Joint Strategic Needs Assessment (JSNA)
What happens in pregnancy and early childhood impacts on physical and emotional health all the way through to adulthood. Every child in Liverpool should be given the best start in life, with the crucial period starting from pregnancy to the age of two.
• In 2017, there were 5,906 live births in Liverpool (ONS, 2018). There were 311 more births to Liverpool mothers than a decade ago.
• There were 5.7 infant deaths per 1,000 live births in 2015-2017, which was statistically significantly higher than the England rate.
• Some 2.9% of live births at term had a low birthweight (defined as weighing under 2500g), similar to 2.8% reported nationally.
• About 1 in 7 mothers were recorded as being smokers at the time of the delivery of their baby, compared with 1 in 9 nationally.
• Only 55% of Liverpool mothers initiated breastfeeding and only 35% were breastfeeding 6-8 weeks after the birth of their baby (England reported figures of 75% and 43% respectively).
• Vaccination figures in Liverpool are higher than nationally. In 2017/18 some 96% of two year olds in the city had been vaccinated for Dtap/IPV/Hib.
• Liverpool has a high rate of A&E attendances for children aged 0-4 years, 62% higher than England.
• One in four of our children aged 4-5 years are either overweight or obese.
• Six in ten Liverpool children have a good level of development at the end of their school reception year, compared with 7 out of 10 nationally.
Detailed needs assessments
In summer 2017 the following health needs assessments were published in relation to Early Years:
- State of child health report 2019
- Children and young people infographic
- Infant mortality
- Childhood obesity