Search Results: MCHLine

Annotation: This brief summarizes several initiatives to advance health and/or racial equity in home visiting. Some examples include: Home Visiting Collaborative Improvement and Innovation Network 2.0 (HV CoIIN 2.0) Health Equity Collaborative, Michigan Home Visiting Initiative (MHV), and Massachusetts Racial Equity Movement. The brief also highlights the National Leadership Academy for the Public's Health (NLAPH) program.

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Keywords: Child health, Early childhood development, Ethnic groups, Family support services, Health equity, Home visiting, Model programs, Race, Social factors

Annotation: This issue brief presents the Racial Equity and Policy (REAP) framework for systematically assessing health policy through the lens of racial equity. The framework considers three themes: disproportionality, decentralization, and voice.

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Keywords: Ethnic groups, Health care disparities, Health status disparities, Measures, Medicaid, Race, Racial groups

Annotation: This report presents trends in primary and repeat Cesarian delivery from 2016 to 2021, using data from the National Vital Statistics System. It finds that, although repeat Cesarian delivery decreased each year from 2016 to 2021, primary Cesarian rates increased for women under 40, for most race and Hispanicorigin groups, and for all gestational age. Color graphs and maps illustrate the changes by age, race, gestational age, US state, etc.

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Keywords: Cesarean section, Gestational age, Hispanic Americans, Race, Repeat cesarean birth

Annotation: This recorded webinar from August 16, 2022, features AMCHP's Equity, Epidemiology, and Evaluation team providing a comprehensive framework for implementing evidence-based changes in telehealth programs with an explicit focus on equity throughout the evaluation process. The presentation systematically explores the CDC Evaluation Framework and Standards—covering utility, feasibility, propriety, and accuracy standards—while incorporating concrete examples through a detailed Utah case study that demonstrates practical application of these principles. The content balances theoretical foundations with actionable implementation strategies, integrating quality improvement methodologies to help participants learn both how to design evaluations that center equity and how to effectively translate evaluation findings into meaningful program changes. The session concludes with an extensive question and answer period that addresses specific challenges faced by participants in applying equity-centered evaluation approaches to their telehealth initiatives.

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Keywords: Epidemiology, Telemedicine, Race, Program evaluation, Communication, Quality assurance, Utah

Annotation: On May 26, 2022, Belinda D. Pettiford, MPH, AMCHP Board President, delivered testimony before the House Appropriations Labor, Health and Human Services, Education, and Related Agencies Subcommittee during their FY2023 Public Witness Day, advocating for $1 billion in funding for the Title V Maternal and Child Health Services Block Grant. Pettiford emphasized how these equitably distributed grants have effectively improved maternal and child health outcomes across all states and territories through evidence-based, flexible programs that deliver measurable results. Her testimony highlighted priority initiatives including maternal mortality prevention, support for families with children having special healthcare needs, and addressing healthcare inequities. Following her presentation, which occupied approximately half the allocated time, subcommittee members contributed their own observations and comments regarding the funding request.

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Keywords: Title V programs, Block grants, MCH programs, Government financing, Congressional hearings, Race

Annotation: This presentation on building equity-centered evaluations from May 2022, was delivered by the AMCHP Equity, Epidemiology, & Evaluation Team. It introduces the Equitable Evaluation Framework, which aims to shift evaluation processes away from colonialism and White Supremacy toward participant ownership and equity. The presentation critiques traditional evaluation "orthodoxies" that center foundations and evaluators rather than communities, and provides practical examples through telehealth case studies. Key principles discussed include advancing equity through evaluation, ensuring multi-cultural validity and participant ownership, and examining how strategies affect different populations and systemic drivers of inequity. The material emphasizes the importance of building trust before implementation, selecting evaluators based on lived experience and cultural competence rather than just traditional credentials, and expanding definitions of credible evidence beyond just quantitative data and experimental research. Throughout, it advocates for including affected communities in evaluation development and interpretation, using culturally relevant practices, and examining fine-grained differences in how interventions impact different groups.

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Keywords: Telemedicine, Epidemiology, Race, Program evaluation, Staff development

Annotation: In March 2022, AMCHP's Evidence and Implementation team held this training session, delivering a comprehensive presentation on evaluation methodologies specifically tailored for program assessment. The session explores various evaluation plan types while emphasizing strategies to integrate equity principles throughout the evaluation process. Presenters review essential evaluation tools including logic models and aim statements, with particular attention to developing effective evaluation questions through a structured approach. The content also introduces measurement tables as practical instruments for planning and visualizing evaluation activities. The presentation balances theoretical frameworks with practical application, culminating in an interactive evaluation activity that allows participants to apply the concepts discussed. This resource serves as a reference for public health professionals seeking to implement equitable, evidence-based evaluation approaches within their programs.

