Search Results: MCHLine

Annotation: This summary report is from a focus group convened to discuss issues related to the use of ACTG 076 to treat HIV-infected pregnant women. The chief issues covered are: women's attitudes about health care providers and the health care system; information and informed decision making; and counseling and testing. Implications, conclusions and recommended are included. [Funded by the Maternal and Child Health Bureau]

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Keywords: Attitudes, Counseling, HIV, HIV infected patients, Pediatric HIV, Pregnant women, Testing, Treatment outcome, Treatment refusal

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

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

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

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

Annotation: This document offers information about federal programs that provide funding to health centers, states, academic institutions, and other entities to recruit, train, and retain health professionals, including dentists and dental hygienists, in efforts to increase access to oral health care. The document also highlights program efforts to establish benchmarks for the nation’s oral health status and for oral health care and to ensure that oral health care is available to people living with HIV/AIDS; mothers, children, and adolescents, including those with special health care needs; and those who receive care at health centers.

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Keywords: Access to health care, Adolescents, Benchmarking, Children, Community health centers, Federal programs, HIV infected patients, Health care delivery, Health occupations, Health status, Low income groups, MCH services, Mothers, Oral health, Primary care, Quality assurance, Recruitment, Service integration, Special health care needs, State MCH programs, Training, Work force, Young adults

Annotation: This report examines non-emergency medical transportation (NEMT) in Medicare and Medicaid. Topics include key features of NEMT services and how these services are delivered, federal oversight, and challenges in providing NEMT and steps that state Medicaid agencies have taken to address them. Recommendations are included.

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Keywords: Barriers, Contract services, Coordination, Costs, Medicaid, Model programs, Policy development, State agencies, Transportation of patients

Annotation: This fact sheet presents an overview of the HIV/AIDS epidemic in the United States, including trends over time, a current profile of AIDS cases, and the impact of the epidemic on particular populations. Statistical information is presented in figures throughout the fact sheet. The fact sheet concludes with a list of references.

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Keywords: AIDS, HIV, HIV infected patients, Trends

Annotation: These guidelines provide health professionals with information for discussion with HIV-infected pregnant women to enable the patient-health professional team to make informed decisions about the use of antiretroviral drugs during pregnancy and the use of elective Cesarean delivery to reduce perinatal HIV transmission. The recommendations in the guidelines are accompanied by discussion of various circumstances that commonly occur in clinical practice and the factors influencing treatment considerations. Topics include (1) lessons learns from clinical trials of antiretroviral interventions to reduce perinatal transmission of HIV, (2) preconception counseling and care for HIV-infected women of childbearing age, (3) antepartum care, (4) intrapartum care, (5) postpartum care, and (6) neonatal postnatal care.

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Keywords: Cesarean section, Counseling, Disease transmission, Guidelines, HIV infected patients, Pediatric HIV, Physician patient relations, Postnatal care, Postpartum care, Preconception care, Pregnant women, Prenatal care, Prevention, Treatment

Annotation: This webinar focuses on the new objective in Healthy People 2020's lesbian, gay, bisexual,and transgender topic area; transgender health; the development of gender identify; and health issues specific to transgender individuals. The webinar also discusses how the Affordable Care Act of 2010 affects individuals who are lesbian, gay, bisexual, or transgender (LGBT) and how the Office of Disease Prevention and Health Promotion is working to including LGBT issues in its health research. Efforts to increase access to care and improve the health of individuals with HIV/AIDS are also discussed.

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Keywords: AIDS, Access to health care, Discrimination, Gender discrimination, HIV infected patients, Health insurance, Health promotion, Healthy People 2020, High risk groups, Homosexuality, Legislation, Prevention, Research, Sexual identity

Annotation: This webcast is the sixth installment of the monthly "Who's Leading the Leading Health Indicators?" series. The series highlights organizations using evidence-based approaches to address a Healthy People 2020 leading health indicator (LHI) topic. The webcast provides information about reproductive and sexual health. The presenters explain the impact and cost of sexually transmitted diseases, indicators for reproductive and sexual health, HIV statistics, and federal actions.

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Keywords: AIDS, Adolescent health, Federal programs, HIV, HIV infected patients, Health promotion, Healthy People 2020, Prevention, Reproductive health, Sexually transmitted diseases, Statistical data, Women's health

Annotation: This report provides information about the FIMR/HIV Pilot Project (FHPP), the goal of which was to adapt the Fetal and Infant Mortality Review process in order to identify and address missed opportunities for perinatal HIV prevention and treatment in pilot sites. The report discusses perinatal HIV, the Fetal and Infant Mortality Review (FIMR), the FIMR/HIV prevention methodology, FHPP, and the experiences of three pilot sites (Baton Rouge, Louisianna; Detroit, Michigan; and Jacksonville, Florida).

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Keywords: Community programs, Florida, HIV, HIV, HIV infected patients, HIV screening, Infant mortality, Louisiana, Michigan, Perinatal health, Pilot projects, Pregnancy, Prevention, Treatment

Annotation: This report focuses on how parental HIV infection affects children. The report discusses the following topics: (1) how fear of transmission can limit parent-child interactions, (2) how stigma reduces parents' disclosure to children and limits children's opportunities for social support, (3) how loss of custody and lack of guardianship planning can lead to an unstable future, and (4) how interventions from common sources of support could help.

