FIMR Background

Infant mortality—or the death of a baby before his/her first birthday— is a critical indicator of community health.

While recent data shows national infant mortality rates decreasing, in 2010 Ohio’s rate ranked 4th worst in the nation. On average, about 150 Franklin County infants die every year, with Black babies dying at twice the rate of White babies.[1]  This translates to an infant mortality rate (IMR) of 8.3 deaths per 1,000 live births, a rate which is significantly higher than the Healthy People 2020 goal of 6.0.[2].  

Fetal death is defined as the death of a fetus including stillbirths and miscarriages. On average, Franklin County has 118 fetal deaths reported annually; these deaths are not included in the county’s IMR but are another significant indicator of community well-being.

CPH established the Franklin County Fetal Infant Mortality Review Program (FIMR) in January, 2014. CPH patterned its FIMR program on a nationally-recognized FIMR model[3] established by the National Fetal and Infant Mortality Review (NFIMR) Program. This is a collaborative effort between the American Congress of Obstetricians and Gynecologists (ACOG) and HRSA’s Maternal and Child Health Bureau (MCHB).

This model calls for the review of fetal and infant deaths under a unified process, allowing for a more comprehensive assessment of and strategic planning for infant mortality reduction in a community.

Local Infant Mortality Data
Summary reports track preterm births, low birth weight births and sleep related infant deaths.

[1] Columbus Public Health, Infant Mortality Reports. (April 2014).   

[2] United States Department of Health and Human Services, Healthy People 2020. Retrieved January 10, 2014. 

[3] National Fetal and Infant Mortality Review Program. (2008). Fetal and Infant Mortality Review Manual: A Guide for Communities (2nd ed.) Washington, DC.