2020 Needs Assessment: Maternal/Women’s Health

Discrimination,bias,anddifferencesinqualityofcarebasedonrace/ethnicity,socioeconomicstatus,maritalstatus,age,disabilitystatus,insurancestatus/type,primarylanguage,sexualorientation,andweight

• Individualsmayreceivepoorqualitycareasaresultoftheirsocioeconomicandinsurancestatuses.

• Healthcareprovidersdonotlistentoandincludepatientsindecisionmaking.Thehealthcaresystemisnotpatientorfamily-centered.

• SpanishSpeaking/Latinxcommunitiesexperiencelanguage-relatedbarrierstocare:oinaccuratetranslationof

paperworkopoorqualityofinterpretation

• Thequalityofcareavailableforindividuals,includingchildren,whoareundocumentedwasperceivedtobepoor.

Inequitableaccesstohealthresourcesbasedonrace/ethnicity,socioeconomicstatus,geographiclocation,andeducation

• Barrierstohealthcareandhealthmaintenanceinclude:

osocioeconomicstatuso educationoneighborhoodcrimeand

safetyorelationshipsochildcareopoliciesandpoliticso literacyoequitableeducational

opportunities

• Healthcareworkforceshortageslimitaccesstocarewithinareasonabledistance,especiallyforspecialtycare.

• Qualityofcaremaybepoor,especiallyinruralareas.Providereducationisneededonevidence-basedcare,culturalcompetence,andresourcesavailableinthecommunity.

• Restrictionsinscopeofpracticeforadvancedpracticeprovidersfurtherlimitsaccesstocare.

• Lackoftransportation,lackofawarenessofavailableresources,andfragmentedsystemsofcarearebarrierstoaccessingcare.

Lackoforinadequateaccesstosupportsforhealthandwellness,includingeducation;affordableandsafeoptionsforphysicalactivity;andhealthyfoods

• Individualswanttobephysicallyactivebutmanydonothaveaccesstosafe,affordablespacesforphysicalactivity.

• Physicalactivityislimited

onearly79%offamilysurveyrespondentsreportedexercising30minutesperdayforfewerthan5daysperweek

onearly25%reportednodaysatall.

• Healthy,affordablefoodoptionsmaybedifficulttoaccess.Fastfoodoptionsareinexpensiveandconvenient.

• Adultsarenotmeetinghealthynutritionguidelines

onearly62%offamilysurveyrespondentsreportedonlyeating1-2servingsoffruitsorvegetablesperday;

onearly47%offamilysurveyrespondentsreporteddrinking4orfewercupsofwaterperday.

• Thegeneralpopulationisinneedofhealtheducationandimprovedhealthliteracytoincreasepreventivebehaviors.

• Overeatingmaybeacopingmechanismforunaddressedmentalhealthneeds.

Lackoforinadequateaccesstocomprehensive,family-centered,andculturally-competentreproductiveandwell-womanhealthcareandeducation,includingforwomenwithdisabilities

• Publicinsurancemaynotcoverallnecessaryexamsandtests,bothduringpregnancyandfor

2020 Needs Assessment: Maternal/Women’s Health

generalreproductivehealth.

• Womenwouldliketohavetheirreproductivechoicesrespectedbytheirproviders.Theyarenotconfidenttheyreceiveaccurateinformationfromproviders,especiallyregardingC-sectionsandfamilyplanning.

• Womenwereawareofvariousbirthcontroloptionsavailabletothembutwantedtoreceivemoreinformationaboutthebenefitsandrisksofeachtype.

• Womenwouldliketoaccesstuballigationsmoreeasily.

• Whenaspecifictypeofbirthcontroldoesnotmeetawoman’sneedsitcanbedifficulttotryanotherwhenpublicinsurancelapses.

• Surveyrespondentswerelessawarethatthehealthdepartmentcouldprovidelonger-actingandmorereliablebirthcontrolmethods,suchasIUDs,implants,patches,rings,andinjections,thantheywereoftheprovisionofcondomsandoralcontraceptives.

• Womenwouldlikemorereproductivehealtheducationcoveringsafesex,communicatingwithpartners,STIS,healthypregnancies,whattoexpectduringlaborandbirth,andpostpartummentalhealth.

• HealtheducationshouldbeculturallysensitiveandtailoredtotheLatinx/SpanishSpeakingcommunity.Forexample,prenatalcareshouldincorporatetrustedfemalecommunitypartnerstomaximizeutilization.

Lackoforinadequateaccesstocomprehensivementalhealthservices(prevention,crisiscare,postpartum)

• Thereisashortageofmentalhealthserviceprovidersacrossthestate.Mentalhealthservicesmaybeunavailabletothosewhoareuninsured,underinsured,orarecoveredbyMedicaid,especiallyinruralcommunities.

