Search Results: MCHLine

Annotation: This report provides an introduction to the Head Start-State Collaboration Projects, which involve Head Start in state planning and policy making efforts that affect low income children and families. It includes some fact sheets on the Collaboration Projects, project profiles and contact list, legislation regarding Head Start-State Collaboration Projects, and an excerpt from the report of the Advisory Committee on Head Start Quality and Expansion.

Contact: U.S. Administration for Children and Families, 370 L'Enfant Promenade, S.W., Washington, DC 20447, Telephone: (202) 401-9215 Secondary Telephone: (800) 422-4453 Web Site: http://www.acf.hhs.gov Available from the website.

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Keywords: Collaboration, Early childhood education, Family support, Head Start, Low income groups, Policy development, Program descriptions, Public private partnerships, State initiatives, Statewide planning

Annotation: The purpose of this paper is to describe a method used to assess community acceptance of a program to deliver comprehensive health care to children of low income families in New York City and to report the results. This paper is produced as part of the documentation and assessment of the effect of P.L. 89-97, Title II. [Funded by the Maternal and Child Health Bureau]

Keywords: Children and Youth Projects, Comprehensive health care, Federal MCH programs, Low income groups, New York, Program evaluation, Program evaluation, Questionnaires

Annotation: This paper gives a historical overview of the Maternity and Infant Care (MIC) projects enabled through amendments to Title V of the Social Security Act in 1963. The paper presents available data on MIC project accomplishments, with particular emphasis on the relationship of the projects to the incidence of low birth weight. Topics include: the evolution of MIC projects; administration and financing; objectives of the projects; eligibility; coverage of women and infants at risk; quality of care; effects on the use of care and low birth weight; and cost. The difficulties in evaluating these projects is also discussed, including methodological problems and issues of interpretation. A list of references is provided. Tables with information on the projects and evaluations of these projects are provided at the end of the paper.

Keywords: Federal MCH programs, History, Low birthweight infants, Prenatal care, Prevention programs

Annotation: The objective of this study was to determine whether parents who participated in and completed the parent education program exhibited a decrease in stress, an increase in problem solving and had a stronger parent-child relationship. The project was aimed at parents or caregivers of children under 3 years of age who are of low-income and of varying cultural backgrounds. Three primary methods were used to meet the outcome objectives: group sessions (Approaches to Parenting), newsletter (approaches Bulletin) and seminars. Three measures given at pre-test, short-term post-test, and long-term post-test were used for evaluation. In summary, mothers who participated in the intervention were significantly less stressful, had higher self-esteem, and were less overprotective and rejecting of their children. [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 PB93-196855.

Keywords: Caregivers, Health Promotion, Low income groups, Minorities, Parent Education, Parent-Child Interaction, Parents, Stress

Annotation: This project conducted activities on the state and county level, primarily addressing the risk for poisoning, burns, scalds, and motor vehicle injuries for children 4 years of age and younger. Project objectives were to: (1) Develop strategies to make passive injury prevention measures available and accessible, (2) develop incentives for the use of passive injury prevention measures, (3) provide the public with information so that informed decisions could be made to prevent childhood injury, and (4) develop a plan for injury surveillance. [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 PB93-198364.

Keywords: Burns, Drowning, Injuries, Injury Prevention, Low income groups, Motor vehicle crashes, Poisoning, Safety

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]

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 PB93-147023.

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: This project aimed to reduce the incidence of poor health characteristics among low-income, culturally diverse populations by promoting the involvement of primary care physicians (pediatricians) in early screening and intervention. Project goals included increasing the level of preventive health care for underserved children, reducing the severity of psychosocial problems, increasing physicians' sense of involvement as part of a team in providing services to project children and their families, and demonstrating a practical process for accomplishing these goals which can be replicated across the nation. [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 PB93-152833.

Keywords: American Academy of Pediatrics, Child Abuse and Neglect Preventive, Continuing Education, Developmentally Delayed/Disabled, EPSDT, Hawaiians, Health Care, Health Supervision Guidelines, High risk children, Low income groups, Medicaid, Primary Care, Psychological Problems, Well Child Care

Annotation: This project provided a model program for American Indian families and the professionals who served them. The program goals were to identify cultural, systemic, institutional, and policy barriers that inhibit Native American family participation in the "Western" health care/case management system; improve case management by facilitating effective communication between Native American families and the non-Native American health care professionals who serve them; and increase Native American family participation in health care policy development and planning forums in order to promote changes that improve services for Native American children and families. Activities included developing a videotape illustrating effective cross-cultural communication strategies for non-Indian health care providers and training an Indian parent advocate to help families seen at IHS special pediatric clinics. [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 PB93-158251.

