Search Results: MCHLine

Annotation: This data brief examines trends and disparities in maternal mortality in the United States, with particular focus on racial inequities and state-level variations. It presents comprehensive data showing that the U.S. maternal mortality ratio of 17.4 deaths per 100,000 pregnancies ranks last among industrialized nations, with Black women experiencing 2.5 times higher mortality rates than white women. The document analyzes timing and causes of pregnancy-related deaths, showing that more than half occur after delivery, many during the postpartum period. The brief examines how factors like education level and insurance status impact outcomes and discusses policy implications for improving maternal health care delivery and addressing structural racism in healthcare. The analysis draws on multiple national data sources including vital statistics, CDC surveillance systems, and maternal mortality review committees to present both historical trends and current state-level comparisons.

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Keywords: Data, Ethnic factors, Health care disparities, Health equity, Maternal mortality, Policy development, Racial factors, Racism, Trends

Annotation: This report provides a comprehensive policy framework aimed at eliminating racial disparities in both maternal and infant mortality. Considering solutions that address disparities in both of these areas, the authors outline specific strategies and provide recommendations to (1) improve access to health care and critical services; (2) improve the quality of care provided to pregnant women; (3) address maternal and infant mental health; (4) enhance supports for families before and after birth; and 5) improve data collection and oversight.

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Keywords: , Access to health care, Barriers, Blacks, Data collection, Health equity, Infant mortality, Maternal morbidity, Maternal mortality, Mental health, Public policy, Quality assurance, Racial discrimination, Racial factors, Racism

Annotation: This paper examines the social determinants experienced over the life course and their influence on adverse birth outcomes for black women in Maryland. Contents include background on Maryland and data on maternal and child health (MCH) outcomes in Baltimore City, Montgomery County, Prince Georges County, and on the Eastern Shore; vital statistics data on the health of mothers and infants in Maryland; and a set of proposals to strengthen Maryland's policies and programs around MCH.

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Keywords: Adverse effects, Blacks, Health care disparities, Health disparities, Infants, Life course, MCH programs, MCH research, MCH services, Maryland, Mothers, Outcome and process assessment, Policy development, Pregnant women, Program development, Racial discrimination, Racial factors, Racism, Sociocultural factors, Socioeconomic factors, State programs, Statistical data, Women

Annotation: This book for college faculty, administrators, and student affairs professionals demonstrates what educators need to know and do to take an active role in racial equity work on college and university campuses. The book provides examples of policy and practice for improving equity in postsecondary education, examines the role of individuals and groups in the change process, includes examples of action research tools, and offers other strategies for professional development and organizational change.

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Keywords: Accountability, Case studies, Colleges, Equal opportunities, Leadership, Organizational change, Policy development, Postsecondary education, Program improvement, Racism

Annotation: This webinar explores the persistent gap in infant mortality between white and black infants and how to address challenges and opportunities. The experiences of 11 community and state teams and partners in addressing racism's impact on infant mortality are shared and lessons learned are described with actionable steps for programs to take. Examples are provided from California, Colorado, Connecticut, Florida, Ohio, Illinois, Louisiana, Massachusetts, Michigan, Texas, and Wisconsin.

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Keywords: Blacks, Case studies, Community programs, Infant death, Infant mortality, Multimedia, Racial factors, Racism, State initiatives

Annotation: This blueprint describes a framework and multistep process to reduce disparities and disproportionalities in human services and behavioral health care. The steps discussed include (1) readiness, (2) community engagement, (3) identification, (4) assessment, (5) intervention, (6) evaluation/continuous quality improvement, (7) replication, and (8) sustainability. A case study in a hypothetical community is included.

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Keywords: Quality assurance, Access to health care, Communities, Data, Statistical data, Community programs, Cultural competence, Cultural factors, Ethnic factors, Human services, Intervention, Prevention, Program evaluation, Racial factors, Racism, Treatment

Annotation: This document provides information about the Partnership to Eliminate Disparities in Infant Mortality, which focuses on eliminating racial inequities contributing to infant mortality in U.S. urban areas. The brief discusses the partnership's activities, actions identified to reduce infant mortality, challenges and impacts, and lessons learned.

