Search Results: MCHLine

Annotation: This final report describes the Voices of Appalachia Healthy Start program, based in Whitley County, Kentucky, during the period February 1, 2001, to January 31, 2006. The project served a low-income rural community in which lack of transportation was a serious obstacle to maintaining continuity and quality of health care, especially for high-risk pregnant women. The projefct focused on geographic, social, economic, and educational disparities in the community. Report sections include (1) overview of racial and ethnic disparity, (2) project implementation, (3) project management and governance, (4) lessons learned, (5) project impact, (6) local evaluation, (7) fetal and infant mortality review, (8) products list, and (9) project data forms. A CD-ROM and a videotape are included. [Funded by the Maternal and Child Health Bureau]

Contact: Voices of Appalachia Healthy Start Project, Whitley County Health Department, 114 North Second Street, P.O. Box 147, Williamsburg, KY 40769, Telephone: (606) 549-3380 Fax: (606) 549-8940

Keywords: Access to health care, Community programs, Final reports, Healthy Start, Infant mortality, Kentucky, Low income groups, Poverty, Pregnant women, Prenatal care, Prevention programs, Reproductive health, Rural populations

Annotation: This report focuses on health and policy issues related to childbirth (i.e., from pregnancy to the postpartum period) for women in southeastern Pennsylvania. The report discusses the state of childbirth options and care in the area. The report covers the following topics: (1) increased diversity and a strained health care delivery complex, (2) lack of access to health care, (3) loss of practiyioners and hospitals, (4) health care inequities, and (5) 21st century medicine and culture's influence on the childbirth experience.

Contact: Maternity Care Coalition, 2000 Hamilton Street, Suite 205, Philadelphia, PA 19130, Telephone: (215) 972-0700 E-mail: [email protected] Web Site: http://maternitycarecoalition.org Available from the website.

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Keywords: Access to health care, Childbirth, Hospitals, Pennsylvania, Postpartum care, Pregnancy, Prenatal care, Women', s health

Annotation: This task force report focuses on infant mortality in Delaware and provides a course of action to eliminate barriers that result in reduced access to perinatal care among minority populations in the state. The report discusses infant mortality in general and the situation in Delaware, the causes of infant mortality, and what can be done to reduce infant mortality rates. Twenty recommendations, which include action steps, a start date, intended impact, and the agencies responsible, are presented. Costs of implementing the recommendations, and how to pay for them, are also discussed. Statistical information is presented in tables throughout the report. A list of task force members and a glossary are included.

Contact: Delaware Health and Social Services, Division of Public Health, Jesse Cooper Building, 417 Federal Street, Dover, DE 19901, Telephone: (302) 744-4700 Secondary Telephone: (888) 459-2943 Fax: (302) 739-6659 E-mail: [email protected] Web Site: http://www.dhss.delaware.gov/dhss/dph/ Available from the website.

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Keywords: Access to health care, Barriers, Costs, Delaware, Financing, Infant mortality, Low income groups, Prenatal care, Racial factors

Annotation: This report describes a Healthy Start program in Trenton, New Jersey in 2001 to 2005 to (1) reduce racial and ethnic disparities in access to prenatal screening and care services, (2) provide case management services for women and families enrolled in intensive home visiting services and home-based health education, (3) initiate new neighborhood center-based health education and family support to pregnant and parenting families with children up to age three, (4) provide behavioral health consultant services for pregnant and postpartum women, (5) fprovide atherhood consultation and support services, and (6) provide referral and linkage to quality infant and child care services. Report contents include an overview of racial and ethnic disparities focused on by the project, project implementation, management and governance, and the impact on the local system of care, the community and state, and the role of local government. Brief statements are provided about the local evaluation and the fetal and infant mortality review. A list of products produced during the project is provided including sample models and forms used, as well as data forms for services provided in each year of the project and additional information on the project budget, participants, performance measures, and services. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org

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Keywords: Access to prenatal care, Care coordination, Ethnic factors, Family support services, Fathers, Final reports, Health education, Healthy Start, Home visiting, Infant mortality, Local initiatives, New Jersey, Prevention programs, Program descriptions, Racial factors, Screening

Annotation: This report describes the 2001 - 2005 continuation of a Healthy Start program providing services in prenatal and interconceptual care to at-risk women in order to reduce infant mortality rates and health disparities in Jacksonville, Florida. Report contents include an overview of racial and ethnic disparities focused on by the project; project implementation; management and governance; project accomplishments; the impact of the project on systems of care, the local community, and the state; the role of local government; and lessons learned. Additional sections include local evaluation, fetal and infant mortality review (FIMR), products produced during the project and data collected. Attachments a chart of project accomplishments organized by objectives, a copy of the local evaluation report, the FIMR community report, a list of products produced during the project period, and various forms used for collecting and summarizing service data. [Funded by the Maternal and Child Health Bureau]

