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: [email protected] 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: [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 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: [email protected] 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: [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: This report presents a roadmap of California's Birthing Care Pathway initiative launched by the Department of Health Care Services (DHCS) to address maternal health disparities and improve outcomes for pregnant and postpartum Medi-Cal members. It describes the current state of maternal health in California, highlighting concerning trends in pregnancy-related mortality and severe maternal morbidity with significant racial disparities affecting Black, American Indian/Alaska Native, and Pacific Islander individuals. The document outlines DHCS' strategic approach to improve maternal health through policy solutions developed with input from diverse stakeholders, including Medi-Cal members. Key components include strengthening provider access, enhancing clinical care coordination, providing whole-person care, and modernizing maternity care payment systems. The report details recent Medi-Cal policy enhancements for perinatal care and describes California's participation in the federal Transforming Maternal Health Model to further strengthen delivery systems in selected Central Valley counties.

Contact: California Department of Health Care Services, P.O. Box 997413, MS 4400, Sacramento,, CA 95899-7413 , Fax: E-mail: https://www.dhcs.ca.gov/Pages/contact_us.aspx Web Site: https://www.dhcs.ca.gov/

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Keywords: California, Health care disparities, Maternal health, Maternal morbidity, Maternal mortality, Model programs, Perinatal care, Policy development, Postpartum care, Quality improvement, State initiatives, Trends

Annotation: This website showcases the IMPROVE initiative, launched by the National Institutes of Health in 2019, to support research to reduce preventable causes of maternal deaths and improve health for women before, during, and after pregnancy. The site describes the multi-pronged research initiative, emphasizing its focus on those disproportionately affected by maternal morbidity and mortality, including African American/Black, American Indian/Alaska Native populations, people of advanced maternal age, and people with disabilities. Links to research and funding opportunities, webinars and virtual workshops, funded projects, and resources for the public and for researchers are included.

Contact: Eunice Kennedy Shriver National Institute of Child Health and Human Development, P.O. Box 3006, Rockville, MD 20847, Telephone: (800) 370-2943 Secondary Telephone: (888) 320-6942 Fax: (866) 760-5947 Web Site: https://www.nichd.nih.gov/Pages/index.aspx

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• Fact Sheet

Keywords: Federal initiatives, Grants , Maternal health, Maternal morbidity, Maternal mortality, Prevention programs, Research, Research programs

Annotation: In this podcast episode, host Christie Allen talks with renowned maternal health expert Dr. Elliott Main. A pioneering figure in maternal mortality review and quality care initiatives, Dr. Main discusses the history and evolution of the Alliance for Innovation on Maternal Health (AIM). Together, they explore the challenges and triumphs of addressing severe maternal morbidity and mortality in the U.S., the early groundwork that led to AIM, and the collaborative efforts that turned ideas into actionable tools. Dr. Main also shares his thoughts on the future of maternal health and the "one thing" he believes is critical to driving change moving forward. This episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

Contact: Alliance for Innovation on Maternal Health, 409 12th Street, S.W., Washington, DC 20024, E-mail: [email protected] Web Site: https://saferbirth.org/

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Keywords: Collaboration, History, Initiatives, Maternal health, Maternal morbidity, Maternal mortality, Models, Resources for professionals

Annotation: This report examines the critical impact of mental health and substance use disorders on maternal mortality and morbidity in the United States, highlighting how suicide and substance use-related overdoses account for over 20 percent of postpartum deaths. It presents promising approaches from states including Massachusetts, New Jersey, Oregon, New Hampshire, and California that integrate maternity care with behavioral health services and social supports. The report outlines six key recommendations for improving care: supporting dedicated multidisciplinary care teams, centering people with lived experience to drive health equity, normalizing substance use care, training all staff on bias and stigma, expanding the community-based workforce including doulas and peer recovery specialists, and implementing harm reduction and street medicine approaches. The authors emphasize that with nearly every state now providing 12 months of postpartum Medicaid coverage, there are unprecedented opportunities to implement integrated, trauma-informed, non-punitive care models that can significantly reduce maternal mortality and improve outcomes for families.

