Child-health practitioners in Iowa must find better ways to address family, neighborhood and economic factors that shape children' health and well being, according to CFPC executive director Charles Bruner and Debra Waldron, director and chief medical officer of the Child Health Specialty Clinics at the University of Iowa. They presented at the Iowa Governor's Conference on Public Health in Ames on April 5.

1. Healthy Child Development: An Integrated Policy Approach 2011 Governor’s Conference on Public Health Charles Bruner, PhD Debra B. Waldron, MD MPH April 5, 2011

3. Healthy Child Development – A Life Course Approach Children’s Health and Development Age 0 Risk Factors Protective Factors Improving the trajectory of child health and development involves increasing protective factors and reducing risk factors -- which requires a broad definition of child health services. Our Children’s Health: Our Nation’s Wealth

7. From Neurons to Neighborhoods: The Science of Early Childhood Development CORE CONCEPTS OF DEVELOPMENT 1. Human development is shaped by a dynamic and continuous interaction between biology and experience . 2. Culture influences every aspect of human development and is reflected in childrearing beliefs and practices designed to promote healthy adaptation. 3. The growth of self-regulation is a cornerstone of early childhood development that cuts across all domains of behavior. Jack P. Shonkoff and Deborah A. Phillips, Editors; Committee on Integrating the Science of Early Childhood Development, Board on Children, Youth, and Families

11. Healthy Development Disparities by Race/Ethnicity: U.S. White Non-Hispanic Black Non-Hispanic Hispanic Health Outcomes Low Birth Weight 7.2% 13.4% 6.8% Elevated Blood Lead Levels (0-5 year-olds) 2.6% 4.3% 3.1% 6-11 year-olds Overweight 11.8% 19.2% 23.7% Health Service Access Lack of Regular Source of Care 3.3% 5.8% 24.1% Incomplete Immunizations (19-35 month-olds) 16.7% 25.5% 21.3% Education Outcomes Below Basic 4 th Grade Reading 22% 54% 50% Below Basic 8 th Grade Math 18% 53% 45% Non-completion of High School 21.4% 48.8% 46.8% Other Outcomes Foster Care / 1,000 4.9 15.8 6.5 (20-24 year olds) Male Prison / 1,000 9.5 63.4 24.9 Conditions Children in Poverty 11% 36% 29% Children in Single-Parent families 23% 65% 36% Pop. In High Vulnerability Tracts 1.7% 20.3% 25.3% Source: Bruner, C., & Schor, E. (2009). Clinical Health Care Practices and Community Building. Des Moines, IA: National Center for Service Integration

13. The Importance of Health Equity to Iowa’s Children Percent of Iowa Population of Color and/or Hispanic by Age in 2008 Source: United States Census Bureau, 2008 American Community Survey

16. Exemplary Programs Supporting Healthy Child Development Connecticut’s Help Me Grow program ABCD Assuring Better Child Health & Development

19. The Role of Medicaid (and hawk-i ) – Where Children are Served Iowa’s Medicaid and SCHIP Program - Enrollees as Percent of Child Population 12.6% 40.1%

26. Debra B. Waldron, MD, MPH American Academy of Pediatrics, Iowa Chapter, Vice President Iowa Department of Public Health- Division of Health Promotion & Chronic Disease Prevention, Medical Director University of Iowa Carver College of Medicine Clinical Associate Professor Child Health Specialty Clinics, University of Iowa, Iowa City Medical Director

30. Health Across Lifetimes & Generations

35. Plasticity in Developmental Programming