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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (510 total).

U.S. Centers for Medicare & Medicaid Services. n.d.. Improving access to maternal health care in rural communities. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 62 pp.

Annotation: This issue brief provides background information on rural healthcare access and focuses attention on the need for national, state, and community-based organizations to collaborate on developing an action plan to improve access to maternal health care and improve outcomes for rural women and their babies. It addresses the challenges that rural women face before, during, and after pregnancy and highlights promising approaches and opportunities to improve maternal health care in rural communities. Six case studies address several factors contributing to problems accessing maternal health care in rural communities, including workforce shortages and access to care challenges associated with social determinants of health. They illustrate efforts to stabilize rural hospital obstetrical services, regionalization and coordination of care, quality improvement initiatives, training and guideline development, provider recruitment and retention strategies, and expansion of care models

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov

Keywords: Barriers, Case studies, Health care access, Health equity, Maternal health, Rural health, Rural population, Statistics

Beltrán-Aguilar E, Lin M, Wei L, Thornton-Evans G, Li CH, Espinoza L. 2024. Oral health surveillance report: Dental caries, tooth retention, and edentulism, United States—2017–March 2020. Atlanta, GA: Centers for Disease Control and Prevention, Division of Oral Health, 24 pp.

Annotation: This report presents an analysis of surveillance data on prevalence of tooth decay in primary and permanent teeth, tooth retention, and edentulism. An editorial comment is included. Statistical information is presented in figures and tables.

Contact: Centers for Disease Control and Prevention, Division of Oral Health, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: [email protected] Web Site: http://www.cdc.gov/OralHealth Available at no charge; also available from the website.

Keywords: Dental caries, Fluoride, Older adults, Oral health, Population surveillance, Public health, Statistics

Gunja M et al. 2024. Insights into the U.S. maternal mortality crisis: An international comparison. New York, NY: Commonwealth Fund,

Annotation: This report examines international maternal mortality data from 2022, comparing rates across high-income countries with particular focus on racial and ethnic disparities in the United States. It presents data on the timing of pregnancy-related deaths, showing that 65% occur during the postpartum period, and analyzes healthcare workforce capacity by comparing the number of obstetrician-gynecologists and midwives per 1,000 live births across countries. The report also compares federally mandated paid maternity, parental, and home care leave policies among high-income nations, highlighting significant disparities in access to care and support services.

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

Keywords: Data, International health, Maternal mortality, Public policy, Statistics, Trends

Children's Defense Fund. 2023. The state of America's children. Washington, DC: Children's Defense Fund, irregular.

Annotation: This series of reports is a compilation and analysis of national and U.S. state-by-state data on child population, child poverty, family structure, family income, housing and homelessness, hunger and nutrition, health, early childhood, education, child welfare, juvenile justice, and gun violence. Changes in key child and national well-being indicators are included.

Contact: Children's Defense Fund, 25 E Street, N.W., Washington, DC 20001, Telephone: (202) 628-8787 Secondary Telephone: (800) 233-1200 E-mail: [email protected] Web Site: http://www.childrensdefense.org Available from the website.

Keywords: Child health, Child nutrition, Child welfare, Data, Early childhood development, Education, Ethnic groups, Family characteristics, Gun violence, High risk groups, Population surveillance, Poverty, Statistics, Trends

Medicaid and CHIP Payment and Access Commission. 2023. Medicaid access in brief: Children and youth with special health care needs . Washington, DC: Medicaid and CHIP Payment and Access Commission, 14 pp.

Annotation: This issue brief uses data from the 2018 and 2019 National Survey of Children’s Health (NSCH) to examine differences in health status, access to care, referrals, needed care, and the cost of care for children and youth with special health care needs (CYSHCN) covered by Medicaid with those covered by private insurance and those without insurance. Included are selected demographic and socioeconomic characteristics of CYSHCN (Ages 0-17); their health status, use of care, and quality of care according to insurance status; and the percentage of CYSHCN in each state and the source of their health insurance coverage (Medicaid, private only, or both).

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: [email protected] Web Site: http://www.macpac.gov

Keywords: Access to care, Adolescents with special health care needs, Children with special health care needs, Costs, Data, Health status, Medicaid, Statistics

Maternal Health Learning and Innovation Center. 2023. Advance data collection, standardization, harmonization, transparency,research, and analysis. Chapel Hill, NC: Maternal Health Learning and Innovation Center, 13 pp. (White House blueprint evidence to action brief )

Annotation: This brief highlights Goal 3 of the White House blueprint for addressing the maternal health crisis, which is to advance data collection, standardization, harmonization, transparency, research, and analysis. The brief outlines the need to mprove data collection by enhancing MMRC (Maternal Mortality and Review Committee) data to inform maternal health interventions; bolster research and build the next generation of maternal health researchers; and better understand conditions that impact pregnancy. Evidence-informed strategies for improvement, criteria for states to consider when developing strategies, and additional resources are included. Statistics indicate which states are funded to enhance maternal mortality review and surveillance; the percentage of epidemiologists employed at the state and jurisdiction levels by program area; and the states that participate in the Pregnancy Risk Assessment Monitoring System (PRAMS).

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

Keywords: Data collection, Initiatives, Maternal health, Monitoring, Population surveillance, Risk assessment, Statistics

Maternal Health Learning and Innovation Center. 2023. Expand and diversify the perinatal workforce. Chapel Hill, NC: Maternal Health Learning and Innovation Center, 14 pp. (White House blueprint evidence to action briefs )

Annotation: This action brief describes the need to expand and diversify the perinatal workforce to meet the nation's health care needs. Compounding the limited access to maternal health care professionals, the brief highlights the lack of racial and ethnic diversity in the workforce and recommends increasing the number of nurses, health aids, midwives, doulas, lactation consultants, and community health workers to help bridge the gap. Statistics on maternity care desserts and employment of obstetricians and gynecologists by state are included The brief also describes the numerous factors that influence the lack of maternal health care practitioners in the U.S. and includes a list of innovative projects and programs aimed at addressing the issue.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

Keywords: Access to care, Barriers, Healtah equity, Initiatives, Maternal health, Perinatal care, Statistics, Work force

Children's Safety Network. 2022. Injury prevention: What works?—A summary of cost-outcome analysis for injury prevention programs (2022 update). Newton, MA: Children's Safety Network Economics and Data Analysis Resource Center; Calverton, MD: Pacific Institute for Research and Evaluation (PIRE), 34 pp.

Annotation: This report presents information on methods for conducting cost-outcome analysis for a number of child, adolescent, and adult injury prevention and intervention programs, followed by data and analysis for specific program types. Topics include motor vehicle and pedestrian safety intervention, impaired driving and pedestrian intervention, open-flame and burn prevention, violence prevention, substance abuse intervention, and health services and miscellaneous injury prevention. Data tables, a glossary, and references are provided.

Contact: Children's Safety Network, Education Development Center, 43 Foundry Avenue, Waltham, MA 02453-8313, Telephone: (617) 618-2918 Fax: (617) 969-9186 E-mail: [email protected] Web Site: http://www.childrenssafetynetwork.org Available from the website.

Keywords: Adolescents, Adults, Burn prevention, Children, Cost benefit analysis, Impaired driving, Injury prevention, Motor vehicle safety, Pedestrians, Prevention programs, Preventive health services, Statistics, Substance abuse treatment, Violence prevention

March of Dimes. 2022. Nowhere to go: Maternity care deserts across the U.S.. White Plains, NY: March of Dimes, 36 pp.

Annotation: This report builds upon the 2022 report and continues to identify counties where a woman’s access to maternity health services may be limited or absent. It describes policy solutions and actions; gives summary data about maternity care deserts with a map showing each county in the U.S. and its level of access to maternity care; characteristics of maternity care deserts; information about and maps of hospitals, birth centers, providers, midwives and doulas; health insurance coverage; perinatal regionalization and risk-appropriate levels of care; and the covid-19 pandemic and access to maternity care.

Contact: March of Dimes, 1275 Mamaroneck Avenue, White Plains, NY 10605, Telephone: (914) 997-4488 Secondary Telephone: Web Site: http://www.marchofdimes.com Available from the website.

Keywords: Access to care, Infant health, Maternal health, Perinatal health, Pregnant women, State surveys, Statistics

U.S. Government Accountability Office . 2022. Maternal health: Outcomes worsened and disparities persisted during the pandemic . Washington, DC: U.S. Government Accountability Office , 32 pp.

Annotation: This report to Congress describes 1) available federal data and what it reveals about maternal and neonatal outcomes and disparities during the COVID-19 pandemic, and 2) efforts by the U.S. Department of Health and Human Services (HHS) during the pandemic to address maternal health outcomes and disparities. The data is from CDC’s National Center for Health Statistics’ (NCHS) National Vital Statistics System and its Pregnancy Risk Assessment Monitoring System, a state-level surveillance system of survey-based data on maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 Secondary Telephone: E-mail: [email protected] Web Site: http://www.gao.gov

Keywords: Data, Ethnic factors, Federal initiatives , Infectious diseases, Low birthweight, Maternal health, Maternal mortality, Neonatal morbidity, Prenancy complications, Preterm birth, Racial factors, Statistics, Virus diseases

Jabbarpour Y, Greiner A, Jetty A, Kempski A, Kamerow D, Walter G, Sibel J. 2022. Relationships matter: How usual is usual source of (primary) care? . Washington, DC: Primary Care Collaborative , 56 pp.

Annotation: This evidence report emphasizes the importance of having a usual source of primary care and lays out strategies for public and private payers to support such patient/provider relationships. In its review of the literature, the report summarizes the types of usual source of care and trends over time across ages, races/ethnicities, income level, region, and insurance type. Potential solutions to increase the percent of children and adults who have a usual source of primary care include payment reform, changes in benefit design, and workforce diversity.

Contact: Primary Care Collaborative, 601 Thirteenth Street, NW, Suite 430 North, Washington, DC 20005, Telephone: (202) 417-2074 Fax: (202) 417-2082 E-mail: Web Site: https://thepcc.org/

Keywords: Age factors, Economic factors, Ethnic factors, Geographic regions, Health insurance, Literature reviews, Primary care, Racial factors, Statistics, Trends.

Smith JC, Medalia C. 2021. Health insurance coverage in the United States. Washington, DC: U.S. Census Bureau, irregulator. (Current population reports )

Annotation: This report presents statistics on health insurance coverage in the United States based on information collected in the Current Population Survey Annual Social and Economic Supplement and the American Community Survey (ACS). The report presents an overall estimate of the year-to-year change in the health insurance coverage rates based on the ACS. Reports from prior years of the survey (1994 to 2020) are also available from the website. (Note: Due to the redesign of the health insurance section of the CPS ASEC, its estimates of health insurance coverage are not directly comparable to estimates from earlier years of the survey.)

Contact: U.S. Census Bureau, 4600 Silver Hill Road, Washington, DC 20233, Telephone: (301) 763-4748 E-mail: [email protected] Web Site: http://www.census.gov Available from the website.

Keywords: Health insurance, Statistics

Williams E, and Musumeci MB. 2021. Children with Special Health Care Needs: Coverage, Affordability, and HCBS Access. Menlo Park, CA: Henry J. Kaiser Family Foundation,

Annotation: This issue brief describes key characteristics of children with special health care needs and explores insurance affordability, adequacy of coverage, and benefits for children covered by Medicaid/CHIP compared to those with private insurance only. The brief provides a context for ongoing policy discussions around additional investments in Medicaid, including home and community-based services (HCBS), for children with special health care needs.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org

Keywords: Children with special health care needs, Community based services, Health care costs, Health insurance, Home care, Medicaid, Public assistance, Special health care services, Statistics

Lloyd CM, Shaw S, Alvira-Hammond M, Hazelwood AM, DeMand A. 2021. Racism and discrimination contribute to housing instability for black families during the pandemic. Bethesda, MD: Child Trends , 7 pp.

Annotation: This issue brief presents recent data on the impact of the COVID-19 pandemic on Black families’ access to stable housing in the United States and, at the local level, in Newark, New Jersey. It places the problem of housing instability within geographical context, comparing national findings on Black families' housing needs with those found in the South ward of Newark. The brief highlights the need for a policy agenda that addresses disparities in access to basic needs and provides recommendations for local policy makers and community leaders in support of equitable access to stable housing.