Contact: Jacksonville Healthy Start Initiative, 6850 Belfort Oaks Place, Jacksonville, FL 32216, Telephone: (904) 279-0880 Fax: (904) 279-0881 E-mail: [email protected] Web Site: http://www.nefrpc.org

Keywords: Access to health care, Final reports, Florida, Healthy Start, Infant mortality, Local initiatives, Prenatal care, Prevention programs, Program descriptions, Program evaluation, Racial factors, Statistical data, Women', s health

Annotation: This report presents findings from a survey of women who delivered at large, urban, public hospitals. The purpose of the survey was to determine the extent to which these women encounter or perceive barriers to accessing prenatal care services. The paper, which includes an executive summary, discusses national prental care trends, the study methodology, the survey and sample response rates, and findings. A discussion and policy implications are presented. Statistical information is presented in figures and tables throughout the report. Endnotes are included.

Contact: National Public Health and Hospital Institute, 1301 Pennsylvania Avenue, N.W., Suite 950, Washington, DC 20004, Telephone: (202) 585-0135 Fax: (202) 585-0101 Web Site: http://www.naph.org/nphhi.cfm?CFID=3225787&CFTOKEN=16150052 Available from the website.

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Keywords: Access to health care, Barriers, Infant mortality, Low income groups, Poverty, Pregnant women, Prenatal care, Reproductive health, Surveys

Annotation: This report describes a Healthy Start project from 2001-2005 to address racial disparities in infant mortality and morbidity within the Native American populations in a 27 county area in Northern Michigan. Topics include providing access to early prenatal care and culturally sensitive perinatal services; addressing maternal smoking, improving awareness, and screening and referral for substance abuse; increasing infant immunization rates and access to specialty services; and increasing the number of infant deaths reviewed. Contents include an overview of the project; descriptions of project implementation, management and governance, and accomplishments; and the impact of the project on systems of care, the community, the state, and the role of local government. A copy of the local evaluation report is included in the appendices. Information on the status of fetal infant mortality review is discussed. Project forms, services tables, and other data are also provided. A binder contains samples of proudcts developed during the project and includes maps, brochures, fact sheets, booklets, posters, informational packets, reports and presentations, and videos and DVDs. Products are also included on the CD-ROM. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, American Indians, Final reports, Healthy Start, Infant mortality, MCH services, Michigan, Prenatal care, Prevention programs, Program descriptions, Racial factors

Annotation: This report describes a Healthy Start program in Ford Heights and Chicago Heights, Illinois, from 2001-2004 to improve access to quality maternal and child health services in order to reduce the high rate of infant mortality and reduce health disparities in this medically underserved area. It discusses isk factors for poor perinatal outcomes including mothers who smoke, drank, or used street drugs during their pregnancy, as well as other behavioral risk factors and pregnancy during adolescence. Report contents include an overview of racial and ethnic disparities focused on by the project; descriptions of project implementation, management and governance, and accomplishments; the impact of the project on systems of care, the community and the state, and the role of local government. A local evaluation report addressing issues of infant mortality, first trimester prenatal care, adequacy of prenatal care, well-child exams, and initial postpartum exams is included. Appendices include service tables and project data as well as samples of products produced during the project. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Adolescent pregnancy, Alcohol use during pregnancy, Barriers, Drug use during pregnancy, Final reports, Healthy Start, Illinois, Infant mortality, MCH services, Prenatal care, Prevention programs, Racial factors, Substance abuse

Annotation: This report describes a Healthy Start program for improving perinatal outcomes in four low-income West Side communities of Chicago, Illinois, from 2001-2005. Program elements described include reducing infant mortality rates through comprehensive assessment and a complete continuum of care, ranging from direct health care services to mental health care and substance abuse treatment. Report contents include an overview of the racial and ethnic disparities served by the program; a review of project implementation, management and governance, and accomplishments; and a summary of the impact of the project on systems of care, the community, and state and local governments. A copy of the local evaluation report is provided along with required data forms for tracking goals and objectives performance measures. Sample fact sheets and brochures are included in both English and Spanish. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Final reports, Healthy Start, Illinois, Infant mortality, MCH services, Mental health services, Prenatal care, Prevention programs, Program descriptions, Screening, Spanish language materials, Substance abuse treatment programs

