Search Results: MCHLine

Keywords: Child mortality, Infant mortality, Maternal mortality, Statistics

Annotation: The Arkansas Demonstration Project utilized a broad-based approach to evaluate and improve the outcome of pediatric emergencies in Arkansas. It involved interaction with many statewide agencies, including various offices of the Arkansas Department of Health and the Area Health Education Centers (AHECs) of the University of Arkansas for Medical Sciences. The project was designed with four primary purposes: (1) Increase the level of knowledge regarding the consequences of critical illness and injury in children in the State of Arkansas; (2) improve the emergency medical services provided to those children during the project period and after, particularly to handicapped and minority children; (3) determine the effectiveness of the proposed methodologies for the reduction of morbidity and mortality associated with childhood illness and injury; and (4) determine effective methods of imparting the knowledge gained to other States in a manner resulting in the adoption of effective programs by those States. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB93-196947.

Keywords: Ambulances, Child Education of Health Professionals, Data Bases, Data Collection, Disabled, Emergency Medical Services, Emergency Medical Technicians (EMTs), Emergency medical technicians, Minorities, Morbidity, Mortality, Networking

Annotation: The purpose of the Oklahoma Pediatric Injury Control Project was to increase the functional capacity of the Maternal and Child Health Service of the Oklahoma State Department of Health to address the problem of pediatric injuries. The objectives of the project address the leading causes of childhood mortality in Oklahoma - motor vehicle crashes, submersions and burns. The overall methodology focused on utilization of intra- and interagency coalitions. Specific strategies included car seat loaners programs, drowning and burn prevention education activities, and smoke alarm programs. The project successfully carried out objectives related to prevention of motor vehicle injuries, drowning and burns. By empowering collaborating agencies and programs, the project has assured continuation of a focus on prevention of pediatric injuries in Oklahoma. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: [email protected] Web Site: http://www.ntis.gov Document Number: NTIS PB94-161569.

Keywords: Burns, Car Seats, Child, Community-Based Education Programs, Drowning, Injuries, Injury Prevention, Morbidity, Mortality, Motor vehicle crashes, Parents, Poisons, Safety

Annotation: The project's goals were to: (1) Develop and implement structures and processes in defined community areas to plan and implement a family-centered, community-based health care delivery system for children; (2) develop data system capacity and function statewide to ensure family-centered, community-based primary care services for children; and (3) share experiences in family-centered, community-based system change in the area of primary health care for children with other State, regional, and national maternal and child health providers. At the State level, strategies were directed toward developing a system of children's primary health care delivery that was family centered and community based. At the local level, child health steering committees in established projects were to continue to plan and implement child health system changes in their service areas. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Child Mortality, Community Based Health Services, Databases, Family Centered Health Care, Information Systems, Primary Care, Standards of Care, State Programs

Annotation: This recorded webinar provides background information on the global maternal mortlaity crisis and highlights opportunities for birth workers to intervene and alleviate the crisis. Guest presenters from international maternal and child health organizations give an overview of their practice to support pregnant and birthing people, and prevent maternal deaths. Special guests: Andrew Herrera, MPH, MBA, Executive Director of Curamericas; Mario Rodriguez Valdez Ramirez, Executive Director of Casa Maternas, Guatemala; Juany Valdez, Head Nurse of Casa Maternas, Guatemala; Nick Pearson, Founder and Co-Executive Director of Jacranda Health; Chanel Porchia-Albert, Founder of Ancient Song Doula Services.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org Available from the website.

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Keywords: Childbirth, Community health workers, Doulas, International health, Maternal mortality, Midwifery, Pregnancy, Prevention, Social support

Annotation: This fact sheet outlines strategies for incorporating community-based doulas into Medicaid to improve maternal health outcomes. It describes how doulas provide emotional, physical, and informational support during pregnancy and can help reduce high-risk pregnancies, low birthweight babies, and cesarean section rates, particularly benefiting communities with high maternal mortality rates. The document presents three key strategies for state Medicaid agencies and managed care organizations to support doulas in becoming Medicaid providers: engaging doulas in benefit design and implementation, allowing diverse doula training organizations to meet community needs, and simplifying the Medicaid enrollment process. Examples from states like Maryland, New Jersey, Rhode Island, and Virginia illustrate successful approaches such as creating advisory groups, hosting stakeholder meetings, accepting both national and BIPOC-led training organizations, and providing enrollment guidance. The resource emphasizes the importance of a diverse workforce that meets the needs of birthing individuals.

