Please help the Maternal and Child Health and Children's Special Health Care Services at the Indiana State Department of Health (ISDH) determine what should be our highest priorities for the next several years by completing the attached survey. It consists of a list of topics which you’ll divide into different groups based on the instructions below. If you’ve already completed this survey once, please do not complete it a second time. Thank you very much for your time.
First, look at the list of topics. Each topic is a problem. You’ll notice some are more general than others. Also there is space at the bottom of the list for you to add anything you feel is important that isn’t listed.
Now pick the 3 topics you think should be the Maternal and Child Health and Children’s Special Health Care Services’ first problems to work on. Put the number 1 in the space to the left of each of those topics.
Now pick 3 more out of the remaining topics, but this time put the number 2 beside each of them.
Next pick the top 4 of the topics that are left. Put the number 3 beside each of those.
Next pick 5 more topics out of the ones that are left. Put the number 4 next to each of those.
Now pick the top 6 of those remaining. Put the number 5 next to them.
There are only 15 topics left. If we could address 5 of those, which would they be? Put the number 6 next to each of those topics.
Pick 4 out of the last 10 topics and put the number 7 next to each of those.
Of the last 6 topics, choose 3 you feel should be worked on right away and put the number 8 next to them.
Now go back to the topics that were your top 3—the ones you marked with the number 1. Pick the one you think should be addressed first, before the other two and change it’s number to 0.
Finally, look at the last 3, the only ones you haven’t marked at all. Pretend we suddenly can work on every single item on the list except for one of these 3 which has to wait until later. Choose that one and put the number 10 next to it. Put the number 9 next to the other two which are still blank.
You’re done! Save the topic list with your numbers and attach it to a reply to this e-mail. And again, thank you very much for your help in choosing our Division’s top priorities over the next several years.
Please E-mail your survey back to Elacey@isdh.in.gov or mail to Elnora Lacey, Indiana State Department of Health, 2 North Meridian St. 7th Floor, Indianapolis, Indiana , 46204.
Occupation: Health Professional, Other (specify): _______________________________ County of Residence: _______________________
__ 1. Abuse in the maternal and children's health populations
__ 2. Babies who weigh lower than recommended at birth (less than 5 pounds/2500 grams)
__ 3. Black infants who die in the first year of life
__ 4. Children and adolescents who are obese or at risk of becoming obese
__ 5. Children and adolescents who drink
__ 6. Children and adolescents who smoke
__ 7. Children at risk of exposure to lead (example: paint in old houses)
__ 8. Children w/Special Health Care Needs not tested for health problems early and/or continuously
__ 9. Children w/Special Health Care Needs who don't have a primary physician overseeing health care
__ 10. Children w/Special Health Care Needs without adequate insurance
__ 11. Children who are hospitalized as a result of unintentional injuries
__ 12. Children who have asthma
__ 13. Congenital abnormalities and birth defects most commonly reported
__ 14. Children w/Special Health Care Needs services not being easy for families to use
__ 15. Diabetes in the maternal and children's health populations
__ 16. Infant mortality overall (including Sudden Infant Deaths and Sudden Unexplained Infant Deaths)
__ 17. Infants and children who are deaf or hard of hearing
__ 18. Infants who are born prematurely
__ 19. Iron deficiency (low blood iron levels, anemia) in children
__ 20. Sexual activity in adolescents
__ 21. Teen homicide
__ 22. Teen pregnancies
__ 23. Teen suicide
__ 24. The percent of children who do not receive complete immunizations for their age
__ 25. The percent of children who have dental problems due to tooth decay/lack of sealants
__ 26. The percent of mothers who breastfeed their babies
__ 27. Unintended pregnancies
__ 28. Very short time between pregnancies
__ 29. Women between the ages of 14 and 44 who have Sexually Transmitted Diseases
__ 30. Women who do not enter prenatal care in the first three months of pregnancy
__ 31. Women who do not receive adequate prenatal care
__ 32. Women who drink alcohol during pregnancy
__ 33. Women who have HIV or AIDS
__ 34. Women who smoke between the ages of 14 and 44 years old
__ 35. Women who smoke during pregnancy
__ 36. Youth w/Special Health Care Needs not receiving appropriate services as they transition to adult med care
Please Write In Any Other Topics You Think Are Important And Can Be Addressed: