Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

Complete Health Indicator Report of Infant Mortality

Definition

Infant deaths are those that occur between birth and one year of age. The infant mortality rate is the number of infants who died between birth and one year of age, divided by the total number of live births in the same time period. The infant mortality rate is presented per 1,000 live births.

Numerator

Number of infants who died between birth and one year of age among the resident population for a specific time period. Neonatal: Number of infant deaths aged 0 to 27 days among the resident population Post-neonatal: Number of infant deaths aged 28 days through 11 months among the resident population.

Denominator

Number of live births among the resident population for a specific time period.

Why Is This Important?

Infant mortality is the most widely used measure of population health and the quality of health care. Infant mortality is defined as the death of an infant before their first birthday. Infant mortality represents a long-standing concern of public health. The infant mortality rate is not only seen as a measure of the risk of infant death but it is used more broadly as a crude indicator of: [[br]]* Community health status; [[br]]* Poverty and socioeconomic status levels in a community; and [[br]]* Availability and quality of health services and medical technology. The health and well-being of children and families across the globe are measured by infant mortality rates. Wide acceptance and the relative ease of calculating the annual rate have resulted in the infant mortality rate being commonly used for comparisons across regions, populations and time periods. Such comparisons of infant mortality rates are frequently used in needs assessments and to evaluate the impact of public health programs.^1^[[br]] [[br]] ---- {{class .SmallerFont 1. State Infant Mortality Toolkit. [http://www.amchp.org/programsandtopics/data-assessment/InfantMortalityToolkit/Documents/Why%20Focus%20on%20IM.pdf] Association of Maternal & Child Health Programs. Accessed on April 24, 2018. }}

Healthy People Objective: All infant deaths (within 1 year)

U.S. Target: 6.0 infant deaths per 1,000 live births

Other Objectives

Title V Maternal and Child Health Services Block Grant to States Program: National Outcome Measure 9.1 - Infant Mortality. For more information:[https://mchb.tvisdata.hrsa.gov/PrioritiesAndMeasures/NationalOutcomeMeasures]

How Are We Doing?

Alaska's infant mortality rate for 2017 was 5.6 per 1,000 live births. Infant mortality rates for Alaska Native people have been higher than the Alaska average. After a period of steady declines in infant mortality culminating in 2010, there has been a recent increase in infant mortality in Alaska.

How Do We Compare With the U.S.?

In 2016, the U.S. rate of infant mortality stayed at 5.9 per 1,000 live births.^2^ In 2016, Alaska's infant mortality rate of 5.4 per 1,000 live births was ranked 14th among all states and was 8% lower than the national rate.^3^ Infant mortality rates have been declining in the U.S. and Alaska since 1990. Neonatal infant mortality (deaths at less than 28 days) in Alaska have generally been lower than the U.S. rate as a whole, while postneonatal deaths (deaths at 28 days to 1 year) have typically been higher in Alaska than the U.S. average.[[br]] [[br]] ---- {{class .SmallerFont 2. U.S. Centers for Disease Control and Prevention (CDC). Infant mortality rates by state, 2016. [https://www.cdc.gov/nchs/fastats/infant-health.htm]. Accessed August 28, 2018. 3. U.S. Centers for Disease Control and Prevention (CDC). Infant mortality rates by state, 2016. [http://www.cdc.gov/nchs/pressroom/sosmap/infant_mortality_rates/infant_mortality.htm]. Updated April 23, 2018. }}

What Is Being Done?

Health care providers and women can work together before and during pregnancy to address problems if they arise and improve women's chances for healthy outcomes. The State of Alaska established the Alaska Maternal and Child Death Review (MCDR) in 1989. The goal of MCDR is to reduce fetal, infant and maternal mortality in Alaska through a committee review process of all fetal, infant, and maternal death records.^4^ Alaska's Title V Maternal Child Health program addresses infant mortality through a variety of programs such as the Alaska Infant Safe Sleep Project that partner with birthing facilities to promote consistent and evidence-based infant safe sleep messages.^5^ See [https://mchb.tvisdata.hrsa.gov/Home/StateApplicationOrAnnualReport] [[br]] [[br]] ---- {{class .SmallerFont 4. Alaska Department of Health and Social Services. Alaska Maternal and Child Death Review (MCDR). [http://dhss.alaska.gov/dph/wcfh/Pages/mchepi/mcdr/default.axpx]. Accessed April 23, 2018. 5. Alaska Infant Safe Sleep Project. [http://dhss.alaska.gov/dph/wcfh/Pages/perinatal/safesleep.aspx]. Accessed April 24, 2018.}}


Related Indicators

Relevant Population Characteristics

Infant mortality is more prevalent among mothers in younger age groups and in some race/ethnicity groups.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Health insurance coverage and availability of adequate prenatal care reduce the risk of infant mortality.

Related Health Care System Factors Indicators:


Risk Factors

Some of the mother's behaviors during the prenatal period, such as smoking and using alcohol, are associated with an increased risk of infant mortality.

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Infant Mortality: Deaths at under 1 year of age, all Alaskans, Alaska Native people, and U.S., 1990-2017

::chart - missing::
confidence limits

Alaska ComparisonsYearDeaths per 1,000 live birthsLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 84
All Alaskans199010.58.712.312511,905
All Alaskans19919.17.310.810611,686
All Alaskans19928.57.010.110011,725
All Alaskans19938.16.49.99011,089
All Alaskans19947.76.19.28210,684
All Alaskans19958.16.49.98310,226
All Alaskans19967.35.78.87310,047
All Alaskans19977.76.09.5779,963
All Alaskans19986.24.77.8629,923
All Alaskans19995.54.16.9559,961
All Alaskans20006.75.18.3679,977
All Alaskans20018.36.510.18310,004
All Alaskans20025.64.17.2569,945
All Alaskans20037.05.58.67110,087
All Alaskans20046.75.18.26910,336
All Alaskans20055.74.47.16010,451
All Alaskans20067.05.48.67710,996
All Alaskans20076.24.97.66911,053
All Alaskans20085.94.57.26711,439
All Alaskans20096.75.18.37611,316
All Alaskans20103.72.64.94311,470
All Alaskans20113.82.64.94311,441
All Alaskans20125.54.16.86111,165
All Alaskans20135.74.37.06511,452
All Alaskans20146.65.08.17511,398
All Alaskans20156.95.58.67811,296
All Alaskans20165.34.16.96011,216
All Alaskans20175.64.27.25810,447
Alaska Native people199016.311.621.0462,819
Alaska Native people199113.39.017.5372,788
Alaska Native people199211.97.816.0322,693
Alaska Native people199311.87.516.1292,459
Alaska Native people199411.57.215.9272,344
Alaska Native people19959.65.613.6222,302
Alaska Native people199610.06.014.0242,405
Alaska Native people199710.46.314.5252,396
Alaska Native people19987.54.010.9Statistically unreliable182,407
Alaska Native people19997.44.010.8Statistically unreliable182,429
Alaska Native people20009.05.212.7222,453
Alaska Native people200114.49.719.1362,497
Alaska Native people20026.73.49.9Statistically unreliable162,399
Alaska Native people20039.45.513.2232,454
Alaska Native people200410.56.514.5272,572
Alaska Native people20057.84.411.1212,703
Alaska Native people200612.68.416.9342,696
Alaska Native people200710.16.413.8282,771
Alaska Native people200811.47.515.3332,885
Alaska Native people200910.26.513.8302,947
Alaska Native people20104.52.16.9Statistically unreliable132,891
Alaska Native people20116.43.49.3Statistically unreliable182,830
Alaska Native people20128.24.911.6232,806
Alaska Native people20138.65.612.7252,902
Alaska Native people201412.18.416.8352,897
Alaska Native people201512.89.017.7372,884
Alaska Native people20169.36.213.5283,003
Alaska Native people20178.15.112.2222,726
U.S.19909.2
U.S.19918.9
U.S.19928.5
U.S.19938.4
U.S.19948.0
U.S.19957.6
U.S.19967.3
U.S.19977.2
U.S.19987.2
U.S.19997.1
U.S.20006.9
U.S.20016.8
U.S.20027.0
U.S.20036.8
U.S.20046.8
U.S.20056.9
U.S.20066.7
U.S.20076.8
U.S.20086.6
U.S.20096.4
U.S.20106.2
U.S.20116.1
U.S.20126.0
U.S.20136.0
U.S.20145.823,2153,988,076
U.S.20155.923,4553,978,497
U.S.20165.923,1613,945,875
U.S.2017**

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution. ** = Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Infant Mortality: Neonatal infant mortality (less than 28 days), all Alaskans, Alaska Native people, and U.S., 1990-2017

::chart - missing::
confidence limits

Alaska ComparisonsYearDeaths per 1,000 live birthsLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 84
All Alaskans19905.03.96.26011,905
All Alaskans19913.62.44.84211,686
All Alaskans19923.92.75.14611,725
All Alaskans19934.53.35.75011,089
All Alaskans19943.32.14.53510,684
All Alaskans19955.03.66.45110,226
All Alaskans19963.62.44.83610,047
All Alaskans19973.62.44.8369,963
All Alaskans19983.32.14.5339,923
All Alaskans19992.51.53.5259,961
All Alaskans20003.52.34.7359,977
All Alaskans20013.82.65.03810,004
All Alaskans20022.01.22.8209,945
All Alaskans20033.32.14.43310,087
All Alaskans20043.52.34.73610,336
All Alaskans20053.02.03.93110,451
All Alaskans20063.82.65.04210,996
All Alaskans20073.02.04.03311,053
All Alaskans20082.21.43.02511,439
All Alaskans20092.71.83.73111,316
All Alaskans20101.91.12.72211,470
All Alaskans20112.11.32.92411,441
All Alaskans20123.22.24.23611,165
All Alaskans20132.61.63.63011,452
All Alaskans20143.02.04.03411,398
All Alaskans20153.82.85.14311,296
All Alaskans20162.92.04.03211,216
All Alaskans20173.42.44.83610,447
Alaska Native people19907.84.511.1222,819
Alaska Native people19912.90.94.9Statistically unreliable82,788
Alaska Native people19925.93.08.9Statistically unreliable162,693
Alaska Native people19934.92.17.6Statistically unreliable122,459
Alaska Native people19946.02.89.1Statistically unreliable142,344
Alaska Native people19956.12.99.3Statistically unreliable142,302
Alaska Native people19964.21.66.7Statistically unreliable102,405
Alaska Native people19974.61.97.3Statistically unreliable112,396
Alaska Native people19983.31.05.6Statistically unreliable82,407
Alaska Native people19992.50.54.5Statistically unreliable62,424
Alaska Native people20004.51.87.1Statistically unreliable112,453
Alaska Native people20013.61.26.0Statistically unreliable92,497
Alaska Native people2002**Suppressed2,399
Alaska Native people20033.71.36.1Statistically unreliable92,454
Alaska Native people20045.12.37.8Statistically unreliable132,572
Alaska Native people20053.71.46.0Statistically unreliable102,703
Alaska Native people20064.82.27.4Statistically unreliable132,696
Alaska Native people20073.61.45.8Statistically unreliable102,771
Alaska Native people20083.51.35.6Statistically unreliable102,885
Alaska Native people20093.71.55.9Statistically unreliable112,947
Alaska Native people2010**Suppressed2,891
Alaska Native people20112.10.43.8Statistically unreliable62,830
Alaska Native people20124.62.17.2Statistically unreliable132,806
Alaska Native people20132.40.15.0Statistically unreliable72,902
Alaska Native people20144.82.68.1Statistically unreliable142,897
Alaska Native people20155.53.29.0Statistically unreliable162,884
Alaska Native people20164.02.17.0Statistically unreliable123,003
Alaska Native people20173.71.86.7Statistically unreliable102,726
U.S.19905.8
U.S.19915.6
U.S.19925.4
U.S.19935.3
U.S.19945.1
U.S.19954.9
U.S.19964.8
U.S.19974.8
U.S.19984.8
U.S.19994.7
U.S.20004.6
U.S.20014.5
U.S.20024.7
U.S.20034.6
U.S.20044.5
U.S.20054.5
U.S.20064.4
U.S.20074.4
U.S.20084.3
U.S.20094.2
U.S.20104.0
U.S.20114.1
U.S.20124.0
U.S.20134.0
U.S.20143.915,7203,988,076
U.S.20153.915,6723,978,497
U.S.20163.915,3033,945,875
U.S.2017**

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   Neonatal deaths are infants of less than 28 days old at the time of death. [SAS analysis in November 2018] Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution. Rates based on fewer than 6 occurrences are not reported. ** = Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Infant Mortality: Postneonatal infant mortality (28 days to 1 year), all Alaskans, Alaska Native people, and U.S., 1990-2017