Contact: Center for Health Care Strategies, 300 American Metro Boulevard, Suite 125, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

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Keywords: Childbirth, Community health services, Doulas, Financing, Health insurance, Maternal mortality, Medicaid, Prevention, State initiatives

Annotation: This data brief examines severe maternal morbidity in the United States, which affects approximately 50,000-60,000 women annually. It describes the scope and severity of maternal health complications before, during, and after childbirth, highlighting stark racial and socioeconomic disparities. The brief discusses different definitions and measurement approaches for severe maternal morbidity, common indicators and conditions, risk factors, and implications for health care costs and postpartum health. It also provides recommendations for improving maternal health outcomes and measurement, including expanding insurance coverage and adopting more comprehensive, culturally appropriate care models.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org

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Keywords: Data , Maternal death, Maternal morbidity, Maternal mortality, Childbirth, Postpartum care

Annotation: This report presents the Maternal Wellbeing City Dashboard, a data-driven platform developed by Ariadne Labs' Delivery Decisions Initiative to improve maternal health outcomes in U.S. cities. The dashboard uses a community livability framework to visualize neighborhood-level indicators across eight social determinants of health, with particular focus on reducing racial inequities. The project combines urban planning and public health approaches to center birthing people in local policy and programming. The report documents the dashboard's development process, including stakeholder engagement and pilot testing in Tulsa, Pittsburgh, and New York City. Testing results indicate the dashboard effectively builds knowledge among users and enables local engagement across various stakeholder groups. Key recommendations include improving navigation, enhancing data interaction capabilities, and enabling local customization to foster community building. The dashboard aims to serve as a catalyst for data-informed action to create more livable communities for birthing people through cross-sector collaboration.

Contact: Ariadne Labs, 401 Park Drive, Third Floor WEST , Boston, MA 02115, Telephone: (617) 384-6555 E-mail: [email protected] Web Site: https://www.ariadnelabs.org/

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Keywords: Childbirth, Collaboration, Community participation, Data aggregation, Health care disparities, Health equity, Maternal health, Maternal mortality, Racial factors, Social determinants of health, Urban health

Annotation: This report presents key perspectives, lessons learned, and policy recommendations for state- and federal-level initiatives that center around the work of doulas and midwives in addressing the nation’s maternal health crisis.The report discusses racial disparities in maternal and infant morbidity and mortality and describes how birth workers can help reduce health risks, particularly among black and indigenous individuals giving birth. Information and perspectives shared by doulas and midwives interviewed for the report fall into three major categories: 1) the role and importance of community-based birth workers and the re-centering of the community in pregnancy-related care; 2) guidelines for health care system integration and the role of government; and 3) the creation of a progressive vision for pregnancy-related care in the United States.

Contact: Center for American Progress, 1333 H Street, N.W., 10th Floor, Washington, DC 20005, Telephone: (202) 682-1611 E-mail: [email protected] Web Site: http://www.americanprogress.org

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Keywords: Alaska natives , American Indians, Barriers, Blacks, Childbirth, Community health services, Maternal health, Maternal morbidity, Maternal mortality, Midwives, Pregnancy, Prevention services, Racial factors, Racism, Risk factors, Social support

Annotation: This chapter examines Medicaid's role in providing maternity care and improving maternal health outcomes in the United States. It describes concerning trends in maternal mortality and morbidity, including racial and ethnic disparities. The chapter provides an overview of Medicaid eligibility and benefits for pregnant women, noting that Medicaid financed over 40% of U.S. births in 2018. It details state and federal efforts to improve maternal care and outcomes through Medicaid, including policies around eligibility, education and outreach, covered benefits, care delivery models, and payment initiatives. The chapter concludes by outlining areas for future Commission work on this topic, such as value-based purchasing and postpartum coverage.

Contact: Medicaid and CHIP Payment and Access Commission, 1800 M Street, N.W., Suite 360 South, Washington, DC 20036, Telephone: (202) 350-2000 Fax: (202) 273-2452 E-mail: https://www.macpac.gov/contact-us/ Web Site: http://www.macpac.gov

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Keywords: Maternal death, Maternal morbidity, Maternal mortality, Childbirth, Medicaid

Annotation: This report summarizes qualitative survey data on midwifery practice icollected from a variety of key stakeholders in New York state, including individuals working in public hospital midwifery departments and academic midwifery programs; private practice midwives working in all settings, health service providers; public health professionals; obstetricians and family physicians; hospital administrators; and childbearing women who have given birth in all settings. The report highlights the value of the midwifery model, including the reduced risk of cesarean delivery and other interventions; the improvement in the childbirth experience; and the reduction in cost. The report discusses the historical and current climate of midwifery care in New York, addresses barriers to midwifery practice, and offers recommendations to maximize midwifery to further improve maternal and infant outcomes.

Contact: Every Mother Counts , E-mail: [email protected] Web Site: https://everymothercounts.org/ Available from the website.

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Keywords: Childbirth, Maternal health services, Maternal mortality, Midwifery, New York, Prevention, Qualitative evaluation , Social support, Surveys

Annotation: This report ranks states on more than 40 indicators of health system performance in five broad areas: health care access, quality, avoidable hospital use and costs, health outcomes, and health care equity. It also compares and evaluates trends across all 50 states and the District of Columbia.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org Available from the website.

• Full Report

Keywords: Access to health care, Adolescents, Adults, Children, Dental care, Equal opportunities, Health care reform, Health care systems, Health care utilization, Health insurance, Health status, Infants, Measures, Morbidity, Mortality, Obesity, Oral health, Preventive health services, Smoking, State initiatives, Statistics, Systems development, Trends

Annotation: This brief identifies evidence-informed strategies that state Title V programs may consider implementing to increase the percentage of very low birth weight (<1500 gm) infants born in hospitals with a level III or higher neonatal intensive care unit. Contents include information about the methods and results of the evidence review, key findings, and implications. The full review is also available. [Funded by the Maternal and Child Health Bureau]

Contact: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 615 North Wolfe Street, Room E4143, Baltimore, MD 21205, Telephone: (410) 502-5450 Fax: (410) 502-5831 Web Site: http://www.jhsph.edu/wchpc Available from the website.

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Keywords: Block grants, Childbirth, Evidence-based practice, High risk pregnancy, Hospitals, Infant mortality, Intervention, Literature reviews, Low birthweight, Measures, Model programs, Neonatal intensive care units, Newborn infants, Perinatal care, Policy development, Program planning, Protective factors, Regional medical centers, Regional planning, Resources for professionals, State MCH programs, Systems development, Title V programs

Annotation: This document identifies evidence-informed strategies that state Title V programs might consider implementing to increase the percentage of very low birth weight (<1500 gm) infants born in a hospital with a level III or higher neonatal intensive care unit. Contents include an introduction and background; review methods and results, including search results, characteristics of studies reviewed, intervention components, summary of study results, and evidence rating and evidence continuum; and implications of the review. [Funded by the Maternal and Child Health Bureau]

Contact: Johns Hopkins Bloomberg School of Public Health, Women's and Children's Health Policy Center, 615 North Wolfe Street, Room E4143, Baltimore, MD 21205, Telephone: (410) 502-5450 Fax: (410) 502-5831 Web Site: http://www.jhsph.edu/wchpc Available from the website.

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• Brief

Keywords: Block grants, Childbirth, Evidence-based practice, High risk pregnancy, Infant mortality, Intervention, Literature reviews, Low birthweight, Measures, Model programs, Neonatal intensive care units, Newborn infants, Perinatal care, Policy development, Program planning, Resources for professionals, State MCH programs, Title V programs

Annotation: These resources are designed to raise awareness of birth defects and expand surveillance, prevention, care, and research worldwide. Contents include a video, social media resources, and partner links.

Contact: National Birth Defects Prevention Network, 1321 Upland Drive, Suite 1561, Houston, TX 77043, E-mail: [email protected] Web Site: https://www.nbdpn.org Available from the website.

