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| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
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| **State:** Arkansas                                                   |
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| **Department/Agency:** Division of Health, Arkansas Division of       |
| Health and Human Services                                             |
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| **Program:** Pregnancy Risk Assessment Monitoring System survey       |
| (PRAMS)                                                               |
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| **Location of Internship Site:** Little Rock, AR                      |
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| **Title of Internship Position:** Graduate Research Assistant - Data  |
| Analysis and Monitoring                                               |
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| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
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| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
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| 1.  **Please give a summary of the program, project, or agency that   |
|     will house the internship project.**                              |
|                                                                       |
| The Pregnancy Risk Assessment Monitoring System (PRAMS) program was   |
| initiated by the Centers for Disease Control and Prevention in 1987   |
| to help reduce low birthweight and infant mortality. The decision to  |
| create the program was based on research that pointed out three       |
| factors: 1) the U.S. infant mortality rate was no longer declining as |
| rapidly as it had in the past; 2) the prevalence of low birthweight   |
| was showing no change; and 3) maternal behaviors such as alcohol and  |
| tobacco use and limited use of prenatal and pediatric care were       |
| contributing to the slow rates of decline. (See www.cdc.gov/prams)    |
|                                                                       |
| PRAMS was developed to help state health departments create and       |
| maintain an epidemiologic surveillance system of selected maternal    |
| behaviors and experiences (e.g., smoking, drinking, prenatal care,    |
| physical abuse, pregnancy intent, stress, well baby checkups). This   |
| information is collected using mail and telephone surveys of a        |
| monthly stratified sample of women who have had a live in-state       |
| birth. The information is used to supplement data from the birth      |
| certificate to generate data for planning and assessing perinatal     |
| health programs.                                                      |
|                                                                       |
| The Health Statistics Branch in the Division of Health, Arkansas      |
| Department of Health and Human Services has been in the PRAMS program |
| since 1996 and has been collecting data since 1997. From 1997 through |
| 2005, the annual sample size for the survey has ranged from 2,400 to  |
| 2,800 with an overall response rate averaging about 75 percent. The   |
| program has three full-time employees (PRAMS coordinator, data        |
| manager, phone interviewer), a part-time interviewer for              |
| Spanish-speaking mothers, and a Project Director who is also manager  |
| of the entire survey unit (includes Behavioral Risk Factor            |
| Surveillance System survey, county adult and youth surveys).          |
|                                                                       |
| The Health Statistics Branch works with the Family Health Branch in   |
| the Division of Health in investigating infant health problems and    |
| developing research plans. Additionally, the Family Health Branch     |
| partially funds the position for the PRAMS project director through   |
| its Maternal and Child Health grant funds.                            |
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| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| **Purpose**                                                           |
|                                                                       |
| An unintended pregnancy is a pregnancy that was either mistimed       |
| (wanted later) or unwanted at the time of conception. A woman with an |
| unintended pregnancy is less likely to seek early prenatal care and   |
| is more likely to expose the fetus to harmful substances such as      |
| tobacco or alcohol. The result is unfavorable outcomes for both       |
| mother and child and imposes appreciable burdens on children, women,  |
| men, and families. Additionally, these pregnancies are associated     |
| with increased health care and welfare costs.                         |
|                                                                       |
| Overall, the percentage of unintended pregnancies in Arkansas has     |
| increased from about 50 percent in 1997 to 53 percent in 2004. By     |
| race, both the percentage of unintended pregnancies as well as the    |
| increase in these pregnancies is much more dramatic. For the          |
| seven-year period, the percentage of unintended increased from 45     |
| percent to 48 percent for white women and from 65 percent to 76       |
| percent for black women. The Healthy People 2010 target is 30         |
| percent.                                                              |
|                                                                       |
| The *purpose* of this internship is to provide the Division of Health |
| with assistance needed in conducting an in-depth analysis of the      |
| trends in and factors related to unintended pregnancies and to        |
| provide information to help reduce the percentage of unintended       |
| births in the state.                                                  |
|                                                                       |
| **Goal**                                                              |
|                                                                       |
| The *goal* of this internship will be to prepare information that can |
| be useful to the Arkansas Division of Health and other public health  |
| workers in developing policy and public health programs to reduce the |
| percentage of pregnancies that are unintended, with special emphasis  |
| on trying to understand and eliminate the racial and socioeconomic    |
| disparities for unplanned births.                                     |
|                                                                       |
| **Objective**                                                         |
|                                                                       |
| Conduct an in-depth analysis of PRAMS data for 2000-2004 to provide   |
| the Arkansas Division of Health with information to 1) help           |
| understand the reasons for unintended pregnancies and the pattern of  |
| birth control use before pregnancy, 2) create better strategies to    |
| prevent unintended and unwanted pregnancies, and to 3) help           |
| understand the relationship between unintended pregnancies and poor   |
| birth outcomes such as low birthweight and infant mortality.          |
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| **3.** **What data or analytic tasks and activities will be involved  |
| in this project?**                                                    |
|                                                                       |
| **Data** - The Arkansas PRAMS datasets for 2000-2004 will be used for |
| the analyses. The PRAMS questionnaire has two questions that are used |
| to measure pregnancy intent and one question on the use of            |
| contraceptives before pregnancy.                                      |
|                                                                       |
| **Pregnancy intent**                                                  |
|                                                                       |
| 1.  Thinking back to *just before* you got pregnant with your *new*   |
|     baby, how did you feel about becoming pregnant. Check *one*       |
|     answer.                                                           |
|                                                                       |
|     -   I wanted to be pregnant sooner                                |
|                                                                       |
|     -   I wanted to be pregnant later (mistimed)                      |
|                                                                       |
|     -   I wanted to be pregnant then                                  |
|                                                                       |
|     -   I didn't want to be pregnant then or at any time in the       |
|         future (unwanted)                                             |
|                                                                       |
| Pregnancies that were wanted later or not wanted at all are           |
| considered to be unintended.                                          |
|                                                                       |
| 2.  Which of the following statements best describes you during the 3 |
|     *months before* you got pregnant?                                 |
|                                                                       |
|     -   I was trying to get pregnant.                                 |
|                                                                       |
|     -   I wasn't trying to get pregnant or trying to keep from        |
|         getting pregnant.                                             |
|                                                                       |
|     -   I was trying to keep from getting pregnant but was not trying |
|         very hard.                                                    |
|                                                                       |
|     -   I was trying hard to keep from getting pregnant.              |
|                                                                       |
| **Contraceptive use** -- This question is asked of women who          |
| responded that they were not trying to get pregnant but also did not  |
| use contraceptives to prevent pregnancy.                              |
|                                                                       |
| 1.  What were your or your husband's or partner's reasons for not     |
|     doing anything to keep from getting pregnant? Check               |
|     [all]{.underline} that apply.                                     |
|                                                                       |
|     -   I didn't mind if I got pregnant                               |
|                                                                       |
|     -   I thought I could not get pregnant at that time               |
|                                                                       |
|     -   I had side effects from the birth control method I was using  |
|                                                                       |
|     -   I had problems getting birth control when I needed it         |
|                                                                       |
|     -   I thought my husband or partner or I was sterile (could not   |
|         get pregnant at all)                                          |
|                                                                       |
|     -   My husband or partner didn't want to use anything             |
|                                                                       |
|     -   Other                                                         |
|         \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  |
|                                                                       |
| **Analytic tasks and activities** -- Tasks and activities will        |
| include the following:                                                |
|                                                                       |
| Using responses to pregnancy intent questions and information from    |
| the birth certificate, analyze trends in unintended births by         |
| demographic characteristics such as race/ethnicity, age, marital      |
| status, education, parity, etc. The primary comparison will be        |
| between unwanted and mistimed pregnancies, since the circumstances    |
| under which these pregnancies occur are important but have not been   |
| well described.                                                       |
|                                                                       |
| To explore the relationship of unintended pregnancy to the health and |
| well-being of infants and mothers, selected birth outcomes (e.g., low |
| birthweight, infant mortality) will be compared among the             |
| intendedness groups.                                                  |
|                                                                       |
| Chi-square tests will be used to assess differences in responses      |
| among intendedness groups. To further examine the relationship        |
| between the mistimed and unwanted pregnancy groups and selected       |
| characteristics, relative risks will be calculated, along with 95%    |
| confidence intervals.                                                 |
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| 4.  **What data or analytic skills does the internship require?       |
|     (Include software applications and statistical/analytical         |
|     competencies).**                                                  |
|                                                                       |
| Data or analytical skills -- Experience working with health-related   |
| or epidemiological databases.                                         |
|                                                                       |
| Software applications -- SAS, SUDAAN, Excel. The Health Statistics    |
| Branch has SAS classes every week on site.                            |
|                                                                       |
| Statistical/analytical competencies -- Basic statistics. Dr. John     |
| Senner, Chief of the Health Statistics Branch, is a statistician and  |
| will assist with the multivariate analyses.                           |
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| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary supervisor -- Dr. Mary A. McGehee, Senior Research Analyst,   |
| Section Leader for Survey Unit, Health Statistics Branch, Arkansas    |
| Division of Health, Arkansas Department of Health and Human Services. |
| Dr. McGehee is the Project Director for the Arkansas PRAMS program    |
| and has experience analyzing the PRAMS datasets using SAS. She also   |
| has experience analyzing other health-related data and has conducted  |
| research on health disparities. Dr. McGehee's staff has SAS and       |
| SUDAAN expertise that would be available to an intern.                |
|                                                                       |
| Secondary supervisor -- Li Zheng, Senior Epidemiologist, Epidemiology |
| Branch, Division of Health, Arkansas Department of Health and Human   |
| Services. Li Zheng is the Senior Epidemiologist for Maternal and      |
| Child Health. She has experience in conducting epidemiological        |
| studies in maternal and child health. She also has expertise in       |
| analyzing maternal and child health related data using the SAS        |
| software.                                                             |
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| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| The month of May or June would be fine.                               |
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| **7.** **Are you able to assist the student in locating and securing  |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Guest housing is available on the University of Arkansas for Medical  |
| Sciences campus, which is walking distance from the Division of       |
| Health. Monthly rates currently run from \$550 to \$1,300 (VIP) per   |
| month with utilities included. This is a nonsmoking facility. (See    |
| http://www.uams.edu/studentlife/Guestrates06.asp)                     |
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| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Mary A. McGehee, Ph.D.                                        |
| >                                                                     |
| > Mailing Address: Health Statistics Branch, Division of Health       |
| >                                                                     |
| > Arkansas Department of Health and Human Services                    |
| >                                                                     |
| > P.O. Box 1437, Slot H19                                             |
| >                                                                     |
| > Little Rock, AR 72203-1437                                          |
| >                                                                     |
| > Email address: mary.mcgehee@arkansas.gov                            |
| >                                                                     |
| > Telephone: 501-661-2633                                             |
|                                                                       |
| Fax: 501-661-2544                                                     |
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| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
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| **State:** Connecticut                                                |
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| **Department/Agency:** Department of Public Health                    |
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| **Program:** Epidemiology Unit, Family Health Section                 |
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| **Location of Internship Site:** Hartford, Connecticut                |
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| **Title of Internship Position:** Graduate Research Intern            |
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| **Skill Area:** [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
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| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Epidemiology Unit of the Family Health Section provides data      |
| support to the Maternal and Child Health (MCH) programs in the        |
| Section. Through a contract with the state's Department of Social     |
| Services, and in collaboration with the state's Vital Records Unit,   |
| the Epidemiology Unit annually receives enrollment information about  |
| the state's Medicaid insurance program, called HUSKY A. Specifically, |
| each birth mother's enrollment status in HUSKY A at the time of birth |
| within the state is linked to its accompanying birth record. Linked   |
| data are currently available for years 2000 through 2004.             |
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| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| > [Purpose]{.underline}: The purpose of the proposed internship is to |
| > broaden knowledge within the MCH programs about trends in HUSKY A   |
| > enrollment at the time of birth but we can be flexible\".           |
| >                                                                     |
| > [Goals]{.underline}: The goals of the internship are to: 1)         |
| > evaluate recent statewide changes in the demographics of HUSKY A    |
| > enrollment among women who give birth in the state, 2) provide a    |
| > rewarding work experience for an intern within a state department   |
| > of public health, and 3) provide an intern the opportunity to work  |
| > on a novel project of value to the MCH programs.                    |
| >                                                                     |
| > [Objectives]{.underline}: To accomplish this goal, we propose the   |
| > following, using existing de-identified datasets of linked          |
| > Birth-HUSKY A enrollment that are maintained in the Epidemiology    |
| > Unit:                                                               |
|                                                                       |
| 1.  Evaluate the annual number and percent of HUSKY A enrollment      |
|     among the birth cohort from 2000 through 2004, by mother's age,   |
|     race, ethnicity, educational level, and town of residence.        |
|                                                                       |
| 2.  Prepare graphs that illustrate the change in HUSKY A enrollment   |
|     from 2000 through 2004, by mother's age, race, ethnicity, and     |
|     educational level.                                                |
|                                                                       |
| 3.  Evaluate the statistical significance of trends in HUSKY A        |
|     enrollment from 2000 through 2004, by mother's age, race,         |
|     ethnicity, and educational level.                                 |
|                                                                       |
| 4.  Estimate the number of births for years 2000 to 2004 that were    |
|     eligible for HUSKY A enrollment, using estimates of income among  |
|     women of childbearing years.                                      |
|                                                                       |
| 5.  Estimate changes in the percent of HUSKY A enrollment among those |
|     births that were eligible for enrollment.                         |
|                                                                       |
| > 6\. Prepare a written report that summarizes the results.           |
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+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| The project described in this proposal will involve manipulating      |
| large de-identified datasets containing record-level birth            |
| information with accompanying HUSKY A enrollment. Raw data will be    |
| aggregated and summarized in tables and figures. Data will also be    |
| analyzed by basic statistics. Estimates of Medicaid eligibility will  |
| be generated and compared to actual HUSKY A enrollment.               |
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| 4.  **What data or analytic skills does the internship require?       |
|     (Include software applications and** **statistical/analytical     |
|     competencies).**                                                  |
|                                                                       |
| The proposed project will involve large datasets that require basic   |
| SAS or ACCESS skills. Aggregated data could be maintained and         |
| manipulated with EXCEL. Skills in EXCEL should include the ability to |
| generate tables and figures. Basic statistical skills will be         |
| required for the analyses. The project will require quantitative      |
| skills, attention to detail, writing skills, and an ability to        |
| collaborate with staff in the Epidemiology Unit of the Family Health  |
| Section.                                                              |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| [Primary Supervisor]{.underline}: Carol L. Stone, PhD,                |
| Epidemiologist, Epidemiology Unit, Family Health Section. Dr. Stone   |
| holds an advanced degree in applied statistics and has been an        |
| epidemiologist in the Department for 5 years. She currently provides  |
| epidemiology support to the FIMR program. In this capacity, she       |
| prepares and manages the linked infant death-birth datasets.          |
|                                                                       |
| [Secondary Supervisor]{.underline}: Marcie Cavacas, Supervising       |
| Epidemiologist, Epidemiology Unit, Family Health Section. Ms. Cavacas |
| holds an advanced degree in public health and has been an             |
| epidemiologist with the Department for over 15 years. She currently   |
| oversees all activities in the Epidemiology Unit.                     |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| An internship could begin at any time, but should be completed by the |
| end of July but we can be flexible\".                                 |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| > Yes, we can assist the student with housing. Apartments are in      |
| > close proximity to the facility, and there is ready access to       |
| > public transportation.                                              |
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+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Lisa Davis, RN, MBA,                                          |
| >                                                                     |
| > Director, Family Health Section                                     |
| >                                                                     |
| > Mailing Address: 410 Capitol Avenue, MS# 11MAT                      |
| >                                                                     |
| > Hartford, Connecticut 06134                                         |
| >                                                                     |
| > Email address: Lisa.Davis@po.state.ct.us                            |
| >                                                                     |
| > Telephone: 860-509-8081                                             |
|                                                                       |
| Fax: 860-509-7720                                                     |
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| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
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| **State:** Florida                                                    |
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| **Department/Agency:** Duval County Health Department (DCHD)          |
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| **Program:** Maternal and Child Health Division                       |
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| **Location of Internship Site:** Jacksonville, FL                     |
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| **Title of Internship Position:** MCH Epidemiologist/Program Analyst  |
|                                                                       |
| PHASE II of application submitted in 2005. Analysis with              |
| recommendations of the major causes of child deaths in Northeast      |
| Florida from 1996 -- 2005.                                            |
