Category Archives: Early childhood
Every baby should have a chance to celebrate a healthy, happy first birthday. Unfortunately, that is not always the case. And that risk disproportionately affects people with lower income and people of color. This Infant Mortality Awareness Month, we can celebrate some progress in helping more babies reach that first milestone, according to health officials who shared successes at the Association of State and Territorial Health Officials (ASTHO) Annual Meeting in Orlando, Fla., this week.
>>Follow our ASTHO Annual Meeting coverage throughout the week.
“We are collectively moving forward in improving birth outcomes across the nation,” said David Lakey, MD, Commissioner of the Texas Department of State Health Services and former ASTHO president, who took on healthier babies as his President’s Challenge during his tenure. Lakey set out a goal of an 8 percent reduction in premature births by 2014.
“There is a high human cost of prematurity,” said Lakey, and that cost includes low birth weight, increased morbidity and mortality, and an impact on standardized test scores and other outcomes later in life for those who do survive. “Those who are born early have a much lower chance of having a healthy, happy first birthday.”
There is also an economic and societal cost of premature birth, the cost of which is largely paid for by Medicaid. Lakey said that 57 percent of all Texas births are paid for by Medicaid. Extreme preterm birth costs an average of $71,000—while a full-term birth costs an average of $420.
U.S. News & World Report has added a new set of rankings, “America's 50 Healthiest Counties for Kids” to its just released annual report on the Best Children’s Hospitals. The top counties have some important measures including fewer infant deaths, fewer low-birth-weight babies, fewer deaths from injuries, fewer teen births and fewer children in poverty than lower ranked counties. Most of the measures were taken from this year’s County Health Rankings, a collaboration of the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation.
According to U.S. News, “America’s 50 Healthiest Counties for Kids,” represents the first national, county-level assessment of how health and environmental factors affect the well-being of children younger than 18 and shows that even the highest-ranking counties grapple with challenges such as large numbers of children in poverty and high teen birth rates.
>>Read the full U.S. News & World Report article.
Healthy Babies Minnesota is an umbrella of activities aimed at using prenatal and first-year initiatives to make Minnesotans healthier throughout their lives. NewPublicHealth spoke with Edward Ehlinger, MD, the state’s commissioner of health, about the program.
Today marks the start of the regional Infant Mortality Summit, kicking off a collaborative, multi-State initiative to improve infant health outcomes. NewPublicHealth will feature some innovative programs and initiatives to support healthy babies this week.
NewPublicHealth: What are key initiatives that make up Healthy Babies Minnesota?
Dr. Ehlinger: We have a lot of activities related to pregnancy, prenatal care, preconception care and early childhood care; and so we’re collaborating on all of those. We also have a Children’s Cabinet that’s focusing on early childhood growth and development. We’re also really focusing on adverse childhood experiences. We’re collecting information across the state on what’s happening to babies in the first year of life, adverse childhood experiences, to make sure that we prevent those or can intervene quickly. And we’re also really focusing on preconception care. Trying to make sure that women who are anticipating becoming pregnant will focus on all of the important issues—make sure their weight is normal, their blood sugars are under control, if necessary, that they’re not smoking, they’re not drinking.
NPH: And what is the next set of ideas for 2012?