• Emergencypsychiatriccaremaybeavailableinsomecommunitiesbutnon-urgentandpreventivementalhealthservicesarenot.

• Domesticviolenceisasignificantconcerninmanycommunities.Availableservicesmaynotprotectvictimsfromtheirabusers.

• Postpartumdepressionandanxietyarecommon.StigmasurroundingmentalhealthandfearofhavingchildrentakenbytheMississippiDepartmentofChildProtectiveServices(MSCPS)maypreventindividualsfromseekingcarewhentheyneedit.

• TheLatinx/SpanishSpeakingpopulationmayexperiencestigmaaroundmentalhealth.Educationonseekingtreatmentformentalhealthandpostpartumdepressionisimportant.

• Spanishspeakingwomenmaynothaveaccesstoanymentalhealthproviders,especiallyin

ruralareas,duetothelanguagebarrier.

Lackoforinadequatesubstanceabusetreatment(smoking,alcohol,anddrugs)andpreventioneducation,includingdetox,addiction,andrehabilitation/recoveryservices

• Rehabilitationisdifficulttoaccessforindividualswithlimitedresources.Thereisaneedforcommunitysupportgroups,especiallyforthoseinrecovery.

• Individualssufferingfromaddictionandthoseinrecoverymayreceivelowqualitycareduetoproviderbias.

• Substanceusemaybeacopingmechanismforstressandotheruntreatedmentalhealthneeds.

• Tobaccoproductsandillicitdrugs,includingopioids,arewidelyaccessibleandavailabletoadultsandadolescents.

• OpioiduseisnotperceivedasbeingasignificantissueinMississippi.

Inadequateorlackofcomprehensive,affordablehealthanddentalinsurance

• 14%ofsurveyrespondentsreportedthattheyorsomeoneintheirhousedidnothavehealth

2020 Needs Assessment: Maternal/Women’s Health

insurance;themostcommonreasonstatedfornothavinghealthinsurancewasthatitistooexpensive.

• ManypeopleearntoomuchmoneyfromtheirjobstoqualifyforMedicaidbutnotenoughtoaffordinsuranceortheout-of-pocketcostsofcare.

• Oralhealthcareisunavailableorlimitedinmanycommunities,requiringstakeholderstotravellongdistancestoaccesscare.Stakeholdersmayhavelimitedoptionsbecausemanyprovidersdonotacceptpublicdentalinsurance.

• Theout-of-pocketcostsoforalhealthservicesarecost-prohibitiveformanyfamilies.Providersoftenrequiremultiplevisitstoaddressanoralhealthneed.

• Over30%ofsurveyrespondents

reportedthattheyorsomeoneintheirhousedidnothaveoralhealthinsurance.

Highlevelsofmaternalmortality

• Focusandinvestmentonpreventionisimportanttoaddressmaternalmortality,includingwomenhavingaccesstocarebeforeandbetweenpregnanciestomanagechronicconditionsandbecomeeducatedonadoptingpositivehealthbehaviorsthatimpacthealthoutcomes.

• Socialdeterminantsofhealthwerereportedasthepredominantunderlyingcausesofmaternalmortality.Thisincludes:ohousinginsecurity

olowlevelofadulthealthliteracy

oeducationalattainmentounemployment/

underemploymentopovertyofoodinsecurity

• Womenexperiencehighlevelsofstressassociatedwithhousinginsecurity,financialresponsibilities,intimatepartnerviolence,andracialdiscrimination.Stressmayleadtopoorhealthoutcomesformothers.

• Providershortages,includingforprenatalcareandhigh-riskmaternitycare,arecommonaroundthestate,especiallyinruralcommunities.Accessisfurtherlimitedforlow-incomewomen.

WhatWeKnow:FederallyAvailableData

Maternal/Women’sHealthIndicators

Value*

HowdoesMississippicomparetotheU.S.?

HowhasMississippibeendoing?

Well-womanvisit 61.6% Worse Mixed

Low-riskcesareandelivery(firstbirths) 30.8% Worse Trendingbetter

Earlyelectivedelivery 2.0% Same Trendingbetter

Severematernalmorbidity 198.2per10,000 Worse Trendingworse

Pregnancy-relatedmortality 22.1per100,000 Worse Trendingworse

Preventivedentalvisit–duringpregnancy

21.2% Worse NA

Smoking–duringpregnancy 8.9% Worse Trendingbetter

Earlyprenatalcare 78.5% Better Trendingbetter

Neonatalabstinencesyndrome(NAS) 3.0per1,000 Better Trendingworse

Teenbirths 31.0per1,000 Worse Trendingbetter

*Datavaluesaremost-recentlyavailableasretrievedfromhttps://mchb.tvisdata.hrsa.gov/PrioritiesAndMeasures/NationalPerformanceMeasuresandhttps://mchb.tvisdata.hrsa.gov/PrioritiesAndMeasures/NationalOutcomeMeasures

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