3 Major Health Concerns and Respondent Comments_____________________________________ 25

Areas that MCH Public Health System Can Improve Well Child and Preventative Health Care ______________________________________________ 28 Growth and Developmental Screenings _______________________________________________ 34 School Health Services ____________________________________________________________ 39

Population 3 (Adolescents 11-19 yrs)

Top 3 Major Health Concerns and Respondent Comments_____________________________________ 46

Areas that MCH Public Health System Can Improve Preventative Health Care __________________________________________________________ 51 Growth and Developmental Screenings _______________________________________________ 57 Mental Health Care Services ________________________________________________________ 61 School Health Services ____________________________________________________________ 68 Preconception, Prenatal, and Postpartum Care __________________________________________ 72

Population 4 (Women of Childbearing Age 15-44 yrs)

Top 3 Major Health Concerns and Respondent Comments_____________________________________ 79

Areas that MCH Public Health System Can Improve Preventative Health Care __________________________________________________________ 82 Preconception, Prenatal, and Postpartum Care __________________________________________ 87 Mental Health Care Services ________________________________________________________ 91 Family Planning__________________________________________________________________ 97

Population 5 (Children & Youth with Special Health Care Needs)

Top 3 Major Health Concerns and Respondent Comments____________________________________ 102

Areas that MCH Public Health System Can Improve Preventative Health Care _________________________________________________________ 105 Specialty Health Care Services _____________________________________________________ 109 School Health Services ___________________________________________________________ 113 Health Insurance ________________________________________________________________ 116 Care Coordination/Medical Home___________________________________________________ 120 Family Support and Respite Care ___________________________________________________ 125 Transition from Pediatric to Adult Health Care_________________________________________ 129

What do you think the state Maternal Child Public Health System is DOING WELL? ____ 132

If you could choose one public health intervention to improve the health of any of Alaska’s maternal and child health populations, what would it be and why? ____________________ 150

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Alaska Maternal & Child Health Needs Assessment Survey

Answer Choices Responses

Health Care Professional 23.6% 245

State Health department employee (Alaska DHSS) 20.7% 215

Alaska resident 16.6% 172

Parent/Guardian 15.2% 158

Community service provider 14.5% 151

Other State Agency employee 4.2% 44

A member of advisory council or coalition 2.8% 29

Consumer of local health services and programs for pregnant women, infants, children or youth

2.2% 23

Total 1037

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Alaska Maternal & Child Health Needs Assessment Survey

Q2 What city/community/village do you live in? Answered: 1065 Skipped: 0

Number and % of Responses by Region

Northern (27, 3%)

Southwest (48, 5%)

Interior (121, 11%)

Gulf Coast (123, 12%)

Southeast (171, 16%)

Anchorage / Mat-Su (572, 54%)

4

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;7 EEUADW?BA?MI@HDGLKHULBJH@KBLF]L@IGC?BI]FL?B@A?I@E?G@BC?G@?AL <7P6P75<4B:Q4<BRS

;; UADWHN?BEHNM?W?MBUAIC@HDG?A?ALBHGB@K?BEHNNM?BIGNBKHOKBLCKDDMLZ <7P4P75<4B;Q56BKS

;4 DFAL?LBHGBRrrBUF]MHCBLCKDDMLYBUAHWI@?BLCKDDMLB@DDs <7P4P75<4B<5Q47BRS

;6 DD@B?W?ATBLCKDDMBKILBK?IM@KBL?AWHC?LBIWIHMI]M?Z <7P;P75<4B<Q4=BRS

7BPB= 42

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;= nW?ATBLCKDDMBN?L?AW?LBIBLCKDDMBGFAL?BDABK?IM@KBINWDCI@?s <7P7P75<4B4Q;9BKS

;: PCKDDMBDFAL?BL@IXXHGO <7P7P75<4B9Q47BRS

;8 LIE?BILBI]DW?QBUADWHN?BM?IN?ALKHUB@KI@BLFUUDA@LBLCKDDMBK?IM@KBL?AWHC?LBIGNBGFAL?LBJH@KB@AIHGHGOBVFIMH@T HEUADW?E?G@BOFHNIGC?