Contact: Child Trends , 7315 Wisconsin Avenue, Suite 1200 W, Bethesda, MD 20814, Telephone: (240) 223-9200 E-mail: Web Site: http://www.childtrends.org

Keywords: Blacks, Child health, Data, Families, Homeless persons, Homelessness, Housing, Policy development, Statistics, Trends

U.S. Maternal and Child Health Bureau. 2020. Children with special health care needs. Rockville, MD: U.S. Maternal and Child Health Bureau, 3 pp. (NSCH data brief)

Annotation: This brief provides a 2017-2018 data snapshot of children and youth with special health care needs (CHSYCN) from the National Survey of Children's Health (NSCH). It covers types of special health care needs in this population, frequency/degree of activity limitations, prevalence of certain health conditions, key indicators and effective systems. It also describes the NCSH data collection.

Contact: U.S. Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 443-2170 Web Site: https://mchb.hrsa.gov Available from the website.

Keywords: Adolescents with special health care needs, Children with special health care needs, Statistics

Anderson KA, Rast JE, Roux AM, Garfield T, Shattuck PT. 2020. National autism indicators report: Children on the autism spectrum and family financial hardship. Philadelphia, PA: A. J. Drexel Autism Institute, Life Course Outcomes Research Program, 47 pp.

Annotation: This report focuses on the financial hardships facing families raising children on the autism spectrum. It discusses disability and sociodemographic characteristics of children with autism spectrum disorders, levels of family financial hardship, and safety net program use. Recommendations are included. [Funded by the Maternal and Child Health Bureau]

Contact: Drexel Autism Institute, Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104, E-mail: https://drexel.ed Web Site: https://drexel.edu/autisminstitute/ Available from the website.

Keywords: Autism, Children with special health care needs, Family support services, Financial barriers, Financial support, Statistics

Nguyen US, Smith S, Granja MR. 2020. Young children in deep poverty: Racial/ethnic disparities and child wellbeing compared to other groups. New York, NY: National Center for Children in Poverty, 20 pp.

Annotation: This report presents analyses with data that highlight the needs of young children and families in deep poverty, along with updated recommendations. Topics covered include differences in health and development indicators across income groups, differences in family and community factors across income groups, and racial/ethnic disparities in young children's experience of deep poverty.

Contact: National Center for Children in Poverty, 215 West 125th Street, Third Floor, New York, NY 10027, Telephone: (646) 284-9600 Fax: (646) 284-9623 E-mail: [email protected] Web Site: http://www.nccp.org Available from the website.

Keywords: Child development, Child health, Ethnic factors, Poverty, Racial factors, Social factors, Statistics, Young children

Kaiser Family Foundation . 2020. Births financed by Medicaid . , 1

Annotation: This table presents a list of the number and percentage of births financed by Medicaid in each of the 50 united states. The analysis is based on data from the CDC Wonder Online Database.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org

Keywords: Childbirth, Data, Health surveys , Medicaid, Statistical analysis, Statistical data, Statistics, United States

Scrimshaw SC, Emily P. Backes EP, eds; National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Health and Medicine Division;. 2020. Birth settings in America : Outcomes, access, quality, and choice. Washington, DC: The National Academies Press, 354 pp.

Annotation: This consensus study report reviews and evaluates maternal and newborn care in the United States; the epidemiology of social and clinical risks in pregnancy and childbirth; research on birth settings; and access to and choice of birth settings in America. Maternal and neonatal interventions and health outcomes are compared across birth settings, including hospitals, birthing centers, and home birth environments.

Contact: National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, 500 Fifth Street, N.W., Washington, DC 20001, Telephone: (202) 334-2352 Fax: (202) 334-1412 E-mail: [email protected] Web Site: https://www.nationalacademies.org/hmd Available from the website.

Keywords: Access to care, Birthing centers, Cesarean section, Childbirth, Health facilities, Home childbirth, Hospitals, Infant care, Maternal health, Maternal morbidity, Maternity hospitals, Measures, Midwifery, Policy , Pregnancy, Pregnancy outcome, Risk factors, Social factors, Statistics, Trends

Centers for Disease Control and Prevention . 2020. Identifying maternal depression: Missed opportunities to support moms. Atlanta, GA: Centers for Disease Control and Prevention , 2 pp.

Annotation: This tip sheet describes how women with maternal depression can be identified and supported by states, health care providers, families, and friends. It defines and describes the symptoms of postpartum depression (vs. the "baby blues"); includes a map comparing rates of reported symptoms of depression after birth; and a link to additional resources.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: [email protected] Web Site: http://www.cdc.gov

Keywords: Maternal mental health, Postpartum depression, Screening, Social support, Statistics

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The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.