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| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_Program Evaluation                               |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Duval County Health Department (DCHD) is a large urban State      |
| agency located in NE Florida close to Georgia. The Department staff   |
| is multi-disciplinary and consists of over 600 employees with a       |
| Budget of \$49 million. We offer a comprehensive approach to Public   |
| Health through a wide range of programs and services throughout the   |
| community. Some include but are not limited to Federal and State      |
| Healthy Start, WIC, Environmental Health, AmeriCorps, Family Health   |
| Centers, Chronic Disease Coalitions, School Health Nursing,           |
| Adolescent Medicine, Health Policy and Evaluation and Behavioral      |
| Health. The Division of Maternal and Child Health (MCH) delivers a    |
| wide array of service programs for residents throughout the life      |
| continuum: pre conceptual, prenatal and postpartum, infancy,          |
| childhood, adolescence and young adulthood.                           |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| **Purpose**: The following data from 2000 - 2002 is a comparison of   |
| Florida and Duval County rates for infant mortality, child death      |
| rate, and adolescent death rate (*Duval County Health Department,     |
| Institute for Health, Policy & Evaluation Research)*:                 |
|                                                                       |
| Infant mortality per 1,000 live births in FL = 7.3 Duval = 10.2       |
|                                                                       |
| Child death rate per 100,000 in FL = 38 (1-4 yrs. old); 14.2 (5-9     |
| yrs. old) Duval = 36.3; 18.4                                          |
|                                                                       |
| Adolescent death rate per 100,000 in FL = 20.1 (10-14 yrs. old); 69.4 |
| (15-19 yrs. old) Duval = 27.4; 70.8                                   |
|                                                                       |
| As indicated above, Duval County's rates exceed the State of Florida  |
| rates except for the child death rate for 1 -- 4 yrs. old. It is      |
| necessary to identify the causes of child deaths, share information   |
| among agencies, enhance cooperation, develop and implement            |
| interventions, prepare recommendations, and influence public policies |
| and service delivery.                                                 |
|                                                                       |
| There is currently a Child Death Review Committee and a Child Abuse   |
| Review Committee comprised of staff from DCHD and other               |
| agencies/departments (i.e., Vital Statistics, Fire Department,        |
| Coroner, Emergency Medicine, Police, Hospitals, etc.) that meets      |
| monthly to review causes or events relating to the death of children  |
| under the age of 18.                                                  |
|                                                                       |
| **Products: 2005 Application:** Written report to the Child Death     |
| Review Committee based on a 10 year trend analysis of child mortality |
| by different age groups was completed by a GIS Intern.                |
|                                                                       |
| **2006 Application** -- continuation of this project through          |
| completion of an in-depth analysis identifying demographic factors    |
| for the 15-19 age group and the causes related to mortality due to    |
| accidents including their locations for GIS mapping. This is a major  |
| concern because of the increased deaths due to accidents and          |
| homicides in Duval County for this age group in the last five years.  |
|                                                                       |
| **Goals:** To determine the causes or events relating to child        |
| mortality.                                                            |
|                                                                       |
| **Objective:** To analyze 1996 -- 2005 death certificates for the 15  |
| -- 19 age group by ICD codes, race, gender, location, etc.            |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| Analyze death certificates relating to the death of children in the   |
| 15-19 age group from 1996 -- 2005 and generate a report of findings.  |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| SPSS, Access, Excel, MS Word, Powerpoint, Vital Statistics analysis   |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary: Carol Synkewecz, MPH DCHD, Maternal and Child Health         |
|                                                                       |
| Secondary: Representative Vital Statistics Office                     |
|                                                                       |
| Alison Dekle Research Assistant                                       |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| Fall 2007                                                             |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Public transportation is available but personal care is preferable.   |
| The Intern would be responsible for his/her housing accommodations,   |
| but we can offer information and advice if needed.                    |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Charlene Marsh (MCH Operations)                               |
| >                                                                     |
| > Mailing Address: Duval County Health Department (MC-25)             |
| >                                                                     |
| > 515 West Sixth Street                                               |
| >                                                                     |
| > Jacksonville, FL 32206                                              |
| >                                                                     |
| > Email address: Charlene_Marsh@doh.state.fl.us                       |
| >                                                                     |
| > Telephone: (904) 665-2709                                           |
|                                                                       |
| Fax: (904) 632-5329                                                   |
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+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
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| **State:** Georgia                                                    |
+-----------------------------------------------------------------------+
| **Department/Agency:** DeKalb County Board of Health                  |
+-----------------------------------------------------------------------+
| **Program:** Mothers Offering Resources and Education (M.O.R.E)       |
| Initiative                                                            |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Decatur, Georgia and Lithonia,       |
| Georgia                                                               |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Evaluator                           |
+-----------------------------------------------------------------------+
| Skill Area: \_[X]{.underline}\_ Data Analysis and Monitoring \_\_     |
| Needs Assessment \_[X]{.underline}\_ Program Evaluation               |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project**.                                  |
|                                                                       |
| The DeKalb County Board of Health is an urban public health agency.   |
| There are several public health programs that monitor, collect and    |
| analyze data. An internal review of the processes within these        |
| programs is needed to determine the usefulness of tools,              |
| effectiveness of procedures and relevance of outcomes. The **M.O.R.E. |
| Initiative (Mothers Offering Resources and Education)** is designed   |
| to improve infant mortality outcomes and promote the health of        |
| pregnant women and teens and their infants. This is an effort to do   |
| more for our community by                                             |
|                                                                       |
| 1)  Supporting women and teens throughout pregnancy and early         |
|     parenthood.                                                       |
|                                                                       |
| 2)  Helping pregnant women and teens obtain the full range of         |
|     prenatal and delivery care; as well other needed health, dental   |
|     and pregnancy prevention services.                                |
|                                                                       |
| 3)  Promoting well-baby care and appropriate parenting skills during  |
|     the infant's first year of life.                                  |
|                                                                       |
| 4)  Providing resources regarding educational, vocational and job     |
|     placement opportunities.                                          |
|                                                                       |
| The model for this project is the nationally recognized Resource      |
| Mothers program.                                                      |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| Three programs were selected to ensure ample workload for an          |
| internship. The purpose, goals and objectives are the same for each   |
| program. The programs or projects are listed above in order priority. |
|                                                                       |
| a)  The purpose of this internship is to 1) find the story in the     |
|     data, 2) identify training needs to ensure that staff's knowledge |
|     and information benefit the clients, 3) communicate the goals,    |
|     challenges and benefits of the project so that it is a model for  |
|     other projects.                                                   |
|                                                                       |
| b)  The goal of this internship is to evaluate the existing program   |
|     and make any necessary changes that will assist in communicating  |
|     the overall program goal of internally and in the targeted        |
|     communities.                                                      |
|                                                                       |
| c)  The expected outcomes or objectives for the internship include:   |
|                                                                       |
|     1.  Find and select information that addresses the initiative's   |
|         objectives.                                                   |
|                                                                       |
|     2.  Review and select appropriate information management and      |
|         analysis tools.                                               |
|                                                                       |
|     3.  Recognize and account for weaknesses in both the tools and    |
|         the data.                                                     |
|                                                                       |
|     4.  Develop and implement information management and analysis     |
|         tools, if necessary.                                          |
|                                                                       |
|     5.  Conduct analysis and interpret results.                       |
|                                                                       |
|     6.  Communicate results to diverse audiences.                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| The staff employed by this initiative currently collect quantitative  |
| statistics and anecdotal data. The role of the intern is to analyze   |
| the data already collected and prepare a report. The findings of the  |
| intern may require the development and implementation of additional   |
| data to be collected or the omission of impertinent date currently    |
| collected.                                                            |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| a\) Software applications available to the student include Microsoft  |
| Word, Excel, and Access programs.                                     |
|                                                                       |
| b\) The student will be able to calculate statistics related to       |
| trimester at start of prenatal care, birth outcomes, total prenatal   |
| contacts with physician, contacts with Resource Mothers, etc. Data    |
| skills will involve the integration of information from various       |
| sources for the determination of outcomes and to present to a diverse |
| audience.                                                             |
|                                                                       |
| d)  Analytical skills will require the ability to identify the        |
|     strengths, weaknesses and quirks in the data collected.           |
|                                                                       |
| e)  Communication and presentations skills are required to present    |
|     the data to diverse audiences in various formats such as print,   |
|     Web and verbal.                                                   |
+-----------------------------------------------------------------------+
| 5.  **Who will supervise the student and be available for guidance    |
|     and technical assistance? Please provide the name, position,      |
|     department, and information related to specific data and/or       |
|     analytic background for both a primary and a secondary            |
|     supervisor.**                                                     |
|                                                                       |
| Name: Leslie Richmond, M.D.                                           |
|                                                                       |
| Position: Senior Executive                                            |
|                                                                       |
| Department: Community Health And Prevention Services                  |
|                                                                       |
| Primary Supervisor: Dr. Richmond                                      |
|                                                                       |
| Secondary Supervisor: To be decided at a later time.                  |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| The best time to begin the internship is Spring 2007                  |
+-----------------------------------------------------------------------+
| > **7. Are you able to assist the student in locating and securing    |
| > housing during the period of the internship? If yes, what type of   |
| > housing is available (e.g., campus dorms, nearby apartments, etc.)? |
| > Is the work site accessible via public transportation?**            |
|                                                                       |
| The availability of housing will be explored as there are several     |
| colleges and churches with housing in the area. However, at most, we  |
| can provide guidance in where the intern may look for housing.        |
|                                                                       |
| Yes, both the Clifton Springs Health Center and the East DeKalb       |
| Health Center are accessible via public transportation MARTA.         |
| Personal automobile is not necessary for this internship.             |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Dr. Leslie Richmond                                           |
| >                                                                     |
| > Mailing Address: DeKalb County Board of Health                      |
| >                                                                     |
| > 445 Winn Way -- Box 987                                             |
| >                                                                     |
| > Decatur, GA 30021                                                   |
| >                                                                     |
| > Email address: ljrichmond@dhr.state.ga.us                           |
| >                                                                     |
| > Telephone: (404) 294-3743                                           |
| >                                                                     |
| > Fax: (404) 508-7862                                                 |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Montana                                                    |
+-----------------------------------------------------------------------+
| **Department/Agency:** Department of Public Health and Human Services |
|                                                                       |
| > Public Health and Safety Division                                   |
+-----------------------------------------------------------------------+
| **Program:** Family and Community Health Bureau                       |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** 1218 E. 6^th^ Avenue, Helena,        |
| Montana (State Capitol Complex)                                       |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Montana MCH Data Analysis           |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Montana Department of Public Health and Human Services is the     |
| second largest government agency in Montana, housing public health,   |
| Medicaid, child protective services, and social services. The         |
| department is made up of 11 divisions, including the Public Health    |
| and Safety Division, which includes most of the public health         |
| programs and services. The Public Health and Safety Division is       |
| divided into 6 bureaus, including the Family and Community Health     |
| Bureau (FCHB), which has a staff of 33 and a budget of approximately  |
| \$21 million. The Bureau is primarily responsible for                 |
| population-based services for families, pregnant women and women of   |
| child-bearing age, infants, children and adolescents. The programs    |
| administered in the Bureau include the Maternal and Child Health      |
| Block Grant, WIC, Title X (Family Planning), oral health, fetal,      |
| infant and child mortality review (FICMR), Children's Special Health  |
| Services, and Public Health Home Visiting.                            |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| Purpose: To assist the Family and Community Health Bureau with        |
| maternal and child health (MCH) data analysis and the application of  |
| analysis results. Students may choose one of the following projects:  |
|                                                                       |
| Goal 1: Conduct an analysis of selected maternal and child health     |
| indicators                                                            |
|                                                                       |
| > Objectives                                                          |
|                                                                       |
| -   Identify state-specific risk factors associated with the use and  |
|     delayed- or non-use of prenatal care, as well as the demographics |
|     of women more- and less-likely to access prenatal care in a       |
|     timely manner. Alternatively, in partnership with supervisors,    |
|     identify a particular population group or type of service and     |
|     examine and/or analyze related data to better describe the        |
|     related risk factors and demographics.                            |
|                                                                       |
| -   Identify appropriate national and/or regional data sources to     |
|     compare to Montana data.                                          |
|                                                                       |
| -   Complete oral and written report on analysis and results and      |
|     develop data dissemination plan.                                  |
|                                                                       |
| Goal 2: Develop a framework for analysis and evaluation of Public     |
| Health Home Visiting (PHHV) data                                      |
|                                                                       |
| > Objectives                                                          |
|                                                                       |
| -   Assess current PHHV data tools and collection methods.            |
|                                                                       |
| -   Identify relevant data to be used in an analysis and evaluation.  |
|                                                                       |
| -   Develop timeframe and format for data use and dissemination to    |
|     contractual partners.                                             |
|                                                                       |
| -   Make recommendations for analysis and evaluation frameworks to be |
|     incorporated into the home visiting program.                      |
|                                                                       |
| \- Complete oral and written report on proposed framework.            |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| Analysis will primarily be descriptive epidemiology and will use      |
| quantitative data from vital records and program reports. Materials   |
| developed by the student will be made available to staff and possibly |
| other stakeholders at the end of the internship. The student will be  |
| requested to translate and present the project results so that they   |
| are understandable to public health practitioners and other           |
| stakeholders who are not necessarily familiar with epidemiological    |
| methods or terminology. The student will have the opportunity to      |
| present results to the FCHB Advisory Council and the Bureau and       |
| publish in the FCHB Facts Newsletter. If appropriate, results may     |
| also be submitted for publication in "Prevention Activities Under the |
| Big Sky," Montana's public health prevention newsletter.              |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Students are expected to have basic analytic abilities and            |
| familiarity with at least one statistical software package. SPSS is   |
| the statistical analysis software currently used by the bureau.       |
| However, the data are available in formats that translate to most     |
| statistical analysis software, and SAS is used elsewhere in the       |
| department and may be available. Experience with Microsoft Access and |
| Excel is helpful.                                                     |
|                                                                       |
| The student will be provided with a workspace with a desktop computer |
| and telephone.                                                        |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary Supervisor: Dianna Frick, MPH. Ms. Frick is the Maternal and  |
| Child Health Epidemiologist for the Family and Community Health       |
| Bureau (FCHB). She was a Public Health Prevention Specialist with the |
| Centers for Disease Control and Prevention for three years, one year  |
| in Atlanta working with the Division of Sexually Transmitted Disease  |
| (STD) Prevention where she analyzed STD data, conducted assessments,  |
| and developed and coordinated a nationwide survey of STD clinics, and |
| two years in Montana with FCHB where she coordinated the 5-year MCH   |
| needs assessment and strategic planning for the Family and Community  |
| Health Bureau. She has also worked with international health          |
| programs, conducting analyses of reproductive health data, and was a  |
| Peace Corps Volunteer in West Africa. Ms. Frick has a bachelor of     |
| arts in international affairs from Lewis & Clark College in Portland, |
| Oregon, and she earned a master of public health in maternal and      |
| child health with a minor in epidemiology from the University of      |
| North Carolina at Chapel Hill.                                        |
|                                                                       |
| Secondary Supervisor: Jo Ann Walsh Dotson, RN MSN. Ms. Dotson is the  |
| MCH Director for the state and is the Bureau Chief for the Family and |
| Community Health Bureau. She has been with the Montana Department of  |
| Public Health and Human Services for 16 years and previously managed  |
| the public health home visiting and primary care programs. Ms. Dotson |
| is a former faculty member with the Montana State University College  |
| of Nursing where she taught nursing for seven years. She was also     |
| adjunct faculty at Carroll College School of Nursing in Helena from   |
| 1994 to 1998. Ms. Dotson has a bachelor of science in nursing from    |
| Baylor University, a master of science in maternal and child health   |
| nursing from the University of Texas, and is currently in the Ph.D.   |
| program through the School of Nursing at Oregon Health and Sciences   |
| University.                                                           |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| The start time is negotiable. May of 2007 would be ideal.             |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Yes. Montana has had a series of students over the last 8 years, both |
| from the GSIP program and through arrangements with Emory University  |
| and other academic institutions. Helena, which would be the site of   |
| the student placement, has a small private college, and short term    |
| rentals are available during summers in accordance with the academic  |
| year. The local newspaper, the Helena Independent Record              |
| ([http://www.helenair.com](http://www.helenair.com/)), has housing    |
| listings in its online classifieds section. We will provide the       |
| student with information on housing and life in Helena that was       |
| collected from previous interns and can recommend locations and       |
| solicit the 170 Division staff for housing recommendations at the     |
| student's request. Housing in Helena is reasonably priced.            |
|                                                                       |
| Helena has limited public transportation. There are buses that run on |
| limited routes within the city limits. Several students have          |
| completed a 10 week rotation with no car, using a bicycle. While a    |
| vehicle would be beneficial, especially in order to enjoy the         |
| beautiful state, it is not a requirement. Much of the housing within  |
| Helena city limits is within biking or walking distance of the        |
