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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 4 (4 total).

Holman C, Glover A, Fertaly K, Nelson M. 2023. Levels of Care Assessment Tool (LOCATe) Montana Report . Rural Institute for Inclusive Communities, University of Montana , 28 pp.

Annotation: This report presents the results of the Levels of Care Assessment Tool (LOCATe) implemented in Montana in 2021 to assess maternal and neonatal care capabilities in birthing facilities and support strategies to improve risk-appropriate care. LOCATe aligns with guidelines from the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, and the American Academy of Pediatricsto match hospital capabilities with patient risk. The report summarizes Montana's LOCATe results, with 96% of birthing facilities participating. Key findings include: 80% of facilities assessed at Level I or II for neonatal care; 68% assessed at Level I or lower for maternal care; facilities had discrepancies between self-reported and assessed levels; 44% lacked maternal transport plans; and protocols existed for maternal emergencies but drills were lacking. The report provides five recommendations to improve risk-appropriate care: 1) Develop perinatal regionalization through stakeholder coordination; 2) Cultivate relationships between facilities through education and learning collaboratives; 3) Establish maternal transport plans and agreements; 4) Enhance care through evidence-based practices and statewide safety bundles; 5) Measure impact through data and review committees.

Keywords: Gestational age, High risk pregnancy, Montana , Perinatal care, Reproductive health, Risk appropriate care, Rural health, State initiatives, Statistical data

Centers for Disease Control and Prevention . 2022. CDC Levels of Care Assessment Tool (LOCATe) . Atlanta, GA: Centers for Disease Control and Prevention.,

Association of State and Territorial Health Officials. 2022. Strengthening risk-appropriate care in American Indian and Alaska Native communities. Arlington, VA: Association of State and Territorial Health Officials (ASTHO), 2 pp. (ASTHOBrief)

Annotation: This report discusses how the Departments of Health of three states (Alaska, New Mexico, and Montana) are strengthening access to risk-appropriate care for American Indian / Alaska Native (AI/AN) communities. Initiatives and recommendations include increased data collection, promoting people-centered and culturally appropriate care, and collaborating with community organizations.

Keywords: Alaska natives, High risk pregnancy, Native Americans, Perinatal care, Racism, Reproductive health, Risk appropriate care, Social bias

Alliance for Innovation on Maternal Health. 2022. Strategies for implementation of regionalized risk-appropriate maternal care on a national scale. Washington, DC: American College of Obstetricians and Gynecologists , 32 pp.

Annotation: This report describes strategies for implementing regionalized risk-appropriate maternal care across the United States through a levels of maternal care (LoMC) classification system. It examines key implementation components including facility assessment and verification, establishment of regional care networks, maternal transport systems, quality improvement processes, and data monitoring approaches. The report highlights challenges faced by rural facilities, the role of telemedicine, and the importance of addressing health equity in maternal care systems. Using case studies from various states and health systems, it provides specific recommendations for building sustainable LoMC systems nationally, including establishing a coordinating center, expanding funding mechanisms, and improving payment structures for obstetrical care.

Keywords: Classification, Perinatal care, Reproductive health, Risk appropriate care, Risk factors
   

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