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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (166 total).

Yuwiler J, Ray LU. n.d.. E-code categories for injury = E-codes for injury. San Diego, CA: San Diego State University, Children's Safety Network Injury Data Technical Assistance Center, 8 pp.

Annotation: This paper discusses the use of E Codes to classify the external cause of injuries, and explains how using these codes contributes to developing better injury prevention programs. The paper includes a classified listing of E Codes grouped according to common causes of injury, as well as instructions on the use of the codes. This paper is based on the ninth revised edition of "International Classification of Diseases." [Funded by the Maternal and Child Health Bureau]

Keywords: External cause of injury codes, Injuries, Injury prevention, Intentional injuries, Population surveillance, Unintentional injuries

Handler A, Rankin K, Boateng J. 2026. PRAMS surveillance of maternal and infant health: The effect of changes at the federal level sine early 2025 . Chicago, IL: University of Illinois at Chicago, 21 pp.

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 .

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

Association of Maternal and Child Health Programs. 2025. Pregnancy risk assessment monitoring system – Informing impact, improving lives. Washington, DC: Association of Maternal and Child Health Programs, 2 pp.

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.

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

Maryland Maternal Health Innovation Program (MDMOM). 2025. Severe Maternal Morbidity Surveillance & Review Program in Maryland (May 2025). Baltimore, MD: Maryland Maternal Health Innovation Program (MDMOM), 7 pp.

Annotation: This report presents findings from the Maryland Maternal Health Innovation Program's (MDMOM) facility-based Severe Maternal Morbidity (SMM) Surveillance and Review program for 2024, analyzing 340 SMM events identified at participating hospitals following the passage of the Maternal Health Act of 2024 requiring all birthing hospitals in the state to participate in SMM surveillance beginning in 2025. The program uses a standardized case definition of intensive care unit admission and/or transfusion of four or more units of blood products for pregnant and postpartum patients up to 42 days postpartum. Hospital review committees analyzed events to determine preventability, identify contributing factors, and develop recommendations organized by the "5Rs" framework of readiness, recognition and prevention, response, reporting and system learning, and respectful care. The report documents that 32% of SMM events were potentially preventable, with obstetric hemorrhage being the most common primary cause, and includes demographic characteristics, delivery outcomes, and specific recommendations for preventing future severe maternal morbidity by cause and racial/ethnic disparities in SMM rates.

Keywords: Maryland, Maternal morbidity, Maternal mortality, Population surveillance, Postpartum hemorrhage, Prevention, Standards

Beltrán-Aguilar E, Lin M, Wei L, Thornton-Evans G, Li CH, Espinoza L. 2024. Oral health surveillance report: Dental caries, tooth retention, and edentulism, United States—2017–March 2020. Atlanta, GA: Centers for Disease Control and Prevention, Division of Oral Health, 24 pp.

Maryland Maternal Health Innovation Program (MDMOM). 2024. Severe Maternal Morbidity Surveillance & Review Program in Maryland (July 2024). Baltimore, MD: Maryland Maternal Health Innovation Program (MDMOM), 7 pp.

Annotation: This report presents findings from the Maryland Maternal Health Innovation Program's (MDMOM) facility-based Severe Maternal Morbidity (SMM) Surveillance and Review program for 2023, covering 279 SMM events identified at 27 participating hospitals representing more than 80% of births in the state. The program uses a standardized case definition of intensive care unit admission and/or transfusion of four or more units of blood products for pregnant and postpartum patients up to 42 days. Hospital review committees analyzed events to determine preventability, identify contributing factors, and develop recommendations organized by the "5Rs" framework of readiness, recognition and prevention, response, reporting and system learning, and respectful care. The report documents that 34% of SMM events were potentially preventable, with obstetric hemorrhage being the most common primary cause, and includes detailed analysis of demographic characteristics, timing of events, delivery outcomes, and specific recommendations for preventing future severe maternal morbidity by cause.

Keywords: Maryland, Maternal morbidity, Maternal mortality, Population surveillance, Postpartum hemorrhage, Prevention, Standards

Children's Defense Fund. 2023. The state of America's children. Washington, DC: Children's Defense Fund, irregular.

Annotation: This series of reports is a compilation and analysis of national and U.S. state-by-state data on child population, child poverty, family structure, family income, housing and homelessness, hunger and nutrition, health, early childhood, education, child welfare, juvenile justice, and gun violence. Changes in key child and national well-being indicators are included.

