Document Detail

Using scientific evidence to shape research, intervention programs, and policy in a statewide effort to reduce infant mortality, 2004-2009.
MedLine Citation:
PMID:  20949814     Owner:  NLM     Status:  MEDLINE    
Based on steadily increasing rates from the mid-1990s through 2005 (e.g., rates reached a high of 9.3 deaths per 1,000 live births in the 2000-2004 time frame), the Delaware infant mortality initiative began in 2004. The initiative consisted of a synthesis of quantitative analyses and state-led programs at all public health agencies as directed from the Governor's Office. Throughout the first four years of implementation, Division of Public Health (DPH) staff utilized vital statistics data to produce a statewide research agenda that included reviewing vital record reporting procedures, highlighting infant mortality disparities by birthweight and race, studying the effect of plural births and other demographic factors on infant deaths, and using data to justify proposed research projects. Results indicated that black infants were dying at twice the rate of white infants (Disparity Ratio: 2.2), and extremely low birth weight infants were the biggest contributing population to infant mortality, specifically births of infants less than 500 grams. Further results indicated that intervention efforts should focus on preconception care for women of reproductive age and prevention of prematurity. These findings led to the implementation of research-based statewide surveillance programs and registries to identify women who experienced poor birth outcomes. Additionally, analyses provided the basis for implementing two major intervention programs, statewide education campaigns, and proposed revision of state standards. This paper illustrates the translation of research findings into practically applicable recommendations for statewide surveillance, programs, and policy development.
Charlan D Kroelinger; Barbara Gladders
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Delaware medical journal     Volume:  82     ISSN:  0011-7781     ISO Abbreviation:  Del Med J     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370077     Medline TA:  Del Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  273-84     Citation Subset:  IM    
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
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MeSH Terms
Biomedical Research*
Delaware / epidemiology
Evidence-Based Medicine*
Health Policy*
Infant Mortality / trends*
Infant, Newborn
Population Surveillance
Vital Statistics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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