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: Substance abusing pregnant women, Community participation, Disorders, Health care reform, Initiatives, Maternal morbidity, Maternal mortality, Medicaid, Mental health, Model programs, Perinatal addiction, Perinatal care, Postpartum care, Quality improvement, Risk factors, Service integration, Substance use disorders

Annotation: This report provides an overview of the Maternal and Child Health Services Block Grant program authorized under Title V of the Social Security Act. The report describes the program's three main components: State MCH Block Grants (the largest component, providing formula grants to states and territories), Special Projects of Regional and National Significance (SPRANS), and Community Integrated Service Systems (CISS). It details the program's history, funding mechanisms, services provided, populations served, and reporting requirements. The report outlines how states use these funds to address the unique needs of pregnant women, infants, children, and children with special health care needs through direct health care services, enabling services, and public health services and systems. It also examines recent funding trends, highlighting shifts in allocations among the three components and changes in state expenditure patterns following the COVID-19 pandemic. The document concludes with policy considerations for Congress regarding funding allocation formulas, program coordination, and oversight accountability.

Contact: Library of Congress, Congressional Research Service, 101 Independence Avenue, S.E., Washington, DC 20540-7500, Fax: Web Site: http://www.loc.gov/crsinfo

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Keywords: Block grants, Data, Funding, Initiatives, Legislation, Maternal health, Maternal morbidity, Maternal mortality, Measures, Medicaid, Prevention, Title V programs

Annotation: This is a systematic review of risk factors associated with maternal morbidity and mortality in the U.S. during the prenatal and postpartum periods, including social and structural determinants of health. The focus is primarily on research that examines factors to which pregnant and birthing people have been exposed and that may underlie poor perinatal health outcomes. The U.S. Office of Disease Prevention requested the review to inform the November 29 – December 1, 2022 Pathways to Prevention workshop cosponsored by the National Institutes of Health’s Office of Research on Women’s Health, the National Heart Lung and Blood Institute, the National Institute of Minority Health and Health Disparities, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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• Executive Summary

Keywords: Evidence based medicine, Literature reviews, Maternal morbidity, Maternal mortality, Racism, Risk factors, Social determinants of health

Annotation: This issue brief highlights the increased risk of maternal morbidity and mortality among Black women; explores the drivers that contribute to the Black maternal health crisis, and recommends strategies to transform the delivery of Black maternal health care to improve health outcomes. Providing culturally-centered care by diverse health teams; destigmatizing and treating Black maternal mental health; protect and expand access to reproductive health care; eliminating economic inequities; and collecting and using intersectional data are among the approaches highlighted. The brief also discusses the importance of community, describing how shared resistance, resilience, and joy help define Black maternal health.

Contact: National Partnership for Women and Families, Childbirth Connection , 1725 Eye Street, Suite 950 , Washington, DC 20006, E-mail: [email protected] Web Site: https://nationalpartnership.org/childbirthconnection/

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Keywords: Blacks, Health care disparities, Health equity, Maternal health, Maternal morbidity, Maternal mortality, Prevention

Annotation: This issue brief outlines Action 2.11 from Goal 2 of the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on establishing state-focused Maternal Health Task Forces (MHTFs) and improving state-level data surveillance on maternal mortality and morbidity. It describes how MHTFs can drive evidence-based decision-making to improve maternal health outcomes through data collection, analysis, and strategic planning in partnership with governmental and nongovernmental stakeholders. The document details HRSA's funding of MHTFs across 18 states through the State Maternal Health Innovation program, discusses challenges related to data collection and standardization, and presents evidence supporting the effectiveness of collaborative approaches in improving maternal health outcomes.

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

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Keywords: Maternal health, Maternal morbidity, Maternal mortality, Population surveillance, Public private partnerships, State initiatives, State programs, Task forces

Annotation: This issue brief highlights Action 1.15 from the White House Blueprint for Addressing the Maternal Health Crisis, focusing on integrating behavioral health supports in community settings through community health workers (CHWs) and patient navigators. The document examines the essential role of CHWs in addressing healthcare disparities and improving maternal health outcomes, presenting evidence of their effectiveness in increasing access to care and supporting positive health behaviors. It provides detailed information about the current state of the CHW workforce, including demographic data, state-level Medicaid coverage policies, and key barriers such as lack of standardized training and sustainable funding. The brief outlines specific innovations being implemented across states and offers evidence-based strategies for developing and supporting CHW programs, with particular attention to examples from state maternal health initiatives in North Carolina and Maryland.

