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In Mali, Minister of Health Madeleine Ba Diallo demonstrated support for government action on pneumonia by presiding over a public rally outside a community health center in Bamako that drew more than 500 participants and engaged youth volunteers from the School of Public Health to spread out across the city, disseminating information about the causes of pneumonia. Theatrical performances, a balloon release and a question and answer session helped draw attention to pneumonia as a public health priority in a country where more than 20 percent of mortality in children under five years of age is due to pneumonia | Virginia Title V 2011 Needs Assessment July 15 2010 Office of Family Health Services Virginia Department of Health 1 1. Process for Conducting the Needs Assessment.3 Goals and Vision .3 Leadership .3 Methodology .3 Methods for Assessing Three MCH populations .6 Methods for Assessing State Capacity .7 Data Sources .8 Linkages between Assessment Capacity and Priorities .17 Dissemination .17 Strengths and Weaknesses of Process .17 2. Partnership Building and Collaboration Efforts.18 Partnerships with MCH and HRSA programs .19 Partnerships within the Virginia Department of Health .19 Partnerships with other governmental agencies .20 University partnerships .23 Partnerships with state and local organizations .24 Stakeholder involvement .26 3. Strengths and Needs of MCH Population Groups and Desired Outcomes.28 A. Pregnant Women Mothers and Infants.28 B. Children. 61 C. Children with Special Health Care Needs.85 4. MCH Program Capacity by Pyramid Levels.98 Overarching Capacity Issues for the Office of Family Health Services.98 A. and B. Direct and Enabling Services.106 C. Population Based Services.135 D. Infrastructure Building Services.152 5. Selection of State Priority Needs.167 Stakeholder Input .167 List of Potential Priorities .167 Methodologies for Ranking Selecting Priorities .169 Priorities Compared with Prior Needs Assessment .170 Priority Needs and Capacity .170 MCH Population Groups .171 Priority Needs and State Performance Measures .172 6. Outcome Measures - Federal and State.176 National Performance Measures.176 State Performance Measures .183 Conclusions and Next Steps .186 Appendix A. Executive Summary MCH Qualitative Needs Assessment.187 Appendix B. Stakeholder and Priority Setting Meeting Agenda.191 Appendix C. Initial Brainstorming Lists of Needs by Population Group.193 Appendix D. Title V Priorities and Measures 2011-2015 . 197 2 1. Process for Conducting the Needs Assessment Goals and Vision The Virginia Department of Health VDH is dedicated to .