Search Results: MCHLine

Annotation: This project had two major goals. (1) The project was to consider the various models for identifying psychosocial and developmental problems and develop broad recommendations for future research directions. In addition to this critical review of the literature bearing on the new morbidity and its prevention, the project was charged with (2) considering some of the methodological issues that would need to be confronted in an evaluation of the Health Supervision Package designed by the American Academy of Pediatrics' (AAP) Committee on the Psychosocial Aspects of Child and Family Health. [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: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-196814.

Keywords: Infant health, Morbidity, Pediatricians, Prevention, Psychosocial disorders

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: customerservice@ntis.gov 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: customerservice@ntis.gov 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 primary purpose and goal of this project was the validation of scales for measuring cognitive and physical or general adaptive morbidity, the Pediatric Cerebral Performance Category Scale (PCPC) and Pediatric Overall provides the means of evaluation needed to reach the EMSC goal to evaluate emergency medical care of children as outlined in the EMSC 5 year plan. A secondary purpose of the study was to obtain supplemental data on the nature and severity of adverse outcomes of psychosocial adjustment for children and families with a broad range of cognitive and functional outcomes following childhood emergencies. This study and other work by the investigator will facilitate the identification of the population of children and families at high risk for emergencies in order to guide the development of a suitable intervention in a future phase of study. A cohort of 200 PICU discharges were accumulated consecutively over a 22 month enrollment period to a maximum of 25 patients in each of the eight cells of the study. The patients were then followed up with the Vineland Adaptive Behavior Scale and a battery of psychological tests. We find that the POPC and PCPC scales differentiate well between children of varying cognitive and general adaptive functional abilities as measured by the StanfordBinet, Bayley, and Vineland instruments. They should provide a useful tool for future studies which require outcome assessment. Maternal assessments may not be suitable substitutes for clinician assessments as mothers tend to rate children lower (less morbidity) than the nurse rater. Additional outcome analyses are still in progress. [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: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB98-128317.

Keywords: Emergency Medical Services for Children, Emotional Health, Mental Health, Morbidity, Research

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: customerservice@ntis.gov 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: This report explores the maternal health crisis in the United States and offers real-world examples and solutions designed to eliminate disparities in maternal health and reduce maternal mortality rates. The areas of focus include: dynamics in maternal care that lead to disparities; policies that facilitate change; utilizing technology to increase health equity; and recommendations for the future.

Contact: Executives for Health Innovation, One Thomas Circle, NW, Suite 700, Washington , DC 20005, Telephone: 202-624-3270 E-mail: info@ehidc.org Web Site: https://www.ehidc.org

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Keywords: Access to health care, Health care disparities, Health equity, Health status disparities, Maternal health, Maternal morbidity, Policy development, Pregnancy, Pregnant women, Telehealth, Telemedecine

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: contact@gao.gov Web Site: http://www.gao.gov

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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

Annotation: This issue brief identifies nine maternal morbidity conditions, such as hypertensive disorders, and 24 maternal and child outcomes, such as cesarean section delivery and preterm birth, and uses an economic model to calculate the financial costs of maternal morbidity in the United States. The authors advocate for affordable, continuous health insurance coverage, including extending postpartum Medicaid coverage to ensure that key physical and mental health needs following birth are identified and met.

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

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Keywords: Maternal health, Maternal morbidity, Pregnancy, Pregnancy outcomes, Pregnant women

Annotation: This annual report addresses maternal morbidity and mortality in the United States and presents five big ideas on how to tackle the problem. The recommendations are based on white papers prepared by subject matter experts that provide background information and data on maternal mortality in the U.S.; analyze the current maternity care system; explore racism and racial inequity in maternal and health outcomes; and assess the role of Medicaid in understanding and potentially helping to solve the problem. The five big ideas are as follows: 1) Make a national commitment to improvement; 2) Build and support community care models; 3) Redesign insurance around women’s needs; 4) Tackle the racism that undermines women-centered maternity care; and 5) Invest in research, data, and analysis.