Keywords: Child health, Child nutrition, Child welfare, Data, Early childhood development, Education, Ethnic groups, Family characteristics, Gun violence, High risk groups, Population surveillance, Poverty, Statistics, Trends

Maternal Health Learning and Innovation Center. 2023. Advance data collection, standardization, harmonization, transparency,research, and analysis. Chapel Hill, NC: Maternal Health Learning and Innovation Center, 13 pp. (White House blueprint evidence to action brief )

Annotation: This brief highlights Goal 3 of the White House blueprint for addressing the maternal health crisis, which is to advance data collection, standardization, harmonization, transparency, research, and analysis. The brief outlines the need to mprove data collection by enhancing MMRC (Maternal Mortality and Review Committee) data to inform maternal health interventions; bolster research and build the next generation of maternal health researchers; and better understand conditions that impact pregnancy. Evidence-informed strategies for improvement, criteria for states to consider when developing strategies, and additional resources are included. Statistics indicate which states are funded to enhance maternal mortality review and surveillance; the percentage of epidemiologists employed at the state and jurisdiction levels by program area; and the states that participate in the Pregnancy Risk Assessment Monitoring System (PRAMS).

Keywords: Data collection, Initiatives, Maternal health, Monitoring, Population surveillance, Risk assessment, Statistics

Maternal Health Learning and Innovation Center . 2023. Overall population brief: Addressng the maternal health crisis. White House blueprint evidence to action briefs , 12 pp. (Chapel Hill, NC: Maternal Health Learning and Innovation Center)

Annotation: This issue brief provides an overview of the structural and systemic factors contributing to the maternal health crisis in the United States. It outlines the White House Blueprint's five major goals and presents data showing significant racial, ethnic, geographic, and socioeconomic disparities in maternal health outcomes. The document examines key challenges including implicit bias, barriers for people with disabilities, limited healthcare access in rural areas, provider shortages, and socioeconomic factors. It also introduces the Restoring Our Own Through Transformation (ROOTT) Framework for addressing maternal health inequities and details evidence-based resources and strategies for implementing solutions at state and local levels.

Keywords: Access to care, Barriers, Health care disparities, Health equity, Implicit bias, Maternal health, Population surveillance, Racial factors, Sociocultural factors

Maternal Health Learning and Innovation Center. 2023. Support state innovation efforts by establishing state-focused Maternal Health Task Forces. Chapel Hill, NC: Maternal Health Learning and Innovation Center, 8 pp. (White House blueprint evidence to action briefs)

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.

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

World Health Organization. 2021. Implementation of maternal and perinatal death surveillance and response as part of quality of care efforts for maternal and newborn health: considerations for synergy and alignment. Geneva, CH: World Health Organization, 8 pp.

Annotation: This knowledge brief from the World Health Organization (WHO) addresses the implementation of maternal and perinatal death surveillance and response (MPDSR) as part of broader quality of care (QoC) efforts for maternal and newborn health. It explains how MPDSR generates quality information on leading causes of maternal and perinatal deaths that can inform prioritization of quality improvement interventions. The brief presents practical considerations for strengthening synergies between MPDSR and QoC structures and processes at national, subnational, and facility levels, with examples from Ethiopia and Nigeria where MPDSR committees and QoC teams have been successfully aligned or integrated. It includes a framework showing how MPDSR cycle components can connect with the Plan-Do-Study-Act approach used in quality improvement, along with options for organizational structures that promote coordination between MPDSR and QoC activities. The document concludes with emerging questions for implementation and learning that can guide future efforts to maximize the impact of these complementary approaches.

Keywords: Coordination, Death, International health, Maternal health, Maternal mortality, Perinatal mortality, Population surveillance, Quality improvement, Service integration

Missouri Department of Health and Senior Services, Oral Health Program. 2020. Oral health in Missouri: 2020–A burden report by the Missouri Department of Health and Senior Services. Jefferson City, MO: Missouri Department of Health and Senior Services, Oral Health Program, 58 pp.

Annotation: This report describes oral health trends and disparities in Missouri. It includes key findings, national comparisons, and trends. Other topics include demographics, community water fluoridation, oral health status of school-age children and adults, preventive health care for school age children and adults, tobacco use and cancer risk, older adults, perinatal oral health,hospitalizations and emergency department visits, and access to care. Regional and local data are also included.

Keywords: Access to health care, Health disparities, Health status, Missouri, Oral health, Population surveillance, State surveys, Statistical data, Trends

Association of State and Territorial Dental Directors. 2020. ASTDD state surveillance data reference guide (upd. ed.). Reno, NV: Association of State and Territorial Dental Directors, 16 pp.

Annotation: This resource guide provides information on sources of oral health data that are available at the state level and that can be used for a state-based oral-health-surveillance system. Contents include indicators by topic area and population group and information on the primary data source.

