TABLE 10–1 Suggested Child Health Indicators

Indicator

Level

Data Sources

Medicaid eligibility/enrollment/services

Individual

Medicaid data files

CHIP eligibility/enrollment/services

Individual

CHIP data files

Number/percent uninsured

Population

State dept. of insurance

SSI benefits

Individual

SSA data

Infant mortality

Individual

Vital statistics

Low birth weight

Individual

Vital statistics

HIV infection among women with live births

Individual

Vital statistics

Prenatal care

Individual

Vital statistics

Newborn screening

Individual

Vital statistics

Birth defects registry

State data system for newborn screening

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)

Population

Medicaid services/payment data

Identification of hearing impairments

Individual

State data system for newborn screening

 

Population

Program evaluation data

Immunizations

Individual

Medicaid, state immunization registry

 

Population

Program evaluation data

Blood lead levels

Individual

EPSDT, clinic record

 

Population

Program evaluation data

Dental caries

Individual

Medicaid

 

 

Public health department

Unintentional injuries

Individual

Vital statistics, hospital discharge

 

 

School-based health centers

Child homicide

Individual

Vital statistics

Adolescent suicides

Individual

Vital statistics

Adolescent substance use rates

Individual

Vital statistics

 

Population

Hospital discharge/health department

 

 

School-based health centers

 

 

Program evaluation data

STD rates among youth

Population

Hospital discharge

 

 

Program evaluation data

 

 

School-based health centers

Adolescent pregnancy rates

Individual

Vital statistics

Of the data sources identified in Table 10–1, the core indicators come from Medicaid and vital statistics. The following two sections discuss these two sources of data, how they can be used in studies of welfare reform outcomes on children, and some methodological issues in their use.



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