| internship site.                                                      |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Dianna Frick, MPH                                             |
| >                                                                     |
| > Mailing Address: Montana Department of Public Health and Human      |
| > Services                                                            |
| >                                                                     |
| > Family and Community Health Bureau                                  |
| >                                                                     |
| > 1218 E. 6^th^ Ave                                                   |
| >                                                                     |
| > Helena, MT 59620                                                    |
| >                                                                     |
| > Email address: dfrick@mt.gov                                        |
| >                                                                     |
| > Telephone: 406-444-6940                                             |
|                                                                       |
| Fax: 406-444-2606                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Nevada                                                     |
+-----------------------------------------------------------------------+
| **Department/Agency:** Nevada State Health Division                   |
+-----------------------------------------------------------------------+
| **Program:** Bureau of Family Health Services and Center for Health   |
| Data and Research                                                     |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Reno, Nevada                         |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** MCH Epidemiologist                  |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| Nevada State Division's Bureau of Family Health Services (BFHS) and   |
| Center for Health Data and Research (CHDR) are the key players on the |
| MCH issues and MCH data analyses and epidemiology in the State of     |
| Nevada. They have created a MCH data warehouse where houses multiple  |
| MCH related databases for advanced MCH epidemiological projects. CHDR |
| has a satellite office at School of Public Health University of       |
| Nevada-Reno (UNR). The student will be physically stationed at UNR    |
| campus but will work closely with staff at BFHS and CHDR.             |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| The student will work on data formatting, cleansing, weighting,       |
| analyzing the "Behavior Risk Factor Surveillance System (BRFSS)       |
| woman's health module data collected in year 2006. Will work with     |
| other researchers on a special woman's health report which includes   |
| cancer related woman's health data from databases of woman's health   |
| connect (screening), death registry, hospital discharge, BRFSS and    |
| cancer registry. The student will provide statistical analysis and    |
| preparation of narrative charts and graphics, and compile, tabulate   |
| and editing this report.                                              |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| As mentioned in section 2, The student will work on data formatting,  |
| cleansing, weighting, analyzing the "Behavior Risk Factor             |
| Surveillance System (BRFSS) woman's health module data collected in   |
| year 2006. Will work with other researchers on a special woman's      |
| health report which includes cancer related woman's health data from  |
| databases of woman's health connect (screening), death registry,      |
| hospital discharge, BRFSS and cancer registry. The student will       |
| provide statistical analysis and preparation of narrative charts and  |
| graphics, and compile, tabulate and editing this report.              |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Course training in epidemiology and biostatistics. Familiar to at     |
| least one statistical software, e.g. SAS or SPSS.                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Wiliam Lee, Biostatistician and SSDI Project Coordinator for the      |
| Center for Health Data and Research will be the primary supervisor.   |
|                                                                       |
| Dr. Wei Yang and Ms. Judy Wright will also be available to oversee    |
| the project. Judy is the Bureau Chief of the Bureau of Family Health  |
| Services. Dr. Yang is the State Chief Biostatistician and Director of |
| Center for Health Data and Research. He is also a faculty member at   |
| School of Public Health, University of Nevad-Reno.                    |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| May, 2007.                                                            |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Will help the student in locating the housing at either UNR campus    |
| dorms or nearby apartment. The work site is closed to Downtown Reno   |
| and has access to public transportations.                             |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Dr. Wei Yang                                                  |
| >                                                                     |
| > Mailing Address: Bureau of Health Planning and Statistics,          |
| >                                                                     |
| > 505 E. King Street Room 102                                         |
| >                                                                     |
| > Carson City, NV 89701                                               |
| >                                                                     |
| > Email address: Wyang@nvhd.state.nv.us                               |
| >                                                                     |
| > Telephone: 775-684-4182                                             |
|                                                                       |
| Fax: 775-684-4156                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Ohio                                                       |
+-----------------------------------------------------------------------+
| **Department/Agency:** Columbus Public Health                         |
+-----------------------------------------------------------------------+
| **Program:** Office of Assessment and Surveillance                    |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Columbus Public Health 240 Parsons   |
| Ave., Columbus, OH 43215                                              |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Graduate Student Intern             |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Office of Assessment and Surveillance at Columbus Public Health   |
| is a central source for local health-related data and information. We |
| work to help improve the health of the Columbus community by:         |
|                                                                       |
| -   measuring the health of Columbus through the collection, study    |
|     and reporting of health data;                                     |
|                                                                       |
| -   looking for and investigating outbreaks of disease; and by        |
|                                                                       |
| -   providing support to customers who want to use data effectively   |
|     in community health policy, planning, and programming decisions.  |
|                                                                       |
| Six full-time masters-prepared epidemiologists, including the         |
| director, staff the office. We work primarily with population-level   |
| data, such as vital statistics, behavioral risk surveys, injury       |
| hospitalizations, fatality review, and reportable diseases, for the   |
| purpose of community health assessment. We are also responsible for   |
| enhancing, maintaining, and monitoring all data sources associated    |
| with the acute disease surveillance system regularly.                 |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| Purpose: The purpose of this internship is to assist with conducting  |
| an assessment of the health of women, children and families in        |
| Columbus and Franklin County.                                         |
|                                                                       |
| Goals: The main goal of this project is to identify, analyze and      |
| describe trends and current status of key indicators of maternal and  |
| infant health that will inform policy, programming and funding        |
| decisions within the community.                                       |
|                                                                       |
| Learning Objectives:                                                  |
|                                                                       |
| 1\) The student will have a better understanding of the challenges of |
| conducting an assessment and of working to blend quantitative and     |
| qualitative data in a meaningful way.                                 |
|                                                                       |
| 2\) The student will improve data analysis and use skills.            |
|                                                                       |
| 3\) The student will gain insight into the workings of a local public |
| health department.                                                    |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| The student will be working with both quantitative and qualitative    |
| data. Initially, the student will be required to familiarize          |
| her/himself with background material about the importance of          |
| understanding the health of women, children and families locally, as  |
| well as with the wealth of data sets available. This includes locally |
| available sets, such as vital statistics, behavioral risk, and        |
| program data, as well as state and national data sets (e.g., PRAMS,   |
| BRFSS, vital, Census) that can be queried or acquired. A list of      |
| indicators will be reviewed before analysis. Descriptive analysis of  |
| data (including calculation of frequencies, prevalence and morbidity  |
| and mortality rates), with comparisons to appropriate groups, will be |
| the primary analytic task. Data will need to be organized in a        |
| logical manner. If time permits, findings should be presented in the  |
| form of a report, fact sheets, presentations, or poster and should    |
| include both narrative and graphical representations of the data      |
| (charts, tables, etc.). With regard to qualitative data, the student  |
| will be responsible for creating a tool to assess access to,          |
| utilization of, and satisfaction with health care services for women  |
| and children. The student will also assist with organizing and        |
| facilitating several community focus groups to collect these data.    |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| The student should be capable of performing descriptive analyses of   |
| data using software such as SAS, STATA, and/or SPSS. The student      |
| should be fully competent with key Microsoft products (Word, Excel,   |
| PowerPoint, Outlook and Internet Explorer) and have a good working    |
| knowledge of Access. The student should be competent in conducting    |
| research and data queries using the internet. A solid understanding   |
| of question development for use in focus groups is desired. The       |
| student will need to have excellent written and verbal skills, be a   |
| motivated individual and will be expected to contribute to the        |
| organization.                                                         |
+-----------------------------------------------------------------------+
| 5\. **Who will supervise the student and be available for guidance    |
| and technical assistance? Please provide the name, position,          |
| department, and information related to specific data and/or analytic  |
| background for both a primary and a secondary supervisor.**           |
|                                                                       |
| Primary supervisor will be Kathy Cowen, MS, Director of the Office of |
| Assessment and Surveillance. Ms. Cowen has been working in the area   |
| of maternal and child health epidemiology for most of her tenure at   |
| Columbus Public Health (10 years). She has had the opportunity to     |
| participate in numerous data team-learning initiatives sponsored by   |
| CityMatCH, such as the Perinatal Periods of Risk (PPOR) Practice      |
| Collaborative and the Data Use Institute. She serves as the analytic  |
| lead for PPOR analysis in Columbus and as a member of the Region IV   |
| team of Ohio's Perinatal Data Use Collaborative.                      |
|                                                                       |
| Secondary supervisor will be Karen Gray, MS, CHES, Program Manager in |
| the Division of Maternal and Child Health. Ms. Gray is a certified    |
| health education specialist with primary interest in increasing       |
| access to early prenatal care. She uses data for program planning,    |
| priority setting, grant writing and evaluation.                       |
|                                                                       |
| Additional guidance and technical assistance will be available from   |
| Carolyn Slack, division director for Maternal and Child Health, and   |
| staff epidemiologists, all with Master's degrees in Preventive        |
| Medicine or Public Health.                                            |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| May is probably the best time to start; however, campus housing is    |
| more available in mid-June. A start date can be negotiated.           |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Yes, we can assist in locating and securing housing for the student.  |
| The Ohio State University has single rooms available in a graduate    |
| dormitory tower on campus. A common kitchen is available to all       |
| building occupants. Cost for this would be approximately \$450 per    |
| month (or \$35 per day). Campus is approximately five miles from the  |
| health department and is on the public bus route (Central Ohio        |
| Transit Authority---C.O.T.A.). Apartments with a short-term rent      |
| agreement could also be available.                                    |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Kathy Cowen, MS                                               |
| >                                                                     |
| > Mailing Address: Columbus Public Health                             |
|                                                                       |
| 240 Parsons Avenue                                                    |
|                                                                       |
| Columbus, OH 43215-5331                                               |
|                                                                       |
| > Email address: kathyc@columbus.gov                                  |
| >                                                                     |
| > Telephone: 614-645-6252                                             |
|                                                                       |
| Fax: 614-645-5888                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Oregon (A)                                                 |
+-----------------------------------------------------------------------+
| **Department/Agency:** Public Health Division, Office of Family       |
| Health                                                                |
+-----------------------------------------------------------------------+
| **Program:** Adolescent Health                                        |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Public Health Division, Portland,    |
| Oregon                                                                |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Depression and Physical Activity    |
| Among Oregon Adolescents                                              |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Office of Family Health (OFH) is Oregon's Title V agency. A       |
| number of sections are housed within OFH, including: Immunization;    |
| Oral (Dental) Health; Genetics; School Health; Reproductive Health    |
| (Family Planning); Perinatal, Child, Adolescent, and Women's Health;  |
| Women, Infants, Children (WIC) and Breastfeeding; and Nutrition /     |
| Physical Activity. The Adolescent Health Section strives to: advocate |
| for adolescent access to quality health education and health          |
| services, develop and promote evidence-based strategies and programs, |
| identify and direct resources that create sustainable state and local |
| programs, and implement clear and effective adolescent health         |
| communications. One of the Adolescent Health Section's purposes is to |
| collect, evaluate and report, on an ongoing basis, data about         |
| adolescent health and access to health education and services. The    |
| Adolescent Health Section is comprised of approximately 15            |
| professionals with diverse training and education. In addition, OFH   |
| has a full-time maternal and child health (MCH) epidemiologist, a     |
| full-time post-doctoral CSTE / CDC MCH Epidemiologist Fellow, and     |
| research analysts who work on the Oregon Healthy Teens (OHT) survey   |
| (the Youth Risk Behavior Survey or YRBS).                             |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives**.                            |
|                                                                       |
| Accurate estimates of the extent of youth problems are essential for  |
| knowing which schools and communities need which programs and whether |
| the programs, when implemented, are working. The Oregon Healthy Teens |
| (OHT) survey (i.e., the Youth Risk Behavior Survey or YRBS) is        |
| Oregon\'s effort to monitor the health and well-being of adolescents. |
| The survey is an anonymous and voluntary research-based survey,       |
| conducted among 8th and 11th graders across the state. OHT monitors   |
| the factors that influence successful development. Research has shown |
| that risk factors and assets that affect young people include family, |
| school, neighborhood, and community characteristics. By measuring     |
| these influences as well as youth behavior, the OHT survey provides   |
| information to help schools and communities focus on the things that  |
| are most important to ensure successful youth development.            |
|                                                                       |
| **Purpose**: To describe the association between physical activity    |
| and depression and the emotional and mental health status among 8^th^ |
| and 11^th^ grade students in Oregon                                   |
|                                                                       |
| **Goals**: To conduct a literature review; to conduct a descriptive   |
| and analytic epidemiologic analysis of relevant variables within the  |
| OHT survey data; to learn how data can be used to provide a basis for |
| public health improvement                                             |
|                                                                       |
| **Objectives**: To provide an analysis of data that describes the     |
| association between physical activity and depression and the          |
| emotional and mental health status among 8^th^ and 11^th^ grade       |
| students in Oregon; and to work with the Adolescent Health Section on |
| proposed recommendations to the Public Health Division about ways to  |
| improve physical activity levels and mental health in this school-age |
| population                                                            |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| The intern would conduct a literature review about what is known      |
| about the association between physical activity and depression and    |
| the emotional and mental health status among adolescent populations.  |
| In addition, the intern would analyze data from the OHT survey        |
| regarding the association between level of physical activity and      |
| depression and the emotional and mental health status of 8^th^ and    |
| 11^th^ grade adolescents in Oregon. Other tasks and activities        |
| include preparing tables, figures, or graphs that describe the        |
| demographic features and descriptive and analytic results of the      |
| survey data and writing either a draft manuscript or report for the   |
| Adolescent Health Section regarding the findings of the project. The  |
| intern would also attend meetings of the Physical Activity and        |
| Nutrition Workgroup and other meetings or activities related to the   |
| project.                                                              |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| **Software applications**: The intern should have experience and be   |
| comfortable with using Microsoft Office (Word, Excel, Powerpoint) and |
| in preparing tables, figures, and graphs in either Microsoft Office   |
| or in another software application. Ideally, the intern should have   |
| some experience / comfort level in using SPSS and/or SAS. Experience  |
| with SAS-callable SUDAAN for complex, weighted data is optional.      |
|                                                                       |
| **Statistical / Analytical Competencies**: The intern should have     |
| some experience in conducting literature searches and should have had |
| at least two basic courses each in epidemiology and biostatistics.    |
| The intern should have some experience with running frequencies,      |
| contingency tables, and linear or logistic regression as well as      |
| interpreting the output. Familiarity with multivariate and            |
| multinomial regression would be ideal, but is not required.           |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| The **primary supervisor** for the intern will be **Laurin            |
| Kasehagen**, MA, PhD. She is the post-doctoral CSTE / CDC MCH         |
| Epidemiology Fellow for OFH. Laurin has a master's in anthropology    |
| from New Mexico State University and a doctorate in epidemiology and  |
| biostatistics from Case Western Reserve University. **Secondary       |
| supervision** of the intern will be provided by **Ken D. Rosenberg**, |
| MD, MPH, the MCH Epidemiologist for OFH. In addition, **Robert        |
| Nystrom**, MA, the Adolescent Health Section Manager will provide     |
| programmatic and policy development guidance and technical assistance |
| for the intern.                                                       |
|                                                                       |
| Supervisors and the intern will work closely with: the Nutrition and  |
| Physical Activity Workgroup; the Adolescent Health Section staff; the |
| research analysts for the OHT survey in Oregon; and Beth Epstein, MD, |
| the OFH Medical Director.                                             |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| Between April and June 2007.                                          |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| OFH will be able to assist the intern in locating and securing        |
| housing. The State office building in Portland is conveniently        |
| located near apartments and residential neighborhoods, restaurants,   |
| grocery stores, and shopping malls, the airport, and the city center. |
| The work site is within easy walking distance as well as public       |
| transportation to many neighborhoods. Previous GSIP interns have      |
| found housing in private homes by responding to advertisements in     |
| local newspapers. Short-term (3-month) leases are available in many   |
| apartment complexes.                                                  |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Laurin Kasehagen, MA, PhD                                     |
| >                                                                     |
| > CSTE / CDC MCH Epidemiology Fellow                                  |
| >                                                                     |
| > Mailing Address: Public Health Division                             |
| >                                                                     |
| > Office of Family Health                                             |
| >                                                                     |
| > 800 NE Oregon Street, Suite 805                                     |
| >                                                                     |
| > Portland, Oregon 97232                                              |
| >                                                                     |
| > Email address: Laurin.j.kasehagen@state.or.us                       |
| >                                                                     |
| > Telephone: 971-673-0383                                             |
|                                                                       |
| Fax: 971-673-0250                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Oregon (B)                                                 |
+-----------------------------------------------------------------------+
| **Department/Agency:** Public Health Division; Office of Family       |
| Health                                                                |
+-----------------------------------------------------------------------+
| **Program:** Women's Health or Perinatal Health                       |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** 800 NE Oregon Street, Suite 850,     |
| Portland, OR 97232                                                    |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Postpartum Maternal Physical        |
| Activity or Use of Folic Acid by postpartum WIC clients               |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment [X]{.underline} Program Evaluation                   |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Office of Family Health is Oregon's Title V agency. It includes   |
| programs on Perinatal, Child, and Adolescent Health, School Health,   |
| Family Planning, Immunization, Oral Health and WIC.                   |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives. Student will have the        |
| opportunity to choose between the following two programs:**           |
|                                                                       |
| **Project 1 - Postpartum Maternal Physical Activity:**                |
|                                                                       |
