Needs Assessment Tool Sixteen
HP 2010 Goal: Improve the health and well-being of women, children and families
HP 2010 Objectives
/ Target / Data Assessed /Need
/ Recommendations1. / Reduce fetal and infant deaths / Per 1,000 live births plus fetal deaths:
a. To 4.1 at 20 weeks gestation;
b. To 4.5 during perinatal period (28 weeks gestation to 7 days post birth
Rate / 1,000 live births:
c. To 4.5 for all infant deaths
d. To 2.9 for neonatal deaths (by the first 28 days of life)
e. To 1.5 for postnatal deaths (between 28 days and 1 year)
f. To 1.1 for all birth defects
g. To 0.38 for congenital heart defects
h. Reduce deaths from SIDS to 0.30 deaths / 1,000 live births
2. / Reduce the rate of child death / Rate / 100,000:
To 25.0 for children 1-4 y/o: to 14.3 for children 5-9 y/o
3. / Reduce deaths of adolescents and young adults / Rate / 100,000:
To 16.8 for adolescents 10-14 y/0;
To 43.2 for adolescents 15-19 y/o;
To 57.3 for young adults 20-24 y/0
4. / Reduce maternal deaths / To 3.3 maternal deaths / 100,000 live births
5. / Reduce maternal illness and complications due to pregnancy / Per 100 deliveries:
To 20 for maternal complications during L& D;
Developmental for ectopic pregnancies & postpartum complications including postpartum depression
6. / Increase the proportion of pregnant women who receive early and adequate prenatal care / To 90% for care beginning in the first trimester, and to 90% for early and adequate care.
7. / Increase the proportion of pregnant women who attend a series of prepared childbirth classes / Developmental
8. / Increase the proportion of very low birth weight (VLBW) infants born at Level III hospitals or subspecialty perinatal centers / To 90%
9. / Reduce cesarean deliveries among low-risk n(full-term, singleton, vertex presentation) women / T0 15.5% for no prior cesarian delivery; to 63% for prior cesarian delivery
10. / Reduce Low birth weight (LBW) and VLBW / To 5.0% for LBW & 0.9% for VLBW
11. / Reduce preterm births / To 7.6% for total preterm; 6.4% for live births at 32-36 weeks gestation; 1.1% of live births at less that 32 weeks gestation
12. / Increase the proportion of mothers who achieve a recommended weight gain during their pregnancies / Developmental
13. / Increase the % of healthy full-term infants who are put down to sleep on their backs / To 70%
14. / Reduce the occurrence of developmental disability / Rate / 10,000:
To 124 for mental retardation; to 31.5 for cerebral palsy; developmental for autism spectrum disorder & epilepsy
15. / Reduce the occurrence of spina bifida and other neural tube defects (NTDs) / To 3 new cases / 10,000 live births
16. / Increase the proportion of pregnancies begun with an optimum folic acid level / To 80% for consumption of a.l. 400 μgof folic acid ea. day from fortified foods or dietary supplements by nonpregnant women 15-44 y/o; to 220 ng/ml as the median RBC folate level among nonpregnant women 15-44 y/o
17. / Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women / Increase in reported abstinence in past month:
94% from alcohol; 100% from binge drinking; 98% from cigarette smoking; 100% from illicit drugs
18. / Reduce the occurrence of fetal alcohol syndrome (FAS) / Developmental
19. / Increase the proportion of mothers who breastfeed their babies / To 75% in early postpartum period; to 50% at 6 months; to 25% at 1 year
20. / Ensure appropriate newborn bloodspot screenings, followup testing, and referral services / Developmental
21. / Reduce hospitalization for life-trhetetning sepsis among children 4 y/o with sickling hemoglobinopathies / Developmental
22. / Increase the proportion of children with special health care needs who have access to a medical home / Developmental
23. / Increase the proportion of Territories and States that have service systems for children with special health care needs / To 100%