Search Results: MCHLine

Annotation: The goal of this demonstration project was to develop and implement a comprehensive health and safety curriculum in child day care settings to improve the health status of children. A comprehensive educational program was developed and presented in the day care setting with a positive parenting component, a children's component, and a day care worker component. This educational curriculum demonstrated positive changes in child health indicators, day care environment, and safety, and increased knowledge of child development, health, and safety issues on the part of parents and day care workers. [Funded by the Maternal and Child Health Bureau]

Keywords: Caregivers, Child Care, Child safety, Health Education, Immunization, Parents, Preschoolers, Rural Populations, Urban Populations

Annotation: This report describes a project to address the health needs of children in child care centers in the New Mexico counties of Rio Arriba and McKinley. Topics include parent and child care provider training in the areas of nutrition, oral health, physical fitness, mental health, and communicable disease prevention. [Funded by the Maternal and Child Health Bureau]

Keywords: Caregivers, Child Care, Dental Caries, Early childhood caries, Health Promotion, Immunization, Oral Health, Preschoolers, Rural Populations

Annotation: This project focused on developing a systematic approach to integrate medical, vocational, educational, psychosocial, and developmental services for adolescents with physical disabilities and/or chronic illness who are at risk in their transition to maturity. Project objectives were to (1) create an administrative structure at the State level and in two pilot sites for provision of an integrated continuum of health and education services; (2) enable service providers, through training and collaboration, to coordinate service planning for the target population; (3) enable the adolescent and family, through counseling and training, to function as their own "case manager"; and (4) monitor and evaluate the model to determine the feasibility for replication in Alabama and/or other states. [Funded by the Maternal and Child Health Bureau]

Keywords: Adolescents with special health care needs, Advocacy, Chronic illnesses and disabilities, Community-Based Health Care, Coordination of Health Care, Data Bases, Interdisciplinary Teams, Rural Population, Urban Population

Annotation: This project sought to achieve comprehensive, coordinated, community-based services for children with special health needs and their families through improved collaboration among parents and public and private agencies at all levels within the service delivery system. Activities included maintaining a network of States, facilitating coalitions within States, brokering technical assistance, organizing conferences, and developing materials on topics such as the financing of services, service provision to culturally diverse groups, rural services, and collaboration between mental health professionals and other health care providers. [Funded by the Maternal and Child Health Bureau]

Keywords: Child Care, Chronically Ill, Collaboration of Care, Community-Based Health Care, Families, Family-Based Health Care, Financing, Grandparents, Medicaid, Networks, Parent Support Groups, Parents, Rural Population

Annotation: This project sought to develop a statewide system of community-based, comprehensive care/case management and family support services. Program strategies included developing a training curriculum for the skilled delivery of home-based family support services by medical professionals, paraprofessionals, and parents; piloting a respite providers' network; providing statewide training on the provision of family support services; and developing and disseminating a statewide directory of trained family support service providers. [Funded by the Maternal and Child Health Bureau]

Keywords: 99-457, Case Management, Chronically Ill, Community-Based Health Care, Coordination of Health Care, Family-Based Health Care, Financing Health Care, Fragmentation of Services, L, P, Parents, Rural Population

Annotation: The overall goal of this project was to develop a replicable system of family-centered, community-based case management for children with special health care needs in a frontier State. Targeted communities were under 20,000 in population and served areas at least 50 miles from a level II facility. The project objectives were to: (1) Upgrade case management and assessment skills of local public health nurses; (2) develop family-centered, community-based case management programs that address the needs of the family and the child with special needs; and (3) develop community-based teams that empower families to actively participate in identifying and meeting educational, social, psychological, health, and financial needs for themselves and the child with special needs. [Funded by the Maternal and Child Health Bureau]

Keywords: Case Management, Chronically Ill, Community-Based Health Care, Education of Health Professionals, Families, Family-Centered Health Care, Public Health Nurses, Rural Populations

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]

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 established a model program for the coordination of early identification and assessment services for infants 0-3 years of age at high risk for major handicaps. It aimed to make appropriate developmental screening available as close as possible to the infant's home community, to provide the necessary developmental screening training to local health and educational service providers, and to provide the regional coordination for the many agencies and professional involved. [Funded by the Maternal and Child Health Bureau]

Keywords: Clinics, Coordination of Health Care, Early Intervention, Education of Health Professionals, High risk infants, Rural Population, Screening

Annotation: The goal of the project was to improve the functioning of special needs children and their families by providing locally based clinic and care coordination services in a rural area in Utah. The program objectives were to: (1) Involve parents of special needs children in developing a service plan for their child, (2) improve the implementation of service plans for rural special needs children, (3) improve coordination of services to rural special needs children, and (4) improve adequacy of services to these children. While maintaining current multidisciplinary clinic services, Children's Special Health Services worked through the local health department to place a nurse coordinator, secretary, social worker, and trained parent advocates in the local community. This team built upon existing local systems to improve the functional outcomes of the children. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Advocacy, Children with Special Health care Needs, Chronic Illnesses and Disabilities, Community Based Health Services, Parents, Rural Population, Service Coordination

