MCH BG for Public Comment

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Informations

• Publié par: Shoeb
• Nombre de lectures: 26
• Langue: English

Extrait

MCH BLOCK GRANT 2009 DRAFT FOR PUBLIC COMMENT







Maternal and Child Health Services
Title V Block Grant

State Narrative for
NEW JERSEY

Application for 2009
Due July 2008




MCH BLOCK GRANT 2009 DRAFT FOR PUBLIC COMMENT
Table of Contents
I. General Requirements ...................................................................................................................
A. Letter of Transmittal...................................................................................................................
B. Face Sheet ................................................................................................................................
C. Assurances and Certifications...................................................................................................
D. Table of Contents ......................................................................................................................
E. Public Input................................................................................................................................
II. Needs Assessment.............
III. State Overview ........................................................................................................................... 5
A. Overview.................................................................................................................................. 5
B. Agency Capacity...................................................................................................................... 9
C. Organizational Structure........................................................................................................ 16
D. Other MCH Capacity ............................................................................................................. 16
E. State Agency Coordination....................................................................................................19
F. Health Systems Capacity Indicators...................................................................................... 25
Health Systems Capacity Indicator 01: .................................................................................. 23 temsitor 02: 23 tems Capacity Indicator 03: 24
Health Systemsitor 04: 26 tems Capacity Indicator 07A:................................................................................ 26 temsir 07B: 27
Health Systems Capacity Indicator 08: 27 temsity Indicator 05A: 28 tems Capacir 05B: 29
Health Systemsity Indicator 05C: 30 tems Capacir 05D: 31 temsity Indicator 06A: 32
Health Systems Capacir 06B:................................................................................ 32 temsity Indicator 06C: 32 tems Capacir 09A: 33
Health Systemsity Indicator 09B: 34
IV. Priorities, Performance and Program Activities ....................................................................... 38
A. Background and Overview .................................................................................................... 38
B. State Priorities ....................................................................................................................... 38
C. National Performance Measures........................................................................................... 47
Performance Measure 01:...................................................................................................... 47 e M02: 52 e Measure 03: 53
Performance M04: 56 e Measure 05: 57 e M06: 58
Performance Measure 07: 60 e M08: 61 e Measure 09: 63
Performance M10: 64 e Measure 11: 65 e M12: 67
Performance Measure 13: 69 e M14:...................................................................................................... 70 e Measure 15: 71
Performance M16: 72 e Measure 17: 73 e M18: 76
D. State Performance Measures................................................................................................ 78
State Performance Measure 1: .............................................................................................. 78
2 MCH BLOCK GRANT 2009 DRAFT FOR PUBLIC COMMENT
State Performance Measure 2: .............................................................................................. 79 e 3: 80 e Measure 4: 82 e 5: 83
State Performance Measure 6: 84 e 7: 86 e Measure 8: 90
E. Health Status Indicators ........................................................................................................ 93
F. Other Program Activities.... 94
V. Budget Narrative ....................................................................................................................... 95
A. Expenditures.......................................................................................................................... 95
B. Budget ................................................................................................................................... 95
X. Appendices and State Supporting documents.......................................................................... 98
MCH Indicator Charts 1 - 10
3 MCH BLOCK GRANT 2009 DRAFT FOR PUBLIC COMMENT



I. General Requirements

Accorded to the Maternal Child Health Bureau guidance for completing the MCH Block Grant
Application and Annual Report, all of the previous year’s narrative has been left in place up to
sections IV C & D (National & State Performance Measures). Changes of any kind (additions,
corrections, updates, and revisions) begin at the left margin of each paragraph or section where
the change applies with the symbol /2009/ and end with //2009//. In this manner, entire sections
will not have to be rewritten and all changes will be easy for all readers of the application to find.
Beginning with Sections IV C & D (National & State Performance Measures), updates have been
made to last year’s narrative as concisely as possible.


D. Table of Contents
This report follows the outline of the Table of Contents provided in the "GUIDANCE AND FORMS
FOR THE TITLE V APPLICATION/ANNUAL REPORT," OMB NO: 0915-0172; expires May 31,
2009.


E. Public Input
To include public input into the annual development of the MCH Block Grant Application and
Annual Report, a draft of the application narrative will posted on the Department's website four
weeks prior to a scheduled May 20, 2008 Public Hearing. Notice of the public hearing will be
published in local newspapers throughout the State. Notification of the public hearing and
availability of the draft application on the Department's website will be mailed to over 300
individuals on the Division of Family Health Services mailing list. Input into Title V activities is
encouraged throughout the year through involvement of individuals and families in the many
advisory groups and task forces as described in Section III.E.


II. Needs Assessment
In application year 2009, it is recommended that only Section IIC be provided outlining updates to
the Needs Assessment if any updates occurred.
MCH BLOCK GRANT 2009 DRAFT FOR PUBLIC COMMENT


III. State Overview –

A. Overview

The Maternal and Child Health block grant application and annual report, submitted annually by
all states to the Maternal Child Health Bureau (MCHB), contains a wealth of information
concerning State initiatives, State-supported programs, and other State-based responses
designed to address their maternal and child health (MCH) needs. The Division of Family Health
Services (FHS) in the New Jersey Department of Health and Senior Services (NJDHSS), Public
Health Services Branch posts a draft of the MCH Block Grant application and annual report
narrative to its website to receive feedback from the maternal and child health community.

A brief overview of New Jersey demographics is included to provide a background for the
maternal and child health needs of the State. While New Jersey is the most urbanized and
densely populated state with 8.7 million residents, it has no single very large city. Only six
municipalities have more than 100,000 residents.

Compared to the nation as a whole, New Jersey is more racially and ethnically diverse. According
to the 2006 New Jersey Population Estimates, 76.4% of the population was white, 14.5% was
black, 7.4% was Asian, 0.3% was American Indian and Alaska Native, and 1.3% reported two or
more races. In terms of ethnicity, 15.6% of the population was Hispanic. The racial and ethnic
mix for New Jersey mothers, infants, and children is more diverse than the overall population
composition. In 2006, 25.9% of mothers delivering infants in New Jersey were Hispanic, 48.2%
were white non-Hispanic, 15.1% were black non-Hispanic, and 9.1% were Asian or Pacific
Islanders non-Hispanic. The growing diversity of New Jersey's maternal and child population
raises the importance of addressing disparities in health outcomes and improving services to
individuals with diverse backgrounds.

Maternal and child health priorities continue to be a focus for the NJDHSS. The Division of FHS,
the Title V agency in New Jersey, has identified improving access to health services, reducing
disparities in health outcomes and