South Dakota Head Start _ Early Head Start

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					                                                                                   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.

				
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