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Keywords: Blacks, Communication, Infant mortality, Intervention, Prevention, Programs, Racial factors, Racial factors, Racism, Urban populations

Annotation: This guide is intended to serve as a resource to assist public health professionals in initiating open and honest conversations about racism's impact on community health. Topics include how to use the guide, conversation essentials, essentials for group meetings, and essentials for planning teams.

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Keywords: Communication, Communities, Public health, Racial factors, Racism

Annotation: This report summarizes the second of three meetings of the Infant Mortality & Racism Action Learning Collaborative held on June 1-3, 2009, in Long Beach, California. The report provides background and discusses communicating about racism; racism, stress, and reproductive disadvantage; and planning for change.

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Keywords: Infant mortality, Racism, Reproductive health, Stress

Annotation: This book represents an effort to facilitate the development of cultural competence and cultural proficiency among physical therapists. The book covers theory, practice, and professional development areas of study that have frequently been omitted from the traditional curriculum for rehabilitation professional students or continuing education for the practitioner. Chapters 1,2, and 3 address the domains of culture and cultural competence from a broad perspective. Chapter 4 identifies special considerations that need to be addressed when doing an ethnography of a client. Chapter 5 is devoted to understanding disability. Chapter 6 focuses on present-day circumstances of disparities in health status, health care, and physical therapy. Chapters 7 and 8 are about poverty and racism. Chapter 9 is about communication. Chapter 10 introduces the concept of service learning and explores the relationship between service learning and cultural competence. Chapter 11 discusses the social construct of disability. Chapter 2 provides specific strategies to enable individual physical therapists and the profession of physical therapy to work toward increased cultural competence.

Keywords: Chronic illnesses and disabilities, Communication, Cultural competence, Health, Health care disparities, Health status disparities, Physical therapists, Physical therapy, Physical therapy education, Poverty, Racism, Rehabilitation

Annotation: This issue of City Lights focuses on undoing institutional racism. The issue provides background on how racism affects urban women, children, and families and defines racism-related terms. Articles are also included on the challenge of undoing racism, research on reducing racial disparities in birth outcomes, CityMatch's effort to tackle racism, undoing racism in Seattle and King County, and addressing disparities in premature birth in the wake of the 2005 Gulf Coast hurricanes. [Funded by the Maternal and Child Health Bureau]

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Keywords: Children, Families, Prevention, Racial discrimination, Racial factors, Racism, Research, State programs, Washington, Women, infants

Annotation: This issue describes factors involved in effective grantmaking strategies for working in diverse communities including: changing demographics, disparities, and the limitations of traditional grantmaking models. It analyzes the contextual dynamics through which the work of building constituencies in diverse communities takes place through three lenses: structural racism, racial equality, and inclusionary grantmaking. The issue discusses three work arenas in which the work of building constituencies takes place: internal practices, community engagement, and capacity building.

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Keywords: Foundations, Grants, Guidelines, Minority groups, Nonprofit organizations, Racism, Underserved communities

Annotation: This paper focuses on the process by which individuals make judgments about the parenting behaviors of others, and whether these judgments are influenced by race. The authors examine racial differences in parenting (if any) and whether racial differences in socioeconomic status and maternal characteristics can explain these differences. The paper, which includes an abstract, provides background, data and measures, empirical analysis, and conclusions. Statistical information is presented in tables grouped together at the end of the report. The report includes one appendix: interviewer-assessed maternal and child behavior characteristics. References and endnotes are included.

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Keywords: MCH research, Maternal behavior, Parenting, Racial factors, Racism, Socioeconomic factors, Socioeconomic status

Annotation: The papers collected in this volume reveal the contribution of African American voices to understanding the relationship between justice and care. The first part of the text provides a psychological perspective on moral formation among African Americans during childhood, adolescence, and adulthood. Part two provides practical, pedagogical perspectives drawn from the past, present, and ongoing challenges of African American educational practices, focusing on what African American voices have to say about promoting care, justice, and moral formation within schools. Appendices include information on chapter-correlated films that illustrate these values and a summary of ways in which each chapter contributes to the understanding of each of the justice-and-care primary dual values. References, information on the contributors, and an index are included.