Keywords: American Indians, Case Management, Chronically Ill, Community-Based Health Care, Coordination of Health Care, Developmentally Delayed/Disabled, Family-Based Health Care, Indian Health Service (IHS), Low income groups, Parents, Rural Population

Annotation: This project sought to demonstrate that a system of reimbursable, cost-effective, home-based support services can be implemented for families with chronically ill children. The project objectives were to facilitate the provision of home-based care for chronically ill children through the following activities: (1) Developing a regional network of medically skilled respite providers; (2) establishing self-help mutual support groups for chronically ill children and their parents and siblings; (3) training professionals, paraprofessionals, and volunteers; and (4) disseminating project findings and recommendations. [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 PB93-158699.

Keywords: Arthritis, Asthma, Bronchopulmonary Dysplasia, Chronic illnesses and disabilities, Congenital Heart Disease, Cystic Fibrosis, Families, Feeding Disorders, Hemophilia, Home-Based Health Care, Kidney Disease, Leukemia, Low income groups, Muscular Dystrophy, Nurses, Respiratory Technologies, Respite Care, Sick Kids (Need) Involved People (SKIP), Sickle Cell Disease, Support Groups, Tay-Sachs Disease, Ventilator Dependence

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]

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 PB93-196848.

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]

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 PB93-196889.

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 sought to increase the incidence and duration of breastfeeding in the state. The purpose of the project was to develop statewide strategies for breastfeeding promotion. Clients targeted were those least likely to breastfeed. Activities included developing and implementing industry policies that support working, breastfeeding women; conducting a public media campaign and establishing a toll-free hotline; counseling and educating low-income and minority women through WIC and MCH programs; and providing professional education. [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 PB93-196871.

Keywords: Breastfeeding, Infants, Low income groups, Minorities, Mothers, Nutrition, Outreach, WIC Program

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]

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 PB93-144236.

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]

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 PB93-196863.

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

Annotation: The purpose of this project was to mount a large scale effort to improve the rate and duration of breastfeeding in low income women in the Bronx. The project worked with administration and providers at community health centers, public hospitals, and health department-sponsored prenatal and well baby clinics to implement policies and procedures which would promote breastfeeding and to improve the level of attitudes, knowledge and skills of all professional staff in relation to breastfeeding. Due to the size of the population and the project's limitations, activities were chosen that would have a long term effect, and not necessitate the continuous presence of the team at a health facility. The team developed a program of professional education on The Art and Science of Breastfeeding and made recommendations and changes in an agency's policy and procedures. In addition to the professional education component, the team worked with health care facilities to develop and implement policies and procedures which were conducive to the initiation and maintenance of breastfeeding. [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 PB93-198026.

Keywords: Breastfeeding promotion, Infants Breastfeeding mothers, Low income population

Annotation: This project addressed the dramatic rise in homelessness and substance abuse, the relationship between the two problems, and the increasing number of homeless families. The Family Shelter Project provided leadership and coordination for a broad range of health, social, and educational services to be provided to pregnant women, mothers, and children in a therapeutic community which has been established within a city shelter for homeless families. In addition, the project established a professional development collaborative to enhance the capacity of health professionals and those in related professions to serve the homeless, particularly the substance-abusing maternity services population. [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 PB93-216208.

Keywords: Child Abuse and Neglect, Collaboration of Care, Education of Health Professionals, Families, High risk groups, Homeless, Low income groups, Mothers, Pregnant Women, Prenatal Care, Substance Abuse, Urban Populations

Annotation: This project was a partnership between families and their medical home to develop a demonstration model for care coordination for environmentally at-risk infants and toddlers in low-income culturally diverse urban and rural settings. The families were being served as part of the eligible population under P.L. 99–457, with an individualized family support plan (IFSP) developed for each family. The target population included many families of different ethnic origins. [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 PB99-133969.

Keywords: Access to Health Care, Children with Special Health care Needs, Cultural Diversity, Families, Family Centered Health Care, Family Support Programs, Hawaiians, Health Promotion, Healthy Tomorrows Partnership for Children, Low Income Population, PL 99-457, Parents, Preschool Children, Primary Care, Rural Population, Service Coordination, Urban Population

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]

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 PB97-121875.

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]

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 PB92-103258.

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

Annotation: The purpose of this project was to reduce the incidence of low birthweight birth in women receiving prenatal care from public and private health care providers in twenty counties in northwest North Carolina (North Carolina Perinatal Region II). [Funded by the Maternal and Child Health Bureau]

Keywords: Low birthweight prevention programs, Pregnant women