*This is an archive page. The links are no longer being updated. 1991.09.18 : Grants -- Reduce Infant Mortality ("Healthy Start") Contact: Rose Mary Romano 301/443-3376 Home: 703/522-1921 September 18, 1991 SALT LAKE CITY -- President Bush today announced the communities selected competitively to demonstrate how the nation can reduce infant mortality and give its babies a "Healthy Start." The 15 grants will go to: the Aberdeen Area Indian reservation communities (19 communities located in Iowa, Nebraska and North and South Dakota); and to other areas of high infant mortality in Baltimore, Md.; Birmingham, Ala.; Boston, Mass.; Chicago, Ill.; Cleveland, Ohio; Detroit, Mich.; Lake County (including Gary), Ind.; New Orleans, La.; New York City, N.Y.; Oakland, Calif.; Philadelphia, Pa.; Pittsburgh, Pa.; rural South Carolina; and Washington, D.C. Besides having high infant mortality rates, the areas were selected on the basis of their strong proposals for coordinated community programs to improve maternal and infant health care. Making the announcement at Primary Children's Medical Center here, the President was accompanied by HHS Secretary Louis W. Sullivan, M.D. Secretary Sullivan said, "The Healthy Start community programs represent the innovative, cutting edge of the Bush Administration's infant mortality initiative. Each community has developed a plan to creatively energize their families, their health service providers, businesses and volunteers in a program that will wrap pregnant women and babies in a blanket of care. "The communities receiving these new funds," the Secretary said, "are committed to ensuring mothers-to-be access to care at times and places that are convenient. And, every bit as important, the communities are committed to making sure women know of the services and understand how to get care as soon as they find they are pregnant." The program's goal is to reduce infant mortality by 50 percent in five years in the areas served by these special grants. In addition, the program is designed to benefit the nation as a whole by demonstrating effective techniques and focusing national attention on what individuals, groups and localities can do. This year, $25 million in new funds has been appropriated for the Healthy Start program. The President's budget request for fiscal year 1992 is $171 million. HHS Assistant Secretary for Health James O. Mason, M.D., who heads the U.S. Public Health Service, said each community is tailoring its program to its special needs and population groups. Dr. Mason said, "They are developing creative plans to deal with teen-age pregnancy, inadequate prenatal care, poor nutrition, smoking, alcohol and drug abuse -- and the absence in too many cases of family and community support. "These communities are going to show the rest of us what can be done to get this nation out of the basement in infant mortality ratings." Although infant mortality in the United States has been steadily improving, of 4 million infants born here each year, nearly 40,000 (or nearly 1 percent) die before their first birthday. The United States ranks 24th among industrialized nations. Robert G. Harmon, M.D., administrator of the Health Resources and Services Administration, said, "Billions of dollars are already being spent on infant mortality. But the special importance of Healthy Start is that it is a banner that will show that the coordination of federal, state, local and private programs can make a vital difference to the health and welfare of our babies." Overall in Fiscal Year 1992, the federal government will spend over $7 billion to reduce infant mortality through Medicaid, the U.S. Public Health Service and the Department of Agriculture's WIC (supplemental nutrition) program. HHS alone is spending $5 billion in FY 1991, and plans to spend $5.5 billion in FY 1992 on maternal and infant health. The Healthy Start grants will be administered by the Health Resources and Services Administration, an agency of the Public Health Service within HHS. ####