2019 MCAH Title V Community Needs Assessment Community Partner Survey

What is MCAH and why are we conducting a Title V five year needs assessment?

The Maternal Child Adolescent Health program was created to improve the health, safety and well-being of mothers and children, including children with special health care needs. In order to determine local and state priorities, local MCAH programs must conduct a needs assessment every five years. This allows us to obtain local stakeholder input, identify needs and issues specific to our community, and help us prioritize the specific areas that we need to focus on during the next five years.

We are asking various community members and agency partners to help us by providing your input through this survey. We are asking a few short questions regarding your demographics. This information is for reporting purposes only.

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* 1. Respondent's Initials

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* 2. Are you representing an:

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* 3. If you answered "Agency or Organization" please indicate the name of the agency/organization.

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* 4. Please enter the sector your agency or organization represents (i.e. academia, faith based, health care, family support organization, medical provider, school, trade/business sector, First Five/Head Start/Child Care, FQHC, etc.)

Please place a check next to your top priority(s) for each goal.

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* 5. Goal: Improve maternal health and increase access to care.

Priority List:

Percent of women delivering a baby who received prenatal care beginning in the first trimester of pregnancy (NC=73.5; State=83.3).

Substance use diagnosis per 1,000 hospitalizations of pregnant women 15-44 (NC=58.3; State=18.8)

Any smoking during 1st or 3rd trimester per 100 females with live births (NC=12.4+; state=2.7)

Prenatal depressive symptoms and postpartum depressive symptoms (NC=17.2+, state= 14.1; NC=17.1+, State=13.5, respectively).

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* 6. Goal: Improve child and adolescent health and increase access to health care.

Priority List:

Substance abuse hospitalizations per 100,000 ages 15-24 (NC=901.9; state=778.5).

Mental health hospitalizations per 100,000 ages 15-24 (NC=1706; state=1473).

Motor vehicle injury hospitalizations per 100,000 children ages 0-14 (NC=24.7; state=15.1).

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* 7. Goal: Improve infant health and increase access to health care.

Priority List:

Tdap immunizations during pregnancy per 100 females delivering a live birth (NC=45.2+; State=50.4).

Percent of women giving birth to a second child within 24 months of a previous pregnancy (NC=42.7%; State+37.6%).

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* 8. Goal: Improve Children and Youth with Special Health Care Needs (CYSHCH) health and increase access to health care.

Priority List:

Percentage of California Children’s Services (CCS) CYSHCN receiving transition services (ages 14-20)
(NC=54+; State=69.0).

Increase awareness for emergency preparedness and evacuation plans for families of CYSHCN (Data not available).

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* 9. Goal: Improve Children and Youth with Special Health Care Needs (CYSHCH) health and increase access to health care.

Priority List:

Food insecurity during pregnancy per 100 females delivering a live birth (NC=21.4+; state=15.6).

Percentage of days with ozone above regulatory standards (NC=8.2; state=4.9).

+Rate reported is for regional data as county level rate is too unstable.

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* 10. If you would like to address other indicators, please feel free to add them here:

Thank you for taking our survey!

2019 MCAH Title V Community Needs Assessment Community Partner Survey

What is MCAH and why are we conducting a Title V five year needs assessment?

Question Title

* 1. Respondent's Initials

Question Title

* 2. Are you representing an:

Question Title

* 3. If you answered "Agency or Organization" please indicate the name of the agency/organization.

Question Title

* 4. Please enter the sector your agency or organization represents (i.e. academia, faith based, health care, family support organization, medical provider, school, trade/business sector, First Five/Head Start/Child Care, FQHC, etc.)

Question Title

* 5. Goal: Improve maternal health and increase access to care.Priority List:

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* 6. Goal: Improve child and adolescent health and increase access to health care.Priority List:

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* 7. Goal: Improve infant health and increase access to health care.Priority List:

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* 8. Goal: Improve Children and Youth with Special Health Care Needs (CYSHCH) health and increase access to health care.Priority List:

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* 9. Goal: Improve Children and Youth with Special Health Care Needs (CYSHCH) health and increase access to health care.Priority List:

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* 10. If you would like to address other indicators, please feel free to add them here:

* 5. Goal: Improve maternal health and increase access to care.

Priority List:

* 6. Goal: Improve child and adolescent health and increase access to health care.

Priority List:

* 7. Goal: Improve infant health and increase access to health care.

Priority List:

* 8. Goal: Improve Children and Youth with Special Health Care Needs (CYSHCH) health and increase access to health care.

Priority List:

* 9. Goal: Improve Children and Youth with Special Health Care Needs (CYSHCH) health and increase access to health care.

Priority List: