March 2017 Needs Assessment - Texas Health And Human .

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March 2017 Needs AssessmentLocal Agency: 9351352353354355356357358359360361Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionUNDERWEIGHTOVERWEIGHTHIGH MATERNAL WEIGHT GAINLOW MATERNAL WEIGHT GAINMATERNAL WT LOSS DURING PREGNAANEMIAELEVATED BLOOD LEAD LEVELSHYPEREMESIS GRAVIDARUMGESTATIONAL DIABETESHX OF GESTATIONAL DIABETESHX OF PREECLAMPSIAHX OF PRETERM DELIVERYHX OF LOW BIRTH WEIGHTHX OF FETAL OR NEONATAL LOSSPREGNANCY AT A YOUNG AGESHORT INTERPREGNANCY INTERVALHIGH PARITY AND YOUNG AGEINADEQUATE PRENATAL CAREMULTIFETAL GESTATIONFETAL GROWTH RESTRICTIONHX-BIRTH-LG FOR GEST AGE INFANPREGNANT AND CURRENTLY BFHX-NUT RELATED BIRTH DEFECTNUTRIENT DEFICIENCY DISEASESGASTRO-INTESTINAL DISORDERSDIABETES MELLITUSTHYROID DISORDERSHYPERTENSIONRENAL DISEASECANCERCNS DISORDERSGENETIC AND CONGENITAL DISORDEINBORN ERRORS OF METABOLISMINFECTIOUS DISEASESFOOD ALLERGIESCELIAC DISEASELACTOSE INTOLERANCEHYPOGLYCEMIADRUG NUTRIENT INTERACTIONSEATING DISORDERSRECENT SURGERY, TRAUMA, BURNSOTHER MEDICAL %0.2%0.9%0.0%1.9%0.1%2.0%0.0%0.2%0.6%0.7%April 2017

March 2017 Needs AssessmentLocal Agency: 903904Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionDEV/SENSORY/MOTOR DELAYSMATERNAL SMOKINGALCOHOL USEILLEGAL DRUG USEDENTAL PROBLEMSFAILURE TO MEET DIET GUIDELINEINAPPRO NUTRITION PRAC-WOMENTRANSFER OF CERTIFICATIONBF COMPLICATIONSBF MOTHER OF INFANT AT RISKHOMELESSNESSMIGRANCYRECIPIENT OF ABUSECAREGIVER WITH LIMITED ABILITYFOSTER CAREENV TOBACCO SMOKE State0.0% 0.0%3.7% 2.6%0.1% 0.1%0.1% 0.1%5.9% 4.3%4.4% 3.9%17.4% 18.3%0.3% 0.3%0.3% 0.2%0.0% 0.0%0.1% 0.1%0.0% 0.1%1.1% 1.1%1.9% 1.0%0.0% 0.0%2.7% 2.2%April 2017

March 2017 Needs AssessmentLocal Agency: repared by: DSHS, FCHS-WICPregnantRisk DescriptionCAREGIVER WITH LIMITED ABILITYENV TOBACCO SMOKE EXPFOSTER CARERECIPIENT OF ABUSEMIGRANCYBF MOTHER OF INFANT AT RISKBF COMPLICATIONSHOMELESSNESSTRANSFER OF CERTIFICATIONPOSSIBILITY OF REGRESSIONINAPPRO NUTRITION PRAC-WOMENILLEGAL DRUG USEFAILURE TO MEET DIET GUIDELINEDENTAL PROBLEMSMATERNAL SMOKINGALCOHOL USEDEV/SENSORY/MOTOR DELAYSPRE-DIABETESDEPRESSIONOTHER MEDICAL CONDITIONSRECENT SURGERY, TRAUMA, BURNSEATING DISORDERSDRUG NUTRIENT INTERACTIONSCELIAC DISEASELACTOSE INTOLERANCEHYPOGLYCEMIAINFECTIOUS DISEASESFOOD ALLERGIESINBORN ERRORS OF METABOLISMGENETIC AND CONGENITAL DISORDECNS DISORDERSCANCERRENAL DISEASEHYPERTENSIONTHYROID DISORDERSGASTRO-INTESTINAL DISORDERSDIABETES MELLITUSHX-NUT RELATED BIRTH DEFECTNUTRIENT DEFICIENCY DISEASESHIGH PARITY AND YOUNG AGEHX-BIRTH-LG FOR GEST AGE INFANMULTIFETAL GESTATIONSHORT INTERPREGNANCY 3%7.7%1.3%15.4%State1.1% 0.6%0.5% 0.5%0.0% 0.0%0.1% 0.2%0.0% 0.1%0.2% 0.3%4.1% 4.6%0.0% 0.0%0.3% 0.4%0.1% 0.1%26.3% 29.0%0.0% 0.0%4.9% 3.9%5.1% 3.8%2.3% 1.7%0.0% 0.0%0.0% 0.0%0.0% 0.0%1.7% 0.8%0.7% 0.5%26.3% 29.5%0.0% 0.0%2.1% 2.0%0.1% 0.1%1.6% 1.6%0.0% 0.0%0.2% 0.1%1.1% 0.7%0.0% 0.0%0.0% 0.1%0.2% 0.2%0.0% 0.0%0.0% 0.0%3.2% 2.8%1.8% 1.3%0.6% 0.3%0.9% 0.9%0.0% 0.0%0.0% 0.0%0.3% 0.2%8.1% 7.1%1.4% 1.3%18.8% 18.0%April 2017

March 2017 Needs AssessmentLocal Agency: tfeeding311321331312304303211201133101111Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionHX OF PRETERM DELIVERYHX OF FETAL OR NEONATAL LOSSPREGNANCY AT A YOUNG AGEHX OF LOW BIRTH WEIGHTHX OF PREECLAMPSIAHX OF GESTATIONAL DIABETESELEVATED BLOOD LEAD LEVELSANEMIAHIGH GESTATIONAL WEIGHT %60.4%April 2017

March 2017 Needs AssessmentLocal Agency: 62363372371381373401Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionOVERWEIGHTUNDERWEIGHTHIGH GESTATIONAL WEIGHT GAINANEMIAELEVATED BLOOD LEAD LEVELSHX OF GESTATIONAL DIABETESHX OF PREECLAMPSIAHX OF LOW BIRTH WEIGHTHX OF FETAL OR NEONATAL LOSSPREGNANCY AT A YOUNG AGEHX OF PRETERM DELIVERYHIGH PARITY AND YOUNG AGESHORT INTERPREGNANCY INTERVALMULTIFETAL GESTATIONHX-BIRTH-LG FOR GEST AGE INFANHX-NUT RELATED BIRTH DEFECTNUTRIENT DEFICIENCY DISEASESGASTRO-INTESTINAL DISORDERSDIABETES MELLITUSHYPERTENSIONTHYROID DISORDERSCANCERRENAL DISEASECNS DISORDERSGENETIC AND CONGENITAL DISORDEINBORN ERRORS OF METABOLISMINFECTIOUS DISEASESFOOD ALLERGIESCELIAC DISEASELACTOSE INTOLERANCEHYPOGLYCEMIADRUG NUTRIENT INTERACTIONSEATING DISORDERSRECENT SURGERY, TRAUMA, BURNSOTHER MEDICAL CONDITIONSDEPRESSIONDEV/SENSORY/MOTOR DELAYSPRE-DIABETESALCOHOL USEMATERNAL SMOKINGDENTAL PROBLEMSILLEGAL DRUG USEFAILURE TO MEET DIET 6%0.0%0.0%0.1%4.8%3.6%0.0%2.8%April 2017

March 2017 Needs AssessmentLocal Agency: 80501502802801901902903904Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionINAPPRO NUTRITION PRAC-WOMENPOSSIBILITY OF REGRESSIONTRANSFER OF CERTIFICATIONMIGRANCYHOMELESSNESSRECIPIENT OF ABUSECAREGIVER WITH LIMITED ABILITYFOSTER CAREENV TOBACCO SMOKE 0%0.0%0.0%3.6%0.0%0.4%State43.7% 40.4%0.0% 0.1%0.5% 0.6%0.0% 0.1%0.0% 0.0%0.1% 0.2%2.1% 1.1%0.0% 0.0%1.1% 0.9%April 2017

