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Introduction
Children are one-quarter of Florida's population. Florida is the fourth largest
state in the nation. It is also a bell weather state with large numbers of families
from other states and nations who have chosen to make Florida their home. While great
progress has been made in child health and most children in Florida are healthy, there
is much that can be done to reduce child morbidity, mortality and disparities in child
health outcomes. New information on brain development, mental health, smoking,
asthma, obesity, and diabetes have provided greater understanding of how maternal and
child health is critical to health and success in later life. Child health greatly
affects adult health, well-being and future ability to contribute to society.
The Health of Florida's Children and Youth: Atlas of Key Status Indicators, Goals,
and Objectives for Strategic Planning was developed to identify the potential for
improved child health through data-driven systematic planning, organizing, monitoring,
and focus. As part of an ongoing agency-wide planning effort to involve partner
health agencies, stakeholders and Florida citizens in improving child health, it does
not replace what is currently working but seeks to focus on areas of health that can
be improved through attention, organization, resources and measurement.
The major child health policy concerns in Florida today are presented with objectives
for measuring progress. A CD-ROM is available with more complete text. The
data-driven project presents a new picture of children. Mortality and morbidity
threats are analyzed by age and compared with adult causes of mortality. By breaking
down the scope of mortality and morbidity factors by age, it becomes easier to analyze
and design interventions for children and youth in Florida. The goal is to create
awareness, action and consensus among child health stakeholders in order to improve
upon and maintain the great amount of progress that has been made. The workgroups who
prioritized areas for analysis were guided by the nation's Healthy People 2010 effort
that identifies leading indicators and focus area objectives for persons of all ages
in America.(1-3)
The Health of Florida's
Children and Youth utilizes this structure
for addressing child and youth health in Florida, adding functions for public health.
Three Overall Goals
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Help All Children Reach Their Full Potential
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Reduce Mortality and Morbidity in Children and Youth
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Reduce Child Health Disparities
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Four Strategic Public Health Core Functions for
Florida's Children and Youth
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Education, Public Awareness, and Prevention
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Access and Utilization of Quality Health Services
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Services for Children with Special Health Care Needs
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Child Health Data and Surveillance
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Sixteen Leading Child and Youth Health
Indicators
Ten Healthy People 2010(1) indicators were
increased by six and the wording of four indicators was changed to highlight issues
specific to children and youth in Florida. Lead Indicators are priority health
indicators for action and monitoring. Healthy People 2010 describes Leading
Indicators as areas chosen based on their ability to motivate action, the
availability of data to measure their progress and their relevance.
(1)
(Note: Bold text identifies an additional indicator. Italicized text indicates a
change in wording from Healthy People 2010.)
1. Access to Quality Health Services
2. Child Abuse and Violence
3. Children with Special Health Care
Needs
4. Early Identification and Intervention
5. Environmental Quality
6. Immunization
7. Injury
8. Low Birth Weight, Birth Defects and
Infant Mortality
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9. Mental Health
10. Nutrition
11. Overweight
12. Physical Activity and Development
13. Responsible Sexual Behavior
14. Substance and Alcohol Abuse
15. Tobacco Use
16. Well Child Check-Up
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Thirty-Five Focus Areas (In development)
In order to coordinate closely with Healthy People 2010
(1)
, 28 focus areas covering health issues for persons of all ages were expanded to 35
to highlight the major causes of morbidity, death and promising health programs for
infants, children and youth in Florida. The intent is to monitor child and youth
health issues identified in Healthy People 2010 and to add Florida objectives as
needed.
1. Access to Quality Health Services
2. Arthritis, Osteoporosis, and Chronic Back Conditions
3. Cancer
4. Chronic Kidney Disease
5. Diabetes
6. Children with Special Health Care Needs
7. Community Based, School Health and Child Care Environments
8. Environmental Health
9. Family Planning
10. Food Safety
11. Health Communication - Public Awareness, Education and Prevention
12. Heart Disease and Stroke
13. Pediatric HIV
14. Immunization and Infectious Diseases
15. Injury Motor Vehicle Related
16. Maternal, Preconceptual, and Postpartum
17. Medical Product Safety
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18. Mental Health and Mental Disorders
19. Nutrition and Overweight
20. Occupational Safety and Health
21. Oral Health
22. Physical Activity and Fitness
23. Public Health Infrastructure Data and Surveillance
24. Respiratory Diseases Asthma & Allergies
25. Sexually Transmitted Diseases
26. Substance & Alcohol Abuse
27. Tobacco Use
28. Vision and Hearing
29. Adolescent Pregnancy and Parenting
30. Child Abuse and Domestic Violence
31. Early Intervention
32. Infant Mortality and Morbidity
33. Injury Intentional (Suicide and
Homicide)
34. Injury Unintentional
35. Well Child Check-up
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