TAILIEUCHUNG - Child Health Report Card 2011

Indonesia is the world’s largest archipelago and fourth most populous country, consisting of about 240 million people from 300 ethnic groups, speaking 250 languages, scattered unevenly across about half of its 17,000 islands. Sixty percent of the population resides on the island of Java. The population is increasing at a greater rate than previously predicted, likely related to a de-emphasis of the national family planning (FP) programs and regional migration. Indonesia’s vast size, government structure and diverse environment and cultures engender a unique health profile that includes regional variation in disease prevalence, mortality rates, health priorities, emergence of novel biological. | Action for Children North Carolina rÁNCIOM North Carolina Institute of Medicine shaping policy for a healthier state North Carolina 2011 2011 Child Health Report Card WITH FINANCIAL SUPPORT FROM Annie E. Casey Foundation BlueCross BlueShield of North Carolina Foundation An independent licensee of the Blue Cross and Blue Shield Association Ijil Medlmmune Access to Care and Preventive Health Access to preventive and primary care is critical to assuring the health and well-being of our children. Insured children are less likely to use the emergency room as their primary source of care more likely to seek preventive care in a primary care setting and are better equipped for academic success. Despite a continuing decline in employer-sponsored health insurance in North Carolina overall coverage rates among children have been sustained by expansions in Medicaid and Health Choice the State Children s Health Insurance Program. Now as one in four children in North Carolina lives in poverty and high rates of unemployment persist public health insurance programs play an even more important role in protecting children s access to the care they need to achieve good health and remain healthy. New legislation extends Community Care of North Carolina CCNC the state s nationally-recognized system of managed care to children enrolled in Health Choice. This expansion will create cost savings for the state and improve health outcomes for children by connecting them with a medical home and improving the quality of care. Other investments in prevention and early intervention have strengthened child health. For example preventive actions have led to sustained reductions in lead exposure and serious chronic illnesses such as asthma are being identified earlier and managed more successfully due to CCNC. Recent cuts to the Early Intervention Branch of the Division of Public Health will negatively impact service delivery to children in the state s nationally acclaimed early intervention .

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