March 2017 Needs AssessmentLocal Agency: 46344345342343341122211134135141142143151Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionENV TOBACCO SMOKE EXPCAREGIVER WITH LIMITED ABILITYFOSTER CARERECIPIENT OF ABUSEHOMELESSNESSMIGRANCYTRANSFER OF CERTIFICATIONBF COMPLICATIONSINFANT-UP TO 6 MOS OF WIC MOMBF INFANT OF WOMAN AT NUT RISKINFANT OF MHMR/SUBSTANCE ABUSEINF UP TO 6 MOS OF NON-WIC MOMINNAPRO NUTRITION PRAC-INFANTDIET RISK W/COMPLEN FEED PRACFETAL ALCOHOL SYNDROMEDENTAL PROBLEMSDEV/SENSORY/MOTOR DELAYSOTHER MEDICAL CONDITIONSRECENT SURGERY, TRAUMA, BURNSLACTOSE INTOLERANCEHYPOGLYCEMIADRUG NUTRIENT INTERACTIONSCELIAC DISEASEFOOD ALLERGIESINFECTIOUS DISEASESINBORN ERRORS OF METABOLISMGENETIC AND CONGENITAL DISORDECNS DISORDERSCANCERRENAL DISEASETHYROID DISORDERSHYPERTENSIONGASTRO-INTESTINAL DISORDERSDIABETES MELLITUSNUTRIENT DEFICIENCY DISEASESAT RISK OF SHORT STATUREELEVATED BLOOD LEAD LEVELSFAILURE TO THRIVEINADEQUATE GROWTHLOW BIRTH WEIGHTPREMATURITYVERY LOW BIRTH WEIGHTSMALL FOR GESTATIONAL 3%7.5%20.0%1.3%0.1%April 2017

March 2017 Needs AssessmentLocal Agency: fantsInfants152153201103104112115121Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionLOW HEAD CIRCUMFERENCELARGE FOR GESTATIONAL AGEANEMIAUNDERWEIGHTAT RISK OF UNDERWEIGHTAT RISK OF OVERWEIGHTHIGH WEIGHT-FOR-LENGTHSHORT .7%State0.0%3.7%0.1%2.6%1.7%0.00.04.4%April 2017

March 2017 Needs AssessmentLocal Agency: 5360359362381382401428470501502801Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionSHORT STATUREAT RISK OF SHORT STATUREAT RISK OF OVERWEIGHTOBESEOVERWEIGHTHIGH WEIGHT-FOR-LENGTHAT RISK OF UNDERWEIGHTUNDERWEIGHTSMALL FOR GESTATIONAL AGEPREMATURITYVERY LOW BIRTH WEIGHTLOW BIRTH WEIGHTFAILURE TO THRIVEINADEQUATE GROWTHELEVATED BLOOD LEAD LEVELSANEMIANUTRIENT DEFICIENCY DISEASESGASTRO-INTESTINAL DISORDERSDIABETES MELLITUSTHYROID DISORDERSHYPERTENSIONRENAL DISEASECANCERCNS DISORDERSGENETIC AND CONGENITAL DISORDEINBORN ERRORS OF METABOLISMINFECTIOUS DISEASESFOOD ALLERGIESCELIAC DISEASEDRUG NUTRIENT INTERACTIONSHYPOGLYCEMIALACTOSE INTOLERANCEOTHER MEDICAL CONDITIONSRECENT SURGERY, TRAUMA, BURNSDEV/SENSORY/MOTOR DELAYSDENTAL PROBLEMSFETAL ALCOHOL SYNDROMEFAILURE TO MEET DIET GUIDELINEDIET RISK W/COMPLENT FEED PRACINAPPRO NUTRITION PRAC-CHILDPOSSIBILITY OF REGRESSIONTRANSFER OF 7%0.9%0.0%18.9%13.1%22.7%1.8%0.4%0.0%April 2017

March 2017 Needs AssessmentLocal Agency: 04Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionMIGRANCYRECIPIENT OF ABUSECAREGIVER WITH LIMITED ABILITYFOSTER CAREENV TOBACCO SMOKE %April 2017

March 2017 Needs AssessmentLocal Agency: 9351352353354355356357358359360361Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionUNDERWEIGHTOVERWEIGHTLOW MATERNAL WEIGHT GAINMATERNAL WT LOSS DURING PREGNAHIGH MATERNAL WEIGHT GAINANEMIAHYPEREMESIS GRAVIDARUMGESTATIONAL DIABETESELEVATED BLOOD LEAD LEVELSHX OF GESTATIONAL DIABETESHX OF PREECLAMPSIAHX OF PRETERM DELIVERYHX OF LOW BIRTH WEIGHTHX OF FETAL OR NEONATAL LOSSPREGNANCY AT A YOUNG AGESHORT INTERPREGNANCY INTERVALHIGH PARITY AND YOUNG AGEINADEQUATE PRENATAL CAREMULTIFETAL GESTATIONFETAL GROWTH RESTRICTIONHX-BIRTH-LG FOR GEST AGE INFANPREGNANT AND CURRENTLY BFHX-NUT RELATED BIRTH DEFECTNUTRIENT DEFICIENCY DISEASESGASTRO-INTESTINAL DISORDERSDIABETES MELLITUSTHYROID DISORDERSHYPERTENSIONRENAL DISEASECANCERCNS DISORDERSGENETIC AND CONGENITAL DISORDEINBORN ERRORS OF METABOLISMINFECTIOUS DISEASESFOOD ALLERGIESCELIAC DISEASELACTOSE INTOLERANCEHYPOGLYCEMIADRUG NUTRIENT INTERACTIONSEATING DISORDERSRECENT SURGERY, TRAUMA, BURNSOTHER MEDICAL 0.0%0.2%0.9%0.0%1.9%0.1%2.0%0.0%0.2%0.6%0.7%April 2017

