2025 Children's of Alabmama Community Health Needs Assessment

APPENDIX Q. Other Issues Comments, Categorized

Category

Count % of all

Examples

Healthcare access barriers (cost/availability/scheduling/ transport) Parent education, engagement & family support

32 20.6% “Access for Children with disabilities”; “Rural healthcare access”

25 16.1% “Parent responsibility”; “autism/behavioral training for parents… de-escalation” 12 7.7% “Guide to healthcare for special needs”; “Coordination for children with special health care needs” 11 7.1% “Intentional overdoses/SI;” “Lack of counseling” 5.8% “Food desert;” “Toxins in our food and water sources.” 5.2% “Childhood cancer;” “Type1 diabetic help for adolescents” 4.5% “Income of parents;” “Missed work” 4.5% “Bullying/Negative peer pressure;” “gender identity” 3.2% “Threat of Medicaid cuts;” “the ability to make medical decisions at too young an age” 8 7 5 9

Special needs & care coordination

Mental/behavioral health & suicide/trauma Nutrition/food access & water/ contaminants Chronic & specialty pediatric conditions/services

Socioeconomic (income/ housing/employment)

School climate, policy & services 7

Policy & legislation (incl. Medicaid/consent) Sexual & reproductive health (incl. STIs/pregnancy)

5

3.2% “Sex education;” “Teen pregnancy”

Public safety & law enforcement 5

3.2% “Public safety;” “Police and ICE”

Immunizations & vaccine confidence

4

2.6% “Vaccine hesitancy;” “Under immunization”

Childcare & early childhood 4

2.6% “Childcare;” “Pre K/early childhood”

Care quality, respect & trust

3

1.9% “Doctors gaslighting parents;” “Respect for children”

Oral/dental health

3

1.9% “Dental;” “Oral health”

Child welfare & foster care (incl. neglect/abuse) Immigration & social policy

3

1.9% “Neglect;” “Lack of foster homes”

1

0.6% Paraphrased for tone: concern about immi grants’ use of resources

Health literacy & communication 1

0.6% “Literacy”

Faith & spiritual support

1

0.6% “Spiritual health”

Sleep & healthy daily routines

1

0.6% “Sleep hygiene”

Children’s Hospital services (requests/complaints)

1

0.6% “Not enough specialty clinics and Children’s hospitals in the US”

Children’s of Alabama, 2025 CHNA

66