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Maternal and Child Health Services Title V Block Grant State Narrative for Virginia

Maternal mortality levels in Kenya remain unacceptably high at 488 per 100,000 live births 1 . The United Nations estimated in 2005 that 1 in every 39 Kenyan women die in childbirth; while major progress has been made in reducing infant and child mortality rates, one in every 19 babies born in Kenya this year will die before their first birthday. 60% of these deaths will occur in the neonatal period. While poverty and high rates of HIV, TB, malaria and other infectious diseases provide underlying substantial challenges, the appalling mortality statistics implicate dysfunctional health systems as being the principal obstacle for. | Maternal and Child Health Services Title V Block Grant State Narrative for Virginia Application for 2013 Annual Report for 2011 Document Generation Date Wednesday May 23 2012 Table of Contents I. General Requirements.4 A. Letter of Transmittal.4 B. Face Sheet.4 C. Assurances and Certifications. 4 D. Table of Contents.4 E. Public Input . 4 II. Needs Assessment.6 C. Needs Assessment Summary.6 III. State Overview.8 A. Overview.8 B. Agency Capacity.16 C. Organizational Structure.23 D. Other MCH Capacity.25 E. State Agency Coordination.29 F. Health Systems Capacity Indicators.33 IV. Priorities Performance and Program Activities.41 A. Background and Overview.41 B. State Priorities . 41 C. National Performance Measures. 46 Performance Measure 01 .46 Form 6 Number and Percentage of Newborns and Others Screened Cases Confirmed and Treated. 50 Performance Measure 02 .51 Performance Measure 03 .54 Performance Measure 04 .57 Performance Measure 05 .61 Performance Measure 06 .64 Performance Measure 07 .67 Performance Measure 08 .70 Performance Measure 09 .73 Performance Measure 10 .75 Performance Measure 11 .78 Performance Measure 12 .81 Performance Measure 13 .84 Performance Measure 14 .87 Performance Measure 15 .90 Performance Measure 16 .93 Performance Measure 17 .95 Performance Measure 18 .98 D. State Performance Measures.102 State Performance Measure 1 .102 State Performance Measure 2 .104 State Performance Measure 3 .108 State Performance Measure 4 .110 State Performance Measure 5 .112 State Performance Measure 6 .115 State Performance Measure 7 .117 State Performance Measure 8 .119 State Performance Measure 9 .121 State Performance Measure 10 .123 E. Health Status Indicators.126 F. Other Program Activities. 131 G. Technical Assistance.133 2 V. Budget Narrative.134 Form 3 State MCH Funding Profile.134 Form 4 Budget Details By Types of Individuals Served I and Sources of Other Federal Funds. 134 Form 5 State Title V Program Budget and Expenditures by Types of Services II .