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Keywords: Program evaluation, Race, Assessment tools, Epidemiology, Staff development

Annotation: This tool can be used by all health care stake holders to achieve health equity for racial and ethnic minorities, people with disabilities, sexual and gender minorities, individuals with limited English proficiency, and rural populations. The worksheet has five steps: identify health disparities and priority populations, define goals, establish health equity strategy, determine needs to implement strategy, monitor and evaluate progress.

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Keywords: Access to health care, Discrimination, Ethnic groups, Health care disparities, Health status disparities, Measures, Minority groups, Program evaluation, Race, Racial groups, Rural populations

Annotation: This report evaluates health equity across race and ethnicity, both within and between states, to demonstrate how health systems perform for Black, white, Latinx/Hispanic, American Indian/Alaska Native (AIAN), and Asian American, Native Hawaiian, and Pacific Islander (AANHPI) populations. The report displays data using multiple charts and figures; the data can also be displayed by individual race/ethnic group on its own. The report also recommends policy changes to address disparities in access to health care.

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Keywords: Access to health care, Ethnic groups, Health care disparities, Health status disparities, Legislation, Measures, Policy development, Race, Racial groups, State programs

Annotation: This recording of AMCHP's 2021 Global Health Workgroup defines climate justice and discusses the impact of climate change on maternal and child health. Guest speakers present on the impact of climate change in their populations of interest and outline how their activities promote maternal and child health and climate justice. Guests include Jyotsna Krishnakumar, Director, Community Well Being Programme, WASH, Keystone Foundation; Camille Delgado-Lopez, Epidemiologist, Surveillance for Emerging Threats to Mothers and Babies, Children with Special Needs Divison, Puerto Rico Health Department; Jack Dimatteto, Legistative Assistant for US Congress; and Representative Lauren Underwood, Black Maternal Health Caucus.

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Keywords: Race, Global health, Climate change, Maternal health, Children's health, Cultural diversity, Puerto Rico,

Annotation: In this informal Q&A coffee chat format, AMCHP policy experts discuss key developments in national health policy following the administrative transition, with particular focus on potential changes to the Affordable Care Act and Medicaid. A significant portion of the discussion centers on efforts to extend postpartum Medicaid coverage from 60 days to one year through the American Rescue Plan's state option, which would require state plan amendments for implementation. The experts also address critical issues of racial inequities in maternal and child healthcare delivery and examine the implications of the Anti-Racism in Public Health Act, offering insights into the future landscape of maternal health policy from 2021 onward.

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Keywords: Health policies, Social policies, Medicaid, Maternal health, Children's health, Health insurance programs, Race

Annotation: This transcript documents a coffee talk discussion hosted by AMCHP's State Public Health Autism Resource Center, featuring speakers Lydia X. Z. Brown and Dr. Jessica Horvath Williams discussing the intersections of disability, race, and gender oppression. The speakers explore how ableism operates as a foundational system of oppression that intersects with and reinforces other forms of marginalization, particularly focusing on how disability is used to dehumanize various marginalized groups. They delve into complex topics including respectability politics, privilege, guilt, and the responsibilities of those with relative privilege in advocacy spaces. The discussion emphasizes the importance of understanding how environmental racism and systemic oppression create and exacerbate disability in marginalized communities, while also addressing how to navigate spaces and conversations about marginalization when one holds both privileged and marginalized identities, concluding with guidance on appropriate ways to redirect opportunities to more representative voices within affected communities.

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Keywords: Race, Gender, Autism, Developmental disabilities,

Annotation: In this policy brief, AMCHP presents a framework for evaluating telehealth policies through an equity lens in maternal and child health (MCH) public health systems. The framework defines equity in telehealth as ensuring all individuals have fair access to virtual care tailored to their needs, with a focus on four key dimensions: financial access (addressing cost barriers), equipment & capacity (ensuring access to necessary devices and connectivity), accessibility of care (providing appropriate accommodations), and high-need populations (prioritizing historically marginalized communities, especially BIPOC). The document illustrates these principles through case studies from various states, including North Carolina's expansion of virtual family planning services, Alaska's support for family caregivers, Washington's provision of free Zoom licenses to providers, Connecticut's extension of Birth-to-Three services, and Minnesota's broadening of telehealth provider eligibility to include doulas and community health workers.

