HSN Indicators

Children Birth to FiveSeptember 2008

Glossary of terms• Number - Actual number of reported cases

• Percent - The percent of the total number of cases compared to the population - ex: 1 out of 4 = 25%

• Rate - How many you would expect, given your actual number, based on an agreed upon higher population. For example, most health related ‘rates’, compare all actual numbers to a population of 100,000. Rates are used to compare numbers between small groups and large groups.

30 = 64.6 = 6,39546,500 100,000 9,900,000

• The above example changes 30 cases in Hillsdale County with a population of 46,500, to a rate of 64.6 cases per 100,000. This allows comparison to a larger population rate. Michigan, with 6,395 actual cases, has the same rate – 64.6

Immunizations

Complete Immunizations, 19-36 MonthsPercent Complete

Source: Community Health Agency/MCIR

696665

78 77

0

20

40

60

80

100

2003 2004 2005 2006 2007

% C

ompl

ete

HillsdaleBranchMichigan

Percent of mothers without a high school diploma – Hillsdale, Branch Co. and MI

Source: Michigan birth files

22.7 24.1

19.5

24.522.5 22.3 23.1

0

10

20

30

40

2000 2001 2002 2003 2004 2005 2006

Perc

ent

HillsdaleBranchMI

Percent of fathers without a high school diplomaHillsdale, Branch Co. and MI

Source: Michigan birth files

16.218.3 20.117.717.818.3

15.6

0

10

20

30

40

2000 2001 2002 2003 2004 2005 2006

Perc

ent

HillsdaleBranchMI

Percent in Special Education Ages 0-5Hillsdale, Branch Counties and Michigan

2002-2006/07 School year

Source: MI Department of Education

5 5.1 4.85.4 5.4

0

5

10

2002 2003 2004 2005 2006

Perc

ent

HillsdaleBranchMI

DHS - Abuse and neglect Investigated and substantiated (0-18)

Hillsdale, Branch Co. - 1999-2006Source: Kids Count

0

500

1000

1500

2000

1999 2000 2001 2002 2003 2004 2005 2006

Num

ber

HD - Investigated

HD - Substantiated

BR - Investigated

BR - Substantiated

Number of children (0 to 18) housed by Domestic Violence Shelter2001-2007 – Hillsdale Co.

Source: Domestic Harmony

3628 25

39 41

27262320

53

6865

4848

89

0

20

40

60

80

100

2001-02 2003-04 2004-05 2005-06 2006-07

Num

ber o

f Chi

ldre

n Ho

used

Children 0-5Children 6-18Children-all

Number of resident nights provided for children ages 0 to 18 by Domestic Violence Shelter, 1996-

2005Source: Domestic Harmony

797807

1066

556711762

1059

545

1331

0

200

400

600

800

1000

1200

1400

1600

1996

-97

1997

-98

1998

-99

1999

-00

2000

-01

2001

-0220

02-3

2003

-4

2004

-5

Num

ber

Poverty estimates for Hillsdale County children age 0 to 5

Source: U.S Census 1990 & 2000/SAIPE

1990 1993 1995555

1997 2000

Total Children 0-5

3296 3669 3598 3554 3643

Number in Poverty

685 919 792 596 428

Percentage in Poverty

20.8% 25% 22.0% 16.8% 11.8%

Pregnancy & Prenatal Care

Births by YearSource: Michigan Birth Files - MDCH

0

100

200

300

400

500

600

700

1996 1998 2000 2002 2004 2006

BranchHillsdale

Births Paid by Medicaid 2002-2006Hillsdale County and Michigan

Source: Kids Count - CLIKS

% Medicaid 1999 -29% , 2004 - 43%

35.439.9

42.9 43.446.7

0

10

20

30

40

50

2002 2003 2004 2005 2006

% B

irths

Pai

d by

Med

icai

d

HillsdaleMI

Smoking:Percent of Mothers Who Report Smoking While Pregnant

Source: Michigan Birth Files

30.426.3 25.4

0.0

10.0

20.0

30.0

40.0

1996 1998 2000 2002 2004 2006

Perc

ent

Hillsdale Branch MI

Prenatal CarePercent with Adequate Care

Source: Michigan Birth Files

Based on Kessner Prenatal Care Index

66.570.7

77.7

50

60

70

80

90

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Perc

ent

HillsdaleBranchMI

No Pre-Natal Care as a % of Total Births

Source: Michigan Birth Files

0.53

0

1

2

3

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Perc

ent N

o Ca

re

HillsdaleBranchMichigan

Infant Mortality Rate3 Year Averages (1994-2006)

Source: Michigan birth files

0

3

6

9

12

1994

-6

1995

-7

1996

-8

1997

-9

1998

-00

1999

-01

2000

-02

2001

-03

2002

-04

2003

-05

2004

-06

Avg.

Infa

nt D

eath

Rat

e

HillsdaleBranchMI

Infant Deaths and Prenatal Care Hillsdale County 1997-2006

Source: Michigan Birth Files

07

0424 4

7 5 423

79 8812796

373940 37

2932

56

393744

010203040506070

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

Num

ber

Infant DeathsNo PNC< 6 PNC Visits

Deaths of children ages 0 to 18Hillsdale County 1997-2006

Source: MDCH Death Files

87

1110

1614

1213

810

0

5

10

15

20 MaleFemaleTotal

Annual WIC enrollmentHillsdale/Branch Counties, 2002-2008 Average

Source: MDCH WIC program data

263279254258248209

715635

579

479

560528

0

200

400

600

800

1000

2002-03 2003-04 2004-05 2005-06 2006-07 4/ 30/ 2008

Num

ber

Women-HDWomen-BRKids-HDKids-BR

Final Thoughts• There's nothing sadder in this world than to awake Christmas

morning and not be a child.

Erma Bombeck

• Children have never been very good at listening to their elders, but they have never failed to imitate them.

James Baldwin

• Any kid will run any errand for you if you ask at bedtime.

Red Skelton