Maternal and Child Health
Mission Statement:
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The Mission of the Nevada County Public Health
department is to work both as a single entity and
in coalition with other health and human service
providers to promote health, prevent disease, and
improve and prolong the quality of life for all
Nevada County residents.
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Furthermore, the mission of Maternal and Child
Health is to promote the health of Nevada
County’s infants, children, youth, adolescents, and
mothers.
Service Description:
Provide Maternal, Child and Adolescent Health
(MCAH), Women Infants and Children (WIC),
and Children’s Medical Services (CMS) program
services.
Services provided focus on: (1)
promoting the health and well-being of all women
of childbearing age, infants, children, and
adolescents and providing comprehensive
outreach activities to the MCAH population; (2)
identifying and qualifying Nevada County
children with physically disabling medical
conditions for the California Children’s Services
(CCS) program; (3) providing administrative
services for the State Child Health and Disability
Program (CHDP) program at the county level so
that low-income children in Nevada County have
access to periodic preventative medical care; (4)
ensure that children in Foster Care receive
appropriate medical care and that medical
information will follow the child even if (s)he is
transferred from county to county; (5) protect the
health of women, infants, and children by
providing nutrition education, promoting and
supporting breastfeeding, helping to decrease the
complications of pregnancy, preventing low birth
weight babies, decreasing iron deficiency anemia,
and promoting optimum growth and development
of infants and young children; (6) educate the
community about the dangers of drug use/abuse
particularly during pregnancy.
Major Accomplishments in 2008-2009:
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MCAH PHNs provided home visitation
services to an average 45 mothers and their
infants, per month.
NEVADA COUNTY BUDGET 2009-10
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Over 700 mother-infant home visits were
provided by MCAH PHN’s.
Western Nevada County 2008 annual MCAH
referrals of 143 increased 42% over 101
referrals received in 2007.
Maintained and grew new collaborative
relationships with public and private agency
partners and participated in over 25
interdepartmental and agency meetings by
12/08.
Standardized client registration and MCAH
PHN medical record documentation between
eastern and western Nevada County.
Hired and oriented two new MCAH PHNs to
fill vacated positions.
WIC implemented a baby sling project with
funding from First 5 Nevada County,
collaborating with other agencies to give 94
infant slings to women to promote
breastfeeding, improve infant development,
and prevent “flat head” syndrome.
WIC Coordinator, WIC Lactation consultant,
MCH Coordinator, and Public Health nurses
were active participants in the Nevada County
Breastfeeding Coalition.
Breastfeedingfriendly crib cards and breastfeeding
information packets for use at Sierra Nevada
Memorial Hospital were provided in both
English and Spanish. They also set up and
staffed a Baby Feeding and Changing station
at the Kids Korner booth at the Nevada
County Fair.
Maintained WIC participation levels at 100105% of caseload, or 1,575 participants. WIC
caseload increased from 1,475 to 1,575 on
10/01/08.
Maintained rates of exclusive breastfeeding
for WIC infants (birth to age 1) at 32%.
CCS processed 320 referrals in FY 08/09.
CCS provided an average monthly 360
children with specialty medical and therapy
services.
CCS provided 80 children with therapy
services.
CHDP provided an estimated 3,500 CHDP
Health Assessments and follow-up for low
income children.
2-314
Maternal and Child Health
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Obtained medical passport information for 35
newly detained foster children.
Maintained current CHDP exams on 75% of
caseload and dental exams on 60% of
caseload.
Objectives & Performance Measures
for 2009-10:
Objective:
Provide professional and skilled public health
nursing (PHN) expertise to pregnant and
postpartum women and their babies using
established guidelines and standards that have
been proven effective in public health practice.
Performance Measures:
 Policies and procedures are in use to provide
expert nursing care to new mothers and their
infants by 12/09.
 Revise, develop and implement cohesive and
interchangeable nursing charting and care
plans between Truckee and western Nevada
County by 12/09.
 All MCAH Public Health Nurses will have
received Denver Developmental Screening
Test II Training within one year of date of
hire.
Objective:
Coordinate and enhance collaboration with public
partners and private agencies that provide services
to mothers and their families, with an outcome of
providing a seamless continuum of care.
Performance Measures:
 By
12/2009,
participate
in
25
interdepartmental and agency meetings.
 Maintain the current number of MCAH PHN
referrals within Nevada County at 140.
Objective:
Work collaboratively with community partners
toward reducing the incidence of drug use,
especially methamphetamine usage by parents,
through education and cooperative efforts with
other county and community groups.
Performance Measures:
 Provide
one-day-per-week
classroom
instruction/participation in the Parenting Class
at Park Avenue High School for at least 25
hours per school year.
NEVADA COUNTY BUDGET 2009-10
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Participate in two public presentations,
partnering with the Coalition for a Drug Free
Nevada County by 12/2009.
Objective:
Encourage breastfeeding, healthy nutrition and
contact with needed community services in
families with young children according to State
Women Infants and Children (WIC) program
guidelines by providing education and food
vouchers.
Performance Measures:
 Provide monthly WIC food vouchers to 1,575
WIC participants as directed by the State WIC
Program.
 Monitor and maintain rates of exclusive
breastfeeding for WIC infants (from birth to
age 1) at as high a rate as possible, aiming for
31-34% of mothers exclusively breastfeeding
infants under 1 year.
 Provide at least 300 nutrition classes during
FY09-10.
Objective:
Continue to provide State-mandated Child Health
and Disability Program (CHDP) Healthcare
program for Children in Foster Care (HCPCFC)
and California Children Services (CCS) services
to children ensuring that low-income children and
foster children in Nevada County have access to
periodic preventative medical care and physically
disabled children get the medical services they
need.
Performance Measures:
 Process 320 referrals to CCS.
 Provide an average monthly 350 children with
medical and therapy services through CCS.
 Provide 80 children with CCS Therapy
services.
 Provide 3,500 CHDP Health Assessments and
follow-up for low-income children.
 Conduct 4 outreach activities to general public
through local media, schools, other Nevada
County programs, and other appropriate
avenues regarding CCS and CHDP
availability.
 Provide 100% medical follow-up of new
foster detainees, 75% annual CHDP exam
compliance and 75% dental compliance.
 Provide 2 trainings for CHDP providers.
2-315
Maternal and Child Health
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Participate in 5 kindergarten registration
roundups.
Service Budget Unit Code
Office/Department
Major Service Area
- 40111
- HHSA/Public Health
- Health & Sanitation/Health
NEVADA COUNTY BUDGET 2009-10
2-316