::chart - missing::
confidence limits

Alaska ComparisonsYearDeaths per 1,000 Live BirthsLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 84
All Alaskans19905.54.16.86511,905
All Alaskans19915.54.16.86411,686
All Alaskans19924.63.45.85411,725
All Alaskans19933.62.44.84011,089
All Alaskans19944.43.25.64710,684
All Alaskans19953.12.04.33210,226
All Alaskans19963.72.54.93710,047
All Alaskans19974.12.95.3419,963
All Alaskans19982.91.93.9299,923
All Alaskans19993.02.04.0309,961
All Alaskans20003.22.04.4329,977
All Alaskans20014.53.15.94510,004
All Alaskans20023.62.44.8369,945
All Alaskans20033.82.64.93810,087
All Alaskans20043.22.04.43310,336
All Alaskans20052.81.83.82910,451
All Alaskans20063.22.24.23510,996
All Alaskans20073.32.34.23611,053
All Alaskans20083.72.54.84211,439
All Alaskans20094.02.85.24511,316
All Alaskans20101.81.02.62111,470
All Alaskans20111.70.92.4Statistically unreliable1911,441
All Alaskans20122.21.53.02511,165
All Alaskans20133.12.14.03511,452
All Alaskans20143.62.44.84111,398
All Alaskans20153.12.24.33511,296
All Alaskans20162.51.73.62811,216
All Alaskans20172.11.33.22210,447
Alaska Native people19908.55.111.9242,819
Alaska Native people199110.46.614.2292,788
Alaska Native people19925.93.08.9Statistically unreliable162,693
Alaska Native people19936.93.610.2Statistically unreliable172,459
Alaska Native people19945.52.58.6Statistically unreliable132,344
Alaska Native people19953.51.15.9Statistically unreliable82,302
Alaska Native people19965.82.88.9Statistically unreliable142,405
Alaska Native people19975.82.88.9Statistically unreliable142,396
Alaska Native people19984.21.66.7Statistically unreliable102,407
Alaska Native people19995.02.17.8Statistically unreliable122,424
Alaska Native people20004.51.87.1Statistically unreliable112,453
Alaska Native people200110.86.714.9272,497
Alaska Native people20024.61.97.3Statistically unreliable112,399
Alaska Native people20035.72.78.7Statistically unreliable142,454
Alaska Native people20045.42.68.3Statistically unreliable142,572
Alaska Native people20054.11.76.5Statistically unreliable112,703
Alaska Native people20067.84.511.1212,696
Alaska Native people20076.53.59.5Statistically unreliable182,771
Alaska Native people20088.04.711.2232,885
Alaska Native people20096.43.59.3Statistically unreliable192,947
Alaska Native people20103.11.15.1Statistically unreliable92,891
Alaska Native people20114.21.86.6Statistically unreliable122,830
Alaska Native people20123.61.45.8Statistically unreliable102,806
Alaska Native people20136.23.79.8Statistically unreliable182,902
Alaska Native people20147.24.511.1212,897
Alaska Native people20157.34.511.1212,884
Alaska Native people20165.33.08.7Statistically unreliable163,003
Alaska Native people20174.42.37.7Statistically unreliable122,726
U.S.19903.4
U.S.19913.4
U.S.19923.1
U.S.19933.1
U.S.19942.9
U.S.19952.7
U.S.19962.6
U.S.19972.4
U.S.19982.4
U.S.19992.3
U.S.20002.3
U.S.20012.3
U.S.20022.3
U.S.20032.2
U.S.20042.3
U.S.20052.3
U.S.20062.2
U.S.20072.3
U.S.20082.3
U.S.20092.2
U.S.20102.1
U.S.20112.0
U.S.20122.0
U.S.20131.9
U.S.20141.97,4953,988,076
U.S.20152.07,7863,978,497
U.S.20162.07,8543,945,875
U.S.2017**

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   Postneonatal deaths are infants of 28 days to 1 year old at the time of death. [SAS analysis in November 2018] Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution. ** = Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Deaths at Under 1 Year of Age per 1,000 Live Births by race, Alaska, 2013-2017 (5-year average)

::chart - missing::
confidence limits

RaceDeaths per 1,000 Live BirthsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
American Indian/Native Alaskan10.28.612.014714,412
Asian/Pacific Islander4.42.96.4265,907
Black8.95.513.6212,352
White4.13.44.913131,748

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Starting in 2013, Alaska birth certificates allowed for one or more races to be identified. This occurred in 2014 for death certificates. We use a prioritized race classification starting with any mention of Alaska Native, followed by any mention of Black, then by any mention of Asian or Pacific Islander, and ending with any mention of White. All other or unknown races are excluded. This method is preferred over the race alone or bridged race methods because the denominators more closely align with the preceding years. It also eliminates the chance of including the same person in 2 or more races.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Infant Mortality: Deaths at under 1 year of age, by Medicaid status, Alaska, 2007-2017 (5-year moving average)