| The Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) is a   |
| survey of about 1800 postpartum women per year, asking questions      |
| about events before, during and after pregnancy.                      |
|                                                                       |
| Purpose: Assessment of physical activity among Oregon postpartum      |
| women.                                                                |
|                                                                       |
| Goals: analyze Oregon PRAMS data; review literature; learn about      |
| programs that improve women's health \-- especially that include      |
| physical activity.                                                    |
|                                                                       |
| Objectives: Make recommendations to state health department about     |
| ways to improve the health of postpartum women via physical activity. |
|                                                                       |
| **Project 2 - Use of Folic Acid by postpartum WIC clients**           |
|                                                                       |
| [Learning Objectives for the Graduate Student Intern:]{.underline}    |
|                                                                       |
| By completing this internship the student will be able to:            |
|                                                                       |
| a.  Increase proficiency in the use of statistical analysis software. |
|                                                                       |
| b.  Critique different statistical tests to determine which are most  |
|     appropriate for the type of data and project goals.               |
|                                                                       |
| c.  Develop an appreciation for mixing quantitative and qualitative   |
|     techniques.                                                       |
|                                                                       |
| d.  Feel more comfortable with developing interview and focus group   |
|     questions.                                                        |
|                                                                       |
| e.  Critically evaluate quantitative analysis results to determine    |
|     the practical as well as statistical significance.                |
|                                                                       |
| f.  See self as important link in communicating epidemiological data  |
|     in a manner meaningful to program staff.                          |
|                                                                       |
| g.  Identify resources (publications, trainings, mentors) to continue |
|     learning after the internship.                                    |
|                                                                       |
| [Proposed Project to Support Student Learning                         |
| Objectives:]{.underline}                                              |
|                                                                       |
| *Purpose*: Previous work has shown that WIC clients are less likely   |
| to have taken periconceptual folic acid (PFA) than non-WIC clients.   |
| In 2002, the Oregon WIC program implemented a counseling protocol     |
| specific to promoting PFA. The purpose of this project is to          |
| determine whether this new counseling protocol has increased PFA      |
| intake among WIC mothers, strengthened local WIC staff's ability to   |
| counsel on PFA, and increased knowledge of the importance of PFA in   |
| WIC clients.                                                          |
|                                                                       |
| *Goal*: Increase the proportion of Oregon WIC mothers who consume a   |
| daily source of folic acid.                                           |
|                                                                       |
| *Objective*: Utilize a mix of qualitative and quantitative techniques |
| to develop a better understanding of WIC's current and potential      |
| impact on FA consumption among its post partum clients.               |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project? (Skills required depend on the project.)**              |
|                                                                       |
| **Project 1 - Postpartum Maternal Physical Activity:**                |
|                                                                       |
| a\. analyze data from the 2004 Oregon PRAMS survey about which        |
| postpartum women are least likely to get physical activity.           |
|                                                                       |
| b\. review literature and talk to people about what programs have     |
| been successful in helping postpartum women increase their physical   |
| activity.                                                             |
|                                                                       |
| c\. write up findings for women's health program.                     |
|                                                                       |
| d\. summarize data for state and local health department program      |
| staff, and rural health providers and advocates.                      |
|                                                                       |
| **Project 2 - Use of Folic Acid by postpartum WIC clients**           |
|                                                                       |
| a\) The intern will use data from the Oregon PRAMS survey (1998-2004) |
| about use of periconceptional folic acid (PFA). Analyst will          |
| particularly look at new mothers who had a live birth less than 24    |
| months before the index birth and were WIC clients after the birth of |
| earlier baby. We are interested in looking at trends over time in PFA |
| and in correlating WIC education about folic acid (FA) with women     |
| subsequently taking PFA. Other data sources (including WIC client     |
| data and BRFSS) will be explored.                                     |
|                                                                       |
| b\) The intern will conduct a limited number of key informant         |
| interviews with WIC staff about current methods of educating post     |
| partum mothers about continuing daily folic acid intake. Staff will   |
| also be asked about perceived changes in folic acid education after   |
| the implementation of a specific counseling protocol in 2002.         |
|                                                                       |
| c\) The intern will assist with developing either interview or focus  |
| groups questions for WIC mothers to further explore their knowledge   |
| about folic acid sources (foods and pills), health benefits of folic  |
| acid, sources of information/counseling on folic acid intake,         |
| perceived need to continue taking folic acid when no longer pregnant  |
| or breastfeeding, and barriers to daily folic acid consumption.       |
|                                                                       |
| d\) The intern will summarize project findings for WIC and state      |
| health department program staff and make recommendations to the       |
| Oregon WIC program on how to increase the proportion of clients who   |
| get adequate FA daily.                                                |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Some experience using STATA, SAS, SPSS or SUDAAN is required.         |
| Experience or coursework in qualitative analysis is helpful but not   |
| required.                                                             |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary supervisor will be Ken Rosenberg, MD, MPH, Maternal & Child   |
| Health Epidemiologist in the Office of Family Health. Secondary       |
| supervisor will be James Gaudino, MD, MS, MPH, medical epidemiologist |
| in the Immunization Program of the Office of Family Health.           |
| Consultation will be available from Richard Leman, MD, MPH, chronic   |
| disease epidemiologist.                                               |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| Starting time could be any time from February to July 2007            |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| We will be able to assist the student in locating and securing        |
| housing. Housing near the worksite is plentiful and inexpensive.      |
| Previous GSIP interns have found housing in private homes by          |
| responding to advertisements in the local daily newspaper. The        |
| worksite is easily accessible via public transportation from many     |
| neighborhoods.                                                        |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Kenneth D. Rosenberg, MD, MPH                                 |
| >                                                                     |
| > Maternal & Child Health Epidemiologist                              |
| >                                                                     |
| > Mailing Address: Oregon Office of Family Health,                    |
| >                                                                     |
| > 800 NE Oregon Street, Suite 850                                     |
| >                                                                     |
| > Portland, OR 97232                                                  |
| >                                                                     |
| > Email address: ken.d.rosenberg@state.or.us                          |
| >                                                                     |
| > Telephone: 971-673-0237                                             |
|                                                                       |
| Fax: 971-673-0240                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Pennsylvania                                               |
+-----------------------------------------------------------------------+
| **Department/Agency:** Department of Health                           |
+-----------------------------------------------------------------------+
| **Program:** Universal Newborn Hearing Screening and Intervention     |
| Program                                                               |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Health & Welfare Building, 7^th^     |
| Floor East Wing, Harrisburg, PA 17120                                 |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Scientific, Engineering, and        |
| Technical Intern (Public Health)                                      |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_\_ Program Evaluation                            |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| Pennsylvania's Infant Hearing Education, Assessment, Reporting and    |
| Referral (IHEARR) Act (Act 89 of 2001) became law in November of      |
| 2001, requiring the Pennsylvania Department of Health (DOH) to        |
| administer a statewide Universal Newborn Hearing Screening and        |
| Intervention (UNHSI) program. DOH has UNHSI grant funding from HRSA   |
| for outreach, education, follow-up and linkage efforts. All of the    |
| state's 120 hospitals with birthing facilities report screening       |
| results data to DOH and refer the names of newborns not passing       |
| rescreening and/or failing to show for scheduled rescreening          |
| appointments. DOH's Nurse Consultants engage in active follow-up for  |
| all infants referred, following each case to logical conclusion.      |
|                                                                       |
| A total of 2,260 cases for infants born in Calendar Year 2005 were    |
| referred to DOH for follow-up. Follow-up activities include telephone |
| contact, e-mail, facsimile and written correspondence with hospitals, |
| families, primary care physicians, audiologists, and Early            |
| Intervention agencies. When initiating follow-up for individual       |
| infants, the Nurse Consultants identify the follow-up primary care    |
| physician/medical home (PCP/MH) for each infant and confirm with each |
| PCP that the individual is indeed their patient. Specific program     |
| objectives include: (1) completion of screening within 30 days; (2)   |
| diagnostic audiological evaluation within three months for those not  |
| passing rescreening; and (3) treatment, amplification, and/or linkage |
| to Part C, Early Intervention (EI) services by the age of six months. |
| This is known as the "1-3-6 follow-up process queue" All UNHSI        |
| program efforts are consistent with the Healthy People (HP) 2010      |
| Objective #28-11.                                                     |
|                                                                       |
| Currently, approximately 50% of cases referred to DOH for UNHSI       |
| follow-up have an incorrectly identified PCP/MH on the initial        |
| referral, causing delays in follow-up and subsequent losses to        |
| follow-up. In May 2007, DOH will launch a major initiative with the   |
| Pennsylvania Chapter, American Academy of Pediatrics (PA AAP) to      |
| enhance PCP/MH linkage for referred cases in UNHSI. As one part of    |
| the initiative, PA AAP will work with DOH to identify birthing        |
| hospitals with large percentages of newborns seen during the birth    |
| admission by physicians other than the child's follow-up PCP, and     |
| will track the incidence of incorrectly identified PCPs at time of    |
| discharge from the birth admission. DOH follow-up efforts are often   |
| set back initially when the birthing facility's attending physician   |
| is incorrectly identified as the child's PCP/MH. PA AAP will deliver  |
| pilot quality improvement presentations to system-based               |
| pediatric/family practices as a first step in developing a modular    |
| presentation for recurring itinerant presentations.                   |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| a\) Purpose: Engage in monitoring and analysis of beginning/pilot     |
| phase of PCP/MH linkage initiative with PA AAP to assure adequate     |
| progress during project's early phases, and to confirm the positive   |
| effect of early identification and linkage to a PCP/MH for referred   |
| infants in the 1-3-6 process queue. A positive effect is defined by   |
| timely progress from follow-up step to follow-up step within the      |
| 1-3-6 process queue framework.                                        |
|                                                                       |
| b\) Goals: Increase the number of newborn hearing screening referrals |
| to DOH that have the correctly identified PCP/MH during early phase   |
| of the initiative so that when the 2½ year project has run its        |
| course, initial PCP/MH linkage will have increased from 50% to 90% at |
| the time DOH receives the referral.                                   |
|                                                                       |
| c\) Objectives:                                                       |
|                                                                       |
| The MCH intern will work with DOH follow-up staff to review referred  |
| cases in order to identify those birthing hospitals where the PCP/MH  |
| is incorrectly identified on the initial referral. The MCH intern     |
| will develop an Access database to enter selected information on      |
| those facilities obtained from queries against the NSS data system,   |
| and will produce feedback reports and statistical information for PA  |
| AAP and the DOH UNHSI program staff to gauge progress during the      |
| initial project phase.                                                |
|                                                                       |
| The intern will use 2005 and 2006 birth year cohort data from the     |
| UNHSI follow-up side of DOH's Newborn Screening System (NSS) to       |
| identify birthing hospitals that do a comparatively better job, as    |
| well as those in need of improvement, at initial identification of    |
| the PCP/MH for newborns not passing hearing screening and rescreening |
| (i.e., by the time of referring the case to DOH for follow-up). The   |
| intern will develop test ratings based on numbers of losses to        |
| follow, as well as quantifiable measures of follow-up queue           |
| sequential stage progress and setback.                                |
|                                                                       |
| Analyze two years of monitoring and follow-up data  to ascertain      |
| whether optimum linkages to a PCP/MH (i.e., at time of discharge) can |
| demonstrably better position infants for more favorable follow-up     |
| outcomes, as defined by timely progress toward rescreening,           |
| diagnosis, treatment/habilitation and linkage to EI through the       |
| application of test measures of progress and setback.                 |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| Currently, cases submitted to DOH for follow-up are referred as hard  |
| copy reports. Information from the reports is entered by follow-up    |
| staff into the online web-based NSS reporting and tracking system.    |
| Data can be obtained from this system from database queries run on    |
| request by Bureau of Information Technology (BIT) support staff. The  |
| MCH intern will develop an Access database which will contain         |
| information that will allow the identification of facilities with the |
| highest incidence of incorrectly identified PCPs. The data will be    |
| analyzed in SPSS using techniques such as t-tests, difference of      |
| means tests, cross tabs, measures of strength of association,         |
| chi-square, and related nonparametric measures.                       |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| The intern should be proficient in the use of SPSS PC, the Microsoft  |
| Office suite, including Word, Excel Access and Power Point (the       |
| latter to present the results of analysis to staff). Ability to       |
| conduct simple descriptive statistical analysis, and to apply methods |
| such as cross tabs, t-tests, difference of means tests, measures of   |
| strength of association, chi-square, and related nonparametric        |
| measures in analysis. Ideally, the intern will have some exposure to  |
| queuing theory and analysis, although this is not considered          |
| essential.                                                            |
|                                                                       |
| Also necessary is the ability to apply effective critical thinking    |
| skills is needed, as is an understanding the dynamics of              |
| organizational communication and workflow; effective written, oral    |
| and interpersonal communication skills; understanding work team       |
| dynamics and decision processes; understanding data gathering         |
| formats; writing analytical reports; preparing and delivering         |
| presentations; implementing logical decision making processes; and    |
| using project and time management tools to ensure that work is        |
| completed.                                                            |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| The primary supervisor will be Robert F. Staver, Public Health        |
| Program Manager (UNHSI Program Manager). The secondary supervisor     |
| will be Arthur A. Florio, UNHSI Program Administrator. Mr. Staver has |
| 21 years of state government quantitative and program analytical      |
| experience in the areas of public health, human services licensing,   |
| postsecondary and higher education, legislative oversight, and        |
| corrections forecasting. Mr. Florio has been the program              |
| administrator of the newborn hearing screening program since          |
| September 2004. He is completely familiar with information contained  |
| in case referral forms, works daily with the birthing facilities, and |
| has detailed knowledge of the Newborn Screening System. Mr. Staver    |
| and Mr. Florio work closely, and on an ongoing basis, with PA AAP and |
| its UNHSI physician advisor, Dr. Robert C. Cicco, who is a leading    |
| clinical and policy advocate in Maternal and Child Health.            |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| The most suitable time would be during the summer of 2007 beginning   |
| in early to mid-June.                                                 |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| The intern would have to make arrangements to obtain housing. The     |
| work site is easily accessible to public transportation. A major bus  |
| stop is within one block of the work site. Free parking is not        |
| available at the work site. The intern will be provided with a list   |
| of private nearby apartments. There are nearby apartments at          |
| affordable rates within easy walking distance of the work location    |
| (Dept. of Health headquarters).                                       |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Robert F. Staver, Public Health Program Manager               |
| >                                                                     |
| > Mailing Address: PA Department of Health                            |
|                                                                       |
| Health & Welfare Building                                             |
|                                                                       |
| Division of Newborn Screening and Genetics                            |
|                                                                       |
| 7^th^ Floor East Wing                                                 |
|                                                                       |
| Harrisburg, PA 17120                                                  |
|                                                                       |
| > Email address: <rstaver@state.pa.us>                                |
| >                                                                     |
| > Telephone: 717-783-8143                                             |
|                                                                       |
| Fax: 717-705-9386                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Texas                                                      |
+-----------------------------------------------------------------------+
| **Department/Agency**: Texas Department of State Health Services      |
+-----------------------------------------------------------------------+
| **Program**: Birth Defects Epidemiology & Surveillance/Texas Center   |
| for Birth Defects Research & Prevention                               |
+-----------------------------------------------------------------------+
| **Location of Internship Site**: Austin, Texas                        |
+-----------------------------------------------------------------------+
| **Title of Internship Position**: Birth Defects Data Analyst          |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| 1.  **Please give a summary of the program, project, or agency that   |
|     will house the internship project.**                              |
|                                                                       |
| The Texas Birth Defects Epidemiology & Surveillance Branch (BDES)     |
| encompasses two major components: the Texas Birth Defects Registry    |
| (Registry) and the Texas Center for Birth Defects Research and        |
| Prevention (Texas Center). In order to respond to community concerns  |
| about the occurrence of birth defects, the Texas Birth Defects        |
| Registry was established to identify and describe the patterns of     |
| birth defects in Texas through operation of an active surveillance    |
| system. It is now the largest birth defects registry of its kind in   |
| the world; one benefit of that is the ability to study the risk       |
| factors associated with relatively rare birth defects.                |
|                                                                       |
| The Registry employs an active surveillance approach, which entails   |
| staff routinely visiting all hospitals and birthing centers where     |
| affected children are delivered or treated. Staff review logs to find |
| potential cases, review medical records of potential cases to         |
| identify true cases, and abstract relevant information including      |
| birth defect diagnoses; medical tests and procedures; gestational     |
| age; delivery information; maternal illnesses, delivery               |
| complications, maternal exposures; and demographic information.       |
|                                                                       |
| BDES is one of 10 state programs participating in the National Birth  |
| Defects Prevention Study (NBDPS), one of the largest case-control     |
| studies ever done on the causes of birth defects. For this study,     |
| interviews are conducted and biological samples are collected from    |
| case mothers (women who have had babies or pregnancies affected by    |
| birth defects) and control mothers (women who have had babies with no |
| birth defects). The NBDPS began in 1997 and currently has currently   |
| has over 5000 cases and nearly 14,000 controls available for study    |
| which researchers are using to examine the causes of birth defects    |
| associated with socio-demographics, genetics, nutrition, and the      |
| environment factors.                                                  |
+-----------------------------------------------------------------------+
| 2.  **In detail, please describe your proposed internship,            |
|     including a) purpose, b) goals, and c) objectives.**              |
|                                                                       |
|     a.  Purpose: State monitoring programs and registries provide     |
|         researchers with basic information about rates of birth       |
|         defects and can help identify trends and are particularly     |
|         useful for generating hypotheses for further investigation or |
|         research. When combined with studies of genetics, molecular   |
|         biology, etiologic investigations and environmental           |
|         exposures, the information provided by birth defects          |
|         registries has the potential to help uncover the causes of    |
|         these conditions and prevent future cases (Trust for          |
|         America's Health, 2002). With 18,594 completed interviews for |
|         cases and controls in the NBDPS data set, we are increasingly |
|         able to design and carry out rigorous studies of risk factors |
|         for specific birth defects. The primary purpose of this       |
|         internship is to provide analytic support in the development  |