<7P<P75<4B7Q;=BKS

;9 EDG@KMTBKDE?BWHLH@LBMHG?B@K?TBFL?B@DBNDBHGB@K?BUIL@Z <<P7=P75<4B4Q<6BKS

45 SDA?BDF@A?ICKBIGNB?NFCI@HDGBXDABKHOKBAHLGBIA?ILB@KI@BKIW?B]??GBHN?G@HXH?NZ <<P7=P75<4B4Q66BRS

4< LIW?BIBLCKDDMBGFAL?BIWIHMI]M?BEDA?B@KIGBDG?BNITBIBJ??GZ <<P76P75<4B4Q64BKS

47 KADWHN?BIBGFAL?BXDAB?W?ATBLCKDDMZ <<P76P75<4B<5Q;;BRS

4; RCC?LLB@DBN?INBXMFBWHAFLB?VFIMB@DBXMFBEHL@Z <<P74P75<4B8Q<4BKS

44 L??BGD@?BI]DW? <<P74P75<4B;Q<;BKS

46 HAIHGB@K?B@?ICK?ALYBK?MUBLUA?INBGGDJM?NO?BDXBNHLI]HMH@H?LBIGNBEDA?B?XXDA@LBDGB?XX?C@LBDXB]FMMTHGO <<P74P75<4B7Q7:BKS

4= PCKDDMLBHGBWHMMIO?LBDXXB@K?BADINBLTL@?EBKIW?BNHXXHCFM@TBKHAHGOBIGNBG??UHGOBL@IXXZ <<P7;P75<4B6Q<6BKS

4: nW?ATBLCKDDMBLKDFMNBKIW?BIBXFMMB@HE?BGFAL? <<P7<P75<4B4Q5=BKS

48 SIGTBDXB@K?BK?IM@KBHLLF?LBA?MI@?NB@DBCKHMNA?GBCDFMNB]?BA?E?NHI@?NB@KADFOKBPCKDDMB>IL?NBS?NHCIMBP?AWHC?L vLCA??GHGOYBWICCHGI@HDGLYBJ?MMBCKHMNYBLHCGBCKHMNYB?@CZZZCBIGNB@KI@BOD?LBJITB]?TDGNBIBPCKDDMBDFAL?ZBLIWHGOB?H@K?ABI

WHLH@I@HDGBLCK?NFM?NB]TBIBUADWHN?ABDABIGBDGBCIMMBUADWHN?ABJDFMNBHEUADW?NB@K?BVFIMH@TYBICC?LLH]HMH@TBIGNBIWIHMI]HM@T DXBL?AWHC?LZ

<<P7<P75<4B9Q44BRS

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<<P7<P75<4B:Q<5BRS

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<<P75P75<4B8Q48BKS

6< PCKDDMLBKIW?BKINB@DB@IG?BDW?ABWHLHDGBIGNBK?IAHGOBLCA??GHGOLBIGNBCIGF@BIXXDANBLCKDDMBGFAL?LB@DBINNA?LLBK?IM@K

CDGC?AGLBDABHLLF?LZ <<P75P75<4B8Q;<BKS

67 SDA?BLU?ICKB@K?AIUTYBIF@HLEBLU?C@AFEB?NFCI@HDGZ <<P75P75<4B=Q58BKS

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<<P75P75<4B6Q<6BKS

64 PCKDDMBNHL@AHC@LBCF@@HGOBGFALHGOBL@IXXBHLBIBN?@AHE?G@Z <<P75P75<4B4Q<;BKS

66 HK?A?BL??ELB@DB]?BIBMD@BDXBDF@A?ICKBHGBFA]IGBIA?ILYBG??NBEDA?BL?AWHC?LBIGNBDF@A?ICKBHGBAFAIMBIA?ILZZZ <<P75P75<4B7Q<9BKS

6= HKHLBHLBGD@BIWIHMI]M?BK?A?BHGBLDDGIKRBD@K?AB@KIGB@K?BPnRoLpBCMHGCZBEBIEBIGBoDBIGNB@K?BCMHGHCBK?A?BND?LBGD@BKHA?

IGTBGFAL?LBI@BIMMZBHK?BLCKDDMBKINBXA?VF?G@BWHLH@LBXADEBIBCDG@AIC@?NBKLTCKDMDOHL@PCDFGL?MDAYB]F@BHGXA?VF?G@BWHLH@LBXDA ^CCFUI@HDGIMBDABPU??CKBHK?AIUHL@LZ

<<P75P75<4B<Q4=BKS

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68 E@BKILB]??GBETB?QU?AH?GC?BHLB@KI@BLCKDDMLBJ?A?B@K?BUAHEIATBL?AWHC?PLCA??GHGOBUADWHN?ABXDAB@KHLBIO?BOADFUZBLDJ