::chart - missing::
confidence limits

Medicaid EligibilityDeaths per 1,000 live birthsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
Medicaid2007-20115.64.86.616429,116
Medicaid2008-20125.44.66.416129,561
Medicaid2009-20135.74.96.716929,401
Medicaid2010-20145.44.66.315728,982
Medicaid2011-20156.35.47.317928,377
Medicaid2012-20166.65.87.718728,167
Medicaid2013-20177.06.18.119427,643
non-Medicaid2007-20114.94.15.813427,573
non-Medicaid2008-20124.74.05.612927,242
non-Medicaid2009-20134.33.55.111727,415
non-Medicaid2010-20144.53.85.412627,845
non-Medicaid2011-20154.94.25.814028,288
non-Medicaid2012-20165.24.46.114728,274
non-Medicaid2013-20174.94.15.813728,080

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Alaska links vital records to Medicaid/CHIP enrollment data records to determine enrollment of the mother, father, or infant at the time of the birth.


Infant Mortality: Deaths at under 1 year of age, by public health regions, all Alaskans, 2013-2017 (5-year average)

::chart - missing::
confidence limits

Deaths per 1,000 Live BirthsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Anchorage6.05.07.113622,681
Gulf Coast4.73.17.0255,288
Interior5.34.07.0519,533
Mat-Su3.92.65.7287,147
Northern11.07.515.6312,821
Southeast5.23.27.9214,063
Southwest9.97.113.4424,246
Statewide6.05.46.733555,809

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Region is determined by maternal residence at birth, not site of delivery.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Infant Mortality: Deaths at under 1 year of age, by behavioral health regions, all Alaskans, 2013-2017 (5-year average)

::chart - missing::
confidence limits

Deaths per 1,000 Live BirthsLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 11
Anchorage Muncipality6.05.07.113622,681
Fairbanks North Star Borough4.93.66.9428,488
City and Borough of Juneau6.82.910.3Statistically unreliable111,906
Kenai Peninsula Borough4.82.87.7Statistically unreliable173,536
Matanuska-Susitna Borough3.92.65.7287,147
Northwest Region11.07.515.6312,821
Other Interior Region5.82.810.2Statistically unreliable101,721
Other SE - Northern**Suppressed1,011
Other SE - Southern7.03.013.8Statistically unreliable81,146
Y-K Delta Region10.67.414.8353,298
Southwest Region6.93.811.6Statistically unreliable142,024

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Region is determined by maternal residence at birth, not site of delivery. Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution. Rates based on fewer than 6 occurrences are not reported. Small population sizes in some regions caused infant mortality rates to be unreliable or not listed. Unreliable rates may not accurately reflect the true underlying risk in the population. ** = Data not available

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Deaths at Under 1 Year of Age per 1,000 Live Births by boroughs and census areas, all Alaskans, 2008-2017 (10-year average)

::chart - missing::
confidence limits

Deaths per 1,000 Live BirthsLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 31
Alaska Total5.55.16.0628112,643
Aleutians East Borough**0168
Aleutians West CA**Suppressed326
Anchorage Municipality5.44.76.124745,990
Bethel CA9.97.213.4434,325
Bristol Bay Borough**Suppressed101
Denali Borough**Suppressed239
Dillingham CA7.73.315.2Statistically unreliable81,035
Fairbanks North Star Borough4.33.45.47316,898
Haines Borough**0208
Hoonah-Angoon CA**0218
Juneau Borough4.93.07.7193,874
Kenai Peninsula Borough4.22.96.1307,060
Ketchikan Gateway Borough5.22.49.8Statistically unreliable91,744
Kodiak Island Borough6.03.210.2Statistically unreliable132,171
Kusilvak CA12.98.818.4312,397
Lake and Peninsula Borough**0318
Matanuska-Susitna Borough4.13.15.35613,674
Nome CA9.96.314.8232,326
North Slope Borough9.75.715.6Statistically unreliable171,749
Northwest Arctic Borough13.08.419.3251,917
Petersburgh Borough**Suppressed365
Prince of Wales-Hyder CA**Suppressed770
Sitka Borough**Suppressed999
Skagway Municipality**0114
Southeast Fairbanks CA**Suppressed1,127
Valdez-Cordova CA**Suppressed1,295
Wrangell Borough**Suppressed246
Yakutat Borough**080
Yukon-Koyukuk CA10.54.820.0Statistically unreliable9856

