Search Results: MCHLine

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

Annotation: This project developed a model integrated service system of educational, health, and social service programs for families of Hawaiian children (prenatal to age 5 years) who are disproportionately at risk for health, social, and educational handicaps. Four Native Hawaiian Family Based Education Centers were established, with three core educational components: A home visiting program, a traveling preschool program, and a center-based preschool. Activities included conducting an extensive assessment of community needs and developing ongoing ties with institutions of higher learning in the State. Strong health promotion and social service programs complemented the educational focus, and a case management system helped families assess their own goals in each of these areas. Community participation and ownership of the program were critical components. [Funded by the Maternal and Child Health Bureau]

Keywords: Community-Based Education Programs, Data Collection, Early Intervention, Education, Family-Based, Hawaiians, Home Visiting, Infant Mortality, Learning Disabilities, Low Birthweight, Parents, Prenatal Care

Annotation: The goal of this project was to reduce the incidence of low birthweight by improving the preconceptional health of women who were at high risk for delivering a low birthweight infant. High-risk women were identified at delivery and were followed for 2 years. Client services were then provided by community health workers, who made home visits and developed a risk reduction plan for each client. Intervention protocols were developed for each risk factor and involved referral to the appropriate resource, followup to ensure client compliance, and reinforcement of professional counseling or supplemental teaching. [Funded by the Maternal and Child Health Bureau]

Keywords: Community-Based Health Services, Florida, High risk groups, High risk mothers, High risk pregnancy, Indigent Patients, Infant Mortality, Intervention, Low Birthweight, WIC Program

Annotation: This project aimed to reduce postneonatal mortality rates associated with inadequate parenting skills and poor utilization of prenatal and child health care services. Activities included establishment of a resource mothers program in which church women were trained to assist pregnant women in negotiating the health care and social services systems, and implementation of a teen peer counselor program. The project also established self-sustaining local coalitions to monitor and address problems that contribute to poor pregnancy outcomes. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Adolescents, Blacks, Clergy, Community-Based Health Services, High risk groups, High risk pregnancy, Infant Mortality, Low income groups, Postneonatal Mortality, Pregnant Women, Prenatal Care, Religious organizations, Rural Populations

Annotation: This project surveyed 3000 postpartum Massachusetts women in order to identify barriers to, components of, and levels of participation in prenatal care, and to collect data on the social context of women's lives during pregnancy. Various interventions with high risk women at four demonstration sites were evaluated and compared. [Funded by the Maternal and Child Health Bureau]

Keywords: High risk pregnancy, Hispanics, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care

Annotation: This project addressed high infant mortality rates in Detroit and Wayne County as the general area of concern. The problems of high infant mortality rates and access to prenatal care were addressed over 3 years through a program of technical assistance to the Detroit/Wayne County Infant Health Promotion Coalition. The coalition, comprised of 36 public and private agencies, was established to address the high infant mortality rate through identification of contributing factors and development of programs to reduce these factors. Process objectives included: (1) identifing barriers to prenatal care through a review of relevant literature; (2) focus group discussions with health professionals and clients; (3) development of surveys of prenatal patients and new mothers with review of their medical charts; and (4) provide technical assistance in evaluating ongoing and proposed outreach efforts. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care

Annotation: The project goal was to decrease the infant mortality rate in the target area to the national average by the end of the 3-year project period. The impact objective was to decrease the incidence of low birthweight to 6.5 percent and continue that downward trend to meet the U.S. Surgeon General's goal of 5 percent by the year 2000, and to increase Early and Periodic Screening, Diagnostic and Treatment screenings to 80 percent of eligible children. The process objectives were to develop a one-stop perinatal and pediatric health facility, to draw St. Tammany Parish women into early prenatal care through aggressive outreach, and to develop a program of education and community support for indigent families. [Funded by the Maternal and Child Health Bureau]

Keywords: EPSDT, Infant Mortality, Low Birthweight, Motor Vehicle Crashes, One Stop Shopping, Prenatal Care, Unintentional Injuries