Keywords: Data sources, Oral health, Population surveillance, State programs

Vermont Department of Health, Dental Health Services. 2017. Keep Smiling Vermont: The oral health of Vermont's children: 2016-2017. Burlington, VT: Vermont Department of Health, Dental Health Services, 26 pp.

Courtemanche C, Marton J, Ukert B, Yelowitz A, Zapata D. 2017. Early effects of the Affordable Care Act on health care access, risky health behaviors, and self-assessed health. Cambridge, MA: National Bureau of Economic Research, 71 pp. (NBER working paper; no. 23269)

Annotation: This paper analyzes data from the Behavioral Risk Factor Surveillance System on the impact of the Affordable Care Act's (ACA's) 2014 provisions on a variety of outcomes related to health care access, risky health behaviors, and self-assessed health. The paper provides estimates of the overall effect of the ACA on these outcomes and examines differential impacts resulting from state heterogeneity with respect to the choice to expand Medicaid via the ACA.

Keywords: Access to health, Adults, Health behavior, Health care reform, Health insurance, Health status, Medicaid, Patient Protection and Affordable Care Act, Population surveillance, State programs

Lee M. 2017. Connecticut’s Perinatal and Infant Oral Health Quality Improvement Project: Pregnancy risk assessment monitoring system data for evaluation. New Haven, CT: Connecticut Voices for Children, 11 pp.

Annotation: This report describes the Pregnancy Risk Assessment Monitoring System (PRAMS) and how PRAMS data can be used for evaluating the Perinatal and Infant Oral Health Quality Improvement project in Connecticut. Topics include births and maternal oral health and health care in Connecticut. Other topics include PRAMS questions on maternal oral health, oral health care for mothers by health insurance status, and implications and alternatives for project evaluation. [Funded by the Maternal and Child Health Bureau]

Keywords: Connecticut, Health care utilization, Low income groups, Medicaid, Oral health, Population surveillance, Pregnancy, Pregnant women, Preventive health services, Program evaluation, Risk assessment, State programs, State surveys

National Center for Emerging and Zoonotic Infectious Diseases, Division of Vector-Borne Diseases. 2016–. Zika virus (upd.). Atlanta, GA: Centers for Disease Control and Prevention, multiple items.

Annotation: This website provides information and resources for health care professionals, pregnant women, and others about zika virus disease. Contents include data; information for specific population groups; communication resources such as videos, fact sheets, posters, and infographics; and scientific resources including links to information collections by publisher, emergency bulletins, links to U.S. and international governmental resources, and a biomedical literature search tool. Topics include symptoms, diagnosis, and treatment; prevention; transmission and risks; areas with zika; and vector surveillance and control.

Keywords: Brain diseases, Communicable disease control, Congenital abnormalities, Consumer education materials, Diagnosis, Disease prevention, Disease transmission, Population surveillance, Pregnant women, Public awareness materials, Research, Resource materials, Resources for professionals, Risk factors, Therapeutics, Virus diseases

Oregon Health Authority, Oral Health Program. 2016. Oregon oral health surveillance system 2002–2015. Portland, OR: Oregon Health Authority, Center for Prevention and Health Promotion, 7 pp.

Annotation: This document provides data on key indicators of oral health in Oregon for the period 2002 through 2015. Contents include a description of each indicator and the source and frequency of data available by year. Topics include preventive oral health services for pregnant women, toddlers, children, adolescents, and adults. Data on work force, Medicaid, cancer, cleft lip/palate, and water fluoridation are included.

Keywords: Adolescents, Adults, Children, Data sources, Medicaid, Oral health, Oral health care, Oregon, Population surveillance, Pregnant women, Preventive health services, Special health care needs, State surveys, Statistical data, Toddlers, Work force

Talih M, Huang DT. 2016. Measuring the progress toward target attainment and the elimination of health disparities in Healthy People 2020. Hyattsville, MD: National Center for Health Statistics, 19 pp. (Healthy People Statistical Notes)

Surdu S, Langelier M, Baker B, Wang S, Harun N, Krohl D. 2016. Oral health in Kentucky. Rensselaer, NY: Center for Health Workforce Studies, 235 pp.

Annotation: This report summarizes literature and data describing the oral health of Kentucky's population, including the oral health status of different population groups, oral health service delivery in safety net settings, and the supply and distribution of the oral health work force in the state. Other topics include the geographic and demographic characteristics of Kentucky’s population, the history of oral health in Kentucky, the impact of dental insurance on access to and use of oral health services in the state, and oral health professional shortage areas and safety net providers.

Keywords: Dental insurance, Geographic factors, Health care utilization, Health services delivery, Health status, Kentucky, Oral health, Population surveillance, Work force

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The MCH Library is one of six special collections at Georgetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, private, university, state, and federal funding. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by Georgetown University or the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.