South Dakota Head Start & Early Head Start South Dakota Head Start Association Volume 3, Number 1, Summer 2009 Health/Medical Data Children Up-To-Date on Percentage of Children Up-to-Date on all Immunizations Head Start at End of Enrollment Year 2003/04 - 2007/08 All Possible Immunizations 105% Early Head Start The percentage of children who are up-to-date on 103% 103% all immunizations at end of enrollment year in Head 100% Start remained fairly constant. For Early Head Start, 97% 100% 97% 99% 98% the percentage of children who were up-to-date on all 95% 96% immunizations decreased to 91% from the previous year. 90% 92% 91% SDHSA believes the high rate of immunizations supports the Department of Health 2010 Initiative to increase the 85% percentage of two-year-olds who are age appropriately 80% immunized from 83.4% in 2003 to 90% by 2010 (85.8% of 19-35 month olds* in the state were appropriately 75% immunized in 2007). *Department of Health 2010 Initiative 2007 Annual Report, 70% 2003-04 2004-05 2005-06 2006-07 2007-08 http://doh.sd.gov/PDF/Health2010.pdf Children with Health Insurance The data show that children in Early Head Start are more Percentage of Children with Health Insurance Head Start at End of Enrollment Year 2003/04 - 2007/08 likely to have health insurance than children in Head Start. 98% Early Head Start The percentage of children with health insurance remained the same from the previous program year. 96% 96% 97% Comparing the 2005/06 and 2007/08 program years shows an increase in the number of children without 94% insurance. This puts more of a cost burden on Head Start 94% 94% Programs. 93% 92% 92% 92% 92% 2 0 0 5 /0 6 2 0 0 7 /0 8 Diffe r e nc e M e dic a id/EP S DT 39% 34% -5 % 90% 90% 90% S CHIP 4% 2% -2 % Com bine d S CHIP /M e dic a id 36% 47% 11% 88% S ta te Funde d Ins ur a nc e 0% 0% 0% P r iva te He a lth Ins ur a nc e 12% 10% -2 % O the r He a lth Ins ur a nc e 10% 7% -3 % 86% 2003-04 2004-05 2005-06 2006-07 2007-08 Childr e n w ithout He a lth Ins ur a nc e 6% 10% 4% Percentage of Children Diagnosed Children Diagnosed as as Needing Medical Treatment 2003/04 - 2007/08 Head Start Early Head Start 50% Needing Medical Treatment 48% 45% While there had been an increase in children diagnosed 40% as needing medical treatment in the 2006/07 program year for Head Start children, the 2007/08 program year showed 37% 35% a decrease. 30% For Early Head Start children, there has been a continual decrease in the percentage of children diagnosed as needing 25% 25% 23% medical treatment. 20% 20% 20% In 2007/08, children received or were receiving medical 15% 19% treatment primarily for being overweight (7%) and for 15% 15% 15% asthma problems (5%). 10% 2003-04 2004-05 2005-06 2006-07 2007-08 Data Sources: Data are from the Head Start Program Information Reports 2004-2008. The figures are all Head Start and Early Head Start Data were prepared by: programs in South Dakota, including Tribal programs. In 2003/04 there were 25 reporting sites; 2004/05 there were 23 reporting sites; 2005/06 South Dakota KIDS there were 24 reporting sites, 2006/07 and 2007/08 there were 23 reporting sites. Note: Some charts show a percentage above 100%. This means COUNT. Beacom that the progam(s) in South Dakota were serving over their enrollment, e.g., a program was funded for a certain number of children but was School of Business providing services over that number. Percentage of Head Start, Early Head Start, and Pregnant Women Dental Exams Received/Completed Receiving/Completing Dental Exams 2003/04 - 2007/08 100% 2003-04 90% 2004-05 93% 87% 89% 89% 2005-06 It is unclear why the percentage of Early Head Start 80% 2006-07 2007-08 children completing a dental exam is very low for the 70% 2003/04 program year. 60% 66% For the 2007/08 program year, South Dakota (93%) was 50% 57% higher than the Nation (89%) in the percentage of children 48% in Head Start completing dental exams. For pregnant 40% 41% 41% women receiving a professional dental exam, South Dakota 30% 33% 35% (20%) had a lower percentage than the U.S. (41%). 31% 29% 20% 20% 10% 5% 0% Head Start Early Head Start Pregnant Women Percentage of Children (Preschool Program Only) Diagnosed as Needing Dental Treatment 2003/04 -2007/08 Children Diagnosed as Needing Dental Treatment 36% 35% The percentage of children diagnosed as needing dental 34% treatment has fluctuated between program years from a high of 35 percent to a low of 27 percent. 32% For the 2007/08 program year, South Dakota (27%) had 30% a higher percentage of children in Head Start diagnosed as 30% needing dental treatment compared to the Nation (24%). 28% SDHSA is a member of the South Dakota Oral Health 28% 27% 27% Coalition, whose focus is on preventative dental care and 26% education. Early Head Start and Head Start programs focus on preventative oral health. This could be a contributing 24% factor in the decrease of children needing dental treatment. 2003-04 2004-05 2005-06 2006-07 2007-08 Percentage of Children with a Source of Dental Exams Continuous Dental Care 2003/04 - 2007/08 There has been an increase from 2003/04 to 2007/08 in 90% 88% 87% 88% 88% the percentage of children with a continuous source of dental care. For the past four program years, 2004/05-2007/08 the percentage has remained fairly constant. 85% Although the percentage of children with a source of 80% continuous dental care has increased, the SDHSA believes 76% that it could be due to Head Start children accessing services 75% from the care mobile. There is still a lack of accessible dental care and care for Medicaid recipients in some areas 70% of the state. While the care mobile provides needed dental services it is important for children to have an identified 65% dental home for a continuous source of care. South Dakota has over 20 geographic dental health 60% shortage areas, five low-income dental shortage areas, 2003-04 2004-05* 2005-06 2006-07 2007-08 and 13 dental shortage sites in the state. (Source: SD Dept. of * The South Dakota Delta Dental's Dakota Smiles Mobile Dental Program, which Health, Office of Rural Health website: http://doh.sd.gov/RuralHealth/ provides mobile dental care to children and adults ages 0 - 21, began services in shortage.aspx) 2004. An additional care mobile was added in 2008. Statements in italics are from the South Dakota Head Start Association. The Head Start / State Collaboration Office is in the Department of Education - (http://doe.sd.gov/oess/ECS/headstart/index.asp) Head Start is a comprehensive program that provides educational, nutritional, health & social services to preschool aged (3-5) children from low income families. Early Head Start provides a comprehensive program serving expectant parents & their infants and toddlers (Birth to 3) year round. South Dakota Head Start Association - (http://sdheadstart.org) The Mission of the South Dakota Head Start Association is: To network, advocate and educate members and the public regarding issues of importance to families and children pre-natal to five.