Annotation: This project sought to reduce infant morbidity and mortality due to low birthweight, and to demonstrate a cost-effective prenatal care program which was integrated into the existing system and can be duplicated in other states. Project objectives included: reducing the incidence of low birthweight newborns in the project; reducing the incidence of women who engage in high-risk behaviors during their pregnancy; instituting a model prenatal education, counseling, referral, and followup program in physicians' offices and other sites; and enhancing the education and counseling skills of prenatal care providers. [Funded by the Maternal and Child Health Bureau]

Keywords: Counseling, Education of Health Professionals, Education of Patients, High risk pregnancy, Infant Morbidity, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care, Referrals

Annotation: These annotated slides outline a presentation on prevention efforts to improve fetal and infant mortality using an approach, called Perinatal Periods of Risk (PPOR), developed by the World Health Organization for developing countries and applying concepts to urban efforts in the United States. It highlights five major steps: (1) engaging community partners, (2) mapping feto-infant mortality, (3) focusing on reducing the overall feto-infant mortality rate, (4) examining potential opportunity gaps, and (5) targeting further investigations and prevention efforts. [Funded in part by the Maternal and Child Health Bureau]

• Report
• One-pager

Keywords: Community coordination, Developing countries, Fetal mortality, Infant mortality, International health, Needs assessment, Prevention, Risk assessment, Statistical analysis

Annotation: This electronic file presents PowerPoint-type slides that describe the Perinatal Periods of Risk (PPOR) analysis process and findings from a study of a reference group of individuals in Arizona that include a chart of feto-infant death, how different data can lead to potential actions, and changes between the first (2000-2002) and second (2003-2005) cohorts. Data are analyzed according to ethnicity, age, and level of education. It concludes with a statement of which groups and which periods on the prenatal-infancy continuum need to be focused on.

Keywords: Arizona, Fetal mortality, Infant mortality, State surveys

Annotation: This report examines the role of the Title V Maternal and Child Health (MCH) Services Block Grant in addressing the maternal and infant health crisis and related racial and ethnic disparities in the United States. It analyzes fiscal investments for pregnant women and infants across 59 states and territories, comparing federal and non-federal funding ratios and the extent of state matching contributions. The document includes a substantial discussion of methodology and findings linking state funding levels to maternal and infant mortality rates. Recommendations for federal and state-level policy changes are provided, such as designating specific funding percentages for the pregnant and infant population and adopting a maternal and infant health performance measure bundle. Appendices include substantial tables detailing state-specific funding percentages and mortality data.

• Link

Keywords: Data, Funding, Infant health, Infant mortality, Maternal health, Maternal mortality, Measures, Policy, Policy development, Social Security, Title V, State MCH programs, Statistics, Title V programs

Annotation: This website provides information about the Healthy Start program, administered by the Maternal and Child Health Bureau (MCHB), that works to improve health outcomes before, during, and after pregnancy in high-risk communities. The program focuses on enhancing mothers' health, preventing infant death, and eliminating health disparities through comprehensive, personalized care. The website offers several key resources, including a downloadable Healthy Start Fact Sheet providing program overview, links to evaluation reports showing program effectiveness, information about the Healthy Start EPIC Center for training and technical assistance, and access to the CAREWare database system for data management. Visitors can also find a program locator tool to find local Healthy Start sites, details about grant awards from 2019-2024 (including specific community-based doula initiatives), and contact information for additional questions. The site highlights program accomplishments, showing that Healthy Start participants receive early prenatal care, well-woman visits, and depression/interpersonal violence screenings at higher rates than national averages. The website also explains the structure of the Community Consortium approach and describes the Alumni Peer Navigator initiative that employs former program participants to help current families access needed services.

• Link

Keywords: Health care disparities, Health promotion, Healthy Start, Infant health services, Infant mortality, Maternal health services, Perinatal care, Prevention

Annotation: This report presents 97 recommendations developed by the Maine Maternal, Fetal, and Infant Mortality Review (MFIMR) Panel based on reviews of 22 cases of maternal, fetal and infant deaths occurring from July 2023 through December 2024. The 35-member panel reviewed de-identified case narratives to identify contributing factors and develop recommendations to improve health outcomes across 22 thematic areas including cardiovascular care, care coordination, cultural and linguistic support, emergency services, mental health, substance use, and social determinants of health. Panel members prioritized eight recommendations in the areas of mental health, substance use, and cultural/linguistic support, with an additional cross-cutting recommendation on stigma reduction.

• PDF
• MFIMR Panel Website

Keywords: Fatality review, Infant mortality review, Maine, Maternal mortality, Policy development, Protocols, State initiatives, fetal mortality

Annotation: This report describes the landscape of infant mortality in Minnesota, addressing prematurity and birth defects, racial and ethnic disparities, racial justice, and statewide strategic planning to addresses health inequities and improve birth outcomes. A discussion of the COVID-19 pandemic and its impact on infant mortality is included.

• PDF
• Link

Keywords: Alcohol use during pregnancy, Drug use during pregnancy, Ethnic factors, Infant death, Infant mortality, Minnesota, Prenatal influences, Racial factors, Risk factors, State initiatives

Annotation: This report presents 2017–2018 infant mortality rates in the United States by maternal prepregnancy body mass index, and by infant age at death, maternal age, and maternal race and Hispanic origin.

• PDF
• Series Page

Keywords: Infant mortality, Maternal health, Obesity

Annotation: This report from AMCHP discusses how Title V Maternal and Child Health (MCH) programs can develop diverse partnerships to improve health outcomes and address social determinants of health. It presents several case studies demonstrating successful collaboration strategies, including: Arkansas's partnership with African American fraternities (Brothers United) to promote safe sleep practices and reduce infant mortality disparities; Utah's adaptation of the national MotherToBaby program to provide pregnancy and breastfeeding information in rural areas; Mississippi's collaboration with faith-based organizations to provide dental services through a mobile unit; and South Dakota's Park Prescription initiative that partners with healthcare providers to promote physical activity in state parks. Each case study illustrates different partnership strategies: intentional collaboration with community partners, leveraging national initiatives for local impact, integrating programming within faith-based communities, and aligning efforts across government and health systems to address health disparities and improve access to care for underserved populations.

• Link

Keywords: Title V programs, Federal MCH programs, Block grants, Case studies, Infant mortality, Race, Collaboration, Community based programs, Mississippi, South Dakota, Arkansas, Utah

Annotation: This report provides a comprehensive policy framework aimed at eliminating racial disparities in both maternal and infant mortality. Considering solutions that address disparities in both of these areas, the authors outline specific strategies and provide recommendations to (1) improve access to health care and critical services; (2) improve the quality of care provided to pregnant women; (3) address maternal and infant mental health; (4) enhance supports for families before and after birth; and 5) improve data collection and oversight.

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Keywords: , Access to health care, Barriers, Blacks, Data collection, Health equity, Infant mortality, Maternal morbidity, Maternal mortality, Mental health, Public policy, Quality assurance, Racial discrimination, Racial factors, Racism

Annotation: This document describes promising practices for improving infant safe sleep and reducing infant mortality caused by Sudden Infant Death Syndrome (SIDS) and Sudden Unexplained Infant Death (SUID) in these areas: (1) active endorsements of American Academy of Pediatrics guidelines; (2) infant caregiver knowledge, skills, and self-efficacy; (3) community champions; and (4) supportive policies for safe sleep practices.

• Link
• Related Reports

Keywords: Infant mortality, Missouri, Model programs, Prevention, SIDS, Safety, Sleep position, State programs

Annotation: This document provides key information to identify perinatal health issues and help guide decision-making by the Washington State Department of Health and the Department of Social and Health Services. The indicators were derived from Washington State birth, fetal death, and death certificate data, the First Steps Database, and the Pregnancy Risk Assessment Monitoring System. The report includes highlights, a list of areas of concern, and series of key indicator tables. A list of sources is included.

• 2018 Data

Keywords: Breastfeeding, Cesarean section, Infant health, Infant mortality, Low birthweight, Medicaid, Perinatal health, Pregnancy, Smoking during pregnancy, Statistics, Washington, Women's health

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.

• Full Report

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