2019 Halifax County Community Health Needs Assessment Halifax County Public Health System 19 North Dobbs Street Halifax, NC 27839 252-583-5021 252-583-2975 Bruce Robistow, FACHE, MPH 1 Health Director +Based on data from 2018 Index of Tables ................................................................................................................................. 5 Index of Figures ................................................................................................................................ 6 Executive Summary .......................................................................................................................... 7 Community ....................................................................................................................................................... 7 Vision Statement ............................................................................................................................................... 7 Leadership ........................................................................................................................................................ 7 Partnerships and Collaborations ....................................................................................................................... 7 Regional and Contracted Services ..................................................................................................................... 8 Theoretical Framework and Model ................................................................................................................... 8 Collaborative Process Summary ........................................................................................................................ 8 Summary of Findings ........................................................................................................................................ 8 Selected Priority Areas ...................................................................................................................................... 9 Conclusion ........................................................................................................................................................ 9 Introduction ................................................................................................................................... 10 Member Organizations ........................................................................................................................................ 10 HealthENC.org ................................................................................................................................................ 10 Community Health Needs Assessment Collaboration ...................................................................................... 10 Distribution ..................................................................................................................................................... 11 Evaluation of Progress Since Prior CHNA ........................................................................................ 11 Community Feedback on Prior CHNA .............................................................................................................. 11 Methodology .................................................................................................................................... 12 Overview .......................................................................................................................................................... 12 Secondary Data Sources & Analysis .................................................................................................................. 12 Data Considerations ......................................................................................................................................... 12 Health ENC Region Comparison ....................................................................................................................... 13 Primary Data Collection & Analysis .................................................................................................................. 13 Community Survey ............................................................................................................................................... 13 Focus Group Discussions ..................................................................................................................................... 15 Prioritization ................................................................................................................................................... 16 Overview of Halifax County .............................................................................................................. 17 About Halifax County ....................................................................................................................................... 17 Halifax Regional Quick Facts 2018 ...................................................................................................................18 Demographic Profile ........................................................................................................................................18 Population ...........................................................................................................................................................18 Age and Gender .................................................................................................................................................... 19 Birth Rate ............................................................................................................................................................ 19 Race/Ethnicity .................................................................................................................................................... 20 Tribal Distribution of Population ......................................................................................................................... 21 Socioeconomic Profile..................................................................................................................................... 22 Income ............................................................................................................................................................... 22 Poverty ............................................................................................................................................................... 23 Housing .............................................................................................................................................................. 24 Employment ....................................................................................................................................................... 24 SocioNeeds Index ................................................................................................................................................ 25 Educational Profile ......................................................................................................................................... 27 Educational Attainment ...................................................................................................................................... 27 High School Dropouts ......................................................................................................................................... 28 Halifax Community College ................................................................................................................................. 29 High School Suspension Rate .............................................................................................................................. 30 Environmental Profile .................................................................................................................................... 30 Crime and Safety .............................................................................................................................................. 31 Violent Crime and Property Crime ........................................................................................................................ 31 Child Abuse ..................................................................................................................................................... 32 Access to Healthcare, Insurance and Health Resources Information .............................................................. 32 Health Insurance ................................................................................................................................................ 32 Findings ......................................................................................................................................... 34 Secondary Data Scoring Results ...................................................................................................................... 34 Primary Data .................................................................................................................................................. 35 Community Survey .............................................................................................................................................. 35 2 Focus Group Discussions 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