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69 E@BJDFMNB]?BW?ATBK?MUXFMB@DBKIW?B@AIHG?NBGFALHGOBL@IXXBJKDBLKIA?BA?LDFAC?LBXDAB@K?BN?W?MDUE?G@IMMTBN?MIT?N

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<<P75P75<4B9Q48BRS

=7 L^oDBpr^PnoBLEHLBHLnBPpL^^rBDqoPnP <<P75P75<4B9Q4:BRS

=; IOIHGBETBA?MI@HDGLKHUB]D@KBUADX?LLHDGIMMTBIGNBUAHWI@?MTBKILB]??GBIBW?ATBUDLH@HW?B?QU?AH?GC?BJH@KB@K?BLCKDDM LTL@?EZ

<<P75P75<4B9Q47BRS

;BPB= 43

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ABCDECFGCHIJKCBFLFMNOBPFQICBHNFRIIPDFADDIDDSIKHFTUJVIW

=4 EGBDFABLCKDDMBJ?BKIW?B7BLCKDDMBGFAL?LBJKDBNDBIBMD@BXDAB@K?BGHNLBvLCA??GHGOLYBXMFBWICCHGI@HDGYBINWHC?BDGBCDEEDG

UAD]M?ELBMHG?BMHC?Z <<P75P75<4B9Q<=BRS

=6 EFW?BXDFGNBH@B@DB]?BLFXXHCH?G@BHGB@K?BIA?IBDXBUKTLHCIMBK?IM@KZBS?G@IMBK?IM@KBHLBJK?A?BH@BHLBMICGHGO <<P75P75<4B9Q<5BRS

== KIA?G@LBDX@?GB]?MH?W?BIBLCKDDMBCDFGL?MDABHLBUADX?LLHDGIMMTBI]M?B@DYBIGNBCIGBIGNBLKDFMNBUADWHN?B]?KIWHDAIMBK?IM@K

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<<P75P75<4B9Q58BRS

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=8 EBKIW?BXDFABL@?UCKHMNA?GBHGB@K?BUF]MHCBLCKDDMBLTL@?EBIGNBX??MB@KI@B@K?TBIA?B@A?I@?NBIN?VFI@?MTZ <<P75P75<4B8Q5=BRS

=9 UADED@?BL@IGNIANLBXDABLDCHIMB?ED@HDGIMBM?IAGHGO <<P75P75<4B:Q74BRS

:5 KADWHN?BL?UIAI@?BLFXXHCH?G@BXFGNHGOBLDB@KI@BIMMBLCKDDMBCKHMNA?GBKIW?BICC?LLB@DBIBLCKDDMBGFAL?B<55BBDXB@K?B@HE?

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<<P<9P75<4B8Q57BKS

:7 DD@BIMMBLCKDDMLBKIW?BLCKDDMBGFAL?LZBRMILGIBL@I@?BKLDLBIA?YBHGB@K?BAFAIMBIA?ILYB@K?BN?BXIC@DBLCKDDMBGFAL?ZBL?MUHGO

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:6 SDA?BLFUUDA@BXDABrt>HCBCDEEFGH@H?L <<P<9P75<4B;Q;<BKS

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<<P<9P75<4B7Q64BKS

87 >FNO?@BCF@LBKIW?BMHEH@?NBDABA?EDW?NBLCKDDMBK?IM@KBL?AWHC?LBHGBEIGTBNHL@AHC@LZ <<P<9P75<4B7Q64BKS

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84 P??ELBMHG?BLCKDDMBK?IM@KBKILB]??GBCDG@HGFIMMTBCF@BRBJK?GB@K?BLCKDDMBGFAL?BHLBDG?BDXBHLnBS^PHBHEUDA@IG@BL@IXX E?E]?ALBDGBLH@?Z

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86 nNFCI@HDG <<P<9P75<4B<Q45BKS

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<<P<8P75<4B;Q;=BKS

88 EB@KHGGBNF?B@DBUDMH@HCLBIMMBIA?ILBDXB@KHLBLU?CHXHCBL?AWHC?BCDFMNB]?BHEUADW?NBFUDGZ <<P<8P75<4B7Q6:BKS

89 RMMBRMILGIGLBN?L?AW?BVFIMH@TBK?IM@KCIA?B@KI@BHLB?ILHMTBICC?LLH]M?BRBRGNBLCKDDMLBIA?B@K?B]?L@BUMIC?B@DBCIL@BIBJHN?

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95 R]HMH@TB@DB]?BHGCMFN?NBJH@KDF@BX?IABDXBL@HOEIZ <<P<8P75<4B<7Q;6BKS

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4BPB= 44

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