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]

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 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]

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]

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: This issue brief provides background information on rural healthcare access and focuses attention on the need for national, state, and community-based organizations to collaborate on developing an action plan to improve access to maternal health care and improve outcomes for rural women and their babies. It addresses the challenges that rural women face before, during, and after pregnancy and highlights promising approaches and opportunities to improve maternal health care in rural communities. Six case studies address several factors contributing to problems accessing maternal health care in rural communities, including workforce shortages and access to care challenges associated with social determinants of health. They illustrate efforts to stabilize rural hospital obstetrical services, regionalization and coordination of care, quality improvement initiatives, training and guideline development, provider recruitment and retention strategies, and expansion of care models

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Keywords: Barriers, Case studies, Health care access, Health equity, Maternal health, Rural health, Rural population, Statistics

Annotation: This report examines the impact of federal personnel changes at the Centers for Disease Control and Prevention on the Pregnancy Risk Assessment Monitoring System (PRAMS) surveillance of mothers and infants. It details results from a national survey of site coordinators concerning the loss of technical assistance, delays in 2025 data collection, and challenges with data cleaning and weighting. The document discusses the increased financial burden on jurisdictions and the potential negative effects on Title V Maternal and Child Health Services Block Grant activities and national performance measures. Photographs illustrate maternal and infant health themes, and appendices include thematic analysis and detailed survey tables regarding site-specific concerns and technical assistance needs .

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Keywords: Data collection, Infant health, Maternal health, Measures, Population surveillance, Pregnancy, Trends

Annotation: This compendium presents programs designed to improve access to oral health care in rural communities and shares best practices on providing oral health care in these communities. Selected topic areas include integrating oral health into rural prenatal health to improve neonatal and maternal outcomes, integrating oral health care to improve health, school-based oral health, and teledentistry. Each topic area highlights specific programs and provides information on the program purpose, a program summary, and information on the program’s efficacy and impact.

• 2025 Edition
• 2020 Edition

Keywords: Access to health care, Health care delivery, Health care utilizatoin, Oral health, Programs, Rural population, Teledentistry, Training

Annotation: This fact sheet describes the Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance system that collects state- and site-specific data on women's experiences and health before, during, and shortly after pregnancy. The document explains that PRAMS was launched in 1987 and codified into law through the 2006 PREEMIE Act, operating as a joint project between the Centers for Disease Control and Prevention and state, territorial, tribal, and local health departments. It covers PRAMS operations in 46 states, the District of Columbia, Puerto Rico, the Northern Mariana Islands, and New York City, representing about 81% of all U.S. births. The fact sheet emphasizes PRAMS' alignment with the Title V MCH Services Block Grant by providing unique state-level data that Title V programs rely on to track key maternal and infant health indicators such as postpartum depression, mental health screening, and infant safe sleep practices.

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Keywords: Data collection, Data sources, Health surveys, Population surveillance, Pregnancy, Questionnaires, State surveys, Statistical data

Annotation: This report discusses the Medical Oral Expanded Care (MORE Care) Ohio pilot program, which aims to integrate oral health care into pediatric primary care settings and establish referral networks between medical practices and oral health practices in the state. The report provides background information on contributors to tooth decay and on More Care. It discusses program design and impact and presents a path toward improving integration to ultimately increase access to oral health care for children in Ohio. zzz

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Keywords: Access to health care, Dental caries, Dental hygiene, National programs, Ohio, Oral health, Primary care, Rural population, Service integration, State programs

Annotation: This report provides information on the cost and prevalence of emergency department (ED) visits for non-traumatic oral conditions (NTOCs). It offers an overview of problems associated with using the ED for oral health care. It presents statistical information on topics including the number of people who visited the ED for NTOCs in 2019, 2021, and 2022; the estimated total cost of visits; the rates of ED visits; the rate of visits by age groups; and the rate of visits by people living in different types of rural and urban areas.

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Keywords: Access to health care, Age factors, Costs, Data, Emergency medicine, Emergency room data, Income factors, Medicaid, Oral health, Rural population, Trends, Urban population

Annotation: These case studies provide information about the processes that five states underwent to strengthen their Medicaid dental benefits for adults—from emergency-only to comprehensive benefits. The states are Kansas, Maine, Maryland, Utah, and Virginia. The case studies discuss each state’s challenges, strategies, and successes. And each case study includes lessons to strengthen access to oral health care for families with low incomes, people with disabilities, and residents of rural communities.

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Keywords: Health insurance, Kansas, Low income groups, Maine, Maryland, Medicaid, Oral health, Rural population, Special health care needs, State programs, Utah, Virginia

Annotation: This report presents an analysis of surveillance data on prevalence of tooth decay in primary and permanent teeth, tooth retention, and edentulism. An editorial comment is included. Statistical information is presented in figures and tables.

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Keywords: Dental caries, Fluoride, Older adults, Oral health, Population surveillance, Public health, Statistics