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Keywords: Child custody, Children, Family support, Guardianship, HIV, HIV infected patients, Intervention, Parent child relations, Parents, Social support

Annotation: This report provides data from a survey of physicians and patients with chronic illnesses on their use of online medical information and tools. It provides data on physicians' use of online courses and conferences, access to Web sites for professional information, electronic prescribing, electronic medical records, remote disease monitoring, and electronic communications with patients. It also provides data on patients' use of the Internet to locate information about their health conditions, how they use that information, and their desires for electronic communication with their physicians. A final chapter provides suggestions for how health-related companies, including pharmaceutical companies, managed care organizations, health delivery systems, and e-health vendors, can use the Internet in developing their businesses.

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Keywords: Consumers, Internet, Patients, Physicians, Surveys, World Wide Web

Annotation: This education kit provides tools for health care providers and their staffs to help establish a patient-friendly environment that will maximize patient understanding, improve patient compliance, and enhance patient care. The kit includes a brochure describing the kit's contents; a comprehensive manual for clinicians; a videotape; a CD-ROM with digital files of the manual, videotape, and presentation handouts; a tabletop display with tear pad to help patients get the most from their visit; and buttons that staff can wear to encourage patients to ask questions. Topics include understanding the scope of the health literacy problem, recognizing health system barriers faced by patients with low literacy, improving methods of verbal and written communication, and incorporating possible strategies to create a shame-free environment. The kit can be used to earn 2.5 continuing medical education category 1 credits.

Keywords: CD-ROMs, Continuing education, Health education, Health literacy, Health personnel, Low literacy, Manuals, Patient advocacy, Patients, Physician patient relations

Annotation: This report describes HRSA's participation in programs that help provide access to health care throughout the nation. It includes fiscal year appropriation information for programs to strengthen the health care safety net, improve care for people with HIV/AIDS, meet the needs of mothers and children, train a health care workforce for the 21st century, and assure quality care for all. The report also highlights specific HRSA-funded programs and initiatives that help the Agency meet its goals.

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Keywords: AIDS, Access to health care, Cultural diversity, Federal programs, HIV infected patients, Health Resources and Services Administration, Health care delivery, MCH programs, Professional training, Quality assurance, Racial factors, Underserved communities

Annotation: This report describes a regional outreach initiative to help southern states identify ways to improve access to benefits for low-income working families with children. The report describes the development of information outreach materials, child health coverage, child care assistance, transportation solutions, and options for earned income tax credit. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Child care services, Child health, Children, Families, Health insurance, Information dissemination, Low income groups, Southern United States, Tax credits, Transportation of patients

Annotation: This conference aimed to provide continuing education to social workers and social work students. It focused on perspectives into MCH social work practice. The main topics were preventing violence in the community, innovative approaches to the changes in financing and delivery of care, becoming a supervisor, family preservation, and psychosocial challenges in serving women and children infected with HIV. [Funded by the Maternal and Child Health Bureau]

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Keywords: Child welfare, Family preservation, HIV infected patients, Health care reform, MCH programs, Management, Public health, Social services, Social work, Social workers, Violence prevention

Annotation: This document identifies and discusses successful HIV program grantees that provide services to HIV-infected pregnant women and their newborns. Researchers have used a case study method to focus on programs that have in common coordinated, comprehensive, and quality patient care. These case studies identify models of effective care delivery and program components that could be replicated or adapted to other locations. References and the case study protocol are included at the end of the report.

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Keywords: Barriers, Case management, Case studies, Community based services, Comprehensive care, Data collection, Early intervention, Evaluation, Family centered care, HIV infected patients, Health services delivery, High risk infants, High risk pregnancy, Interviews, Model programs, Multidisciplinary teams, Newborns

Annotation: This report summarizes a seminar presentation about a Maternal and Child Health Bureau funded project on guidelines for maternal transport. The study evaluated transport of high risk mothers and antenatal or neonatal transport of infants. [Funded by the Maternal and Child Health Bureau]

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Keywords: High risk infants, High risk mothers, Newborn infants, Perinatal care, Pregnancy complications, Research methodology, Transportation of patients

Annotation: The goal of this project was to establish an organized system of perinatal care which would improve the present unfavorable maternal and child health indices in the project area. Registered nurses, certified nurse-midwives, and obstetrical gynecologists were involved. The project focused on outreach, risk-based prenatal care and planned delivery, case management, postdelivery home visits, and sick-child care. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Coordination of Health Care, Fragmentation of Services, Indigent Patients, Infant Mortality, Low Birthweight, Low income groups, Postneonatal Mortality, Pregnant Women, Prenatal Care

Annotation: This project aimed to reduce infant mortality by improving the health status of at-risk families by means of increased access to health care services. Home-based case management and an information and referral service were established. Infant death review conferences provided training for professionals and estimates of the proportion of postneonatal mortality resulting from lack of access to and utilization of health care services. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Barriers to Health Care, Blacks, Indigent Patients, Infant Morbidity, Infant Mortality, Low income groups, Medicaid, Pregnant Women, Rural Women, Well Child Care