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MICH-19 Data Details

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MICH-19 Increase the proportion of women giving birth who attend a postpartum care visit with a health care worker

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
California's Maternal and Infant Health Assessment
Pregnancy Risk Assessment Monitoring System
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
90.1 (2012)
Target: 
90.8
Target-Setting Method: 
Minimal statistical significance
Target-Setting Method Justification: 
Given the high prevalence of postpartum care visits (>90%), the ten percent improvement over baseline would not be a good target setting method. The workgroup believes that a minimal statistical significance target setting method is both realistic and would demonstrate meaningful improvement in the subpopulation of women where the postpartum care visit is under-utilized. There will be 4 additional data points estimated for this objective over the remainder of the decade.
Numerator: 

Number of women with a recent live birth who attended a postpartum care visit with a health care worker 4-6 weeks after the birth

Denominator: 

Number of women with a recent live birth

Comparable Healthy People 2010 Objective: 
Not applicable
Questions Used to Obtain the National Baseline Data: 

    From the Pregnancy Risk Assessment Monitoring System:

    [NUMERATOR:]

    Since your new baby was born, have you had a postpartum checkup for yourself? (A postpartum checkup is the regular checkup a woman has about 4-6 weeks after she gives birth.)

    1. Yes
    2. No

    From the California Maternal and Infant Health Assessment:

    [NUMERATOR:]

    Since your most recent birth, have you had a postpartum checkup for yourself (the medical
    checkup a woman has about 4 to 6 weeks after she gives birth)?

    1. Yes
    2. No
Data Collection Frequency: 
Annual
Methodology Notes: 

    The following PRAMS states were included in preparing the 2012 estimate: AK, AR, CO, DE, GA, HI, IL, ME, MD, MA, MI, MN, MO, NE, NJ, NM, NYC, OH, OK, OR, PA, RI, TN, UT, VT, WA, WV, WI, and WY. These data were combined with data from the California's Maternal and Infant Health Assessment to produce the displayed estimate.

    Health Insurance status data reflect postpartum insurance coverage of mother.

Trend Issues: 
The set of states on which this estimate is based will vary over time as only states that meet established response rate thresholds are included. 30 sites were included in preparing the baseline estimate for 2012.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2017, the objective was moved from developmental to measurable. The baseline is 90.1 percent based on 2012 data from PRAMS and MIHA. The target was set at 90.8 percent using the Minimal Statistical Significance target-setting method.