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

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Keywords: Behavioral disciplines and activities, Community health workers, Community-based services, Health care disparities, Maternal health, Maternal morbidity, Service integration, State initiatives

Annotation: This issue brief highlights Action 1.7 from the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on improving quality of care for pregnant and postpartum women with or at risk for hypertensive disorders of pregnancy (HDP). The document presents evidence supporting the use of self-measured blood pressure monitoring tools and resources, discussing their effectiveness in reducing maternal morbidity and addressing racial disparities in healthcare access. It examines current data on HDP prevalence and outcomes across different populations, with particular attention to racial, ethnic, and geographic disparities, and outlines specific state-level maternal health innovations and evidence-based strategies being implemented across the United States. The brief includes detailed statistics, implementation examples from states like Arizona, Illinois, and Ohio, and recommendations for strategy development at state and local levels.

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

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Keywords: Federal initiatives, Hypertension, Maternal health, Maternal morbidity, Model programs, Postpartum women, Pregnant women, Prevention, State initiatives

Annotation: In this podcast episode, host Christie Allen and Dr. Gillispie-Bell discuss the integration of equity and quality when addressing severe maternal morbidity and maternal mortality rates in the United States with a data-driven approach. Learn how the healthcare landscape has transformed to encompass not just clinical excellence, but also inclusive care that honors each individual's unique experiences and values. Discover the journey from recognizing racial and ethnic disparities to crafting a comprehensive approach that combines respectful, equitable, and supportive care. This episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

Contact: Alliance for Innovation on Maternal Health, 409 12th Street, S.W., Washington, DC 20024, E-mail: [email protected] Web Site: https://saferbirth.org/

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Keywords: Cultural sensitivity, Data, Health care disparities, Health equity, Maternal morbidity, Maternal mortality, Quality improvement, statistics

Annotation: This evidence-to-action brief focuses on Action 1.4 of the White House Blueprint for Addressing the Maternal Health Crisis, which aims to strengthen risk-appropriate care in rural and urban areas by encouraging states to implement the CDC Levels of Care Assessment Tool (LOCATe). The document explains that LOCATe is a web-based, standardized assessment of birthing facilities that allows states to see the distribution of levels of care throughout the state, supporting perinatal regionalization to ensure pregnant people receive care in facilities with appropriate capabilities. It presents maternal mortality data showing significant racial disparities, with non-Hispanic Black women being 2.6 times more likely to experience maternal death compared to non-Hispanic White women in 2021, and highlights that more than 2.2 million women of childbearing age live in maternity care deserts. The document includes examples of state maternal health innovations and evidence-based strategies, emphasizing that risk-appropriate care implementation should occur alongside efforts to address unconscious racial bias in healthcare to effectively reduce severe maternal morbidity and mortality.

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

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Keywords: Birthing centers, Data, Health facilities, Maternal morbidity, Maternal mortality, Perinatal care, Prevention, Regional factors, Rural health, Standards, Urban health

Annotation: This brief describes the maternal health crisis in the United States, noting that the U.S. has the highest maternal mortality rate among high-income nations, with more than 80% of pregnancy-related deaths considered preventable. It explains how the crisis disproportionately affects people of color, particularly Black women who die at three to four times the rate of non-Hispanic White women from pregnancy-related complications. The document outlines key factors contributing to these disparities, including implicit and explicit racial bias, systemic bias, barriers for people with disabilities, limited access to healthcare facilities, lack of skilled providers, socioeconomic challenges, and domestic safety concerns. It presents the White House Blueprint for Addressing the Maternal Health Crisis, which identifies five goals and more than 50 action steps to improve maternal health, and introduces Evidence to Action Briefs developed by the Maternal Health Learning & Innovation Center to facilitate implementation. The brief includes detailed data visualizations depicting maternal mortality trends by race, ethnicity, geography, and causes of death, and features the ROOTT Framework that illustrates how structural and social determinants affect maternal health outcomes.

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

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Keywords: Barriers, Blacks, Data, Federal initiatives, Health care disparities, Health care systems, Maternal health, Maternal morbidity, Maternal mortality, Quality improvement, Service integration, Social determinants of health, Trends

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: [email protected] 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 E-mail: [email protected] 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