P. Ocampo et al., NEEDS ASSESSMENT FOR REDUCING INFANT-MORTALITY IN BALTIMORE CITY - THE HEALTHY START PROGRAM, Southern medical journal, 86(12), 1993, pp. 1342-1349
Needs assessments are essential for policy formulation and the appropr
iate design of intervention programs. Recent nationwide data show that
among large metropolitan areas of the United States, Baltimore has on
e of the highest infant mortality rates and ranks in the worst top 10
for blacks and the top 5 for whites for most indicators of poor pregna
ncy outcome. In this paper, we present the methods and results of a ne
eds assessment that used multiple sources of routinely collected data
and was conducted for the purpose of identifying intervention factors
contributing to infant mortality in Baltimore City. This needs assessm
ent was used by the Baltimore City Health Department to successfully s
ecure funding for the federal Healthy Start Infant Mortality Preventio
n Initiative. We present the results of the analyses, along with some
of the proposed interventions that resulted from the needs assessment.
We also discuss the limitations of this type of needs assessment as w
ell as suggestions for future needs assessments for the design of inte
rventions to improve perinatal health.