March 2017 Needs AssessmentLocal Agency: 904903Prepared by: DSHS, FCHS-WICPregnantRisk DescriptionDEV/SENSORY/MOTOR DELAYSMATERNAL SMOKINGALCOHOL USEILLEGAL DRUG USEDENTAL PROBLEMSFAILURE TO MEET DIET GUIDELINEINAPPRO NUTRITION PRAC-WOMENTRANSFER OF CERTIFICATIONBF MOTHER OF INFANT AT RISKBF COMPLICATIONSHOMELESSNESSMIGRANCYRECIPIENT OF ABUSECAREGIVER WITH LIMITED ABILITYENV TOBACCO SMOKE EXPFOSTER 0%State0.0% 0.0%0.6% 2.6%0.1% 0.1%0.1% 0.1%3.9% 4.3%3.6% 3.9%24.7% 18.3%0.2% 0.3%0.0% 0.0%0.4% 0.2%0.0% 0.1%0.6% 0.1%1.8% 1.1%0.9% 1.0%0.8% 2.2%0.0% 0.0%April 2017

March 2017 Needs AssessmentLocal Agency: repared by: DSHS, FCHS-WICPregnantRisk DescriptionENV TOBACCO SMOKE EXPCAREGIVER WITH LIMITED ABILITYFOSTER CARERECIPIENT OF ABUSEMIGRANCYBF MOTHER OF INFANT AT RISKHOMELESSNESSBF COMPLICATIONSTRANSFER OF CERTIFICATIONPOSSIBILITY OF REGRESSIONINAPPRO NUTRITION PRAC-WOMENDENTAL PROBLEMSFAILURE TO MEET DIET GUIDELINEALCOHOL USEMATERNAL SMOKINGILLEGAL DRUG USEDEPRESSIONDEV/SENSORY/MOTOR DELAYSPRE-DIABETESOTHER MEDICAL CONDITIONSRECENT SURGERY, TRAUMA, BURNSDRUG NUTRIENT INTERACTIONSEATING DISORDERSHYPOGLYCEMIALACTOSE INTOLERANCEFOOD ALLERGIESCELIAC DISEASEINBORN ERRORS OF METABOLISMINFECTIOUS DISEASESGENETIC AND CONGENITAL DISORDECNS DISORDERSCANCERRENAL DISEASEHYPERTENSIONDIABETES MELLITUSTHYROID DISORDERSNUTRIENT DEFICIENCY DISEASESGASTRO-INTESTINAL DISORDERSMULTIFETAL GESTATIONHX-NUT RELATED BIRTH DEFECTHX-BIRTH-LG FOR GEST AGE INFANHIGH PARITY AND YOUNG AGESHORT INTERPREGNANCY .1%6.9%0.2%16.3%State0.2% 0.5%0.4% 0.6%0.0% 0.0%0.3% 0.2%0.6% 0.1%0.2% 0.3%0.0% 0.0%5.5% 4.6%0.2% 0.4%0.1% 0.1%32.0% 29.0%3.4% 3.8%3.0% 3.9%0.0% 0.0%0.3% 1.7%0.0% 0.0%0.2% 0.8%0.0% 0.0%0.0% 0.0%0.4% 0.5%37.0% 29.5%2.8% 2.0%0.0% 0.0%0.0% 0.0%1.4% 1.6%0.4% 0.7%0.0% 0.1%0.0% 0.0%0.1% 0.1%0.0% 0.1%0.1% 0.2%0.0% 0.0%0.0% 0.0%2.2% 2.8%1.0% 0.9%1.3% 1.3%0.0% 0.0%0.3% 0.3%1.1% 1.3%0.1% 0.0%5.9% 7.1%0.3% 0.2%17.8% 18.0%April 2017

March 2017 Needs AssessmentLocal Agency: 003003003003003Breastfeedi

March 2017 Needs Assessment. 001. Risk Code: 001 Breastfeeding HX OF PRETERM DELIVERY 17.7% 17.9% 001 Breastfeeding HX OF FETAL OR NEONATAL LOSS 0.1% 0.2% 001 Breastfeeding PREGNANCY AT A YOUNG AGE 3.5% 3.9% 001 Breastfeeding HX OF L

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