Tennessee's infant mortality still outpaces other areas

By Richard Locker

Thursday, June 12, 2008

NASHVILLE -- Tennessee moved up one place, to 42nd, in the 2008 "Kids Count" ranking of states by 10 indicators of the well-being of children.

Arkansas ranked 45th and Mississippi 50th, both unchanged from 2007 in the list compiled annually by the Annie E. Casey Foundation.

Of the 10 core measures of the health and well-being of children, Tennessee has shown improvements since 2000 in six indicators and declines in four others. But on a year-to-year basis only, Tennessee improved on only four of the 10 measures, declined in four others and was unchanged on two.

Tennessee's worst rankings relative to other states continues to be in infant mortality, 45th among the states; teen birth rate, 45th; and the percent of low-birthweight babies, a key cause of infant deaths, 43rd.

The state's highest rankings nationally are in the percent of teens who are high school dropouts, 15th lowest; child death rate (deaths among children ages 1-14), 34th, teen death rate (deaths among teens ages 15-19), 34th.

"Tennessee has implemented good public policies and strategies to improve outcomes for older children, resulting in more children graduating from high school and fewer adolescents dying," said Linda O'Neal, executive director of the Tennessee Commission on Children and Youth, a state agency whose primary mission is advocating for improvements in the quality of life for children and families.

The commission works with the Annie E. Casey Foundation, the world's largest private charitable organization focused on improving the lives of vulnerable children and families, on Kids Count in Tennessee.

But O'Neal said Tennessee "must continue and strengthen significant emphasis on improving ... maternal health to reduce the number of low-birthweight babies and infant deaths -- efforts that take several years before the outcomes are reflected in the data reported in the book."

Nationally, the 2008 report shows five areas of improvement: the child death rate, teen death rate, teen birth rate, high school dropout rate, and teens not in school and not working. Four areas worsened: low-birthweight babies, children living in families where no parent has full-time, year-round employment, children in poverty, and children in single-parent families. The infant mortality rate was unchanged.

"Kids Count contains some good and bad news," said Laura Beavers of the Annie E. Casey Foundation. "We continue to see that well-being indicators have largely gotten better for teens, and they've gotten worse for babies. The percent of babies born at low-birthweight continues to increase, with the 2005 rate the highest reported since 1968."