|         of an existing study and to work with team members to develop |
|         at least one study.                                           |
|                                                                       |
|     b.  Goals: The primary goal of the internship is to provide       |
|         analytic support for one of major studies initiated by the    |
|         Texas Center which has been approved by the NBDPS data        |
|         sharing committee. Among existing proposals are the           |
|         following: *Birth Defects, pregnancy outcomes, and selected   |
|         risk factors in the NBDPS: Is there a relationship with       |
|         parents' national birthplace?*; *Maternal fish consumption    |
|         and adverse outcomes in the NBDPS*; and *Paternal             |
|         characteristics and adverse pregnancy outcomes other than     |
|         birth defects*. The intern will work closely with our NBDPS   |
|         epidemiologist to analyze data, interpret the findings and    |
|         present it in such a way as to elucidate answers to the study |
|         questions. The intern will also assist with literature review |
|         and writing of a manuscript.                                  |
|                                                                       |
| > c\) Objectives: At the completion of the internship, the candidate  |
| > will lead and/or collaborate on analysis for at least one pending   |
| > project and may also have the opportunity to present findings or to |
| > assist in manuscript development.                                   |
+-----------------------------------------------------------------------+
| 3.  **What data or analytic tasks and activities will be involved in  |
|     this project?**                                                   |
|                                                                       |
| -   Conduct literature review of all known risk factors for the       |
|     category/ies of interest. Write a summary.                        |
|                                                                       |
| -   Plan the analytic approach.                                       |
|                                                                       |
| -   In collaboration with the NBDPS data analyst, review existing     |
|     analytic SAS programs that will be required for this project.     |
|     Adapt old and write new SAS programs as needed, and use them for  |
|     analysis.                                                         |
|                                                                       |
| -   For each specific defect:                                         |
|                                                                       |
|     -   generate odds ratios with confidence intervals to study the   |
|         association between individual socio-demographic risk factors |
|         and exposures to the selected birth defects;                  |
|                                                                       |
|     -   run logistic regression to calculate crude and adjusted odds  |
|         ratios and 95% confidence intervals to compare maternal risk  |
|         factors and exposures to the referent group. Potential        |
|         confounders will also be identified among a list of maternal  |
|         risk factors and exposures during the pregnancy reported      |
|         during the interviews to express the results of the logistic  |
|         regression as odds ratios with 95% confidence intervals       |
|                                                                       |
| -   Produce charts, handouts, and tables summarizing the analysis.    |
|                                                                       |
| -   Assist with writing manuscript including methods and results      |
|     section.                                                          |
+-----------------------------------------------------------------------+
| 4.  **What data or analytic skills does the internship require?       |
|     (Include software applications and statistical/analytical         |
|     competencies).**                                                  |
|                                                                       |
| -   Skill in using SAS for data management and analysis (essential).  |
|                                                                       |
| -   Knowledge of how to calculate and interpret odds ratios and 95%   |
|     confidence intervals.                                             |
|                                                                       |
| -   Skill in conducting regression analysis and interpreting the      |
|     results. Logistic regression is preferred, but not necessary.     |
|                                                                       |
| -   Skill in writing and presenting results of simple and complex     |
|     analyses.                                                         |
+-----------------------------------------------------------------------+
| 5.  **Who will supervise the student and be available for guidance    |
|     and technical assistance? Please provide the name, position,      |
|     department, and information related to specific data and/or       |
|     analytic background for both a primary and a secondary            |
|     supervisor.**                                                     |
|                                                                       |
| Primary Supervisor: Tunu Ramadhani, PhD, Epidemiologist. Dr.          |
| Ramadhani is an Epidemiologist, with the Texas Department of State    |
| Health Services, performing statistical data analyses from the        |
| National Birth Defects Prevention Study. Dr. Ramadhani has conducted  |
| analyses, summarized data, and provided interpretations of the        |
| findings, written several reports, manuscripts and published in peer  |
| reviewed epidemiological journals. Examples of papers include         |
| "*Residential mobility patterns and exposure misclassification in     |
| epidemiologic studies of birth defects*", "*Medical records vs.       |
| interview responses: a comparative analysis of selected variables for |
| linked birth defect cases*" and "*Improved national prevalence        |
| estimates for 18 selected major birth defects*-United States,         |
| 1999--2001".                                                          |
|                                                                       |
| Secondary Supervisor: Mark Canfield, Ph.D., BDES Manager and          |
| Co-Principle Investigator of the Texas component of the NBDPS. Dr.    |
| Canfield has been involved in birth defects epidemiology and research |
| for more than 12 years, and has authored numerous manuscripts from    |
| the NBDPS, including *Folic acid awareness and use among women with a |
| history of a neural tube defect pregnancy - Texas, 2000-2001,* and    |
| *Maternal obesity, gestational diabetes, and central nervous system   |
| birth defects.*                                                       |
+-----------------------------------------------------------------------+
| 6.  **When is the most suitable time to begin the internship?**       |
|                                                                       |
| Open.                                                                 |
+-----------------------------------------------------------------------+
| 7.  **Are you able to assist the student in locating and securing     |
|     housing during the period of the internship? If yes, what type of |
|     housing is available (e.g., campus dorms, nearby apartments,      |
|     etc.)? Is the work site accessible via public transportation?**   |
|                                                                       |
| We can provide advice about housing opportunities in the area, but no |
| direct assistance. The Texas Department of State Health Services is   |
| located very near the University of Texas and therefore there are     |
| many rental properties within easy walking or biking distance. We are |
| located on or very near several bus lines.                            |
+-----------------------------------------------------------------------+
| 8.  **Who will be the contact person for logistics and other          |
|     communications regarding this internship proposal?**              |
|                                                                       |
| > Name: Amy P. Case, MAHS                                             |
| >                                                                     |
| > Mailing Address: Texas Department of State Health Services          |
| >                                                                     |
| > Birth Defects Epidemiology & Surveillance Branch                    |
| >                                                                     |
| > 1100 W. 49^th^ St.                                                  |
| >                                                                     |
| > Austin, TX 78756                                                    |
| >                                                                     |
| > Email address: amy.case@dshs.state.tx.us                            |
| >                                                                     |
| > Telephone: 512-458-7232                                             |
|                                                                       |
| Fax: 512-458-7330                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Virginia (A)                                               |
+-----------------------------------------------------------------------+
| **Department/Agency:** Virginia Department of Health                  |
+-----------------------------------------------------------------------+
| **Program:** Office of Family Health Services, Policy & Assessment    |
| Unit                                                                  |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Richmond, VA 23219                   |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Maternal and Child Health           |
| Surveillance Internship                                               |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The internship project will be housed in the Office of Family Health  |
| Services (OFHS) in the Virginia Department of Health. The OFHS        |
| contains six divisions (Women and Infants' Health, Child and          |
| Adolescent Health, Oral Health, Chronic Disease Prevention and        |
| Control, Injury and Violence Prevention, and WIC and Community        |
| Nutrition) and the office-level Business Unit and Policy & Assessment |
| Unit. The intern will be placed in the Policy and Assessment Unit,    |
| which is headed by Virginia's Title V coordinator and includes both   |
| mentors, the PRAMS coordinator, and BRFSS coordinator.                |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives**.                            |
|                                                                       |
| **Purpose:**                                                          |
|                                                                       |
| To aid in the planning and implementation of MCH surveillance while   |
| providing hands-on experience with the analysis and interpretation of |
| MCH surveillance data.                                                |
|                                                                       |
| [Goal 1.]{.underline} Gain an understanding of how the Policy &       |
| Assessment Unit uses MCH-related surveillance data to set priorities  |
| and contribute to evidence-based policy.                              |
|                                                                       |
| Objective 1a. Attend monthly OFHS epidemiology workgroup meetings.    |
|                                                                       |
| Objective 1b. Meet with OFHS epidemiologists to discuss their role in |
| MCH surveillance and the data-related challenges they encounter.      |
|                                                                       |
| [Goal 2.]{.underline} Enhance the use of MCH surveillance data in the |
| OFHS.                                                                 |
|                                                                       |
| Objective 2a. Extract Virginia-specific data from at least one        |
| national dataset (e.g., National Survey of Children with Special      |
| Health Care Needs, National Survey of Children's Health, National     |
| Asthma Survey).                                                       |
|                                                                       |
| **Additionally, the intern will choose from [ONE]{.underline} of the  |
| following:**                                                          |
|                                                                       |
| Objective 2b. Examine the medical history fields on the birth         |
| certificate and birth events in hospital discharge data to assess     |
| reporting of co-morbidities for pregnancy. Address the question:      |
| Which is the better source?                                           |
|                                                                       |
| Objective 2c. Examine the events of delivery on the birth certificate |
| and birth events in hospital discharge data to assess reporting of    |
| complications of childbirth.                                          |
|                                                                       |
| Objective 2d. Examine pregnancy-related visits to the hospital for    |
| the same patient in hospital discharge data. Profile visits by        |
| race/ethnicity, payer, and Virginia health district. Address the      |
| questions: What is the average number of visits? What are the         |
| diagnoses and procedures related to these visits?                     |
|                                                                       |
| > Objective 2e. Examine the rate of Cesarean births over time         |
| > (procedure codes in hospital discharge, mode of delivery in birth   |
| > certificate). Identify trends among women (complications,           |
| > race/ethnicity, birthweight, gestational age, etc.).                |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| The intern will be expected to perform data analyses (e.g.            |
| frequencies, cross tabulations, rates, risk ratios) using maternal    |
| and child health surveillance data including birth records and        |
| hospital discharge data. Upon completion of analyses, the intern will |
| be expected to summarize the results in the form of a written brief   |
| or a presentation.                                                    |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| The intern will be expected to conduct data analyses (e.g.            |
| frequencies, cross tabulations, rates, risk ratios) using statistical |
| software (SAS or SPSS), independently perform literature searches     |
| using Medline and other sources, and have a basic understanding of    |
| the key concepts of public health surveillance.                       |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Derek Chapman, Ph.D. will be the primary supervisor. He has a dual    |
| appointment as 1) Assistant Professor of Epidemiology & Community     |
| Health at Virginia Commonwealth University and 2) Maternal & Child    |
| Health Epidemiologist for the Virginia Department of Health. Dr.      |
| Chapman teaches a graduate-level Maternal & Child Health Epidemiology |
| course, and his primary research areas include the prevention of      |
| developmental disabilities, the impact of sociodemographic factors on |
| children\'s health and development, and data linkage methodology.     |
| Current activities at the Virginia Department of Health include       |
| improving access to and use of maternal and child health surveillance |
| data for program planning and evaluation efforts and creating new     |
| data linkages among health department datasets.                       |
|                                                                       |
| Caroline Stampfel, MPH will be the secondary supervisor. She is in    |
| the second year of a CSTE Applied Epidemiology Fellowship in Maternal |
| and Child Health. Caroline works directly with Dr. Chapman on a       |
| number of office-level MCH surveillance activities, including         |
| creating and maintaining a Data Mart containing 15 years of vital     |
| records and hospital discharge data, helping establish Virginia's     |
| first PRAMS protocol and sampling frame, and providing training to    |
| increase epidemiological competencies among OFHS staff. She has also  |
| served a teaching assistant for the past two years for a graduate     |
| Maternal and Child Health Epidemiology course at Virginia             |
| Commonwealth University.                                              |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| The summer session is preferable (beginning ins May or June), but     |
| internships beginning later will be accepted.                         |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| The Virginia Department of Health is located in downtown Richmond and |
| is accessible via public transportation. We cannot provide direct     |
| assistance with securing housing; however, we would be happy to send  |
| housing information (apartment listings, contact information, etc.)   |
| to the intern.                                                        |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Derek Chapman                                                 |
| >                                                                     |
| > Mailing Address: Virginia Department of Health                      |
|                                                                       |
| 109 Governor Street 7^th^ Floor                                       |
|                                                                       |
| #  Richmond, VA 23218                                                 |
|                                                                       |
| > Email address: Derek.Chapman@vdh.virginia.gov                       |
| >                                                                     |
| > Telephone: 804-864-7664                                             |
|                                                                       |
| Fax: 804-864-7670                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Washington                                                 |
+-----------------------------------------------------------------------+
| **Department/Agency:** Department of Health                           |
+-----------------------------------------------------------------------+
| **Program:** Maternal and Child Assessment Section                    |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Olympia, WA                          |
+-----------------------------------------------------------------------+
| **Title of Internship Position:**                                     |
+-----------------------------------------------------------------------+
| **Skill Area**: [X]{.underline} Data Analysis and Monitoring \_\_     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project**.                                  |
|                                                                       |
| The internship project will be housed in the Maternal Child Health    |
| (MCH) section of Community and Family Health, Washington State        |
| Department of Health (DOH). The MCH Program works to promote an       |
| environment that supports and encourages the optimal health of all    |
| women of childbearing age, infants, children, adolescents and their   |
| families. Maternal and Child Health has five major program areas:     |
| Children with Special Health Care Needs, Child and Adolescent Health, |
| Maternal and Infant Health, Genetics, and Immunizations. The intern   |
| will be located within the MCH Assessment Section, which provides     |
| assessment services to all four areas. The primary project supervisor |
| will be Dr. Riley Peters, manager of the MCH Assessment Unit at the   |
| Washington State Department of Health.                                |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| There are two components of this proposed project:                    |
|                                                                       |
| I.  Updating Adolescent Health Fact Sheets                            |
|                                                                       |
| II. Complete a bias analysis of adolescent survey (Healthy Youth      |
|     Survey 2006)                                                      |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| I.  Updating Adolescent Health Fact Sheets:                           |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| a)  Purpose: The purpose of this component is to provide updated data |
|     and information for DOH's Teen Health Fact Sheets which address   |
|     key issues that adolescents face and target families, health      |
|     providers, and teens. Topic areas for the 17 Fact Sheets include  |
|     suicide and depression, physical health and development, drug and |
|     alcohol use, eating disorders, sexual health and others. The fact |
|     sheets include both data and interventions and resources and were |
|     last updated in 2002. The fact sheets are available at:           |
|     <http://www.doh.wa.gov/cfh/adolescenthealth.htm> A primary data   |
|     source for the fact sheets is the Washington State Healthy Youth  |
|     Survey (HYS), which is a comprehensive school-based survey last   |
|     implemented in 2006. This survey of 6^th,^ 8^th^, 10^th^, and     |
|     12^th^ graders focuses on health-risk behaviors related to death  |
|     and injury such as unintentional and intentional injury           |
|     behaviors, smoking, and substance use as well as risk and         |
|     protective factors. Data from 2006 will be available in Spring    |
|     2007.                                                             |
|                                                                       |
| b)  Goals: Update 5-10 Teen Health Fact Sheets                        |
|                                                                       |
| c)  Objectives:                                                       |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| 1.  Analyze and interpret data on the health status and health        |
|     behaviors of Washington state adolescents, using multiple data    |
|     sources including the Healthy Youth Survey.                       |
|                                                                       |
| 2.  Work with adolescent program staff to develop messages for teens, |
|     families and providers for Teen health Fact Sheets.               |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| II. Bias Analysis:                                                    |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| a)  Purpose: A random sample of schools, by grade, were asked to      |
|     participate in the state sample of the 2006 Healthy Youth Survey. |
|     In order to generalize survey results from this sample to all the |
|     students in Washington State, DOH performs a bias analysis to     |
|     ensure that those who participated in the Healthy Youth Survey    |
|     were not different in their behaviors from those who did not      |
|     participate.                                                      |
|                                                                       |
| b)  Goals: Complete bias analysis of Healthy Youth Survey 2006        |
|                                                                       |
| c)  Objectives:                                                       |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| 1.  Develop a bias analysis plan.                                     |
|                                                                       |
| 2.  Examine four potential forms of bias: school participation bias,  |
|     student response bias, differences in schools that used the       |
|     \"tear-off\" questions compared with schools that did not, and    |
|     bias on the last items on the survey due to some students being   |
|     unable to complete the questionnaire in the time allotted.        |
|                                                                       |
| 3\. Summarize results in a report.                                    |
+-----------------------------------------------------------------------+
| **3.** **What data or analytic tasks and activities will be involved  |
| in this project?**                                                    |
|                                                                       |
| The adolescent fact sheets project requires the development of an     |
| analytic plan and the analysis and interpretation of data from        |
| multiple sources, including the Healthy Youth survey, death           |
| certificate data, and hospitalization data. The intern will update at |
| least 5 Teen Health Fact Sheets.                                      |
|                                                                       |
| The primary data used in the bias analysis will be the 2006 Health    |
| Youth Survey data. The intern will link school-level from the         |
| Washington State Office of Superintendent of Public Instruction to    |
| the Healthy Youth Survey. The dataset may need to be weighted and     |
| otherwise manipulated in order to create a format appropriate for     |
| analysis. Analysis may include using t-tests for continuous items and |
| chi-squares tests or logistic regression for dichotomous items. The   |
| results will be summarized in a report and available on the DOH       |
| website. The 2004 Healthy Youth Bias analysis report is available at  |
| <http://www3.doh.wa.gov/HYS/ASPX/HYSBias.aspx>. Stata do-files and    |
| output from the 2004 bias analysis will be available for reference.   |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| -   Ability to analyze and interpret data.                            |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   Graduate classes in epidemiology and statistics,                  |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   Basic skills in analytic software.                                |
|                                                                       |
| Software skills should include working with word processing,          |
| spreadsheets (like Microsoft Word and Excel) and working with         |
