AMCHP Issue Brief, February 2012

Children and youth with autism spectrum disorder and other developmental disabilities (ASD/DD) require a comprehensive array of medical, behavioral and developmental health services that are often inadequately covered under the current system of health coverage. This leaves children at risk for missed or delayed care and their families with significant financial burdens. The Patient Protection and Affordable Care Act (ACA) is designed to increase health coverage, improve benefits, and provide important new insurance protections for all Americans. Many of the law’s provisions will impact children, including those with ASD/DD, and will be implemented over time. This report, developed by The Catalyst Center at the Boston University School of Public Health, offers a brief description of selected provisions in the ACA that have implications for children with ASD/DD. It also describes how state Title V maternal and child health (MCH) programs can maximize opportunities under the ACA to develop and strengthen systems of care for children and youth with ASD/DD.

Evaluation of Racial Differences in Seat Belt and Child Restraint Use: A Review of Current Literature, 2004

This report presents the results of a literature review conducted to evaluate differences in seat belt use by race. A literature review was conducted to evaluate overall seat belt use, racial differences in seat belt use, overall child restraint use, racial differences in child restraint use, and information about seat belt and child restraint use specific to Iowa. A number of national studies and regional studies were found and are presented. Mixed results were found as to whether racial differences exist in both seat belt use and child restraint use. However, in the course of the literature review, several items that are of interest to safety in Iowa have emerged, although little data specific to Iowa was encountered. First, national seat belt use appears to be lower among African-Americans than for Caucasians or Hispanics. Second, national crash rates among Hispanics appear to be higher than those for Caucasians, particularly when population and lower vehicle miles traveled (VMT) are considered. One issue that should be considered throughout this literature review is that the Hispanic population may be higher than reported due to large numbers of undocumented persons who do not appear in population estimates, driver’s license, or other databases.

Iowa’s Title V Block Grant Executive Summary, 2013

Title V of the Social Security Act is the longest-standing public health legislation in American history. Enacted in 1935, Title V is a federal-state partnership that promotes and improves maternal and child health (MCH). According to each state’s unique needs, Title V supports a spectrum of services, from infrastructure building services like quality assurance and policy development, to gap-filling direct health care services. Title V resources are directed towards MCH priority populations: pregnant women, mothers, infants, women of reproductive years, children and adolescents and children and youth with special health care needs.

2001 Iowa Termination of Pregnancy Report, March 3 2003

The total number of pregnancy terminations decreased from 7,602 in 2000 to 6,845 in 2001. This represents a 10% decrease. Induced termination decreased from 6,059 to 5,722 (a 6% decrease) and spontaneous termination decreased from 1,541 to 1,119 (a 27% decrease). Pregnancy terminations by maternal and child health regions (MCH) • The fertility rate for the state as a whole increased from 62.3 per 1,000 to 62.6 per 1,000, from 2000 to 2001. In 2000, 15 MCH regions had a higher rate than the statewide fertility rate, while in 2001, the number of MCH regions with a higher rate than the statewide fertility rate dropped to 12. Region 7 continued to have the highest fertility rate and region 12 continued to have the lowest rate. • The pregnancy rate decreased from 74.6 per 1,000 to 74.1 per 1,000. Region 16 continued to have the lowest pregnancy rate. However, region 23 had the highest pregnancy rate in 2001, compared to region 7 in 2000. • The induced termination rate decreased 0.6 per 1,000 and down to 9.4 per 1,000 in 2001. Compared to 2000 reports, two fewer regions had a higher rate than the statewide induced termination rate in 2001 (8 regions in 2000 vs. 6 regions in 2001). • The spontaneous termination rate for the state dropped to 1.8 per 1,000 from 2.5 per 1,000. The number of regions with a higher spontaneous termination rate decreased from 9 to 7. Region 14 had the highest rate, and region 20 had the lowest. • The statewide induced termination ratio increased from 145.7 per 1,000 to 149.6 per 1,000. Region 12 had the highest ratio for both years, and region 22 had the lowest ratio. • The statewide spontaneous termination ratio decreased from 39.7 per 1,000 to 29.3 per 1,000. One less region was higher, compared to 2000 data (9 regions in 2000 vs. 8 regions in 2001). In summary, the geographic distribution of the 2001 data showed a pattern similar to that seen in 2000. Generally, the frequency for both induced and spontaneous terminations decreased by month of occurrence, gestational age, marital status, and education level and mother’s age

2016 Title V Needs Assessment: Executive Summary, May 2015

Since early 2014, the Iowa Department of Public Health’s (IDPH) Bureau of Family Health (BFH) and the Oral Health Center (OHC), along with partners at the University of Iowa Division of Child and Community Health (UI-DCCH) collaborated to conduct the five-year Needs Assessment (NA) for the FFY2016 Title V Maternal and Child Health Block Grant.

2016 Title V Needs Assessment: Appendices, May 15, 2015

The Iowa Department of Public Health’s (IDPH) Bureau of Family Health (BFH) and the Oral Health Center (OHC), along with partners at the University of Iowa Division of Child and Community Health (UI-DCCH) collaborated to conduct the five-year Needs Assessment (NA) for the FFY2016 Title V Maternal and Child Health Block Grant.

2016 Title V Needs Assessment Report: Final Report, May 15, 2015

The Iowa Department of Public Health’s (IDPH) Bureau of Family Health (BFH) and the Oral Health Center (OHC), along with partners at the University of Iowa Division of Child and Community Health (UI-DCCH) collaborated to conduct the five-year Needs Assessment (NA) for the FFY2016 Title V Maternal and Child Health Block Grant.

Influenza and Other Respiratory Virus Weekly Activity Report, May 16, 2009 Week 19

The Iowa Influenza Surveillance Network (IISN) is comprised of physicians, schools, child care centers, businesses, and long term care facilities who track the occurrence on influenza-like illness. In addition, the state influenza coordinator tracks the number of deaths due to pneumonia and influenza in Des Moines weekly as part of the 122-Cities Morbidity and Mortality reporting system sponsored by CDC.

Influenza and Other Respiratory Virus Weekly Activity Report, May 9, 2009 Week 18

The Iowa Influenza Surveillance Network (IISN) is comprised of physicians, schools, child care centers, businesses, and long term care facilities who track the occurrence on influenza-like illness. In addition, the state influenza coordinator tracks the number of deaths due to pneumonia and influenza in Des Moines weekly as part of the 122-Cities Morbidity and Mortality reporting system sponsored by CDC.

Iowa Supreme Court Improvement Project for Child in Need of Assistance Cases: Annual Report and Proposed Policy Revisions.

The first part of a three year plan to evaluate and recommend improvements to Iowa's Juvenile Courts.

Iowa Supreme Court Improvement Project for Child in Need of Assistance Cases: A Study of Iowa's Court Performance in Child Abuse and Neglect Cases and Plan for Improvement.

A report of a one year assessment of Iowa's Juvenile Courts handling of Child in Need of Assistance cases and a plan for improvement.

Iowa Supreme Court Improvement Project for Child in Need of Assistance Cases: A Plan for Improvement of Iowa's Court Performance in Child Abuse and Neglect Cases.

A plan for improvement of Iowa's Juvenile Courts handling of Child in Need of Assistance cases. A brief report focusing on just the plan for improvement pulled from the main report: A Study of Iowa's Court Performance in Child Abuse and Neglect Cases and Plan for Improvement.