In this section, South Dakota MCH Title V reports on planned activities in the Child Health Domain for the period October 1, 2021 through September 30, 2022. In the Child Health Domain, selected priorities and corresponding National Performance Measures or State Performance Measures are as follows:
Priority Need: Parenting education and support
NPM 6: Percent of children, ages 9 through 35 months, receiving a developmental screening using a parent-completed screening tool
ESM 6.1: Percent of community health offices that distribute tracking cards
2020-2021 Objective and Strategies
Objective: Increase the percent of children from non-metropolitan areas 9 through 35 months who received a developmental screening using a parent-completed screening tool in the past year from 33.2% (2017-18) to 36.5% by 2025 (NSCH)
A New Plan
The MCH Child Domain will see many changes in the upcoming grant year. Many factors contributed to the need for these changes, including an office-wide services assessment that resulted in new and improved processes for service delivery. In addition, the need to focus on collaboration was recognized during the first year of implementation, as most of our work is accomplished through partnerships. Moving forward, the Child Domain will have an increased emphasis on parenting education and support, as well as a restructured approach to addressing developmental screening processes in the Community Health offices.
Proposed Strategies:
6.1: Develop and equitably disseminate a clear and consistent message to communicate the importance of developmental screening to families and community health providers
- Encourage Community Health staff to connect English and Spanish speaking families with needed technology to apps including CDC Milestone Tracker app, Bright by Text, Text4Baby
- Ensure community health offices have adequate hard copy resources such as trifold developmental screening cards and milestone tracking handouts to distribute to families
- Develop the ASQ and ASQ SE screening processes in Community Health Offices and identify opportunities for quality improvement
- Provide training to community health staff on early identification
6.2: Create new and promote existing parenting resources to support healthy children and families
- NPM 6 workgroup will identify parenting resources across the state and collaborate on promotion and dissemination to families
- Connect with medical providers, social workers, tribal communities, and community workers to identify additional parenting resources and ways to equitably promote them
6.3: Collaborate with partners to identify gaps in parenting education and support and reduce duplication of efforts
- Collaborate with the DOH Home Visiting program and Community Health Offices to reduce duplication of and/or gaps in developmental screenings and referrals for evaluation between home visiting and other OCFS programs
- Title V Child Health Coordinator will serve on the SD Developmental Disabilities Council, State Community of Practice Team, and additional workgroups as requested to boost collaboration with other entities and identify gaps in parenting education and support
New Approach to Evidence- Based Strategy Measures
The detail sheets originally developed for each National and State Performance Measure in FFY17 continued to be updated and utilized through FFY20 to capture program effectiveness. Beginning in FFY21, we will be taking a different approach to ESMs and measuring the effectiveness of our efforts based on technical assistance and training received from the MCHB Evidence Center.
New Efforts
- Increased involvement with ASQ and ASQ SE screenings in Community Health offices: The Office of Child and Family Services underwent a services assessment in 2020/2021 that resulted in an opportunity to give the Child Health Coordinator an increased presence with the ASQ screening processes in the Community Health Offices. The Child Coordinator will provide trainings on early identification and focus on quality improvement efforts to improve developmental screening rates.
- Staff Training: Training on early identification will be provided to Community Health staff. The Child Coordinator will also undergo training on ASQ and ASQ SE screenings and early identification.
- Parenting education and support: The MCH Program will work with partners to create new and promote existing parenting resources to parents. The NPM 6 workgroup has representation from different organizations as well as state agencies that work directly with families. Through input from our partners, we will determine what resources are needed for specific populations and tailor our approach based on need.
Ongoing Efforts Supported by MCH for the Child Domain
- School Health services, which include basic student health screening, vision screening, scoliosis screening, hearing screening, and health education, are provided at the request of contracting schools. Oral health screening is incorporated with WIC services. Funding supports interpreter services for non-English speaking families and children served.
- Park RX Program: WIC programs in South Dakota will be able to prescribe exercise to participants. Participants can take their Park Rx to any South Dakota State Park and turn it in for a free pass for the day. Participants can also turn in the pass that same day and receive a discounted annual pass to encourage yearlong activity.
- Healthy SD: The www.healthysd.gov website has nutrition and physical activity resources that include all age groups. Particularly “Harvest of the Month” is a free curriculum for introducing fruits and vegetables to children http://www.sdharvestofthemonth.org/
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