| statistical software such as Stata                                    |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| The primary supervisor will be Riley Peters, PhD. Dr Peters is an     |
| epidemiologist and the manager of the MCH Assessment Section. Dr      |
| Peters has experience in developing, implementing and analyzing       |
| surveys (including YRBS) at the local level; and in developing and    |
| reporting health status reports for various populations.              |
|                                                                       |
| The secondary supervisor will be Diane Pilkey, RN MPH from the        |
| Assessment Section of the Washington State Department of Health       |
| Office of Maternal and Child Health. Ms. Pilkey is a graduate of the  |
| Centers for Disease Control and Prevention's Public Health Prevention |
| Service (PHPS). She has experience analyzing birth and death data,    |
| and survey data involving complex samples designs such as the Healthy |
| Youth Survey (HYS) and the Pregnancy Risk Assessment Monitoring       |
| Survey (PRAMS). Ms Pilkey is currently coordinating the assessment    |
| activities of the Washington State Healthy Youth Survey.              |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| We are flexible on this; whatever works best for the intern.          |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| There are many apartment complexes and housing options in Olympia and |
| we can provide information to the intern. The worksite is accessible  |
| via public transportation.                                            |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Diane Pilkey                                                  |
| >                                                                     |
| > Mailing Address: Washington State Department of Health              |
| >                                                                     |
| > PO Box 47835                                                        |
| >                                                                     |
| > Olympia, WA 98504                                                   |
| >                                                                     |
| > Email address: diane.pilkey@doh.wa.gov                              |
| >                                                                     |
| > Telephone: 360-236-3526                                             |
|                                                                       |
| Fax: 360-236-2323                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Kentucky                                                   |
+-----------------------------------------------------------------------+
| **Department/Agency:** Department for Public Health (DPH), Division   |
| of Adult and Child Health Improvement (DACHI), Maternal and Child     |
| Health Branch (MCH)                                                   |
+-----------------------------------------------------------------------+
| **Program:** Title V: PRAMS Pilot Project                             |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Department for Public Health, Adult  |
| and Child Health Improvement 275 East                                 |
|                                                                       |
| Main Street, HS2WA, Frankfort, KY 40621                               |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** PRAMS Pilot Project Intern          |
| Assistant                                                             |
+-----------------------------------------------------------------------+
| **Skill Area:** \_\_ Data Analysis and Monitoring [X]{.underline}     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| DACHI is under the direction of Dr. Ruth Ann Shepherd, MD. Dr.        |
| Shepherd possesses expertise in the area of epidemiology and provides |
| strong leadership in the areas of data collection, data analysis,     |
| evaluation and quality. She is highly committed to the PRAMS project  |
| and to student education and she is available for consultation to     |
| this project as needed.                                               |
|                                                                       |
| The MCH Branch, DACHI will house the PRAMS Pilot project. The MCH     |
| Branch houses the Title V Block Grant and special initiatives; Child  |
| Health Section (Preventive Health and School Health services program, |
| Child Fatality Review, Child Safety program, Lead Poisoning           |
| Prevention) ; and, Women's Health Section (Family Planning, Breast    |
| and Cervical Cancer Prevention program, Perinatal and Abstinences     |
| services program). Under the leadership of Linda Lancaster, RN, MPA,  |
| the MCH team collaborates on various projects/initiatives and will    |
| provide a rich infrastructure to support the intern through program   |
| knowledge sharing, consultation and technical assistance.             |
|                                                                       |
| Ms. Tracey Jewell, MPH, BS, Division MCH Epidemiologist will provide  |
| direct first line supervision for the internship. Ms Jewell has 7.5   |
| years experience working with databases, data analysis, surveys, and  |
| developing state level reports and publications. Ms Jewell leads the  |
| division-wide Epidemiology team and works across Division lines in    |
| on-going support of the Behavioral Risk Factor Surveillance System    |
| Survey and Healthy Kentuckians 2010 project.                          |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives**.                            |
|                                                                       |
| The purpose of the internship is to assist in the development of a    |
| PRAMS (Pregnancy Risk Assessment Monitoring System) Pilot Project.    |
| The PRAMS Pilot Project will collect state-specific, population-based |
| data on maternal attitudes and experiences before, during, and        |
| shortly after pregnancy.                                              |
|                                                                       |
| The goal of the internship is to promote general knowledge and        |
| experience of state public health agency activities and to            |
| participate in the development, planning and research to implement a  |
| PRAMS pilot project.                                                  |
|                                                                       |
| Objectives for the internship include 1) research/literature review   |
| of PRAMS/Pilot projects 2) assist with survey questionnaire           |
| development 3) assist with development of sampling frame 4)           |
| participation in agency partnership meetings relative to policy       |
| development and general design of the PRAMS/Project.                  |
|                                                                       |
| The project supervisor will be Tracey Jewell, MPH, BS, MCH            |
| Epidemiologist. The intern and Ms. Jewell will work together to       |
| refine all aspects of the project including development of a timeline |
| to fulfill the overall goals and objectives. The intern will be       |
| assigned an office, computer and phone and will be provided all       |
| supplies needed to support and accomplish the internship activities.  |
|                                                                       |
| Ms. Lancaster, RN, MPA, MCH Branch Manager will provide oversight for |
| the internship assuring that the intern has opportunities and         |
| experiences to collaborate with public health colleagues and gain     |
| understanding and insight into public health systems.                 |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| Review of literature, existing data and reports regarding PRAMS pilot |
| projects for design and implementation structure; help with           |
| development of survey questionnaire; help with design of the sampling |
| frame and selection of areas within the state in which to sample;     |
| help coordinate implementation of the survey, mailing of survey and   |
| data entry; analysis of survey results including a written report of  |
| findings.                                                             |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Familiar with Microsoft Access and Excel, SAS a plus                  |
|                                                                       |
| Familiar with or have a desire to learn about Maternal and Child      |
| Health issues/data                                                    |
|                                                                       |
| Possess a basic understanding of survey research and research         |
| methodology                                                           |
|                                                                       |
| Be able to demonstrate excellent communication skills, both oral and  |
| written                                                               |
|                                                                       |
| Have a desire to learn more about surveillance projects and their     |
| usefulness in public health research                                  |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary Supervisor: Tracey Jewell, MPH, BS, MCH Epidemiologist        |
|                                                                       |
| Secondary Supervisor: Linda Lancaster, RN, MPA, Branch Manager,       |
| Maternal and Child Health Ms. Lancaster has worked in Title V and MCH |
| programs for 18 years and will assist with general supervision to     |
| promote general knowledge and experiences with the Department for     |
| Public Health.                                                        |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| Spring/Summer 2007                                                    |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship?**                        |
|                                                                       |
| No                                                                    |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Linda Lancaster                                               |
| >                                                                     |
| > Mailing Address: Department for Public Health                       |
| >                                                                     |
| > Adult and Child Health Improvement                                  |
| >                                                                     |
| > 275 East Main Street HS 2WA                                         |
| >                                                                     |
| > Frankfort, KY 40621                                                 |
| >                                                                     |
| > Email address: Linda.lancaster@ky.gov                               |
| >                                                                     |
| > Telephone: (502) 564-2154 ext 3766                                  |
|                                                                       |
| Fax: (502) 564 8389                                                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Ohio                                                       |
+-----------------------------------------------------------------------+
| **Department/Agency:** Ohio Department of Health                      |
+-----------------------------------------------------------------------+
| **Program:** Division of Family and Community Health Services         |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Columbus, Ohio                       |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Needs Assessment Enhancement for    |
| Ohio's Children with Special Health Care Needs                        |
+-----------------------------------------------------------------------+
| **Skill Area**: \_\_ Data Analysis and Monitoring [X]{.underline}     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Division of Family and Community Health Services (DFCHS) at the   |
| Ohio Department of Health (ODH) administers programs and oversees     |
| data systems fundamental to maternal and child health (MCH). The      |
| division houses six program bureaus, representing the spectrum of MCH |
| and other populations, and one research and evaluation bureau. The    |
| internship will be housed at the division level. However, the intern  |
| will have opportunities to work with the bureaus, especially the      |
| research and evaluation bureau and the two bureaus which house        |
| programs for children with special health care needs as these areas   |
| are vital to the proposed internship project.                         |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| The Ohio Department of Health engages in an ongoing needs assessment  |
| process for the Title V Maternal and Child Health Block Grant. The    |
| last 5-year cycle of the needs assessment was completed in 2005 and   |
| the current cycle will end in 2010. The last needs assessment         |
| identified data gaps and questions, which, to answer, required        |
| in-depth analysis of existing data sources. Many of those questions   |
| relate to the identified priority needs specific to children with     |
| special health care needs. It was recognized that in the last 2 years |
| of the cycle, in which intensive activity is focused on a planning    |
| process, time and resources were not available for the creation of    |
| new data--based information. The appropriate time for the generation  |
| of new data-based information from data collection or complex         |
| analyses is in the early stages of the needs assessment cycle, which  |
| is currently where Ohio finds itself.                                 |
|                                                                       |
| The **purpose** of the internship is to provide data-based            |
| information on health needs and resources among children with special |
| health care needs in Ohio, through analysis of existing databases, to |
| inform later planning activities in Ohio's current MCH Title V Block  |
| Grant needs assessment cycle.                                         |
|                                                                       |
| The **goals** are to provide more detailed information 1) on the      |
| quality of screening, disorder identification, interventions, care    |
| coordination, and medical home among CSHCN, and 2) on the access to   |
| comprehensive preventive and treatment services among Ohio's CSHCN.   |
| The goals will be accomplished using data from one or more of the     |
| following sources: The National Survey of Children's Health, The      |
| National Survey of Children with Special Health Care Needs, and the   |
| Ohio Family Health Survey.                                            |
|                                                                       |
| The **objectives** are to 1) develop an analysis plan informed by a   |
| literature review of the topic, 2) conduct appropriate and valid      |
| analyses given the data sources and research questions outlined in    |
| the plan, 3) summarize and interpret results of the analyses, and 4)  |
| draft a brief epidemiological report and present an oral presentation |
| to ODH staff.                                                         |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| The project will require development of research questions; a         |
| literature review; writing of an analysis plan; identification of     |
| variables of interest (outcome variables, primary variables of        |
| interest, potential confounders and effect modifiers) within          |
| available databases; recoding of variables as necessary; application  |
| of appropriate analysis methods, and interpretation of results,       |
| summarizing results in a brief written report; and preparation and    |
| presentation of an oral presentation.                                 |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| The internship position requires basic SAS data and analytic skills,  |
| familiarity with multivariate regression techniques, research design, |
| and writing and communication skills.                                 |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| The primary supervisor will be Elizabeth Conrey, MCH Epidemiologist   |
| and CDC field assignee, Division of Family and Community Health       |
| Services, Ohio Department of Health and Division of Reproductive      |
| Health, Centers for Disease Control and Prevention. Dr. Conrey has a  |
| PhD in Community Nutrition with a minor in Epidemiology from Cornell  |
| University. She was an Epidemic Intelligence Service Officer with     |
| CDC, assigned to the Maternal and Child Nutrition Branch. She is a    |
| registered dietitian. Dr. Conrey has experience analyzing public      |
| health data, writing reports, publishing peer reviewed journal        |
| articles, and supervising students and fellows conducting research    |
| activities.                                                           |
|                                                                       |
| The secondary supervisor will be Ruth Shrock, Title V MCH Block Grant |
| coordinator, Division of Family and Community Health Services, Ohio   |
| Department of Health. Ruth has 23 years of experience in public       |
| health. She has a Master's degree in Nutrition and a MPH and is a     |
| registered dietitian. Ruth has extensive training and experience in   |
| needs assessment and coordinates the needs assessment activities for  |
| the MCH Block Grant. She frequently provides training in needs        |
| assessment to public health audiences in Ohio. Ruth also has 5 years  |
| of supervisory experience in public health research and evaluation.   |
| During her 18 years as Nutritionist Administrator in the DFCHS, she   |
| was preceptor for many students needing field experiences or          |
| internships. At the Ohio State University Nisonger Center, she        |
| provided nutrition services to children with developmental            |
| disabilities; and at Columbus Children's Hospital, she was project    |
| coordinator for an EPA-funded lead study.                             |
+-----------------------------------------------------------------------+
| 6.  **When is the most suitable time to begin the internship?**       |
|                                                                       |
| The internship position is available after September 1, 2007.         |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Yes, staff will be able to assist the student in locating and         |
| securing housing during the internship period. The Ohio Department of |
| Health is located in downtown Columbus, Ohio, with excellent access   |
| to public transportation. Several bus lines pass directly in front of |
| the ODH building. Apartments, sublets and other housing available for |
| short term lease exist nearby.                                        |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Dr. Elizabeth J. Conrey                                       |
|                                                                       |
| Mailing Address: 246 N High Street, 5^th^ floor                       |
|                                                                       |
| > Columbus, OH 43215                                                  |
| >                                                                     |
| > Email address: elizabethj.conrey@odh.ohio.gov                       |
| >                                                                     |
| > Telephone: 614-728-0994                                             |
|                                                                       |
| Fax: 614-728-9163                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Oklahoma                                                   |
+-----------------------------------------------------------------------+
| **Department/Agency:** Maternal and Child Health Service/Oklahoma     |
| State Department of Health                                            |
+-----------------------------------------------------------------------+
| **Program:** N/A                                                      |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Oklahoma City, OK                    |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Perinatal Services Analyst          |
+-----------------------------------------------------------------------+
| **Skill Area**: \_\_ Data Analysis and Monitoring [X]{.underline}     |
| Needs Assessment \_\_ Program Evaluation                              |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Maternal and Child Health Service (MCH) will be the               |
| organizational unit that houses the internship project. MCH consists  |
| of MCH Administration and three Divisions: Child and Adolescent       |
| Health,                                                               |
|                                                                       |
| Women\'s Health and MCH Assessment. MCH Administration consists of    |
| Service level                                                         |
|                                                                       |
| administrative support staff as well as the Public Health Social Work |
| Coordinator, MCH                                                      |
|                                                                       |
| Nutritionist and MCH Family Specialists who work across all MCH       |
| programs. The Child and                                               |
|                                                                       |
| Adolescent Health Division staff are primarily nurses and health      |
| educators. Programs and                                               |
|                                                                       |
| services include child health clinical services, school health,       |
| adolescent health, early childhood,                                   |
|                                                                       |
| child care, suicide prevention, teen pregnancy prevention and injury  |
| prevention. The Women\'s                                              |
|                                                                       |
| Health Division staff are nurses, nurse practitioners and health      |
| educators. Programs and                                               |
|                                                                       |
| services include maternity, family planning and preventive health     |
| education services for females                                        |
|                                                                       |
| and males of reproductive age. MCH Assessment staff are               |
| epidemiologists, biostatisticians and                                 |
|                                                                       |
| program analysts. These staff evaluate MCH programs and services. MCH |
| Assessment staff are                                                  |
|                                                                       |
| also responsible for carrying out statewide population-based          |
| surveillance to include the                                           |
|                                                                       |
| Pregnancy Risk Assessment Monitoring System (PRAMS), the Oklahoma     |
| Toddler Survey                                                        |
|                                                                       |
| (TOTS), the Youth Risk Behavior Survey (YRBS), the Middle School Risk |
| Behavior Survey, the                                                  |
|                                                                       |
| Oklahoma Fifth Grade Health Survey and the Oklahoma First Grade       |
| Health Survey. The intern will be assigned to the MCH Assessment      |
| division.                                                             |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| a\) [PURPOSE]{.underline}: Assess the availability of delivery        |
| services across the state of Oklahoma; b) [GOAL]{.underline}:         |
| Determine the scope of maternity services available to Oklahoma women |
| with respect to socio-economic status and geographic location; c)     |
| [OBJECTIVES]{.underline}: (1) Identify current and recent providers   |
| of maternity care, (2) Administer survey (already developed) to the   |
| identified providers, (3) Review responses for validity and           |
| consistency, (4) Analyze data and review findings with MCH            |
| leadership, (5) Prepare report for presentation to State Perinatal    |
| Taskforce.                                                            |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| Analyze survey data obtained from physicians to determine barriers to |
| providing maternity services. A descriptive analysis will be          |
| completed to identify the most common barriers influencing physicians |
| to discontinue maternity care. Survey consists of 20 questions        |
| designed to collect information from physicians who have delivered a  |
| live birth in the past three years.                                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| The applicant should have a working knowledge of and experience using |
| SAS statistical software, knowledge of survey sampling, and basic     |
| analytic skills to produce summary statistics.                        |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary supervision: Suzanna Dooley, MS, ARNP                         |
|                                                                       |
| Chief, Maternal and Child Health Service and Title V Program Director |
|                                                                       |
| Secondary supervision: Dick Lorenz, MSPH                              |
|                                                                       |
| Director, MCH Assessment                                              |
|                                                                       |
| Paul Patrick, MPH                                                     |
|                                                                       |
| Senior Biostatistician                                                |
|                                                                       |