Keywords: Blacks, Criminal justice system, Education, Life skills, Moral development, Moral values, Racial discrimination, Racial factors, Racism, Social discrimination, Social integration, Social values

Annotation: This report, which focuses on strategies for eliminating racism and racial disparities in public health, is divided into three main sections. Section 1 examines the scientific basis for racism as a determinant of health status and health disparities, and how institutional racism manifests in health care and health departments. Section 2 provides an overview of existing directions, options, and resources for eliminating racism. Section 3 outlines a series of activities for a local public health-based initiative for eliminating racism. The report includes three appendices: (1) assessing institutional readiness and priorities for eliminating racism in local public health agencies, (2) a list of relevant organizations, and (3) a list of workgroup participants.

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Keywords: Attitude change, Attitudes, Health care, Health status, Initiatives, Public health, Public health agencies, Racial discrimination, Racism, Resource materials

Annotation: This pamphlet discusses how to use a book club to learn about bias, discrimination, stereotyping, and prejudice. It explains how books can be catalysts for change, how to make a book club a reality, the impact of such a book club, and how a book club can grow into something larger. The pamphlet also includes start-up strategies, sample book club selections, and contact information. The pamphlet highlights the experiences of the Family Support Organization of Burlington County, NJ, a group of parents or guardians of children with emotional, behavioral, or mental health challenges.

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Keywords: Community programs, Cultural competence, Discrimination, Groups, Model programs, Racism, Reading, Social bias

Annotation: This report on findings from the Youth and Racial Equity Project focuses on a sample of 16 youth development and youth organizing groups that address structural racism (defined as the history, public policies, institutional practices, and cultural stereotypes and norms that together maintain racial hierarchies and inequitable racial group outcomes) as part of their work. The report, which includes an executive summary, is divided into the following main sections: (1) what is the Youth and Racial Equity Project?, (2) findings, (3) recommendations, and (4) appendices (which consist of participant lists). Some of the information is presented in figures, tables, and boxes.

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Keywords: Adolescents, Cultural factors, Outcomes, Public policy, Racial factors, Racism, Youth agencies, Youth development

Annotation: This report provides background on youth-led organizations and highlights five youth-led social justice efforts, describing the lessons they have learned and the tools they have developed. The organizations are: (1) Youth Organizations United (HIV education and reproductive health policy), (2) Lummi CEDAR Project (respecting traditional values, building intergenerational bridges, and supporting youth-led community organizing, (3) Kids As Self Advocates (educating about youth with disabilities), (4) About Face Youth Theater (empowering lesbian, gay, bisexual, transgender, and questioning youth and their allies), and (5) National Conference for Community and Justice (fighting bias, bigotry, and racism).

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Keywords: Adolescent attitudes, Adolescent sexuality, Adolescents, Adolescents with special health care needs, Advocacy, Chronic illnesses and disabilities, Collaboration, Community organizations, Community programs, Education, HIV infection, Leadership, Moral values, Participation, Public policy, Racism, Reproductive health, Social change, Social values, Young adults

Annotation: This publication provides an in-depth review and comparison of ten selected training programs developed to address racism and the changing shape of race relations through transforming people's attitudes and behaviors, intergroup relationships, and social institutions and policies. The report explores the programs' theory of practice and theory of change, and examines how programs understand the sources and dynamics of racial and ethnic oppression and what principles and methods they use to address the problems. Section contents include: (1) program summaries; (2) important related work; (3) similarities and differences across programs; and (4) challenges and implications. The report concludes with program selection guidelines and a bibliography. The appendices include interview questions and the observational protocol.

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Keywords: Cultural diversity, Ethnic groups, Program evaluation, Racism, Sensitivity training, Social behavior, Surveys

Annotation: This teaching guide explains how to lead study circles in which the participants discuss race relations and racism in their communities. The guide contains two sections; the first contains materials necessary to develop a discussion program on this topic. It provides a context, core materials for five discussion sessions, suggestions for organizing and leading the sessions, and general information on the study circle method of promoting communication and problem solving. The second section provides suggestions for tailoring the material to specific communities or organizations, contains readings, and includes an annotated bibliography. A handbook for participants is available in English and Spanish; it is called "The Busy Citizen's Discussion Guide: Racism and Race Relations."

Keywords: Communication, Community action, Conflict resolution, Group dynamics, Problem solving, Racism, Resources for professionals, Social problems, Spanish language materials