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Keywords: Title V programs, Federal MCH programs, Block grants, Race, Infant health, Preterm birth, Telemedicine, North Carolina, Alaska, Washington, Connecticut, Minnesota

Annotation: This report from AMCHP discusses how Title V Maternal and Child Health (MCH) programs can develop diverse partnerships to improve health outcomes and address social determinants of health. It presents several case studies demonstrating successful collaboration strategies, including: Arkansas's partnership with African American fraternities (Brothers United) to promote safe sleep practices and reduce infant mortality disparities; Utah's adaptation of the national MotherToBaby program to provide pregnancy and breastfeeding information in rural areas; Mississippi's collaboration with faith-based organizations to provide dental services through a mobile unit; and South Dakota's Park Prescription initiative that partners with healthcare providers to promote physical activity in state parks. Each case study illustrates different partnership strategies: intentional collaboration with community partners, leveraging national initiatives for local impact, integrating programming within faith-based communities, and aligning efforts across government and health systems to address health disparities and improve access to care for underserved populations.

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Keywords: Title V programs, Federal MCH programs, Block grants, Case studies, Infant mortality, Race, Collaboration, Community based programs, Mississippi, South Dakota, Arkansas, Utah

Annotation: This tool provides steps for advancing racial equity and inclusion. The tool uses a grid to guide teams through questions and helps leaders develop and then implement strategies that can close equity gaps.

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Keywords: Children, Ethnic groups, Legislation, Measures, Policy development, Race, Racial groups

Annotation: This case study examines the role of culture in informing and enhancing efforts to provide equity for children of color. Readers will learn how organizations are applying evidence-based practices in culturally relevant ways and how local programs are adopting nontraditional approaches to successfully serve communities of color. Case studies of successful programs include Strong African American Families, an evidence-based program that helps rural African American families strengthen family relationships, improve parenting skills, and develop youth competencies, and Con Mi Madre, which helps young Latinas and their mothers achieve goals for higher education.

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Keywords: Adolescents, Children, Children, Education, Ethnic groups, Evidence-based programs, Family support, Infants, Measures, Neighborhoods, Policy development, Race, Racial groups, Work force, Young children, Youth

Annotation: This document describes federal activities and resources to support diversity and cultural competency within the maternal and child health (MCH) work force. Topics include agency-wide strategic planning to improve health equity; pipeline training program requirements for collecting data on the race and ethnicity of trainees and faculty and the degree to which programs have incorporated cultural and linguistic competence into policies, guidelines, contracts, and training; and resources to support programs in advancing and sustaining cultural and linguistic competence such as technical assistance, peer mentoring, and collaboration.

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Keywords: Collaboration, Cultural competence, Cultural diversity, Culturally competent services, Data collection, Ethnic groups, Goals, Health care disparities, Health disparities, Information dissemination, MCH training programs, Measures, Mentors, Peer groups, Program development, Program improvement, Program planning, Race, Technical assistance, Work force

Annotation: This document describes progress toward educational equity and opportunities to achieve shared goals by aligning assets and expertise across networks, school districts, and communities. Contents include a unifying concept of student-centered education and five principles for driving the work. Topics include trusting relationships, cross-sector partnerships, purposeful engagement, actionable data, and shared accountability.

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Keywords: Accountability, Barriers, Collaboration, Community action, Data, Education, Equal opportunities, Ethnic groups, Networking, Policy development, Poverty, Public private partnerships, Race, Social support, Trust

Annotation: This case study discusses using racial equity assessment tools to measure the impact of proposed legislation on populations of color. The document looks at how two cities, Minneapolis and Seattle, used Racial Equity Impact Assessment (REIA) tools to promote equity for communities of color. In addition, this report includes resources to help foster the use of REIA tools.

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Keywords: Children, Ethnic groups, Legislation, Measures, Neighborhoods, Policy development, Race, Racial groups

Annotation: This publication features an inside look at how two organizations, the W. Haywood Burns Institute and the Kirwan Institute for the Study of Race and Social Policy, use disaggregated data on race and ethnicity to improve the lives of children and communities of color. The report includes a section on lessons learned, which provides readers with action steps and resources for using data on race to advocate for impacted communities.

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Keywords: Children, Communities, Data, Data analysis, Ethnic groups, Legislation, Measures, Neighborhoods, Policy development, Race, Racial groups