| MCH Assessment                                                        |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| June 2007                                                             |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| The MCH Service will assist in identifying housing.                   |
|                                                                       |
| There are a limited number of apartments within 1-2 miles from the    |
| Oklahoma Department of Health.                                        |
|                                                                       |
| A metro bus line has a routine stop south of the Oklahoma Department  |
| of Health.                                                            |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Suzanna Dooley, MS, ARNP                                      |
| >                                                                     |
| > Mailing Address: Maternal and Child Health Service                  |
| >                                                                     |
| > Oklahoma Department of Health                                       |
| >                                                                     |
| > 1000 NE 10^th^ Street                                               |
| >                                                                     |
| > Oklahoma City, OK. 73117                                            |
| >                                                                     |
| > Email address: <suzannad@health.ok.gov>                             |
| >                                                                     |
| > Telephone: (405) 271-4480                                           |
|                                                                       |
| Fax: (405) 271-2994                                                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** California                                                 |
+-----------------------------------------------------------------------+
| **Department/Agency:** Department of Public Health                    |
+-----------------------------------------------------------------------+
| **Program:** Maternal, Child, and Adolescent Health Program           |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Los Angeles, California              |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** MCAH Graduate Student Intern        |
+-----------------------------------------------------------------------+
| **Skill Area**: \_\_ Data Analysis and Monitoring \_\_ Needs          |
| Assessment [X]{.underline} Program Evaluation                         |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The intern will be housed in the Maternal Child and Adolescent Health |
| (MCAH) Program of Los Angles County Department of Public Health. The  |
| intern will be assigned to the Research, Planning and Evaluation      |
| (REP) unit. He or she will work closely and collaboratively with MCAH |
| Program staff and key community stakeholders and collaborators.       |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| Los Angeles County (LAC) is the home of nearly 10 million residents   |
| and expands to an area of approximately 4,083 square miles. LAC with  |
| its large population and multicultural communities creates a unique   |
| environment and challenges in the provision of MCAH services. The LAC |
| Maternal Child and Adolescent Health (MCAH) Programs strive to        |
| achieve optimal well being for all women, infants, children and       |
| adolescents and their families in LAC. To accomplish this mission,    |
| MCAH Programs conduct assessment, policy development and assurance    |
| activities on MCAH related issues, and provide leadership in          |
| planning, collaborate with public and private providers and community |
| partners in developing and supporting comprehensive systems of        |
| preventive and primary care, and contracts with community based       |
| organizations (CBO).                                                  |
|                                                                       |
| The purpose of the internship is for the intern(s) to gain exposure   |
| and experience in MCAH research and evaluation related issues as well |
| as program planning and operations. The intern can choose one or more |
| of the following tasks:                                               |
|                                                                       |
| -   *Los Angeles County Mommy and Baby (LAMB) Survey:*                |
|                                                                       |
| This survey studies over 5,000 new mothers who deliver live birth     |
| infants. The purpose of this survey is to identify potential factors, |
| such as the lack of preconception/prenatal care, smoking, domestic    |
| violence, and others, which result in adverse birth outcomes (low     |
| birth weight or pre-term birth). The intern will help review the      |
| survey tool, conduct phone interviews, manage/analyze data, discuss   |
| findings with community-stakeholders to develop effective strategies  |
| in improving birth outcomes, and report writing.                      |
|                                                                       |
| -   *L.A. Heath Overview of a Pregnant Event (HOPE) Survey*:          |
|                                                                       |
| This study studies over 500 new mothers who experience a fetal or     |
| infant loss. The purpose of this study is to identify potential       |
| factors related to fetal/infant deaths. The intern will help review   |
| the survey tool, maintain fetal/infant surveillance system, analyze   |
| data, and discuss findings with community-stakeholders to develop     |
| effective strategies in reducing infant/fetal mortality.              |
|                                                                       |
| -   MCAH Five Year Plan:                                              |
|                                                                       |
| From September 2003 to February 2005, Los Angeles County Maternal,    |
| Child & Adolescent Health Programs (MCAH) conducted a long-range      |
| planning effort involving multiple community stakeholders to develop  |
| a 5-year plan for meeting the health needs of mothers, infants,       |
| children and adolescents in Los Angeles County. The intern will work  |
| closely with the MCAH Planner to review the objectives, research to   |
| identify appropriate activities to achieve the goals and objectives,  |
| and develop outcome measures associated with the activities and       |
| objectives.                                                           |
|                                                                       |
| -   Assisting community partners in conducting community needs        |
|     assessment, identify appropriate data analysis project,           |
|     interventions or prevention strategies in improving birth         |
|     outcomes and other MCAH related health issues.                    |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| Depending on the intern's skill, experience and interest, he or she   |
| may be involved in one or more of the following projects:             |
|                                                                       |
| -   assisting in LAMB/HOPE data management and analyses:              |
|                                                                       |
| ```{=html}                                                            |
| <!-- -->                                                              |
| ```                                                                   |
| -   conduct data cleaning                                             |
|                                                                       |
| -   conduct univariate analysis                                       |
|                                                                       |
| -   conduct bivariate analysis (cross-tabulations, chi-square or      |
|     t-tests)                                                          |
|                                                                       |
| -   conduct multivariate analysis                                     |
|                                                                       |
| -   Conduct multi-level analyses                                      |
|                                                                       |
|     -   researching into best practices related to improving birth    |
|         outcomes and other MCAH related health issues                 |
|                                                                       |
|     -   researching into available data to support MCAH planning      |
|         process and evaluation activities                             |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| -   Knowledge and ability to conceptualize and operationalize in      |
|     developing a data collection system (e.g. Using Microsoft Excel,  |
|     or Access);                                                       |
|                                                                       |
| -   Skills in working with statistical packages (e.g. SAS, Epi-Info,  |
|     SPSS, or others) such as generating frequency and                 |
|     cross-tabulation;                                                 |
|                                                                       |
| -   Skills in data management;                                        |
|                                                                       |
| -   Skills in analyzing and interpreting data;                        |
|                                                                       |
| -   Skills in analyzing and interpreting legislation; and             |
|                                                                       |
| -   Knowledge or experience in Geographic Information System (e.g.    |
|     MapInfo, ArcView or others), - desired but not required.          |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Diana Liu, the Epidemiologist for the MCAH Program, will provide      |
| mentoring and supervision for this position. Ms. Liu has received a   |
| Master degree in Public health and has been working as the            |
| epidemiologist for the MCAH Program for almost 10 years. She has      |
| in-depth training and knowledge in community needs assessment,        |
| program evaluation, MCAH program operations research design, and      |
| statistical analysis. For the past four summers, Ms. Liu has          |
| successfully worked with GSIP interns.                                |
|                                                                       |
| The secondary supervisor will be Mr. Kevin Donovan, MPH, of the REP   |
| unit. Mr. Donovan has received a Masters degree in Public health and  |
| has been working as a research analyst for the MCAH Program for over  |
| five years. Mr. Donovan has been heavily involved in the planning and |
| implementation of LAMB and L.A. HOPE Projects, and MCAH five-year     |
| plan. Furthermore, he is working on several key MCAH evaluations      |
| activities.                                                           |
|                                                                       |
| The intern will also work closely with the REP team that consists of  |
| five additional research analysts and three Information Systems       |
| experts. It is always our goal to provide the intern with the most    |
| rewarding public health training experience. Prior interns have       |
| commented that through their LA County MCAH intern experience, they   |
| not only strengthened their understanding of epidemiology, research   |
| methodology and statistical analyses, but learned crucial real world  |
| skills such as how to translate data into action and how to           |
| effectively work with community stakeholders.                         |
+-----------------------------------------------------------------------+
| 6.  **When is the most suitable time to begin the internship?**       |
|                                                                       |
| Although we would like to have the intern on board soon, the starting |
| date is negotiable.                                                   |
+-----------------------------------------------------------------------+
| 7.  **Are you able to assist the student in locating and securing     |
|     housing during the period of the internship? If yes, what type of |
|     housing is available (e.g., campus dorms, nearby apartments,      |
|     etc.)? Is the work site accessible via public transportation?**   |
|                                                                       |
| Rental assistance can be obtained by local real estate services. The  |
| MCAH program is located in a high security building and can be easily |
| accessed by several bus lines and Los Angeles Metro Subway system.    |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Diana Liu                                                     |
| >                                                                     |
| > Mailing Address: 600 S. Commonwealth Avenue, Suite 800              |
| >                                                                     |
| > Los Angeles, CA 90005                                               |
| >                                                                     |
| > Email address: dliw@ph.lacounty.gov                                 |
| >                                                                     |
| > Telephone: 213-639-6468                                             |
| >                                                                     |
| > Fax: (213) 639-1034                                                 |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** California                                                 |
+-----------------------------------------------------------------------+
| **Department/Agency:** San Francisco Maternal Adolescent and Child    |
| Health (MCAH), Epidemiology Unit                                      |
+-----------------------------------------------------------------------+
| **Program:** Evaluation of Bay Area CenteringPregnancy Program        |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** 30 Van Ness, Suite 260, San          |
| Francisco, CA 94102                                                   |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Epidemiologist                      |
+-----------------------------------------------------------------------+
| **Skill Area:** \_\_ Data Analysis and Monitoring \_\_ Needs          |
| Assessment [X]{.underline} Program Evaluation                         |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Epidemiology (Epi) Unit of the San Francisco MCAH Section is      |
| directed by MCAH Medical Director, Ellen J. Stein MD, MPH. The Epi    |
| Unit has participated in several perinatal research studies in        |
| collaboration with the Bay Area Data Collaborative and has presented  |
| results nationally at the CDC Preconception Health Summit, APHA and   |
| CityMatCH. SF County MCAH Epi Unit is co-investigator with the        |
| BayArea CenteringPregnancy (CP) Consortium and PI Elliot Main, MD in  |
| evaluating CP in the Bay Area. Before its planned expansion, the Bay  |
| Area had 7 CP sites, now has 21 sites, and plans to add several more  |
| sites. The CenteringPregnancy Program alters routine prenatal care by |
| bringing women out of the exam room and into groups for prenatal      |
| care. Women have their initial intake into obstetric care in the      |
| usual manner with history and physical examination occurring within   |
| the office/clinic space. They are then invited to join with 8-12      |
| other women with similar due dates in meeting together regularly      |
| during their pregnancy. The groups form between 12 and 16 weeks of    |
| pregnancy, meet every month for the first four months and then        |
| bi-weekly until birth. The groups continue monthly after birth as     |
| parenting groups.                                                     |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives**.                            |
|                                                                       |
| The purpose of the internship is to provide hands-on experience in    |
| the design and evaluation of a prospective cohort study with          |
| population controls. The goal of the internship is to provide         |
| sufficient training so that the intern can assist in the evaluation   |
| of the effects of group prenatal care on perinatal outcomes. By the   |
| end of the summer, the intern will be able to:                        |
|                                                                       |
| 1)  utilize of Epi Info 6.0 and Epi BC to analyze birth certificate   |
|     records                                                           |
|                                                                       |
| 2)  understand how to measure and analyze common public health        |
|     perinatal outcomes                                                |
|                                                                       |
| 3)  apply empirical knowledge learned in classes to a real public     |
|     health study using survey design and analysis in addition to      |
|     public health data from vital records.                            |
+-----------------------------------------------------------------------+
| **3.** **What data or analytic tasks and activities will be involved  |
| in this project?**                                                    |
|                                                                       |
| It is hypothesized that women receiving group prenatal care will      |
| deliver preterm infants of significantly heavier weight than those in |
| individual care. It is also hypothesized that group patients will     |
| maintain their preterm pregnancies two weeks longer than individual   |
| care patients. Additional outcomes will be added for the nested       |
| prospective cohort study of women receiving oral health education and |
| care.                                                                 |
|                                                                       |
| The intern will analyze medical birth certificate outcome data and    |
| behavioral data from CP self assessment measures on family/parenting  |
| issues, sexual activity/contraception, stress reduction, and methods  |
| of dealing with conflict. He or she will also be involved in          |
| selecting and alpha testing data collection instruments deemed        |
| appropriate for this project, including the site specific nested oral |
| health component.                                                     |
|                                                                       |
| The intern will also be involved in analyzing the Maternal and Infant |
| Health Assessment (MIHA) and or PRAMS data for correlation of CP      |
| outcomes with matched population controls.                            |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Hypothesis Testing                                                    |
|                                                                       |
| Program Evaluation                                                    |
|                                                                       |
| Survey Design and Analysis                                            |
|                                                                       |
| SAS, Excel required                                                   |
|                                                                       |
| Access, Epi Info/Epi BC desired but can train                         |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary Supervisor Secondary Supervisor                               |
|                                                                       |
| Al Abramowitz, MS Ellen J. Stein, MD, MPH                             |
|                                                                       |
| Sr. Epidemiologist Medical Director                                   |
|                                                                       |
| SF MCAH Epidemiology Unit SF MCAH Epidemiology Unit                   |
|                                                                       |
| SF Department of Public Health SF Department of Public Health         |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| Mid May , Early June 2007                                             |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Yes.                                                                  |
|                                                                       |
| 1\) Non-financial assistance can be provided in finding dorm housing  |
| through affiliates with UC, Berkeley SPH, UCSF, or SF State.          |
|                                                                       |
| 2\) Assistance in finding a sponsor/host through MCAH can be          |
| provided.                                                             |
|                                                                       |
| 3\) Assistance in finding private sublet housing through              |
| craigslist.org or other local housing specialists.                    |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Al G. Abramowitz                                              |
| >                                                                     |
| > Mailing Address: 30 Van Ness, #260                                  |
| >                                                                     |
| > San Francisco, CA 94102                                             |
| >                                                                     |
| > E mail address: al.abramowitz@sfdph.org                             |
| >                                                                     |
| > Telephone: 415-575-5761                                             |
| >                                                                     |
| > Fax: 415-575-5761                                                   |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Iowa                                                       |
+-----------------------------------------------------------------------+
| **Department/Agency:** Iowa Department of Public Health (IDPH)/Bureau |
| of Family Health                                                      |
+-----------------------------------------------------------------------+
| **Program:** MCH Epidemiology with the Iowa State Systems Development |
| Initiative Project (SSDI)                                             |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Des Moines, IA                       |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** IDPH Data Capacity Assessment       |
| Project                                                               |
+-----------------------------------------------------------------------+
| **Skill Area:** \_\_ Data Analysis and Monitoring \_\_ Needs          |
| Assessment [X]{.underline} Program Evaluation                         |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The internship project will primarily be housed within the Bureau of  |
| Family Health. However the nature of this project is to examine the   |
| department's data capacity and to promote interbureau communication   |
| and collaboration. Therefore the intern's project will cross three    |
| IDPH bureaus: the Bureau of Family Health, the Bureau of Information  |
| Management, and the Bureau of Health Statistics. The intern will work |
| closely with the MCH Epidemiologist and the SSDI coordinator to carry |
| out this project. The SSDI coordinator has fostered interbureau       |
| communication and collaboration and data capacity development over    |
| the past several years in a number of ways. For example, the SSDI     |
| coordinator convenes regular meetings of project managers and bureau  |
| chiefs during which state data needs and ways to address these data   |
| needs are discussed. These meetings provide program managers and      |
| bureau chiefs the opportunity to learn from one another and build on  |
| each other's strengths relative to data needs. Together, the MCH      |
| Epidemiologist and the SSDI coordinator conducted a data capacity     |
| assessment during the summer of 2005; the internship project will     |
| entail repeating this assessment to determine IDPH progress toward    |
| building its data capacity to support statewide program and policy    |
| development.                                                          |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| a\) The purpose of the Data Capacity Assessment Project is to examine |
| the progress of Iowa's key MCH data systems to provide statewide      |
| programs and local contract agencies with policy and program relevant |
| information and data. b) The project's goal is to evaluate the        |
| ability of Iowa's key maternal and child health data systems to meet  |
| the data needs of statewide programs and local public health agencies |
| as these entities seek to development and revise MCH programs and     |
| policies. c) The project objectives are 1) to replicate the 2005 Data |
| Capacity Assessment, 2) to compare 2005 and 2007 assessment results,  |
| 3) to recommend future data capacity building activities.             |
+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| In collaboration with the SSDI coordinator, the MCH epidemiologist,   |
| and MCH Data Committee members the intern will:                       |
|                                                                       |
| 1.  **Review** and **revise** as needed the current assessment tool   |
|                                                                       |
| 2.  **Determine** which programs and their staff will be invited to   |
|     participate in the assessment                                     |
|                                                                       |
| 3.  **Arrange** to interview MCH program staff and program managers   |
|                                                                       |
| 4.  **Conduct** face-to-face interviews of MCH program staff and      |
|     program managers                                                  |
|                                                                       |
| 5.  **Build** a data base to use for data entry and data anlysis      |
|                                                                       |
| 6.  **Carry** out data entry                                          |
|                                                                       |
| 7.  **Conduct** analysis                                              |