Contact: Aspen Institute, One Dupont Circle, NW, Suite 700, Washington, DC 20036-1133, Telephone: (202) 736-5800 Fax: (202) 467-0790 Web Site: http://www.aspeninstitute.org

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Keywords: Community health, Health insurance, Maternal morbidity, Maternal mortality, Prevention, Public health, Racial factors, Racism, Women', s health

Annotation: This Call to Action is intended to engage and equip individuals, organizations, and communities with actions to improve women’s health prior to, during, and following pregnancy. It describes the current state of maternal mortality and morbidity in the United States, risk factors present prior to pregnancy that may worsen or cause complications during pregnancy, strategies and actions to improve maternal health and reduce maternal mortality and morbidity. It includes a glossary, information on data systems, and government programs and resources.

Contact: U.S. Office of the Surgeon General, Tower Building, Plaza Level 1, Room 100, 1101 Wootton Parkway, Rockville, MD 20852, Telephone: (240) 276-8853 Fax: (240) 453-6141 Web Site: http://www.surgeongeneral.gov/index.html Available from the website.

• Full Report
• Executive Summary

Keywords: Federal initiatives, Federal programs, Maternal morbidity, Maternal morbidity, Pregnancy, Pregnant women

Annotation: This report describes opportunities for improving maternal and infant health outcomes among Medicaid and CHIP beneficiaries. The document reports on the work of the Expert Workgroup on Maternal and Infant Health, convened in 2019 and 2020. In addition, the report demonstrates the use of three of the Maternal and Perinatal Health Core Set measures: cesarean sections for low-risk pregnancies, attendance at postpartum care visits, and number of well-child visits in the first 15 months of life.

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

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Keywords: Child health, Health equity, Infants, Maternal health, Maternal morbidity, Pregnancy, Pregnancy outcomes, Pregnant women

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: HMD-NASEM@nas.edu Web Site: https://www.nationalacademies.org/hmd

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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

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 Fax: (202) 682-1867 E-mail: progress@AmericanProgress.org 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 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: info@cmwf.org 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 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 document is intended for use by policy makers and advocates of women's health issues. It addresses issues of minority women's health, covering Native Americans, Hispanics, African Americans, Asian Americans, with special attention to adolescent and elderly women. Information is presented about life expectancy, major causes of death, behavior and lifestyles, risk factors, prenatal health care services, access to health insurance and services, and morbidity and mortality. The document includes numerous graphs, and a list of references. It concludes with recommendations to improve the health of women of color.

Contact: National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892, Telephone: (301) 496-4000 Secondary Telephone: (301) 402-9612 Fax: (301) 496-0017 E-mail: NIHInfo@OD.NIH.GOV Web Site: http://www.nih.gov Available from the website. Document Number: NIH 98-4247.

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Keywords: Adolescent health, American Indians, Asian Americans, Blacks, Hispanic Americans, Minority groups, Morbidity, Older adults, Risk factors, Statistics, Women', s health

Annotation: This report chronicles the consequences of 50 years of tobacco use in the United States. Topics include the relationship between smoking and health outcomes; smoking-attributable morbidity, mortality, and economic costs; patterns of tobacco use among children, adolescents, and adults; status of and future directions in tobacco control; and a vision for ending tobacco-caused death and disease.

Contact: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 Fax: E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov/tobacco Available from the website.

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Keywords: Adolescents, Adults, Cause of death, Children, Costs, Disease prevention, Morbidity, Mortality, Progress reports, Smoking, Spanish language materials, Tobacco use

Annotation: This consumer guide details the effects of smoking including nicotine addiction and serious disease. It also contains facts on the benefits of quitting smoking and free resources that are available to smokers who want to quit. The guide is available in English and Spanish.

Contact: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 Fax: E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov/tobacco Available from the website.

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Keywords: Adolescents, Adults, Cause of death, Children, Consumer education materials, Costs, Disease prevention, Morbidity, Mortality, Progress reports, Smoking, Smoking cessation, Spanish language materials, Tobacco use

Contact: Partnership for Maternal, Newborn, and Child Health, World Health Organization, 20 avenue Appia, CH-1211, Geneva, Switzerland Telephone: +41 22 791 2595 Fax: +41 22 791 5854 E-mail: pmnch@who.int Web Site: http://www.who.int/pmnch/en Available from the website.

• Full Report

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

Annotation: This MMWR Supplement presents data related to disease patterns across the United States and describes recent national trends in health status. It provides data on the 10 leading causes of death and discusses associated risk and protective factors.

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: cdcinfo@cdc.gov Web Site: http://www.cdc.gov Available from the website.

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• Erratum For Table 4

Keywords: Health statistics, Morbidity rates, Mortality rates