Indiana State Health Improvement Plan (I-SHIP) - State of Indiana

Reduce Infant Mortality
Hispanic/Latino or Hispanic/Latino population. The Infant Mortality Rate
for Black non-Hispanic/Latino population is consistently higher each year
than the state average, and even in 2007 when the Black non-
Hispanic/Latino rate dropped from 18.1 to 15.7, it was still over twice as
high as the White non-Hispanic / Latino rate in 2007. The percentage of
Black women receiving prenatal care in the first trimester decreased from
68.2% in 2003 to 65.6 % in 2006. The Black premature birth rate in Indiana
between 2000 and 2005 has consistently increased, and is at a much higher
percentage than the total premature percentage. From 2000 through 2002,
the Black premature birth percentage was 18.1, before increasing to 18.5
between 2003 through 2005. The Black low birth weight percentages have
steadily increased every year from 13.3% in 2003 up to 14.4% in 2007.
Indiana has seen a decreasing trend in smoking during pregnancy from
19.1% in 2002 to 17.3% in 2006. However, 17.3% smoking in pregnant
women is still too high and not acceptable. Fifty-one percent of all pregnant
women in Indiana are on Medicaid at time of birth. Smoking rates among
pregnant women on Medicaid have been found to be 1.5 times that for
pregnant women not on Medicaid. In 2009, ISDH linked Medicaid patient
data to 2007 vital record data. Results showed that an average of 27.7% of
all women delivering a live baby on Medicaid smoked during pregnancy in
2007, compared to 17.3% for all pregnant women in Indiana. What was
even more alarming was that for pregnant women on Medicaid 68 of 92
counties had a smoking rates of 30% or greater and 13 counties had smoking
rates of 40-49%. MCH will collaborate with the Office Medicaid Policy and
Planning (OMPP), Medicaid Managed Care Organizations, the Tobacco
Prevention and Cessation Commission at the Indian State Department of
Health, Indiana Tobacco Quitline, and other state and local partners to
decrease smoking among pregnant women on Medicaid and all pregnant
women.
In 2009 and 2010, Indiana received a grade of D on the March of Dimes
Premature Birth Report Card. In fall 2010, ISDH Maternal and Child Health
Division called together a group of health care providers, hospitals, health
professional organizations and concerned organizations to coordinate
statewide systems and approaches to improve perinatal health outcomes.
Focus areas include implementing preconception and interconception care,
reducing perinatal smoking, instituting more standardized levels of obstetric
and neonatal care and reducing prematurity.