NWCT CHNA Final

TABLE OF CONTENTS I. EXECUTIVE SUMMARY…………………………………………………………………………………………………………………………………………………….. 1 II. INTRODUCTION ……………................................................................................................................................... 4 III. DESCRIPTION OF THE COMMUNITY SERVED .................................................................................................... 7 IV. STATE AND COUNTY HEALTH RANKINGS …………………………………………………………..………………………………..…….. 12 V. LEADING CAUSES OF DEATH AND HOSPITALIZATION ....................................................................................... 17 VI. ASSESSMENT OF KEY HEALTH INDICATORS BY FOCUS AREA A. MATERNAL AND INFANT HEALTH............................................................................................................. 24 B. CHILD AND ADOLESCENT HEALTH ............................................................................................................. 26 C. CHRONIC DISEASE PREVENTION AND CONTROL………………………………………………………………………………. 28 D. INFECTIOUS DISEASE PREVENTION AND CONTROL ………………………………………………………………………………….. 32 E. INJURY AND VIOLENCE PREVENTION ………………………………………………………………………………………………….. 34 F. BEHAVIORAL HEALTH, ALCOHOL & SUBSTANCE USE………………………………………………………………………….. 35 G. LOCAL HEALTH CARE ENVIRONMENT………………………………………………………………………………………………….. 36 VII. KEY INFORMANT INTERVIEWS AND FOCUS GROUP SUMMARY…….…………………………………………………………. 38 VIII. OPPORTUNITIES FOR ACTION……………………………………………………………………………………………………………………. 42 IX. APPENDICES APPENDIX A: PARTNERS AND CONTRIBUTORS ............................................................................................. 47 APPENDIX B: DESCRIPTION OF SELECTED MEASURES AND DATA SOURCES................................................. 48

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