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Keywords: Child mortality, Congenital anomalies, Infant mortality, Infants, International health, Mass media, Prevention programs, Public awareness campaigns, Public private partnerships, Young children

Annotation: This guidance is designed to help partners engaged in the fetal infant mortality review (FIMR) or child death review (CDR) process address the vicarious trauma (VT) that can result from exposure to child deaths. Contents include the definition, signs, and symptoms of VT; VT and fatality review; the risk factors for VT; and steps to mitigate the impact of VT. Topics include positive ways to respond to VT including what the FIMR/CDR team, can do, what the FIMR/CDR coordinator can do, and how the agency can support the FIMR or CDR program; what individuals can do for themselves; negative ways to respond to VT including what a state FIMR/CDR coordinator can do if a team resists discussion or activities concerning VT or thinks it doesn't need them. Descriptions of articles, self-inventory checklists, presentations, and other resources are also provided. [Funded by the Maternal and Child Health Bureau]

Contact: National Center for Fatality Review and Prevention, c/o Michigan Public Health Institute, 1115 Massachusetts Avenue, N.W., Washington, DC 20005, Telephone: (800) 656-2434 Secondary Telephone: (517) 614-0379 Fax: (517) 324-6009 E-mail: [email protected] Web Site: https://www.ncfrp.org/ Available from the website.

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Keywords: Child death review, Infant mortality, Leadership, Resources for professionals, Risk factors, Role, Teamwork, Trauma, Trauma care

Annotation: This brief describes efforts to reduce non-medically indicated deliveries before 39 weeks and methods that Title V programs can use to improve birth outcomes. Contents include information about the health and financial implications of non-medically indicated deliveries before 39 weeks gestation; key priorities at the national level; and example strategies in California, Oklahoma, North Carolina, South Carolina, and Texas. Information about the role of Title V as conduit, expert advisor, expediter, and funder of initiatives is included.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org Available from the website.

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Keywords: Cesarean section, Childbirth, Collaboration, Costs, Health care reform, Infant mortality, Low income groups, Measures, Pregnant women, Program improvement, Public private partnerships, Quality assurance, Risk factors, Role, State MCH programs, Title V programs

Annotation: This document reports on investigations of misconduct, misfeasance, malfeasance, and violations of rules, procedures, or laws by Illinois Department of Children and Family Services employees, foster parents, service providers, and contractors with the Department. The document includes a special report on sleep-related infant deaths where parents were investigated by child protection services despite the absence of either drug or alcohol abuse or other blatant disregard.

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• Other Annual Reports

Keywords: Child abuse, Child protective services, Illinois, Infant mortality, SIDS, Sleep environment, Sleep position, State agencies

Annotation: This report describes the Global Strategy for Women's and Children's Health, an international initiative to promote partnership, coordinate, and coherence in efforts to prevent women's and children's deaths and improve lives, advances made over the past five years, and how they have been achieved. Topics include progress in reducing maternal and child mortality and morbidity, catalyzing innovation to improve women's and children's health, accountability for results for women and children, mobilizing essential resources for women's and children's health, lessons learned, and building on gains to date in the post-2015 era.

Contact: Every Woman Every Child, United Nations Foundation, 801 Second Avenue, Suite 900, New York, NY 10017, Web Site: http://www.everywomaneverychild.org Available from the website.

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Keywords: Child health, International health, Maternal health, Morbidity, Mortality, Prevention, Program improvement, Progress reports, Quality assurance, Strategic plans

Annotation: This resource describes a national infant mortality awareness initiative that provides park activities to empower women of reproductive age and new mothers to take charge of their health and the health of their children through activities on eating right, making time for exercise, and other topics for Healthy Start families. The site provides a toolkit to help communities plan a similar event, with resources on getting started, recruiting sponsors, and other steps, along with sample documents and campaign materials.

Contact: U.S. Health Resources and Services Administration, Office of Minority Health, The Tower Building , 1101 Wootton Parkway, Suite 600, Rockville, MD 20852, Telephone: (240) 453-2882 Secondary Telephone: (800)444-6472 Fax: (301)251-2160 E-mail: [email protected] Web Site: http://minorityhealth.hhs.gov Available from the website.

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Keywords: Public awareness campaign, Children, Community participation, Community programs, Families, Health fairs, Health promotion, Infant mortality, Prevention programs, Recreational programs, Women