|                                                                       |
| 8.  **Produce** a report and recommendations relative to the          |
|     assessment results                                                |
|                                                                       |
| 9.  **Present** the results to the MCH Data Committee                 |
|                                                                       |
| 10\. **Submit** and present the results (abstract) to relevant        |
| national or regional conference                                       |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| The project will produce primarily descriptive information. Therefore |
| the intern will need to be comfortable analyzing and reporting on the |
| descriptive results. In addition, the intern will need to be able to  |
| examine the results and assist in developing agency level             |
| recommendations that may include such things as staff training and    |
| workforce development activities or software needs.                   |
|                                                                       |
| A number of software applications can support this project's          |
| activities (SPSS, Excel). The software will depend upon the intern's  |
| experience and preference.                                            |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Debra Kane, PhD, RN, will be the intern's primary supervisor and will |
| be available to guide and provide technical assistance to the intern. |
| Dr. Kane is a CDC assigned MCH Epidemiologist whose role is to        |
| promote and improve the health and well-being of women, children, and |
| families by building epidemiology and data capacity at the state      |
| level to effectively use information for public health action. She    |
| has over 15 years of experience in public health at the local and     |
| state level. In addition, she has over 5 years of experience in       |
| database management, survey development, data analysis and            |
| interpretation. She and the SSDI coordinator worked closely to        |
| conduct the 2005 Data Capacity Assessment. The results of the 2005    |
| assessment were used in part to develop the FFY 2007-2011 SSDI grant  |
| proposal.                                                             |
|                                                                       |
| Lucia Dhooge, MBA, RN, will be the intern's secondary supervisor. Ms. |
| Dhooge is a life-long Iowa resident and has worked in the Bureau of   |
| Family Health since 2000. As the SSDI coordinator, she has been       |
| instrumental in promoting interbureau collaboration and               |
| communication. She is knowledgeable about the numerous IDPH data      |
| systems and their histories. As a result of her SSDI guidance, Iowa's |
| MCH data workforce has demonstrated increased capacity to meet data   |
| system development, maintenance, and integration needs.               |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| The internship start date is negotiable. A period of 12-14 weeks      |
| would allow sufficient time for the intern to complete the project.   |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Yes, Bureau of Family Health staff members are able to assist the     |
| intern in locating and securing housing during the period of the      |
| internship. There are a number of housing options available in Des    |
| Moines, including campus dorms and nearby apartments. In addition,    |
| several BFH staff members rent rooms to students; one staff member's  |
| daughter specifically works to secure short-term housing for visiting |
| colleagues and professionals.                                         |
|                                                                       |
| The Lucas State Office Building is accessible by both city and        |
| regional buses.                                                       |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Debra Kane                                                    |
| >                                                                     |
| > Mailing Address: 321 East 12^th^ Street, 5^th^ Floor                |
| >                                                                     |
| > Lucas State Office Building                                         |
| >                                                                     |
| > Des Moines, IA 50319                                                |
| >                                                                     |
| > Email address: dkane@idph.state.ia.us                               |
| >                                                                     |
| > Telephone: 515-281-4952                                             |
|                                                                       |
| Fax: 515-242-6013                                                     |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Maine                                                      |
+-----------------------------------------------------------------------+
| **Department/Agency:** DHHS/CDC                                       |
+-----------------------------------------------------------------------+
| **Program:** Women, Infants and Children (WIC) Nutrition Program      |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Augusta with visits to Auburn and    |
| Bath                                                                  |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Graduate Internship                 |
+-----------------------------------------------------------------------+
| **Skill Area**: \_\_ Data Analysis and Monitoring \_\_ Needs          |
| Assessment [X]{.underline} Program Evaluation                         |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Maine WIC Nutrition Program is a health and nutrition program     |
| that provides healthy food, nutrition and health education,           |
| breastfeeding education and support, and referrals to approximately   |
| 24,000 participants each month. Services are provided by contract     |
| agencies in all Maine counties at over 100 permanent offices and      |
| outreach clinic sites. Eligibility for the program is based upon      |
| income guidelines (185% of federal poverty guidelines) as well as     |
| identification of a health or nutrition risk condition. Participants  |
| are provided checks for healthy foods that may be redeemed at 285     |
| stores across the state. For the past year, Maine WIC has provided    |
| Breastfeeding Peer Counselor services at two contract agencies. These |
| Peer Counselors provide education and support to pregnant women,      |
| helping them make an educated feeding decision, and support to        |
| breastfeeding women to assist them with problems or issues with       |
| breastfeeding.                                                        |
+-----------------------------------------------------------------------+
| **2. In detail, please describe your proposed internship, including   |
| a) purpose, b) goals, and c) objectives**.                            |
|                                                                       |
| [Purpose:]{.underline} Since Peer Counseling is new to Maine WIC,     |
| this proposed project would evaluate efforts that have been done      |
| since the inception of the program.                                   |
|                                                                       |
| [Goal:]{.underline} The goals of this project are to help Maine WIC:  |
| (1) evaluate how peer counseling is received by participants and WIC  |
| agencies, (2) examine the impact of the peer counseling program on    |
| breastfeeding duration and breast pump rental rates, and (3) make     |
| recommendations for future Peer Counselor projects in other Maine     |
| local agencies.                                                       |
|                                                                       |
| [Project Objectives:]{.underline}                                     |
|                                                                       |
| 1\. Analyze and present results on survey data collected from over    |
| 1300 women who received peer counseling on their perceptions and      |
| satisfaction with the program.                                        |
|                                                                       |
| 2\. Analyze and present results on survey data from peer counselors   |
| (n=5) to gauge their perceptions and satisfaction with their role.    |
|                                                                       |
| 3\. Interview WIC staff to assess their satisfaction with the peer    |
| counselors in their agencies.                                         |
|                                                                       |
| 4\. Determine whether participation in the peer counseling program is |
| associated with breastfeeding initiation and duration using WIC       |
| program data,.                                                        |
|                                                                       |
| 5\. Examine whether breast pump rental rates have decreased as a      |
| result of the implementation of the peer counseling program using WIC |
| program data.                                                         |
|                                                                       |
| 6\. Produce summary report of findings and recommendations.           |
+-----------------------------------------------------------------------+

+-----------------------------------------------------------------------+
| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| During the internship, participants will conduct analyses on:         |
|                                                                       |
| -   WIC participation data from the WIC Program system                |
|                                                                       |
| -   Survey data from participants, peer counselors and WIC staff      |
|                                                                       |
| -   Breastfeeding data from the WIC Program system                    |
|                                                                       |
| -   Breast pump rental data from State WIC Agency files               |
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| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Participants will be expected to have completed at least one course   |
| in biostatistics and one course in epidemiology. They will need to    |
| have used or be willing to learn how to use SAS statistical software. |
| The intern will also need skills in presenting summary data in a      |
| user-friendly format, using Microsoft Office Applications. The intern |
| should be comfortable with analyzing reports and in speaking with     |
| participants to secure data.                                          |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary superviso**r.                      |
|                                                                       |
| Primary Supervisor: Erika Lichter, ScD, Maternal and Child Health     |
| Epidemiologist, Division of Family Health, Maine Center for Disease   |
| Control and Prevention; Experience in research methods and public     |
| health surveillance; knowledge of epidemiology and statistics,        |
| including SAS programming                                             |
|                                                                       |
| Secondary Supervisors: Nora Bowne, MPA/HA, Director, WIC Program, and |
| Karen Gallagher, RD, Nutrition Coordinator, Division of Family        |
| Health, Maine Center for Disease Control and Prevention; Content area |
| knowledge of the WIC program and breastfeeding, and experience        |
| analyzing WIC program databases.                                      |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| May or June 2007                                                      |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| General assistance can be provided in located housing. Apartment      |
| rentals are available in the area. Since travel between Augusta, Bath |
| and Auburn Maine is required, it would be necessary for the Intern to |
| have transportation available.                                        |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| Name: Erika Lichter                                                   |
|                                                                       |
| Mailing Address: 244 Water Street 2^nd^ floor, 11 State House Station |
|                                                                       |
| Augusta, ME 04333-0011                                                |
|                                                                       |
| > Email address: erika.lichter@maine.gov                              |
| >                                                                     |
| > Telephone: 207-287-5342                                             |
|                                                                       |
| Fax: 207-287-3993                                                     |
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+-----------------------------------------------------------------------+
| **MCH Information Resource Center**                                   |
|                                                                       |
| **Graduate Student Internship Program**                               |
|                                                                       |
| **Health Agency Internship Proposal**                                 |
|                                                                       |
| **Summer 2007**                                                       |
+-----------------------------------------------------------------------+
| **State:** Virginia (B)                                               |
+-----------------------------------------------------------------------+
| **Department/Agency:** Department of Health                           |
+-----------------------------------------------------------------------+
| **Program:** Virginia Newborn Screening Services, Division of Child   |
| and Adolescent Health                                                 |
+-----------------------------------------------------------------------+
| **Location of Internship Site:** Richmond, Virginia                   |
+-----------------------------------------------------------------------+
| **Title of Internship Position:** Evaluation Coordinator              |
+-----------------------------------------------------------------------+
| **Skill Area**: \_\_ Data Analysis and Monitoring \_\_ Needs          |
| Assessment [X]{.underline} Program Evaluation                         |
+-----------------------------------------------------------------------+
| **Please answer the following questions, using attached sheets if     |
| necessary.**                                                          |
+-----------------------------------------------------------------------+
| **1. Please give a summary of the program, project, or agency that    |
| will house the internship project.**                                  |
|                                                                       |
| The Division of Child and Adolescent Health (DCAH) is part of the     |
| Office of Family Health Services, the Title V recipient for Virginia. |
| DCAH houses the program for children with special health care needs,  |
| as well as early childhood health, school age and adolescent health,  |
| and pediatric screening. The latter includes Virginia Newborn         |
| Screening Services (VNSS) which provides short-term follow up and     |
| referral to long-term treatment and care coordination to newborns     |
| (and older children) diagnosed with conditions identified through     |
| newborn dried blood spot screening. VNSS is a collaborative effort in |
| Virginia, working closely with the Department of General Services'    |
| Division of Consolidated Laboratory Services (the state lab).         |
|                                                                       |
| In March 2006, VNSS expanded the scope of screening services to be    |
| consistent with the core panel of conditions as recommended by the    |
| American College of Medical Genetics' *Newborn Screening: Toward a    |
| Uniform Screening Panel and System*. This expansion included          |
| procedures for initiating referral of all diagnosed newborns to Care  |
| Connection for Children (CCC) the program of care coordination for    |
| children with special health care needs. Older children previously    |
| diagnosed with conditions otherwise identified by newborn screening   |
| have also been referred to CCC. The CCC centers work closely with     |
| contracted metabolic and genetic treatment centers in the ongoing     |
| medical management of these children.                                 |
+-----------------------------------------------------------------------+
| 2\. **In detail, please describe your proposed internship, including  |
| a) purpose, b) goals, and c) objectives.**                            |
|                                                                       |
| Since the expansion of VNSS, we have diagnosed 12 newborns with       |
| conditions that, prior to March 1, 2006, would have gone undetected   |
| by dried blood spot screening. The purpose of this internship is to   |
| perform an assessment of the anticipated fiscal impact of the early   |
| diagnosis that expanded newborn screening affords.                    |
|                                                                       |
| Goal 1) Describe the projected costs to Virginia associated with      |
| long-term treatment of individuals *diagnosed with selected heritable |
| disorders after the newborn period.*                                  |
|                                                                       |
| Objective: Identify the typical clinical course/outcomes associated   |
| with these heritable disorders                                        |
|                                                                       |
| -   Conduct literature review                                         |
|                                                                       |
| -   Interview contracted consultant physicians                        |
|                                                                       |
| -   Create a model of expected service utilization                    |
|                                                                       |
| Objective: Identify the projected costs associated with this model of |
| service utilization                                                   |
|                                                                       |
| -   Conduct literature review                                         |
|                                                                       |
| -   Create a financial model using Medicaid rates and Title V program |
|     expenses                                                          |
|                                                                       |
| Goal 2) Describe the projected costs to Virginia associated with      |
| long-term treatment of individuals *diagnosed with selected heritable |
| disorders through VNSS.*                                              |
|                                                                       |
| Objective: Identify the projected clinical course/outcomes associated |
| with these heritable disorders when diagnosed in the newborn period.  |
|                                                                       |
| -   Conduct literature review                                         |
|                                                                       |
| -   Interview contracted consultant physicians                        |
|                                                                       |
| -   Create a model of expected service utilization                    |
|                                                                       |
| Objective: Identify the projected costs associated with this model of |
| service utilization                                                   |
|                                                                       |
| -   Conduct literature review                                         |
|                                                                       |
| -   Create a financial model using Medicaid rates and Title V program |
|     expenses                                                          |
|                                                                       |
| Goal 3) Describe the projected cost difference associated with early  |
| diagnosis of selected heritable disorders through VNSS.               |
|                                                                       |
| -   Perform a comparative analysis of the financial models developed  |
|     under Goals 1 and 2                                               |
|                                                                       |
| -   Discuss the potential cost-benefit                                |
|                                                                       |
| -   Discuss the long-term implications for the VNSS program and Title |
|     V                                                                 |
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| **3. What data or analytic tasks and activities will be involved in   |
| this project?**                                                       |
|                                                                       |
| -   A comprehensive review and synthesis of the literature regarding  |
|     the clinical course/outcomes associated with selected heritable   |
|     disorders, and the attendant costs                                |
|                                                                       |
| -   Aggregate analysis of reimbursement for projected services, using |
|     the Medicaid fee schedule and known costs to the Title V program  |
|                                                                       |
| -   Creation of utilization and financial models, and comparison      |
|     (cost-benefit analysis)                                           |
+-----------------------------------------------------------------------+
| **4. What data or analytic skills does the internship require?        |
| (Include software applications and statistical/analytical             |
| competencies).**                                                      |
|                                                                       |
| Qualitative analytic skills will be required to evaluate the          |
| literature and describe projected utilization of services and costs.  |
| Interpretation of clinical information in the literature will be      |
| necessary.                                                            |
|                                                                       |
| Quantitative analytic skills will be required to apply the projected  |
| utilization to established fee schedules, and to extrapolate actual   |
| expenses from financial reports.                                      |
|                                                                       |
| Software should be limited to Excel, with the possible use of SPSS if |
| the analysis warrants advanced statistical application.               |
+-----------------------------------------------------------------------+
| **5. Who will supervise the student and be available for guidance and |
| technical assistance? Please provide the name, position, department,  |
| and information related to specific data and/or analytic background   |
| for both a primary and a secondary supervisor.**                      |
|                                                                       |
| Primary project oversight: Joanne S. Boise, MSPH \-- Division         |
| Director, Child and Adolescent Health                                 |
|                                                                       |
| Secondary supervisor: Derek Chapman, PhD \-- MCH Epidemiologist,      |
| Office of Family Health Services                                      |
+-----------------------------------------------------------------------+
| **6. When is the most suitable time to begin the internship?**        |
|                                                                       |
| Summer (May/June) 2007                                                |
+-----------------------------------------------------------------------+
| **7. Are you able to assist the student in locating and securing      |
| housing during the period of the internship? If yes, what type of     |
| housing is available (e.g., campus dorms, nearby apartments, etc.)?   |
| Is the work site accessible via public transportation?**              |
|                                                                       |
| Available housing information (apartment sublets, roommates wanted,   |
| etc) is generally available through colleges in the Richmond metro    |
| area.                                                                 |
|                                                                       |
| The Virginia Department of Health is readily accessible via public    |
| transportation (bus system).                                          |
+-----------------------------------------------------------------------+
| **8. Who will be the contact person for logistics and other           |
| communications regarding this internship proposal?**                  |
|                                                                       |
| > Name: Joanne S. Boise, MSPH                                         |
| >                                                                     |
| > Division Director, Child and Adolescent Health                      |
| >                                                                     |
| > Mailing Address: 109 Governor St., Room 816                         |
|                                                                       |
| Richmond, VA 23219                                                    |
|                                                                       |
| > Email address: Joanne.boise@vdh.virginia.gov                        |
| >                                                                     |
| > Telephone: 804.864.7685                                             |
|                                                                       |
| Fax: 804.864.7722                                                     |
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