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Census area is determined by maternal residence at birth, not site of delivery. Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution. Rates based on fewer than 6 occurrences are not reported. Small population sizes in some census areas caused infant mortality rates to be unreliable or not listed. Unreliable rates may not accurately reflect the true underlying risk in the population. ** = Data not available Results for Skagway Municipality and Hoonah-Angoon Census Area are replicated from the combined earlier Skagway-Hoonah-Angoon Census Area. Results for the Wrangell Borough and the Petersburg Borough are replicated from the combined earlier Wrangell-Petersburg Census Area.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Deaths at Under 1 Year of Age per 1,000 Live Births by tribal health regions, all Alaskans, 2013-2017 (5-year average)

::chart - missing::
confidence limits

Deaths per 1,000 Live BirthsLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 12
Aleutians and Pribilofs**Suppressed227
Anchorage/Mat-Su5.54.76.416429,828
Arctic Slope8.53.118.6Statistically unreliable6702
Bristol Bay7.92.917.1Statistically unreliable6763
Copper R/Prince William Snd.**Suppressed68
Interior5.44.07.0519,516
Kenai Peninsula4.82.87.7Statistically unreliable173,535
Kodiak Area6.52.613.4Statistically unreliable71,076
Northwest Arctic15.28.525.1Statistically unreliable15985
Norton Sound6.42.613.3Statistically unreliable71,086
Southeast5.23.27.9214,063
Yukon-Kuskokwim11.27.915.4373,313

Data Notes

Data for infant mortality calculated by Maternal and Child Health Epidemiology Unit (MCH-Epi), Section of Women's, Children's and Family Health in November 2018. Birth certificate data updated by HAVRS on September 14, 2018. Death certificate data updated by HAVRS on September 14, 2018.   [SAS analysis in November 2018] Region is determined by maternal residence at birth, not site of delivery. Rates based upon fewer than 20 occurrences are statistically unreliable and should be used with caution. Rates based on fewer than 6 occurrences are not reported. Small population sizes in some regions caused infant mortality rates to be unreliable or not listed. Unreliable rates may not accurately reflect the true underlying risk in the population. ** = Data not available

References and Community Resources

'''References:''' 1. State Infant Mortality Toolkit. [http://www.amchp.org/programsandtopics/data-assessment/InfantMortalityToolkit/Documents/Why%20Focus%20on%20IM.pdf]. Association of Maternal & Child Health Programs. Accessed on April 24, 2018. 2. U.S. Centers for Disease Control and Prevention (CDC). Infant mortality rates by state, 2016. [https://www.cdc.gov/nchs/fastats/infant-health.htm]. Accessed August 28, 2018. 3. Stats of the States - Infant Mortality. Infant Mortality Rates by state, 2016. [https://www.cdc.gov/nchs/pressroom/sosmap/infant_mortality_rates/infant_mortality.htm] Accessed April 23, 2018. 4. Alaska Department of Health and Social Services. Alaska Maternal and Child Death Review (MCDR). [http://dhss.alaska.gov/dph/wcfh/Pages/mchepi/mcdr/default.aspx]. Accessed April 23, 2018. 5. Alaska Infant Safe Sleep Project. [http://dhss.alaska.gov/dph/wcfh/Pages/perinatal/safesleep.aspx]. Accessed April 24, 2018. '''Resources:''' Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2017 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2017.pdf]. National Institute for Children's Health Quality (NICHQ). Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN). [https://www.nichq.org/project/collaborative-improvement-and-innovation-network-reduce-infant-mortality-infant-mortality]. Centers for Disease Control and Prevention, Reproductive Health, Maternal and Infant Health. Infant Mortality. [http://www.cdc.gov/reproductivehealth/maternalinfanthealth/infantmortality.htm] The following organizations offer support for people who have lost a baby: CJ Foundation for SIDS [http://www.cjsids.org/] Compassionate Friends [http://www.compassionatefriends.org/home.aspx] First Candle [http://www.firstcandle.org/grieving-families/] March of Dimes [http://www.marchofdimes.org/] M.I.S.S Foundation [http://missfoundation.org/] Share Pregnancy and Infant Loss Support, Inc. [http://nationalshare.org/]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 11/06/2018, Published on 11/21/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 24 April 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Fri, 23 Nov 2018 10:29:32 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 24 April 2019 2:20:50 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Fri, 23 Nov 2018 10:29:32 AKST