Annotation: This report describes a Healthy Start program from June 2001 - May 2005 in seven communities in southern Illinois. Program service needs are described, including reducing infant mortality, improving perinatal indicators associated with infant mortality, increasing access to care, and closing the gap in health disparities among African Americans in the project service area. Report contents include an overview of the racial and ethnic disparity in the project area; components of project implementation, management and governance; a summary of accomplishments and the impact of the project on local systems of care, the community, and the state. A copy of the local evaluation report is included along with appendices providing data and performance measurement forms and major service tables. In addition sample program brochures, booklets, flyers, and other consumer education materials are provided. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Barriers, Blacks, Consumer education materials, Final reports, Healthy Start, Illinois, Infant mortality, MCH services, Prenatal care, Prevention programs, Program descriptions, Racial factors

Annotation: This report describes a Healthy Start program to improve access to quality maternal and child health services in order to reduce the high rate of infant mortality and minimize the racial disparity that exists in six community areas in Chicago, Illinois, from 2001-2004. Report contents include an overview of the racial and ethnic disparities focused on by the project; and a description of project implementation of core services, and management and governance; a summary of project accomplishments, local evaluation, and the fetal and infant mortality review (FIMR). Sample products such as a grid for perinatal mood disturbances and various evaluation and FIMR reports are included as well as required data forms, summaries, and tables. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Barriers, Final reports, Healthy Start, Illinois, Infant mortality, MCH services, Prenatal care, Prevention programs, Program descriptions, Racial factors, Screening

Annotation: This report details the activities and accomplishments of the third phase of a Healthy Start project in the Detroit, Michigan area from June 2001 through May 2005 to improve pregnancy and birth outcomes, assist women to access interconceptual care between pregnancies, and improve the identification and treatment of perinatal depression. Report contents include an overview of racial and ethnic disparities focused on by the project, a description of the project implementation, management and governance, accomplishments, and local impact. Additional information and documentation is provided on the local evaluation and fetal and infant mortality review. Appendices include products created during the project, data compiled on budget details, participants, and services offered. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Ethnic factors, Final reports, Healthy Start, Infant mortality, Low income groups, Michigan, Postpartum depression, Pregnant women, Prenatal care, Prevention programs, Program descriptions, Racial factors

Annotation: This report describes a Healthy Start project in Louisiana from June 2001 through May 2005 to increase awareness and reduce risk factors related to infant mortality, depression during the prenatal period, low birth weight births, and to decrease disparities in perinatal health. Contents include an overview of racial and ethnic disparity focused on by the project; a description of the project implementation; project management and governance, accomplishments, and impact on systems of care, the community, the state, the role of local government, and lessons learned. A local evaluation report is provided along with sample products and project data. Appendices include a chart outlining the final report and implementation plan, attachments from the local evaluation report, a summary of products produced during the project, and project data forms. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Barriers, Final reports, Healthy Start, Infant mortality, Louisiana, Prenatal care, Prevention programs, Program descriptions, Racial factors

Annotation: This report describes a Healthy Start project in the Louisville, Kentucky metropolitan area from June 2001 through May 2005 to address the high rate of infant mortality, persistent disparities, lack of utilization of early or adequate prenatal care, and the high percentage of low birth weight infants in the African American community. Report contents include an overview of the needs of the racial and ethnic population in the project area; information on the project implementation, management and governance, project accomplishments, and its impact. Additional contents include the local evaluation and fetal and infant mortality review. Attachments includes products and project data developed during the project period. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Access to health care, Ethnic factors, Final reports, Healthy Start, Infant mortality, Kentucky, Low birthweight infants, Prenatal care, Prevention programs, Program descriptions, Racial factors

Annotation: This report describes a Healthy Start program in South Carolina from 2001-2005 to reduce infant mortality and morbidity through enhancing and expanding existing services to pregnant women and infants. Contents of the report include descriptions of service initiation; service accomplishments; consortium and collaboration efforts; the impact of the consortium program; and other Healthy Start components such as management and governance, sustainability, the role of local government, local evaluation, fetal and infant mortality review, and project data. Attachments include reports on the implementation plan and local evaluation, data and service tables, and performance measures. Also included are samples of brochures, flyers, and other handouts developed by the project. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org

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Keywords: Access to health care, Barriers, Final reports, Healthy Start, Infant health, Infant mortality, MCH services, Pregnant women, Prenatal care, Prevention programs, Program descriptions, South Carolina

Annotation: This report describes the Friendly Access program, a long-term research, education, and community development initiative designed to change maternal and child health care in ways that improve consumers' access, use, satisfaction, and outcomes. The report describes the program's core beliefs, mission, vision, and values; discusses the program's objectives; explains how the program is implemented at the community level; lists the expectations of founding partners; and discusses the role of the program office. The Laughton and Rhea Chiles Center for Health Mothers and Babies, which founded the program, as well as collaborating organizations, are also described. One appendix includes perinatal health care access and utilization guidelines.

