Search Results: MCHLine

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

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: This project sought to reduce the rate of unintentional injuries and deaths among Native American adolescents in New Mexico and the Southwest. Specific goals were to: (1) Improve existing data bases on deaths and disabilities from unintentional injuries among Native American teens; (2) improve culturally relevant injury prevention materials and methodologies for these teens; (3) improve the knowledge, attitudes, and prevention practices regarding unintentional injuries among this population; (4) increase the availability of injury prevention materials and methodologies in Native American junior and senior high schools; and (5) increase the quality and quantity of injury prevention services provided to these teens by health care and tribal agencies. [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 PB93-199206.

Keywords: Southwestern United States, Adolescents, American Indians, Data Bases, Indian Health Service (IHS), Information Clearinghouses, Injuries, Injury Prevention, Mortality

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: 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: The project's goals were to: (1) Develop and implement structures and processes in defined community areas to plan and implement a family-centered, community-based health care delivery system for children; (2) develop data system capacity and function statewide to ensure family-centered, community-based primary care services for children; and (3) share experiences in family-centered, community-based system change in the area of primary health care for children with other State, regional, and national maternal and child health providers. At the State level, strategies were directed toward developing a system of children's primary health care delivery that was family centered and community based. At the local level, child health steering committees in established projects were to continue to plan and implement child health system changes in their service areas. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Child Mortality, Community Based Health Services, Databases, Family Centered Health Care, Information Systems, Primary Care, Standards of Care, State Programs

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 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 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: 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]

Contact: CityMatCH, University of Nebraska Medical Center, Department of Pediatrics, 982170 Nebraska Medical Center, Omaha, NE 68198-2170, Telephone: (402) 552-9500 E-mail: [email protected] Web Site: http://www.citymatch.org Available from the website.

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• 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.

Contact: Arizona Department of Health Services, Bureau of Women's and Children's Health, 150 N. 18th Ave., Suite 320, Phoenix, AZ 85007, Telephone: (602) 364-1400 Fax: (602) 364- 1495 E-mail: [email protected] Web Site: http://www.azdhs.gov/phs/owch/index.htm Out of print.

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

Annotation: This report describes the maternal mortality review process in the state of New Mexico, presents key findings on pregnancy-associated deaths in the state for the period 2015-2018, and provides recommendations from the Review Committee aimed at reducing maternal deaths. The data indicates cause of death, race/ethnicity, place of birth, type of insurance, and other factors.

Contact: New Mexico Department of Health, 1190 South Saint Francis Drive, Santa Fe, NM 87505, Telephone: (505) 827-2613 Fax: (505) 827-2530 E-mail: [email protected] Web Site: https://nmhealth.org

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Keywords: Committees, Maternal death, Maternal mortality, Models, Prevention, Research, State programs, Statistics

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

• Link
• Fact Sheet

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

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

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

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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• Series Link

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

Annotation: During Black Maternal Health Week, podcast host Christie Allen welcomes two distinguished guests: Congresswoman Lauren Underwood, co-chair of the Black Maternal Health Caucus, and Carole Johnson, Administrator of the Health Resources and Services Administration (HRSA). Together, they discuss the groundbreaking Enhancing Maternal Health Initiative, the Momnibus legislation, and the urgent need for comprehensive support for maternal health across the United States. This episode is part of the AIM for Better 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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• Series Link

Keywords: Advocacy, Blacks, Health care disparities, Health equity, Legislation, Maternal health, Maternal mortality, Policy development

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