Contact: Lawton and Rhea Chiles Center for Healthy Mothers and Babies, University of South Florida, College of Public Health, 3111 East Fletcher Avenue, Tampa, FL 33613-4660, Telephone: (813) 974-8888 Secondary Telephone: (877) 724-2359 Fax: (813) 974-8889 E-mail: [email protected] Web Site: http://health.usf.edu/publichealth/chilescenter/ Available from the website.

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Keywords: Access to health care, Barriers, Child health, Childbirth, Community programs, Consumer satisfaction, Consumers, Demonstration programs, Education, Families, Health care systems, Health care utilization, Infant health, Initiatives, Low income groups, MCH programs, Maternal health, Medicaid, National programs, National programs, Postpartum women, Pregnancy, Prenatal care, Research, Women', s health

Annotation: This newsletter issue describes the National Friendly Access Program, a long-term research, education, and community development initiative designed to change maternal and child health care in ways that improve consumers' access, use, satisfaction, and outcomes. The issue discusses community projects initiated by the program, program evaluation, communities selected to serve as demonstration sites, promoting strength-based partnerships, news and updates, and the program calendar. The back page of the newsletter includes an introduction to the program's principal investigator and a list of advisory council members.

Contact: Lawton and Rhea Chiles Center for Healthy Mothers and Babies, University of South Florida, College of Public Health, 3111 East Fletcher Avenue, Tampa, FL 33613-4660, Telephone: (813) 974-8888 Secondary Telephone: (877) 724-2359 Fax: (813) 974-8889 E-mail: [email protected] Web Site: http://health.usf.edu/publichealth/chilescenter/ Available from the website.

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Keywords: Health care systems, Access to health care, Barriers, Child health, Childbirth, Community programs, Consumer satisfaction, Consumers, Demonstration programs, Education, Families, Health care utilization, Infant health, Initiatives, Low income groups, MCH programs, Maternal health, Medicaid, National programs, National programs, Postpartum women, Pregnancy, Prenatal care, Research, Women', s health

Annotation: This booklet provides information to legislators and legislative staff to gain a better understanding of issues, resources, and programs related to maternal and child health. Topics include access to health care and financing issues, barriers, racial factors, infant mortality and low birthweight, prenatal care, breastfeeding, newborn screening, public health nurse home visitation, children's health, and women's health and reproductive health. The appendix highlights selected Healthy People 2010 objectives for maternal and child health. [Funded in part by the Maternal and Child Health Bureau]

Contact: National Conference of State Legislatures, 7700 East First Place, Denver, CO 80230, Telephone: (303) 364-7700 Fax: (303) 364-7800 Web Site: http://www.ncsl.org Available in libraries. Document Number: ISBN 1-58024-337-1.

Keywords: Access to health care, Breastfeeding, Child health, Health care financing, Health insurance, Infant health, Legislation, Maternal health, Prenatal care, Reproductive health, Women', s health

Annotation: This paper explores the issue of whether consumer choice of health professionals explains any of the differences in birth outcomes between children born to poor parents in the United States and those born to non-poor parents, and, if it does, why poor women choose different health professionals than their non-poor counterparts. The paper, which includes an abstract, also discusses the data, California's Disproportionate Share Program, trends in hospital choice, and specification checks. An interpretation and implications are also provided. Statistical information is presented in figures and tables grouped together at the end of the report. The report includes references.

Contact: National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138-5398, Telephone: (617) 868-3900 Fax: (617) 868-2742 E-mail: [email protected] Web Site: http://www.nber.org Available from the website.

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Keywords: Access to prenatal care, California, Hospitals, Infant health, Infant mortality, Medicaid, Mothers, Parents, Poverty, Pregnancy outcome, Racial factors, Research

Annotation: This report discusses the importance of prenatal care and explores the impact of the Medicaid eligibility expansions and systems improvements on early prenatal coverage and access to care in California over the past two decades. Chapter topics include an overview and background of the importance of obtaining prenatal care, trends of prenatal care use and coverage in California during 1980-1999, a survey of California's maternity population, improving early access to Medicaid coverage in California, a review of non-insurance barriers to early prenatal care, and conclusions and policy recommendations for improving access to prenatal care. A reference list and technical appendix providing a general description of the data sources, study samples, variables, and analysis plans used are provided. Statistical data are provided in chart formats throughout the report.

Contact: Henry J. Kaiser Family Foundation, Washington, DC Office/Public Affairs Center, 1330 G Street, N.W., Washington, DC 20005, Telephone: (202) 347-5270 Fax: (202) 347-5274 E-mail: Web Site: http://www.kff.org/about/bjcc/bjcc_floor.cfm Available at no charge; also available from the website.

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Keywords: Access to prenatal care, Barriers, California, Health insurance, Medicaid, Pilot projects, Prenatal care, Program descriptions, State surveys, Statistical data